Job Summary:

• Provides patient assessment and collection of health data involving the patient, family, and other health care providers. 
• Analyzes health data to determine nursing diagnoses and expected outcomes. 
• Collaborates with patient/family and interdisciplinary team. 
• Develops a plan of care that identifies interventions to achieve expected outcomes. 
• Evaluates patient’s progress toward attainment of outcomes, systematically revises diagnosis, interventions and expected outcomes.
• Coordinates patient plan of care to assure interventions are consistent, safe, timely and appropriate. 
• Assesses continuity of care and evaluates coordination of interventions by the interdisciplinary team to ensure consistency with the plan of care.
• Communicates clearly and effectively with all customers, in person, on the phone and in writing. 
• Communicates plan of care to patient and family regularly, respecting the patient’s wishes through acknowledgment of patient/family perceptions of health and illness and mutual goal setting for optimal outcomes. 
• Communicates patient data to the physician and interdisciplinary team as indicated to achieve patient care needs. 
• Documents patient health data, interventions and communications.
• Individualizes patient and family teaching based on a thorough assessment to meet their specific learning needs. 
• Assesses patient’s learning style and learning barriers and modifies teaching plan accordingly. 
• Provides teaching on disease management strategies, emergency care and drug information. 
• Identifies community resources to support patient self-management of disease.
• Participates in evaluating the quality and effectiveness of nursing practice by participating in quality improvement initiatives. 

Skills on Resume: 

• Patient Assessment (Hard Skills)
• Data Analysis (Hard Skills)
• Care Planning (Hard Skills)
• Team Coordination (Soft Skills)
• Effective Communication (Soft Skills)
• Patient Education (Hard Skills)
• Resource Identification (Hard Skills)
• Quality Improvement (Soft Skills)

Job Summary:

• Provides evidence-based, clinically competent nursing care in a culturally sensitive manner. 
• Bases individualized care on best current evidence, patient values and clinical experience.
• Maintains professional knowledge in current nursing practice standards, laws and regulations. 
• Demonstrates commitment to lifelong learning through ongoing participation in education activities related to clinical knowledge and professional issues
• Interacts with and contributes to the professional development of peers, students and other health care providers as colleagues. 
• Shares knowledge, provides feedback and contributes to an environment supportive of clinical education. 
• Assigns or delegates tasks as defined by the State Practice Act according to the knowledge and skills of the designated caregiver. 
• Collaborates with physicians and the interdisciplinary team using open dialogue for the provision of patient care.
• Facilitates decisions and actions on behalf of patients in an ethical manner by maintaining patient confidentiality, acting as a patient advocate, and assisting patients so they can advocate for themselves. 
• Seeks available resources to support ethical practice, assists patients and family in becoming informed consumers about the cost, risk and benefits of treatment and care.
• Establishes and maintains effective working relationships. 
• Acts with integrity, consistency and respect for differing views. 
• Identifies factors that interfere with effective team functioning and contributes to a resolution. 
• Treats each individual with compassion, respect and integrity.
• Participates in the on-call rotation as assigned by the Clinical Manager or designee, which may include weeknights and weekend days and/or nights.
• Adheres to all Northwest Community Hospital standards, policies, and procedures.

Skills on Resume: 

• Evidence-Based Care (Hard Skills)
• Culturally Sensitive Practice (Soft Skills)
• Nursing Practice Knowledge (Hard Skills)
• Lifelong Learning (Soft Skills)
• Team Collaboration (Soft Skills)
• Task Delegation (Hard Skills)
• Ethical Advocacy (Soft Skills)
• Effective Communication (Soft Skills)

Job Summary:

• Performs initial nursing assessments of participants in their home environment to determine their individual need for skilled nursing and/or assistance with activities of daily living and coordinates plan of care with caregivers. 
• Recommends, with input from occupational therapy, nursing and other team members, a care plan for each participant who needs home care.
• Develops a nursing care plan, setting long and short-term goals to meet preventive, restorative, maintenance, and palliative care needs. 
• Assesses functional status and personal care needs, and develops a personal care plan.
• Serves as a member of the IDT and participates in initial assessments, care planning, and ongoing re-evaluations of participant care, changing the plan of care as the participant’s needs change.
• Assesses and triages participants in person and on the phone for care in the clinic, and facilitates efficient, effective patient care in the home.
• Responds to emergencies, assisting the participant, primary care provider, staff and family.
• Assists with transitions and coordination of care across settings, i.e., hospital, nursing home, LIFE center and home.
• Supervises clinical aspects of home health aide care in participants’ homes. Coordinates with Home Care Supervisor.
• Indicates need for dietary assessment and refers to a dietitian.
• Administers medications and treatments ordered by the primary care physician (or nurse practitioner). 
• Develops and implements an individualized “home care plan” and education program for participants’ caregivers
• Assists with management of the pharmacy dispensary, following all policy and procedures relating to control and storage of narcotics, and emergency medicines and equipment.

