Under the supervision of the Clinical Manager, the Team Nurse is
responsible for the delivery of appropriate, adequate, effective,
efficient direct patient care services assigned by the Primary Care
Clinician and approved by the Clinical Manager. Responsibilities
include implementation of the physician plan of care, obtaining
physician orders, supervision of home health aides, and
coordination of care within an interdisciplinary team and
participating in effective utilization management and control of
patient supplies. Consistently provides care based on the
age-related needs of the unique population with consideration of
their development/psychosocial needs, environmental safety,
educational needs, communication style, and level of understanding.
The Team Nurse is accountable to the Primary Care Clinician for
ensuring that the plan of care is implemented following
professional standards of care and agency specific protocols.
Associate's- RN Garduate from accredited curriculum
Bachelor's- Nursing or health related field preferred.
Licensures and Certification
Registered Nurse - State Licensure - RN - required
Basic Life Support Certification, BLS - required
Driver License, Valid and in State - DL NUMBER - required
Automobile Insurance - required
Must have reliable transportation
Minimum of one year of experience in an acute care setting -
Direct patient care experience within the past five years -
One year of experience in a Home Health or Hospice position -
Skills and Knowledge
Productivity standards - ability to meet productivity
expectations (3-6 pt. visits per day, depending on visit type and
Understanding of palliative care for the terminally ill
Basic understanding of home care services, clinical standards of
care and practice, Title XXII, Medicare Conditions of
Participation, CHAP home health accreditation requirements, QI
outcomes/benchmarking, infection control; good understanding of
reimbursement patterns for Medicare and other payors; good working
understanding of budget and other financial reports.
Ability to communicate with patients and significant others in
an effective, mature, caring manner.
Must be able to handle sensitive issues, conflict with or among
others, respectively direct and reinforce staff efforts;
effectively plan and organize and prioritize work, think critically
to both effectively plan and organize department operations
consistent with Sutter VNA and Home Health's strategic and
operating objectives and to effectively solve unique problems as
they arise or identify when to consult supervisor.
Ability to be aware of surroundings and respond to emergency
and/or urgent events.
Participation in a training program for Home Health volunteers
or coursework in death and dying/Home Health care is preferred.
Exhibits excellent oral and written communication skills: with
legible handwriting for documentation of patient records in a clear
and concise manner.
Maintain a positive and professional image and demonstrate
self-directed learning to meet professional development and/or