Under the direction of a Nurse Manager, the Community Health Nurse provides skilled care and routine clinical nursing assessment visits to members and families utilizing all elements of the nursing process and in compliance with applicable laws, regulations, and agency policies.
The CHN primarily provides nursing visits in the member’s home in the community but can routinely visit members in the clinic/center, hospitals, nursing homes, and other alternate setting as deemed necessary for care coordination consistent with the PACE model of care.
The CHN is a core interdisciplinary team member who is assigned to a member in compliance with PACE regulatory requirement.
- Implements the nursing care plan and revises it whenever necessary by regularly assessing, observing, and evaluating the patient’s condition, needs and response to care and makes appropriate nursing judgments and decisions for care plan revision.
- Initiates and applies appropriate preventative, therapeutic and rehabilitative nursing procedures and techniques.
- Administers medications and treatments as prescribed by the PCP. Ability to independently perform skilled nursing procedures and techniques based on the changing nursing needs that the member requires.
- Teaches the patient and family/caregivers self-techniques whenever appropriate and provides instruction regarding medication, diet, safety, and treatment modalities in accordance with the plan of care.
- Recognizes and utilizes additional opportunities for health counseling/education with patients, families and other caregivers and provides them with information that will facilitate decisions regarding the promotion, maintenance, and restoration of health.
- Delegates responsibility appropriately and supervises ancillary personnel in a manner that will assure quality care and compliance with the care plan.
- Evaluates for and promotes a safe environment for the patient and complies with National Patient Safety Goals.
- Completes, maintains, and submits all required documentation that is timely (in compliance with agency policy) accurate, and relevant.
- Meet all requirements for UAS-NY assessor function: timely completion within regulatory standards, follow-up assessments, and significant change assessments as needed.
Education
QUALIFICATIONS:
Degree from an NLN accredited school of nursing required, BSN preferred.
Experience
- Minimum of one (1+) year general clinical nursing experience in a certified home health agency (CHHA), acute care, medical surgical, and/or critical care experience required. Clinical nursing experience must be within one (1) year from date of hire or transfer required.
- Minimum of one (1+) year of experience working with a frail or elderly population or, if the individual has less than one (1) year of experience but meets all other requirements, must receive appropriate training from the PACE organization on working with a frail or elderly population upon hiring.
- Possess and maintain good physical stamina and mental health, including satisfactory health clearance as required by NYS regulations and Agency policy.
- Current Driver’s License, required insurance and car available for work as required.
License
Current New York State license to practice as a Registered Nurse.
Additional Requirements
- Be legally authorized (for example, currently licensed, registered, or certified if applicable) to practice in the State in which the healthcare professional will perform the function.
- Be medically cleared for communicable diseases and have all immunizations up-to-date before engaging in direct participant contact.
- Computer/laptop proficiency required.
- Good organizational, observation, communication and judgment skills.
- Is self-directed with ability to work with supervision.
- Is flexible and cooperative in fulfilling role obligations.