Skills on Resume: 

• Initial Nursing Assessment (Hard Skills)
• Care Plan Development (Hard Skills)
• Functional Status Evaluation (Hard Skills)
• Interdisciplinary Teamwork (Soft Skills)
• Patient Triage (Hard Skills)
• Emergency Response (Hard Skills)
• Care Coordination (Soft Skills)
• Medication Administration (Hard Skills)

Job Summary:

• Provides health education to participants and family members, staff, and volunteers.
• Participates as a personal caregiver.
• Participates in the activities of the Center.
• Provides evening and weekend on-call phone coverage on a rotating basis to triage, troubleshoot, and coordinate participant care with the physician on call.
• Maintains a clean, safe care environment, promotes infection control, accident prevention, and reports potential hazards.
• Demonstrates professional practice in patient care by use of established standards in planning, organizing, implementing, and evaluating.
• Maintains current, written and electronic records in compliance with regulatory standards, prepares reports and correspondence.
• Develops and implements participant bowel and bladder training programs.
• Demonstrates respect for participants’ homes and belongings and asks permission and explains suggested changes in the home environment related to care of the participant.
• Demonstrates understanding of participants as unique individuals in need of loving, supportive, emotional, physical and spiritual care.
• Demonstrates positive interpersonal relations in dealing with fellow employees, supervisors, and other department employees to maximize positive employee relations and productivity.
• Supervises, coordinates, and evaluates students
• Performs duties in accordance with the ANA Code for Professional Nurses.
• Administers competency testing to appropriate PACE staff.

Skills on Resume:

• Health Education (Hard Skills)
• Personal Caregiving (Hard Skills)
• Activity Participation (Soft Skills)
• On-Call Triage (Hard Skills)
• Infection Control (Hard Skills)
• Record Keeping (Hard Skills)
• Bowel Bladder Training (Hard Skills)
• Respectful Communication (Soft Skills)

Job Summary:

• Provides nursing services to clients in their homes, community setting and/or clinic by assessing physical, emotional and psychosocial needs of the clients and their families
• Develops and implements a nursing care plan which emphasizes self care and incorporates collaboration with the client, family, the client’s physician, other health care professionals and community resource workers.
• Collaborates with clients in formulating short and long-term goals, coordinates a multi-disciplinary care plan, evaluates the care plan to ensure continuity of care
• Discharges the individuals, acts as an advocate for the client and provides support for the caregiver by providing information to the client while respecting the client’s wishes.
• Participates in the delivery and coordination of individualized client care by assessing, planning, implementing and evaluating client care needs
• Completes client assessments and provides direct client care in a clinic, client’s home and/or community setting.
• Assists with the triage of client referrals, in accordance with the established guidelines and criteria, reviews information received from family, community health providers, family physicians and multi-disciplinary staff.
• Follows up with clients and/or families, physicians and other health care providers regarding complex medical conditions through client reassessments and the sharing of medical information, evaluates the outcomes of treatment plans and modifies interventions to meet desired outcomes.
• Coordinates home care services by liaising with other Home Health staff and community agencies, coordinates discharge planning of clients in the hospital and arranges for home support services for the client

Skills on Resume: 

• Home Health Assessment (Hard Skills)
• Care Plan Implementation (Hard Skills)
• Goal Collaboration (Soft Skills)
• Client Advocacy (Soft Skills)
• Individualized Care Delivery (Hard Skills)
• Direct Client Care (Hard Skills)
• Referral Triage (Hard Skills)
• Discharge Coordination (Soft Skills)

Job Summary:

• Provides health education to individuals, families, caregivers and other staff to increase knowledge regarding health promotion to enhance the client’s health status, teaches nursing care and procedures to the caregiver
• Participates in health promotion activities by liaising with community groups and professional staff.
• Arranges and participates in joint home visits to clients and/or families with other health professionals, and provides advice to the client and/or caregiver about available community resources.
• Documents and communicates client information and administrative information according to established policies and procedures
• Maintains related records, documentation and statistics, and prepares reports in accordance with established standards and procedures.
• Conducts education sessions for clients, caregivers, other health care professionals and the public by preparing, presenting and sharing educational material and content 
• Increase awareness and understanding of current and related health issues and the role and function of the designated program.
• Participates in quality improvement activities in the development, implementation and evaluation of new programs and/or services by attending meetings, identifying areas needing improvement and providing input.
• Assists with the orientation of nursing and ancillary staff by developing and providing relevant informational material and acting as a preceptor, identifies self learning needs and attends educational programs to maintain and enhance clinical competencies.

