REGISTERED NURSE

To provide nursing care, in accordance with the patient's plan of care, to include comprehensive health and psychosocial evaluation, monitoring of the patient’s condition, health promotion and prevention coordination of services, teaching and training activities, and direct nursing care. 1. Evaluate the effectiveness of nursing services to the patient and family, on an on going basis all care conducted in the patient home. 2. Perform admission, transfer, re-certification, resumption of care, and discharge OASIS for the home care patient. 3. Proficient in verbal and written orders and coordinate orders with patient physician, agency and other disciplines assigned to patient. 4. Submit clinical notes, no less often than weekly, and progress notes and other clinical record forms, outlining the services rendered, as indicated. 5. Submit a tally of patient care visits made each day. 6. Participate in case conferences, discuss with the supervisor problems concerning the patients, and how they may best be handled. 7. Discuss, with the appropriate supervisor, the need for the involvement of other members of the health team, such as the Home Health Aide, the Physical Therapist, 8. Obtain orders for paraprofessional service and submit a referral to the appropriate personnel. 9. Participate in the patient’s discharge planning process. 10. Cooperate with other agencies providing nursing, or related, services to provide continuity of care and to implement a comprehensive care plan. 11. Participate in the development, and periodic revision, of the physician's Plan of Care and processes change orders, as needed. 12. Submit clinical notes, within seventy-two (72) hours, and progress notes and other clinical record forms outlining the services rendered. 13. Conduct an initial, and ongoing, comprehensive assessment of the patient’s needs, including Outcome and Assessment Information Set (OASIS) assessments, at appropriate time points. 14. Applicant must be willing to travel without mileage reimbursement. This is a Independent Contractor position. 15. Applicant must be willing to work independently and work with a team of disciplines, patient, caregiver and others. 16. Demonstrate supervisory, and strong leadership skills. 17. www.shastafamily.com 18. Hourly wage is based on experience in HOME HEALTH.