Duke University Health System
Registered Nurse (RN) Home Health
Duke University Health System, Durham, North Carolina, United States, 27703
About Duke HomeCare & Hospice
Pursue your passion for caring with Duke HomeCare & Hospice, which offers hospice, home health, and infusion services across the region, and serves as the home for the Duke Caregiver Support Program. Team members work closely with a patient’s physician to provide comprehensive, individualized care in the comfort of their home or at our inpatient hospice facility in Durham, NC.
Duke Nursing Highlights
Duke University Health System is designated as a Magnet organization
Nurses from each hospital are consistently recognized each year as North Carolina's Great 100 Nurses.
Duke University Health System was awarded the American Board of Nursing Specialties Award for Nursing Certification Advocacy for being strong advocates of specialty nursing certification.
Duke University Health System has 6000+ registered nurses
Quality of Life: Living in the Triangle!
Relocation Assistance (based on eligibility)
Highlights of Our HomeCare Model
No call or weekend requirements
Manageable territories
Commitment to safety for both patients and employees
Mileage reimbursement rate equal to the current federal rate
Extensive orientation of 20 weeks based on individual needs
Job Summary Performs professional nursing care for patients in a primary care setting (the home or alternate site) according to nursing practices, agency policies and regulations. Provides nursing services to patients and families in accordance with the scope of the RN as defined by the North Carolina Board of Nursing.
Major Job Responsibilities
Plan, provide, supervise and document professional nursing care utilizing the nursing process for patients in accordance with the NC nurse practice act, physician orders and established policies.
Utilize comprehensive assessment skills to plan priorities and set realistic outcomes; collaborate with healthcare team in the evaluation and cost effectiveness of patient care.
Assess educational needs of patients/families concerning alterations in health, the disease process, and plan of care.
Develop and implement an effective discharge plan for patients to begin at the initiation of services.
Obtain or develop appropriate educational resources for patients/families; plan and implement appropriate educational interventions; evaluate effectiveness and outcomes of patient/family teaching.
Role model professional nursing through conduct, appearance, communication, mutual respect, ethical decision-making, critical thinking, and problem‑solving skills.
Participate in weekly interdisciplinary team meetings and case conferences as necessary, to assure appropriate care and service.
Maintain up-to-date knowledge of Medicare/Medicaid/JCAHO standards through in‑services and workshop attendance.
Assess the severity of patient symptoms, communicate to the physician and record significant findings, intervene as appropriate.
Document care and services provided in accordance with DHCH policy and procedures and regulatory standards.
Complete documentation accurately, timely, concisely.
Medication reconciliation and education to prevent adverse events and readmission to the hospital.
Observe patient’s reactions to medications and report significant incidents to the physicians.
Communicate regularly with team members, caregivers, and physicians.
Follow infection control standard precautions and use personal protective equipment as required.
Delegate and supervise care given by NCA’s/LPN’s.
Develop plan of care for aides, assign care to aides based on the skills of the aide, the availability of the aide for patient care continuity, patient preference (when possible), and other considerations.
Identify personal learning needs and implement corrective action; assist in planning and conducting staff development programs.
Participate in own professional development by maintaining required competencies, identifying learning needs and seeking appropriate assistance or educational offerings.
Implement agency policy, procedures and objectives.
Work closely and collaboratively with agency billing staff to ensure accuracy of billing.
Maintain confidentiality of employee and patient information.
Exhibit an attitude that promotes harmony and goodwill in the workplace.
Display a clean, neat, professional appearance.
Participate in performance improvement program.
Promote quality, comprehensive services through a team approach.
Perform other duties as assigned.
Home Health Responsibilities
Case manage interdisciplinary team of clinicians caring for patients in the home.
Complete required OASIS Comprehensive assessments at admission, recertification, resumption of care and discharge.
Work with interdisciplinary team and patient providers to prevent read‑hospitalization.
Be aware of patient insurance requirements and ensure authorization for all services have been obtained.
Appropriate utilization of resources for patient—including visit and supply utilization.
Work Environment & Requirements Perform patient care primarily in the patient’s residence or skilled nursing facility (>50%).
Travel to and from patient residence.