Skills on Resume: 

• Health Education (Hard Skills)
• Health Promotion (Soft Skills)
• Community Liaison (Soft Skills)
• Information Documentation (Hard Skills)
• Record Maintenance (Hard Skills)
• Education Session Delivery (Hard Skills)
• Program Awareness (Soft Skills)
• Quality Improvement (Soft Skills)

Job Summary:

• Ensure adherence to New York City Department of Home Health Care Regulations and Safety Codes, federal regulations for licensed home care agencies, as well as all Agency Policies and Procedures.
• Supervise, develop, and schedule the client services staff according to agency policies, procedures and standards with the support of the Agency Staffing Coordinator.
• Establish and maintain a medication system that adheres to state, federal and Company laws, regulations and guidelines.
• Perform assessments, reassessments and re-visits to determine client needs.
• Develop an appropriate Service Plan to meet each client’s needs while ensuring safety and supporting client independence. 
• Consult with the physician and receive the physician's approval and Orders for Service Plan.
• Instruct staff regarding each client’s needs and Service Plan. 
• Ensure that each Service Plan is being followed and that documentation is completed.
• Operate within budget and according to the Agency’s policies, procedures and standards.
• Complete weekly Quality Enhancement (QE) reviews to ascertain if the Agency is meeting state regulations and Agency policies in multiple assigned locations.
• Act as a consultant and resource for issues related to client care
• Support assigned territory in recruiting and scheduling.
• Supervise assigned area private duty staff and supporting nursing staff.

Skills on Resume: 

• Regulatory Compliance (Hard Skills)
• Staff Supervision (Soft Skills)
• Medication System Management (Hard Skills)
• Client Assessment (Hard Skills)
• Service Plan Development (Hard Skills)
• Physician Consultation (Soft Skills)
• Staff Instruction (Soft Skills)
• Quality Review (Hard Skills)

Job Summary:

• Act as the agency's call nurse for at least a seven (7) day duration each month. 
• Perform necessary tasks, including but not limited to, taking phone calls to advise staff and clients
• Complete daily “on-call nursing notes” and Agency Manager on Duty (MOD) documentation as per Agency Policy.
• Work as the “Manager on Duty” (MOD) at least one weekend per month.
• Administer medications as allowed per state-specific guidelines.
• Maintain skills in client care and clinical
• Maintain medical records, complete paperwork and the Atria Resident Care (ARC) system in compliance with regulations and Agency policy.
• Provide activities of daily living to the clients
• Provide training and orientation to new staff members and ongoing training to current staff members.
• Communicate to clients, families, Department Directors, staff, and the Executive Director in an effective and respectful manner.
• Support referrals and sales processes with the promotion of a positive image of the Agency.
• Deliver and attend required training for self and the Agency for professional licensure.
• Maintain positive relations with clients’ families
• Maintain active community and professional ties.

Skills on Resume: 

• On-Call Nursing (Hard Skills)
• Manager On Duty (Soft Skills)
• Medication Administration (Hard Skills)
• Medical Recordkeeping (Hard Skills)
• Daily Living Support (Hard Skills)
• Staff Training (Soft Skills)
• Effective Communication (Soft Skills)
• Community Relations (Soft Skills)

Job Summary:

