RN- Full Time- Osceola County

Summary The Registered Nurse provides\nskilled nursing care to home health patients in their homes under a physician\nor allowed practitioner plan of care. The RN completes comprehensive\nassessments, including OASIS, develops and revises the plan of care, coordinates\nservices, and supervises home health aides and LPNs. The RN works under the\ndirection of the Clinical Supervisor and follows Medicare Conditions of\nParticipation, Florida AHCA rules, Joint Commission standards, and Matrix Care\nLLC policies. Essential Functions Patient Care 1. Completes start of care, resumption of care,\nrecertification, transfer, and discharge assessments within required\ntimeframes, including a physical assessment and history of current and prior\nillness. 2. Assesses the home environment, safety, fall risk,\ncaregiver support, and psychosocial needs. 3. Completes medication reconciliation at each assessment\nand identifies drug interactions, duplications, and adherence issues. 4. Develops and revises the individualized plan of care\nwith measurable goals, including the patient and family in planning. 5. Provides skilled nursing interventions, medications,\ntreatments, and wound care as ordered. 6. Teaches patients and caregivers on disease management,\nmedications, safety, and when to seek help. 7. Identifies discharge planning needs early and\nimplements them before discharge. 8. Acts as case manager for an assigned caseload when\ndesignated by the Clinical Supervisor. OASIS and Documentation 1. Completes OASIS accurately using the current CMS\nversion, following CMS guidance on coding. 2. Documents each visit in the EMR (KanTime) per agency\ntimeliness standards [confirm: e.g., within 24 hours]. 3. Uses electronic visit verification as required. 4. Supports accurate PDGM coding, functional scoring, and\nquality outcomes through complete documentation. 5. Responds to QA and coding review requests by the agency\ndeadline. Communication and Coordination 1. Reports changes in condition to the physician or\nallowed practitioner and the Clinical Supervisor promptly, and obtains and\ndocuments orders. 2. Coordinates care with therapists, aides, MSWs,\nphysicians, pharmacies, DME vendors, and community resources. 3. Participates in case conferences and interdisciplinary\ncare coordination. 4. Arranges needed equipment, supplies, and services. Aide and LPN Supervision 1. Instructs and supervises home health aides, completing\nonsite supervisory visits at least every 14 days for patients receiving skilled\nservices, and annually with the aide present. 2. Prepares and updates written aide care plans. 3. Directs and oversees LPN care within Florida scope of\npractice. 4. Reports aide or LPN performance concerns to the\nClinical Supervisor. Quality, Safety, and Compliance 1. Follows Joint Commission National Patient Safety Goals,\nincluding two patient identifiers, medication safety, infection prevention, and\nfall risk reduction. 2. Follows infection control, emergency preparedness, and\nHIPAA policies. 3. Explains patient rights, responsibilities, and the\ncomplaint process. 4. Reports suspected abuse, neglect, or exploitation as\nrequired by Florida law. 5. Reports incidents and participates in quality\nimprovement (QAPI) activities. Additional Duties 1. Participates in on-call rotation per agency policy. 2. Completes orientation, annual competencies, and\nrequired in-services. 3. Performs other related duties as assigned. Requirements Qualifications and Requirements Required 1. Active, unrestricted Florida RN license or multistate\n(compact) license valid in Florida. 2. Graduate of a state-approved school of nursing. 3. Current CPR/BLS certification. 4. Minimum one year of RN clinical experience. 5. Clear Level 2 background screening per Florida law,\nplus agency health screening. 6. Valid Florida driver's license, reliable\ntransportation, and auto insurance meeting agency minimums. 7. Completes skills competency checklist before\nindependent practice. Preferred 1. BSN. 2. One or more years of home health experience. 3. OASIS experience; COS-C or HCS-D certification. 4. Bilingual English and Spanish. Skills 1. Strong assessment, clinical judgment, and documentation\nskills. 2. Able to work independently and manage a caseload with\nminimal supervision. 3. Clear verbal and written communication with patients,\nfamilies, and physicians. 4. Comfortable with EMR, tablet, and mobile documentation. Physical Demands and Work Environment Reasonable accommodations may be\nmade to enable individuals with disabilities to perform the essential\nfunctions. • Regular driving between patient homes, often several\nvisits per day. • Prolonged standing, walking, bending, stooping,\nkneeling, and reaching. • Lift and carry up to 50 lbs; assist with patient\ntransfers and positioning using proper body mechanics and devices. • Vision and hearing sufficient for assessment,\ndocumentation, and safe driving. • Work in patient homes with variable conditions,\nincluding pets, stairs, and limited space. • Possible exposure to infectious diseases, bloodborne\npathogens, and hazardous materials; PPE provided.