• Carries out the agency s mission philosophy goals and objectives within guidelines of Agency policy and position function.
• Interprets and implements the Agency s philosophy to staff and members of the community.
• Assumes responsibility for assignments given seeks supervision appropriately performing within the limits of their education and experience.
• Knows and conforms to the law governing the practice of professional nursing and provides professional nursing care using all elements of the nursing process.
• Assesses and evaluates the health care needs of patients and families with consideration regarding physiological psychological social and environmental factors.
• Identifies complete accurate and logical Uniform Assessment System (UAS) for NY and appropriate sequencing of diagnoses in collaboration with the PCP to maintain compliance with state and federal regulations.
• Participates in mandatory PACE comprehensive care planning meetings routinely as required by PACE regulations. Collaborates with all members of the IDT in developing a comprehensive care plan based on memberspecific needs physician orders UASNY CAPS other IDT assessments members specific parameters and identified goals that are respectful of member family community and agency resources.
• Implements the nursing care plan and revises it whenever necessary by regularly assessing observing and evaluating the patient s condition needs and response to care and makes appropriate nursing judgments and decisions for care plan revision.
• Initiates and applies appropriate preventative therapeutic and rehabilitative nursing procedures and techniques.
• Administers medications and treatments as prescribed by the PCP. Ability to independently perform skilled nursing procedures and techniques based on the changing nursing needs that the member requires.
• Teaches the patient and family/caregivers selftechniques whenever appropriate and provides instruction regarding medication diet safety and treatment modalities in accordance with the plan of care.
• Recognizes and utilizes additional opportunities for health counseling/education with patients families and other caregivers and provides them with information that will facilitate decisions regarding the promotion maintenance and restoration of health.
• Delegates responsibility appropriately and supervises ancillary personnel in a manner that will assure quality care and compliance with the care plan.
• Evaluates for and promotes a safe environment for the patient and complies with National Patient Safety Goals.
• Completes maintains and submits all required documentation that is timely (in compliance with agency policy) accurate and relevant.
• Meet all requirements for UASNY assessor function: timely completion within regulatory standards followup assessments and significant change assessments as needed.
• Reviews and confirms eligibility of member in the PACE program based on Nursing Facility Level of Care (NFLOC) score obtained from the UASNY assessment. Confirms eligibility of members with the members of the IDT.
• Performs care coordination as part of their nursing visits to PACE members across all settings of care. Collaborative care coordination to include internal (e.g. other IDT members) and/or external health care professional (e.g. MD specialists SNF staff hospital staff) in a manner that assures care plan coordination as well as continuity of care.

Requirements

• Degree from an NLN accredited school of nursing required BSN preferred
  

• A current New York State License to practice as a Registered Nurse.
  

• Experience: Minimum of one (1) year general clinical nursing experience in a certified home health agency (CHHA) acute care medical surgical and/or critical care experience required. Clinical nursing experience must be within one (1) year from date of hire or transfer required.
  

• Possess and maintain good physical stamina and mental health including satisfactory health clearance as required by NYS regulations and Agency policy.
  

• Current Driver s License required insurance and car available for work as required.
  

Knowledge Skills and Abilities

• Computer/laptop proficiency required
  

• Good organizational observation communication and judgment skills.
  

• Is selfdirected with ability to work with supervision.
  

• Is flexible and cooperative in fulfilling role obligations.
  

Working Conditions

• Works outside in varied weather conditions in all areas of the community using private or public means of transportation.
  

• Walks to and from patients homes.
  

• Potential exposure to health hazards.
  

• Works inside in well lighted heated or air conditioned office and in varied conditions in patients homes.
  

Benefits

Weekly Hours: 37.5

Schedule: 8:30 AM 5:00 PM

Salary Range (MinMax):