• Assumes day-to-day accountability for the delivery of quality services by direct supervision of assigned staff and interdisciplinary collaboration
• Evaluates nursing care and completes rounds to ensure that nursing care is carried out in accordance with regulatory, accrediting and professional practice standards, the philosophy, policies and procedures for the Nursing Division and organization
• Ensures practice is in accordance with the Michigan Public Health Code, Federal and State Regulations and Accreditation
• Develops interdisciplinary relationships to support improvements in care delivery, patient/resident, staff and physician satisfaction.
• Collaborates with the director of nursing, nurses and patient/resident care staff, physicians, mid-level providers and other departments to develop, implement, and evaluate programs and services that support patient/resident care delivery in the assigned area, including effective utilization of workforce, facilities and equipment
• Participate, facilitates staff involvement and integrates advocacy in the development and review of policies, procedures, programs, and guidelines based on evidence-based practice, research findings, and Spectrum Health quality outcomes
• Provides information to senior leadership on the implications of policies, procedures and programs being formulated and recommends specific action.
• Assists director to plan, prepare, implement, monitor assigned areas' operational and capital budget to ensure sound fiscal management consistent with the goals of Spectrum Health, including resource allocation to meet productivity targets and patent care needs and assists in development of programs and collaborative strategies to enhance growth and revenue for the assigned area.
• Collaborates with the director and Quality Assurance Performance Improvement (QAPI) Chair to develop and maintain quality monitoring systems to continuously monitor and measure the quality, safety and outcomes of nursing/resident services for the assigned area
• Develops and implements unit quality indicators to evaluate unit performance, staff performance, level of practice for specific patient/resident populations and develops and implements improvement plans to correct variances
• Participates in and/or facilitates interdisciplinary performance initiatives.

Skills on Resume: 

• Staff Supervision (Soft Skills)
• Nursing Care Evaluation (Hard Skills)
• Regulatory Compliance (Hard Skills)
• Interdisciplinary Collaboration (Soft Skills)
• Program Development (Hard Skills)
• Policy Advocacy (Soft Skills)
• Budget Management (Hard Skills)
• Quality Improvement (Soft Skills)

Job Summary:

• Acts as a resource for staff to identify and address ethical issues within nursing and the assigned area
• Formulates decisions and actions based on ethical principles, using the ANA Code of Ethics for Nurses to guide practice
• Evaluates and advocates for privacy, confidentiality, and security of patient, staff and organization data.
• Creates a climate of effective communication and respect for diversity in all interactions
• Facilitates an environment of caring and collaborative relationships among disciplines and departments
• Collaborates with director, peers and staff to create and execute a vision for change that mobilizes, encourages, and unifies interdisciplinary and practice group teams
• Develops, maintains, and evaluates a professional practice environment that empowers and supports staff participation by encouraging shared decision-making, accountability, and autonomy in nursing practice
• Serves as a role model, mentor, and expert to staff, colleagues and students.
• Encourages an environment supportive of nursing research
• Supports an environment that promotes evidence-based, clinically effective, nurse-sensitive patient outcomes and other health care outcomes for the assigned area
• Supports a continuous learning environment to ensure ongoing education and development opportunities for staff based on populations served, professional practice, new technology and/or required skills
• Assists in the identification of trends and competencies in nursing practice.
• Manages the activities of professional and support staff
• Provides direction and support to subordinate staff to ensure effectiveness and efficiency
• Carries out supervisory responsibilities in accordance with the departmental policies, organization philosophy, regulatory and applicable laws
• Responsibilities include interviewing, hiring, training and developing employees, planning and assigning work, appraising performance, rewarding and disciplining employees, addressing complaints and resolving problems, and initiating personnel actions.

Skills on Resume: 

• Ethical Issue Resolution (Soft Skills)
• Ethical Decision-Making (Soft Skills)
• Data Privacy Advocacy (Hard Skills)
• Diversity Communication (Soft Skills)
• Collaborative Environment Building (Soft Skills)
• Practice Environment Development (Soft Skills)
• Staff Mentoring (Soft Skills)
• Staff Management (Hard Skills)

Job Summary:

• Utilizes the nursing process to assess, plan, implement and evaluate patient care.
• Assess signs and symptoms indicating physiologic and psychosocial changes in the patient’s condition.
• Collects, analyzes, and interprets data and information from health care members and documents actual and/or potential nursing diagnoses.
• Documents the patient’s plan of care using identified nursing diagnoses, expected patient outcomes, and selected nursing interventions.
• Performs interventions according to identified priorities, plan of care, and the hospital policies and patient care outcome standards.
• Revises the plan of care according to evaluation, changes in medical plan of care, and effective/ineffective nursing interventions.
• Uses clinical judgment in evaluation activities to meet patient care needs of an assigned unit/floor, including establishing priorities.
• Complies with all Home Care policies and procedures.

