RN PRN Home Visits

The Registered Nurse in Home and Community Based Services provides and directs provisions of nursing and personal care to patients in their homes as prescribed by the physician or as authorized by the state/program and in compliance with applicable laws, regulations, and agency policies. The Registered Nurse coordinates the plan of care with other health care professionals involved in care and helps to achieve and maintain continuity of patient care by planning and exchanging information with physician, agency personnel, patient, family, case manager and other community resources.

Specific Job Duties/Responsibilities

Provides high quality clinical services within the scope of practice and within infection control standards, in accordance with the plan of care/service plan, and in coordination with other members of the patient/clients care team from admit through discharge.

• Completes clinical nursing assessments in accordance with federal and/or state program requirements and as required by payer.

• Ensures the patient/clients eligibility and medical necessity for services as defined by payer source and agency policy.

• Develops and revises individualized plans of care and/or service plans according to federal and/or state program requirements with other community providers.

• Ensures plan of care frequency and duration meets the needs of the patient and initiates plan of care revisions as needed with physician approval.