Home Health RN Supervisor

Working title: Home Health RN Supervisor

Classification title: Registered Nurse

Division: Home Health and Hospice

Program: Home Health

Reports to: Home Health Clinical Manager

FLSA status: Exempt; Full-Time

Schedule: Monday-Friday

Wage Range: $68 643 to $97647 annually plus $2/hr Case Management stipend depending on number of years of transferrable experience and internal equity

RiverStone Health:

Serving the Yellowstone County community and south-central Montana for nearly 50 years RiverStone Health is an essential provider of personal and public health services. Health Education Leadership and Protection HELPis what we do. From medical dental and behavioral healthcare; home care and hospice; public health services like immunizations WIC health promotion and restaurant inspections; and educating the next generation of health professionals our expertise spans all ages and stages of life.

At RiverStone Health we strive to build a personal connection with everyone we serve to provide optimal compete solutions without our realm of expertise to the variety of challenges faced by our patients clients and customers. Underlying principles of access affordability compassion and quality in all interactions RiverStone Health improves life health and safety for all the communities we serve.

Home Health Program Overview:

RiverStone Health Home Health Services provides medical treatment for an illness or injury to help patients recover regain independence and become as self-sufficient as possible. Home health care helps patients manage chronic conditions like heart disease diabetes pain management or chronic obstructive pulmonary disease (COPD) and provides personal care services. Home Health Services may be requested by physicians the patient or family member or a hospital discharge planner. Through consultation with the patients healthcare provider Home Health Services develops a plan of care to meet the patients individual healthcare needs. The team includes nurses physical therapists occupational therapists speech therapists medical social workers and certified home health aides.

Job Summary:

The RN Supervisor is responsible for the delivery of quality patient care through the nursing process of assessment nursing diagnosing planning implementation and evaluation. In tandem with the clinical manager and clinical nursing staff the RN admissions nurse helps to oversee patient care nursing case management clinical documentation (OASIS) referral staff and customer satisfaction with home health patient care services. The incumbent brings content expertise and knowledge surrounding the program elements deliverables and metrics. The work environment is typically fast paced. Work is performed to ensure efficiency of program delivery incorporating integrity and innovation to ensure a high level of customer service.

Essential Functions/Major Duties and Responsibilities:

Case Manager 50%

• Regularly reevaluates the patients nursing needs and makes the necessary revisions in the plan of care.

• Follows a plan of care that assures the patient and family needs are identified prioritized and met to achieve desired clinical outcomes/goals.

• Provides comprehensive care that addresses the educational and discharge planning needs of the patient and family

  • Teach patients and families preventative care disease prevention medical and psychological care and medication review.

  • Monitors ongoing patient care through care conferencing and review of documentation to determine care educational and discharge planning needs.

  • Utilizes knowledge of patients age and cultural diversity in the provision of patient care and education needs.

• Evaluates discharge outcomes to look for improvements or decline and any discrepancies.

• Responsible for supervisory visits with Licensed Practical Nurses (LPN) and Certified Home Health Aides (CHHA).

• Communicates a report to the appropriate health care team members for the continuation of care including reporting any changes in patients condition to the physician and family as needed.

• Demonstrates the knowledge and skills necessary to provide care appropriate to patients of all age groupsmust demonstrate knowledge of the principles of growth and development through the life span possess the ability to assess data reflective of the patients status and interpret the appropriate information needed to identify each patients needs.

• Maintains universal precautions guidelines and safety measures according to RiverStone Health policies and procedures

• Documents care that is provided to the patient encounter in the electronic medical records (per documentation standards) in a timely manner. Must document/chart observations activities and other data that relate to the clinical condition of the patient and patient care.

• Develops an understanding of Outcome and Assessment Information Set OASIS-E quality and reimbursement measures

• Contributes to the provision of quality process through performance improvement techniques that demonstrate positive outcomes in patient care. Receives and works to resolve patient/family concerns/complaints.

• Maintains knowledge of and compliance with current Medicare/Medicaid state regulations and rules Health Insurance Portability and Accountability Act (HIPAA) compliance and accreditation regulations for home health services.

• Maintains and enhances professional growth and development through attendance in orientation continuing educational offerings as well as organizational educational programs as requested.

• Demonstrates interpersonal cognitive and technical competencies and standards of care consistent with the programs and organizations mission values and services.

• Rotates on-call with other RN Case Managers to assure patient care needs are available after hours weekends and on holidays.

• Carries a program computer and telephone to receive and place calls for patient care operations during non-office hours when on call

• Maintains universal precautions guidelines and safety measures according to RiverStone Health policies and procedures

• Documents care that is provided to the patient encounter in the electronic medical records (per documentation standards) in a timely manner. Must document/chart observations activities and other data that relate to the clinical condition of the patient and patient care.

• Covers needs in home health as assigned.

Admission Nurse 35%

• The ability to work independently and collaboratively to provide direct skilled comprehensive nursing care and instruction for patients and families based on established clinical nursing practice includes but is not limited to:

  • Administering care treatments and medication in compliance with physician orders

  • Monitoring and interpreting symptoms and treatments; developing a plan of care in collaboration with other health care providers

  • Providing education to patients and families

• Responsible for completing admissions and home visits assigned. This includes:

  • Initiating the plan of care and priority setting to ensure effective and efficient patient care delivery and achievement.

  • Consult and coordinate with the health care team members to assess plan implement and evaluate patients plan of care.

Supervisor duties 10%

• Coordinates staff by assisting with scheduling.

