OVERNIGHT RN/Senior Nurse
Visiting Nurse Association - Omaha, NE

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This employee provides appropriate responsiveness and customer focus for all VNA patients and referral sources 24 hours per day. The Senior Nurse is independent in triaging calls for the VNA and in coordinating the provision of VNA services. This employee is responsible for scheduling of services as needed, case management services and clinical management support. In selected cases, the Senior Nurse functions as a Case Manager and performs all of the duties of a Case Manager. Understands and commits to the agency mission. Performs all duties and responsibilities listed herein, as well as other duties that may be assigned.

DUTIES AND RESPONSIBILITIES :

FINANCIAL:
  • Meets all of the productivity standards as identified by the agency.
  • Supports agency financial and quality goals by completing and submitting required documentation within 24 hours of services provided.
QUALITY:
  • Assists in the provision of care and response to calls for all VNA services to include Intermittent Home Care, Maternal/Child, Mental Health, Hospice, Pharmacy, IV and Extended Care Services as delegated by the Clinical Manager, branch offices and partnering agencies.
  • Complies with all federal, state and local laws and regulations as appropriate for the position. Complies with all policies and procedures of the agency, including those specified in the employee handbook.
  • Functions independently with minimal direction or supervision.
SERVICE:
  • Coordinates staff in the provision of care and support services as well as assists the VNA management in addressing situations that need immediate attention. Documents for appropriate management follow-up.
  • Performs all of the duties of Case Manager, including Hospice and IV Case Manager duties as well as Clinical Liaison.
  • Schedules VNA services as needed to provide high quality and continuity of care.
  • In the absence of a manager, approves and processes employee timesheets.
EMPLOYEE:
  • Contributes to employee satisfaction through positive interactions and professionalism.

GROWTH:
  • Promotes the growth of the VNA by representing the organization, its mission, and its role in the community in a professional manner.

NOTE: The Senior RN performs Case Manager duties in addition to the duties listed above. The duties of the case manager are listed on this page.

Case Manager Duties and Responsibilities: The Case Manager provides direct client services. This employee is a primary nurse who case manages using the nursing process in the development of an interdisciplinary plan of care and who manages resources to achieve identified outcomes. Understands and commits to the agency mission. Performs all duties and responsibilities listed herein, as well as other duties that may be assigned:

DUTIES AND RESPONSIBILITIES :

FINANCIAL:
  • Meets all of the productivity standards as identified by the agency.
  • Supports agency financial and quality goals by completing and submitting required documentation within 24 hours of services provided.
· Participates in the management of Case Mix Index, Low Utilization Payment Adjustment, Missed Therapy Resource Utilization, Request for Advanced Payment and Pre-Billing Chart Audits.

· Assesses client’s financial resources and establishes the appropriate funding source and billing sequence. Collaborates with the Intake Center , Clinical Regulatory Department and Billing Department regarding coverage and authorizations.

QUALITY:

· Complies with all federal, state and local laws and regulations as appropriate for the position. Complies with all policies and procedures of the agency, including those specified in the employee handbook.

· Utilizing the nursing process, manages assigned caseload, assesses client needs and develops an interdisciplinary plan of care with client/family participation. Organizes and coordinates care with appropriate referral to specialty teams and internal/external resources.
  • Performs safe and effective skilled clinical procedures and techniques.
· Consults with and educates the client and family regarding the disease process, self-care techniques and prevention strategies.

· Assesses and evaluates client progress toward goal achievement, outcomes and effectiveness of client care.
  • Initiates appropriate preventive and rehabilitative nursing procedures.
· Supervises and delegates client care to LPNs and paraprofessionals providing services to clients within their scope of practice.

· Informs the physician and other health team members of changes in client needs.
  • Works with client in planning for discharge from service.
· Records quality assurance data.

SERVICE:
  • Communicates appropriately verbally and in writing with clients, staff and other community resources.
  • Participates in the physician liaison program as needed.
EMPLOYEE SATISFACTION:
  • Functions independently with minimal direction or supervision.
GROWTH:
  • Promotes the growth of the VNA by representing the organization, its mission, and its role in the community in a professional manner.

EDUCATION : Graduation from an accredited School of Nursing required, BSN preferred.

EXPERIENCE : Four years medical/surgical, acute care, community care and/or critical care experience. Hospice, Infusion Therapy, or Home Health Care experience preferred. Knowledge of the principles and practices of community health.

COMPUTER SKILLS Proficient at basic use of a computer/laptop, such as opening and closing Windows applications. Understands computer concepts such as Windows, icons, passwords and mouse buttons. Experienced and comfortable with one or more applications such as MS-Word, Excel, PowerPoint or E-Mail. Familiarity with network files and folder concepts. Comprehends I/S terminology associated with security risks such as viruses, worms, spam and pop-ups. Learns department specific applications as needed, develops and maintains skill in the use of appropriate equipment and software. .

COMMUNICATION : Effective professional communication skills, both written and oral. Ability to read, analyze and interpret appropriate periodicals, regulations and correspondence pertaining to area of expertise. Ability to present information and respond to questions from employees, clients, managers and the general public.

REASONING SKILLS : Ability to solve practical problems and deal with a variety of standards effectively. Ability to interpret a variety of instructions furnished in written or oral form. Ability to prioritize, check for errors and spot inaccuracies. Ability to predict the logical outcome of various choices and to make good decisions.

PHYSICAL REQTS : Requires full range of body motion, including unrestricted lifting, pushing and pulling capability. Requires corrected vision and hearing within normal ranges. Will frequently sit, stand, walk, drive, crouch, bend, kneel, climb stairs, lift and carry bulky/heavy items and use strength and dexterity to deliver safe and effective home health care on the basis of need and in accordance with agency policies and practices. Will occasionally assist clients with ambulation, positioning, range of motion exercises, bathing, dressing and/or other activities of daily living. Will occasionally perform transfers without assistance.

ENVIRONMENT : Frequent Exposure to extreme conditions (e.g., temperature, fumes, dust, pets, vermin, and other environmental factors in client homes). Potential exposure to communicable diseases and bodily fluids. May work irregular hours and under stressful conditions. Shares on – call responsibilities including evenings, weekends and holidays.

DRIVING/INSURANCE : Must maintain current driver’s license and auto insurance coverage within the limits specified by VNA’s liability insurance carrier and stated in the VNA employee handbook. Must provide proof of license and insurance upon request and have access to reliable transportation. Must maintain an acceptable driving record as set forth in VNA’s policies and procedures.

LICENSURE : Active license to practice as a Registered Nurse in the State of Nebraska or other nurse licensure compact state. Certified in Basic Life Support

COMPETENCY: Understands legal and ethical obligations for maintaining professional competency. Participates in professional development activities. Integrates standards into practice. Limits practice according to competence.

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Visiting Nurse Association of Southeast Michigan (VNA) is the state's largest, independent nonprofit home health care and hospice agency....