RN - Home Care - Generalist

Job Summary: 
Under the supervision of the Nursing Manager, the RN-Home Care-Generalist role will assist the Home Care RNs in the field. Daily tasks will include skilled and acute visits including wound care, medication administration and medication packing. The HCRN Generalist will conduct nursing assessments, collaborate with the clinical team; communicate with participants and families; and complete timely documentation. The HCRN Generalist will provide services wherever needed such as CNA supervisions, vaccination administration as ordered, and to provide substitute coverage for in-house nursing positions as needed. Rotating Saturday coverage is required. 

Job Duties/Responsibilities:

• Conducts histories, physical exams and functional nursing assessments of enrolled participants.
• Assists Team HCRNs in providing services to participants in the community including: Acute care, treatments, management of transitions of care, medication reconciliations, medication administration/packing, wellness visits and patient education. Observes, records and reports to primary care staff or IDT any change in participant condition.
• Ensures seamless care by establishing collegial relationships with the Community RNs to promote teamwork. Communicates with Team RN/HCRN regarding the concerns of the participants and their medical needs. Collaborates with the Home Care RNs and IDT to ensure medical orders are followed.
• Sets up medication minders as requested by Home Care RNs to support participant medication adherence and safety.
• Provides nursing coverage for a Team/HCRN, performs homecare assessments as needed and reports findings to the interdisciplinary team (IDT).
• Communicates with families regarding delivery of services and changes in orders that will impact care.
• Assists Home Care Department on oversight/adherence to policy and competencies and training of CNA’s. Completes quarterly home visits to assess/educate CNAs as needed.
• Assists participants in maintaining optimum health in the community; provides health education and counseling to participants and caregivers facing chronic conditions and end of life issues. 
• Performs related duties as assigned. Provides coverage for in-house nursing positions as needed. Supports vaccination clinics as needed.
• Assists with orientation of new staff and serves as a mentor to nursing students.
• Engages in problem solving on RN/clinical level. Is knowledgeable and adheres to all nursing policies and procedures regarding standards of care. 
• Can identify appropriate resources when unsure of specific policies or procedures.
• Completes documentation of all nursing care and services in medical record. Records all nursing encounters per PACE documentation standards.
• Uses proper universal and standard precautions and Infectious Control PPE according to PACE policy and procedure. 
• Protects privacy and maintains confidentiality of sensitive participant and agency information.
• Attends staff and department meetings and agency in-services as required. 
• Works rotating weekends and/or holidays as assigned. 
• Demonstrates an understanding of the importance of clear, thorough documentation as crucial to good participant care; completes and enters accurate, thorough participant documentation in the electronic health record; enters documentation for assessments, orders, and notes within required timeframes.
• Performs other related duties as required and assigned.

Required Skills & Abilities: 
Ability to maintain confidentiality
Dependable and punctual with ability to maintain consistent attendance 
Ability to read, write and comprehend English 
Ability to maintain sound judgement under stress and communicate effectively 
Ability to proficiently perform clinical/skilled tasks associated within scope of position
Proficiency with MS Office Suite or similar software 

Education Requirement: 
Associate Degree, Required
Bachelor's Degree Preferred

Physical Requirements: 
Physical ability to regularly stoop, bend, kneel, lift, stand, walk, stretch and reach for extended periods of time. 
Must be able to regularly lift objects up to 25 pounds and at times up to 35 pounds.
Must be able to assist a 200-250 lb participant, using proper body mechanics. 
Must have hearing and vision abilities within normal range (corrected) to drive safely and/or to observe and communicate with participants. 
Must be able to navigate various departments of the organization's physical premises as well as related community care settings. 
Must be able to tolerate conditions typically associated within a medical office and/or home care setting including potential exposure to bloodborne pathogens and infectious diseases. 
Must be able to complete assignments in variable weather conditions and ever-changing and sometimes allergenic environments in participant homes, including extreme heat, humidity, dust, smoke, pet contamination, and cleaning supplies. 

Experience:  
2 Years of direct service work (Adult Day, Nursing Home or Home Care), Preferred
1 Year of experience in a Medical or Geriatric Care setting, Preferred
1 year of experience working with a frail or elderly population, Preferred 

Licensure & Certification Requirements: 
Rhode Island Registered Nurse License (RN) 

Position Requirements:
CPR Certification
Driver's License & access to reliable transportation; community-based work required