• Provides clinical input to determine appropriate referrals for acceptance and assists in identifying the clinical information needed for admission medication entry and intakes

• Assists clinical staff in decision making care coordination and time management in cases with complex needs.

• Conducts regular conferences with home health team members to promote information exchange determine care assignments and to promote integration of care plans

• Assures that all staff members deliver respectful care consistent with the patient/familys home cultural and environmental circumstances.

• Assesses the teams ongoing patient care through care conferencing and review of documentation to determine educational and care needs.

• Ensures program and agency policies and procedures are being followed.

• Oversees and ensures accurate and timely documentation with appropriate utilization of medical records systems.

• Assists with ensuring quality care and patient/client satisfaction.

• Identifies and supports quality improvement initiatives.

• Attends meetings conferences workshops and training sessions and reviews publications and audio-visual materials to become and remain current on principles practices and new developments related to the field.

• Develops and maintains trusting relationships with patients clients and RiverStone Health staff and community referral partners.

• Responds to questions comments and concerns in a courteous effective and timely manner.

• Promotes teamwork and collaboration among staff.

• Works closely with other RiverStone Health staff and participates in team meetings to develop plans and ideas for program expansion delivery and quality improvement initiatives.

• Keeps immediate supervisor and designated others accurately informed concerning work progress including present and potential work problems and suggestions for new or improved ways of addressing such problems

• Handles corrective action for staff

• Direct the work of staff establish work schedules review and approve timesheets.

• Provide professional development training and support for assigned staff.

• Work in collaboration with Human Resources when recruiting hiring and onboarding; encountering behavior performance or reliability issues; and when staff request extended leave or work accommodations.

• Complete regular performance appraisals; handle employee relations incidents in a timely manner.

• Keep current on best supervision practices through research and trainings and ensuring compliance with applicable policies and procedures.

Non-Essential Functions/Other duties assigned <5%

• Perform other duties as assigned in support of RiverStones mission and goals.

Education and Experience:

Minimum Qualifications

• Associate degree in Nursing.

• 3 years nursing experience

• Any combination of experience and training which provide the equivalent scope of knowledge skills and abilities necessary to perform the work.

Preferred Qualifications:

• Bachelor of Science in Nursing

• Two years of case management

• Knowledge of nursing process and home care regulations preferred.

Certificates Licenses Registrations:

• Current license as a Registered Nurse in Montana.

• Valid State of Montana Drivers License and vehicle insurance (if Hospice Home Care and Public Health)

• BLS and CPR certification required

Knowledge Skills and Abilities:

• Computer literacy in Microsoft Office Suite.

• Ability to maintain a calm and positive demeanor during difficult interactions.

• Ability to display non-judgmental and empathetic listening skills.

• High degree of detail-oriented skill level.

• Knowledge and understanding of protected sensitive patient health information (HIPAA) and confidentiality.

• Ability work collaboratively to maintain a positive work environment.

• Ability to prioritize and perform a wide range of tasks under pressure of continuous interruptions.

• Ability to perform job duties with integrity and innovation to ensure completion and a high level of quality.

• Ability to understand and adhere to required administrative policies and procedures.

• Excellent communication skills to ensure efficiency and quality customer services.

Customer Service Excellence:

• Doing things right the first time

• Making people feel welcome

• Showing respect for each customer

• Anticipating customer needs and concerns

• Keeping customers informed

• Helping and going the extra mile

• Responding quickly

• Protecting privacy and confidentiality

• Demonstrating proper telephone etiquette

• Taking responsibility for handling complaints

• Being professional

• Taking ownership of your attitude toward Service Excellence.

Supervision:

• Supervision of 3 FTEs:

• 2 LPNs

• 1 RN

Physical Demands and Working Conditions:

• Required to stand walk and sit; talk or hear both in person and by telephone; use hands to finger handle or feel objects or controls; reach with hands and arms.
• Regularly required to stoop kneel bend crouch and lift up to 25 pounds frequently and 50 pounds occasionally; expected to ask for help from a colleague or utilize a lift when assistance is needed.
• Specific vision abilities required by this job include close vision distance vision depth perception color vision and the ability to adjust focus.
• Ability to travel and use own personal vehicle. Expected to drive a vehicle which requires sitting seeing and reading signs traffic signals other vehicles etc. Travel occurs in all weather conditions including extreme heat and cold.
• Risk of needlestick injury is possible.
• Position is regularly exposed to biological pathogens and contagious diseases where Personal Protective Equipment (PPE) and special precautions must be taken due to reduce exposure and mitigate risk.
• Will be exposed to home environments that may include allergens such as smoke pets etc.
• Create and maintain a safe/secure working environment by adhering to safety security and health requirements. Integrate injury illness and loss prevention into job activities by attending any necessary training and implementing best practices.

Freedom to Act & Decision Making

• Work is structured by regulations and established nursing practices. The position makes independent professional judgements regarding patient health. Decisions directly affect the quality of services provided to the public.

Communications & Networking:

• Contacts occur both inside and outside RiverStone Health and typically are for the purposes of rendering services to patients to gather information and provide education and instruction.

• Communication with others is a critical element of the position because the purpose of the contract may be to negotiate matters involving significant issues of importance.

• Communicate and coordinate with others to maximize the effectiveness and efficiency of interagency operations and activities.

Budget & Resource Management:

This position is responsible for managing resources including time equipment and other resources necessary to deliver services. Decisions made by the position directly affect the efficiency and cost of services.

Required Experience:

Manager