Preferred Qualifications Education and Formal Training
Associate Degree or Diploma, Nursing required
Registered Nurses are not required but encouraged to enroll in a DUHS approved BSN program after completing two years of service from their start date.
Licensure, Certifications
Must have a current RN license in NC or compact RN licensure from a participating state.
Current North Carolina Cardio‑Pulmonary Resuscitation Certificate (CPR) (American Heart Association only) – may be updated during orientation.
Valid driver's license and current automobile insurance coverage.
Professional Work Experience
1–2 years of med‑surgical, critical care or home health/hospice/infusion preferred.
Prior experience in Home Health, Hospice or Infusion preferred.
Prior OASIS and PDGM experience preferred for home health.
Knowledge, Skills & Abilities
Working knowledge of Medicare and Medicaid regulations, including JCAHO and DFS standards, ICD‑9 Coding.
Knowledge of scope of the registered nurse, licensed practical nurse and NCA.
Knowledge of and appropriate application of the nursing process.
Ability to assess nursing needs of acute and chronically ill patients and their families.
Ability to independently seek out resources and work collaboratively.
Ability to establish and maintain effective working relationships.
Ability to communicate clearly with patients, families, visitors, healthcare team, physicians, administrators, leadership and others.
Ability to teach patients and families in accordance with the nursing plan of care.
Ability to use sensory and cognitive functions to process and prioritize information, treatment and follow‑up.
Ability to use fine motor skills.
Ability to record activities, document assessments, plan of care, interventions, evaluations and re‑evaluation of patient status.
Ability to use computer and learn new software programs and technology.
Able to document and communicate pertinent information using computer and/or paper documentation tools.
Knowledge in wound identification and treatments, infusion and other advanced nursing skills.
Critical thinking skills and organization skills.
Working knowledge of infection control procedures and safety precautions.
Strong computer skills including MS Outlook, Word, Excel.
Excellent rapport, understanding, and communication with the patients and their family members.
Ability to work autonomously and independently in varying environments.
Able to withstand driving long distances, stooping, bending, lifting 20+ pounds, and climbing stairs.
Essential Physical Job Functions Certain jobs at Duke University and Duke University Health System may include essential job functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.
Duke is an Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex (including pregnancy and pregnancy related conditions), sexual orientation or military status.
Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas—an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values.
#J-18808-Ljbffr
Duke Nursing Highlights
Duke University Health System is designated as a Magnet organization
Nurses from each hospital are consistently recognized each year as North Carolina's Great 100 Nurses.
Duke University Health System was awarded the American Board of Nursing Specialties Award for Nursing Certification Advocacy for being strong advocates of specialty nursing certification.
Duke University Health System has 6000+ registered nurses
Quality of Life: Living in the Triangle!
Relocation Assistance (based on eligibility)
Highlights of Our HomeCare Model
No call or weekend requirements
Manageable territories
Commitment to safety for both patients and employees
Mileage reimbursement rate equal to the current federal rate
Extensive orientation of 20 weeks based on individual needs
Job Summary Performs professional nursing care for patients in a primary care setting (the home or alternate site) according to nursing practices, agency policies and regulations. Provides nursing services to patients and families in accordance with the scope of the RN as defined by the North Carolina Board of Nursing.
Major Job Responsibilities
Plan, provide, supervise and document professional nursing care utilizing the nursing process for patients in accordance with the NC nurse practice act, physician orders and established policies.
Utilize comprehensive assessment skills to plan priorities and set realistic outcomes; collaborate with healthcare team in the evaluation and cost effectiveness of patient care.
Assess educational needs of patients/families concerning alterations in health, the disease process, and plan of care.
Develop and implement an effective discharge plan for patients to begin at the initiation of services.
Obtain or develop appropriate educational resources for patients/families; plan and implement appropriate educational interventions; evaluate effectiveness and outcomes of patient/family teaching.
Role model professional nursing through conduct, appearance, communication, mutual respect, ethical decision-making, critical thinking, and problem‑solving skills.
Participate in weekly interdisciplinary team meetings and case conferences as necessary, to assure appropriate care and service.
Maintain up-to-date knowledge of Medicare/Medicaid/JCAHO standards through in‑services and workshop attendance.
