Company: SSM Health
Location: Jefferson City
Posted on: November 22, 2020
- Performs patient assessments including:-- biophysical,
psychosocial, spiritual, cultural, and age appropriate needs of the
patients, including the assessment of nutrition, pain management,
and signs/symptoms of abuse or neglect in order to develop,
evaluate and modify patient's plan of care in home care
- Develops a realistic, comprehensive patient family educational
plan, using appropriate resources and methods of instruction and
provides patient/family health education and coaching.
- Completes accurate and timely documentation, including but not
limited to the processing of physician orders, in accordance with
policies and procedures. Monitors and evaluates delivery of nursing
care given by team members based on patient needs and professional
- Collaborates with physicians and other health care
professionals regarding all aspects of patient care.-- Identifies
need to change plan(s) of care, contacts physician and facilitates
the process using care pathways, when appropriate.-- Contacts the
patient's physician regarding changes to patient's plan(s) of
- Obtains authorizations for visits as appropriate, ensures every
visit is reimbursed. Contacts payor case managers as appropriate to
discuss plan of care and facilitate authorization for plan of
care.-- Performs ongoing chart review on case load with attention
to accurateness, recertifications, verbal orders for changes in
Plan of Care; ensures every visit performed is within assigned
frequency;-- ensures that overall documentation supports coverage
of service as defined by regulation or payor. Reports to supervisor
- Participates in training to understand and perform patient care
management to patients assigned, ongoing patient chart/record
review with attention to completeness and accuracy of plan of care,
comprehensive assessment, start of care, resumption's and
recertification's, verbal orders for changes in Plan of Care.
- Completes documentation timely and accurately with prompt
response to supervisors, preceptor or others request for
- Demonstrates skill and accuracy with use of clinical
documentation programs.-- Completes competency requirements
- Completes training modules as directed, seeks assistance and
asks questions as needed to learn and understand home health and
hospice regulations, standards and practices;.-- Identifies when a
patient may be appropriate for recertification and contact
physician for orders.-- Follow the process for recertification and
creates a new Plan of Care.-- Completes resumption of care
appropriately and develops updated orders and goals based on
- As an SSM Health nurse, I will demonstrate the professional
nursing standards defined in the professional practice model.--
Uses the ANA Code of Ethics for Nurses to guide his/her response to
the current and evolving health and nursing needs of our patients
and our patient populations.
- Works in a constant state of alertness and safe manner.
- Performs other duties as assigned.EDUCATION
- Graduate of accredited school of nursingEXPERIENCE
- No experience requiredPHYSICAL REQUIREMENTS
- Constant use of speech to share information through oral
- Constant standing and walking.
- Frequent lifting/carrying and pushing/pulling objects weighing
- Frequent sitting, reaching and keyboard use/data entry.
- Frequent use of vision and depth perception for distances near
(20 inches or less) and far (20 feet or more) and to identify and
- Frequent use of smell to detect/recognize odors.
- Frequent use of hearing to receive oral communication,
distinguish body sounds and/or hear alarms, malfunctioning
- Occasional lifting/carrying and pushing/pulling objects
weighing 25-50 lbs.
- Occasional lifting/moving of patients.
- Occasional bending, stooping, kneeling, squatting, twisting,
gripping and repetitive foot/leg and hand/arm movements.
- Occasional driving.
- Rare crawling and running.
Keywords: SSM Health, Jefferson City , RN-Resident, Healthcare , Jefferson City, Missouri
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