Registered Nurse - Home Health


Wellspring Lutheran Services

Req #: 3135
Type: Full-Time

Wellspring Lutheran Services

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Provide skilled and non-skilled nursing services to home care and hospice patients in accordance with nursing standards and regulatory rules.  These functions include assessment, procedures, teaching, case management, documentation and supervision of non-skilled personnel.  Provide evening, on-call and weekend staffing as required by Home Care.  Act as an advocate for the patient and family to ensure comfort, relief and hope.


* Seek and obtain sufficient information necessary to function effectively in the healthcare setting where assigned

* Provide professional nursing care by utilizing all elements of nursing process

* Delegate to team members focusing on areas of expertise and professional strengths

* Respond timely to phone calls from field staff, payers, physicians, clients and families

* Revise Plan Of Care as client condition changes

* Maintain communication with other disciplines to coordinate the POC

* Assure supervision of the home health aide is done every 2 (two) weeks

* Participate in QA activities as assigned

* Assess and evaluate client's status by:

* Providing an accurate, complete comprehensive assessment at admission, re-certification, change of condition, return from hospital inpatient stay and discharge

* Developing, reviewing and implementing the POC

* Regularly re-evaluating client needs

* Provide instruction as appropriate

* Administer medications and treatments as prescribed by the physician

* Initiate and apply appropriate preventative, therapeutic and rehabilitative nursing procedures and techniques

* Maintain communication regarding client care with the physician, supervisory personnel, and other disciplines

* Complete, maintain and submit accurate and relevant documentation of client's condition and care provided according to procedures

* Use supplies and equipment effectively and efficiently

* Observe the client for changes in condition, discuss changes with the team leader, client or family/caregiver, and promptly report changes to the appropriate physician

* Assist the client with meeting the activities of daily living and facilitate the client's efforts toward self-sufficiency and independence

* Teach the client and family/caregiver self-care techniques as appropriate to meet their physical, emotional, spiritual, social, and safety needs; provide medication, diet and other instructions as ordered by the physician and recognizes and utilizes opportunities for health counseling with clients and families/caregivers

* Maintain client confidentiality according to agency and HIPAA policy

* Provide and maintain a safe environment for the client

* Assist the client's family/caregiver and other health care personnel in providing continuity of care

* Supervise the LPN and ancillary personnel and delegate responsibilities when required

* Attend and contribute to staff meetings and education programs as required

RN Case Manager

* Maintain caseload based on work status

* Prepare written communication and attend Case Conference -QOW

* Facilitate follow-up and resolution of "visit book" problems for case load

* Review HHRG with Supervisor/Oasis Analyst prior to 485 mailing

* Review all Admits/Recerts/Follow Up with team to set up plan

* Manages own schedule and patient assignments to assure continuity to meet client's needs

* Manage cases in assigned geographical area utilizing team members, aides, and other disciplines

* Assign visits to team nurses if unable to see own client

* Oversee client schedule to assure all visits are assigned

* Audit charts on a regular basis for completeness, accuracy and compliance

* Follow up on hospitalized clients at least weekly by phone to determine if client still remains admitted to facility


* Assist with organization and time management

* Perform clinical skills assessment with documentation of competency

* Ensure opportunities of learning are utilized

* Assist with the development of communication and problem solving skills

* Provide constructive and timely feedback regarding progress to both the mentee and the supervisor on a weekly basis

* Maintain a formal and supportive relationship for 3-6 months, determined by the level of competency and comfort as agreed upon by both the mentor and mentee and the supervisor, then monthly thereafter for the next six months


* Successful completion of an accredited Registered Nursing program; current license through the State of Michigan Board of Nursing as a Registered Nurse

* Two (2) years of nursing experience with current home health and/or hospice,  medical, surgical, or critical care experience preferred

**Keywords:   Wellspring Lutheran Services, Registered Nurse, RN, Geriatric, Senior Services, Residential, Home Care, Healthcare, Travel, Frankenmuth**

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