Assess the severity of patient symptoms, communicate to the physician and record significant findings, intervene as appropriate.
Document care and services provided in accordance with DHCH policy and procedures and regulatory standards.
Complete documentation accurately, timely, concisely.
Medication reconciliation and education to prevent adverse events and readmission to the hospital.
Observe patient’s reactions to medications and report significant incidents to the physicians.
Communicate regularly with team members, caregivers, and physicians.
Follow infection control standard precautions and use personal protective equipment as required.
Delegate and supervise care given by NCA’s/LPN’s.
Develop plan of care for aides, assign care to aides based on the skills of the aide, the availability of the aide for patient care continuity, patient preference (when possible), and other considerations.
Identify personal learning needs and implement corrective action; assist in planning and conducting staff development programs.
Participate in own professional development by maintaining required competencies, identifying learning needs and seeking appropriate assistance or educational offerings.
Implement agency policy, procedures and objectives.
Work closely and collaboratively with agency billing staff to ensure accuracy of billing.
Maintain confidentiality of employee and patient information.
Exhibit an attitude that promotes harmony and goodwill in the workplace.
Display a clean, neat, professional appearance.
Participate in performance improvement program.
Promote quality, comprehensive services through a team approach.
Perform other duties as assigned.
Home Health Responsibilities
Case manage interdisciplinary team of clinicians caring for patients in the home.
Complete required OASIS Comprehensive assessments at admission, recertification, resumption of care and discharge.
Work with interdisciplinary team and patient providers to prevent read‑hospitalization.
Be aware of patient insurance requirements and ensure authorization for all services have been obtained.
Appropriate utilization of resources for patient—including visit and supply utilization.
Work Environment & Requirements Perform patient care primarily in the patient’s residence or skilled nursing facility (>50%).
Travel to and from patient residence.
Preferred Qualifications Education and Formal Training
Associate Degree or Diploma, Nursing required
Registered Nurses are not required but encouraged to enroll in a DUHS approved BSN program after completing two years of service from their start date.
Licensure, Certifications
Must have a current RN license in NC or compact RN licensure from a participating state.
Current North Carolina Cardio‑Pulmonary Resuscitation Certificate (CPR) (American Heart Association only) – may be updated during orientation.
Valid driver's license and current automobile insurance coverage.
Professional Work Experience
1–2 years of med‑surgical, critical care or home health/hospice/infusion preferred.
Prior experience in Home Health, Hospice or Infusion preferred.
Prior OASIS and PDGM experience preferred for home health.
Knowledge, Skills & Abilities
Working knowledge of Medicare and Medicaid regulations, including JCAHO and DFS standards, ICD‑9 Coding.
Knowledge of scope of the registered nurse, licensed practical nurse and NCA.
Knowledge of and appropriate application of the nursing process.
Ability to assess nursing needs of acute and chronically ill patients and their families.
Ability to independently seek out resources and work collaboratively.
Ability to establish and maintain effective working relationships.
Ability to communicate clearly with patients, families, visitors, healthcare team, physicians, administrators, leadership and others.
Ability to teach patients and families in accordance with the nursing plan of care.
Ability to use sensory and cognitive functions to process and prioritize information, treatment and follow‑up.
Ability to use fine motor skills.
Ability to record activities, document assessments, plan of care, interventions, evaluations and re‑evaluation of patient status.
Ability to use computer and learn new software programs and technology.
Able to document and communicate pertinent information using computer and/or paper documentation tools.
Knowledge in wound identification and treatments, infusion and other advanced nursing skills.
Critical thinking skills and organization skills.
Working knowledge of infection control procedures and safety precautions.
Strong computer skills including MS Outlook, Word, Excel.
Excellent rapport, understanding, and communication with the patients and their family members.
Ability to work autonomously and independently in varying environments.
Able to withstand driving long distances, stooping, bending, lifting 20+ pounds, and climbing stairs.
Essential Physical Job Functions Certain jobs at Duke University and Duke University Health System may include essential job functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.
Duke is an Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex (including pregnancy and pregnancy related conditions), sexual orientation or military status.
Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas—an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values.
#J-18808-Ljbffr