Documents patient services and status timely and accurately within professional practice standards and reimbursement requirements.
Records pain/symptom management changes/outcomes as appropriate.
Communicates with the medical provider regarding the patient’s needs and reports changes in the patient’s condition; obtains/receives medical provider orders as required.
Teaches the patient and family/caregiver self-care techniques as appropriate.
Provides medication, diet and other instructions as ordered by the medical provider and recognizes and utilizes opportunities for health counseling with patients and families/caregivers.
Works in concert with the interdisciplinary team.
Assists the patient and family/caregiver and other team members in providing continuity of care.
Attends required staff meetings, interdisciplinary team meetings and care coordination activities.
Participates in on-call duties as defined by the on-call policy.
Ensures that arrangements for equipment and other necessary items and services are available.
Supervises ancillary personnel and delegates responsibilities when required.
Coordinates patient care in tandem with LPN/LVN as assigned by Clinical Manager.
Assumes responsibility for personal growth and development and maintains and upgrades professional knowledge and practice skills through attendance and participation in continuing education and in-service classes.
Fulfills the obligation of requested and/or accepted case assignments.
Actively participates in quality assessment performance improvement teams and activities or other committees as assigned.
May be required to work outside of designated geographical area based on census fluctuations and current staffing.
Completes mandatory education requirements annually to maintain competence.
May be required to visit patients in homes that are not clean, or in poor repair, have poor ventilation, are infested with insects or rodents, and second hand smoke.
Driving conditions may be difficult related to weather and/ or traffic.
Maintains knowledge of and adheres to all applicable laws, rules, and standards.
Participates in the orientation of new employees and preceptorship of students as assigned.
Meets productivity expectations.