Skills on Resume: 

• Nursing Process Application (Hard Skills)
• Patient Assessment (Hard Skills)
• Data Interpretation (Hard Skills)
• Care Plan Documentation (Hard Skills)
• Nursing Intervention (Hard Skills)
• Care Plan Revision (Hard Skills)
• Clinical Judgment (Soft Skills)
• Policy Compliance (Hard Skills)

Job Summary:

• Providing physical and mental assessments
• Coordinating health care needs with Physicians and the healthcare team
• Administer medications, provide vaccinations, and render treatment to patients
• Documentation of patients’ medical records
• Performing a range of treatment and diagnostic support
• Utilize nursing processes to assess, plan, implement, and evaluate patient care.
• Perform a focused interview to identify specific patient needs.
• Assess signs and symptoms indicating physiologic and psycho-social changes in the patient’s condition.
• Collect, analyze, and interpret data and information from health care members and documents actual and/or potential nursing diagnoses.

Skills on Resume: 

• Physical Mental Assessment (Hard Skills)
• Healthcare Coordination (Soft Skills)
• Medication Administration (Hard Skills)
• Medical Record Documentation (Hard Skills)
• Treatment Support (Hard Skills)
• Nursing Process Utilization (Hard Skills)
• Focused Interviewing (Soft Skills)
• Data Interpretation (Hard Skills)

Job Summary:

• Perform home care visits (patient assessments/aide supervision/med pours) throughout Spring Valley and Newburgh, NY, and surrounding areas
• Teach PCA and HHA classes according to DOH guidelines
• Create, update, and maintain Physician Orders (485s)
• Maintain updated clinical records as per DOH guidelines
• Responsible for client assessments
• Training and education of family members
• Administration of prescribed medication, treatment and therapy
• Communication with other members of the client’s multi-disciplinary team
• Supply management and emergency management

Skills on Resume:

• Home Care Visits (Hard Skills)
• Class Instruction (Hard Skills)
• Physician Order Management (Hard Skills)
• Clinical Record Maintenance (Hard Skills)
• Client Assessment (Hard Skills)
• Family Training (Soft Skills)
• Medication Administration (Hard Skills)
• Team Communication (Soft Skills)

Job Summary:

• Provides Practice Excellence through specialized nursing assessment, care, evaluation and education to patients and families in accordance with established policies and procedures.
• Promotes evidence-based practice by using research to develop, implement and evaluate process standards, such as plans of care, protocols and guidelines.
• Provides Leadership Excellence in the clinical practice area.
• Demonstrates a commitment to Learning Excellence through professional development and clinical expertise.
• Demonstrates Role Clarity through professional competence, expertise, and knowledge, and supports the nursing profession through role modeling and fostering an environment of growth and learning.
• Promotes Cultural Excellence with recognition and appreciation for cultural, ethnic, and generational diversity.
• Performs primary nursing care functions in conformance with professional standards of home care nursing practice under the plan of care approved by the primary physician.               
• Coordinates all services provided for each assigned patient and family.

Skills on Resume:

• Practice Excellence (Hard Skills)
• Evidence-Based Practice (Hard Skills)
• Clinical Leadership (Soft Skills)
• Learning Excellence (Soft Skills)
• Role Clarity (Soft Skills)
• Cultural Competence (Soft Skills)
• Primary Nursing Care (Hard Skills)
• Service Coordination (Soft Skills)

Job Summary:

• Contribute to the treatment and rehabilitation of patients
• Plan for coordinated home health services for individuals and families
• Appraise individual and family health needs and hazards, existing or potential
• Provide health counseling, including emotional support to individuals, families, and groups
• Consult with and refer families to appropriate personnel within the agency or to other community services
• Perform treatments and diagnostic and preventive procedures are carried out under the medical direction
• Provides quality care to include instructing patients on specific physician/provider ordered care, usually in the setting of the patient's home.
• Employs the nursing process to develop and implement plans of care for patients requiring in-home health and support services.
• Specific and skilled treatments and procedures, the nurse provides health teaching to patients and caregivers, preventive health screening, referral and coordination of services in the agency and the community, and advocacy for the patient in obtaining health-related goals.
• Ensures adequate service provision, including scheduling of visits, based on the patient's identified needs and priorities for care.

Skills on Resume:

• Patient Rehabilitation (Hard Skills)
• Home Health Planning (Hard Skills)
• Health Needs Appraisal (Hard Skills)
• Health Counseling (Soft Skills)
• Community Referral (Soft Skills)
• Treatment Procedures (Hard Skills)
• Nursing Process Application (Hard Skills)
• Service Coordination (Soft Skills)