Registered Nurse - Contract - Med Surg
Company: Res-Care, Inc
Location: Longview
Posted on: March 15, 2023
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Job Description:
Registered Nurse - ContractOur Company
ResCare Community Living
Overview
Develops/implements care plans for persons served in area of
responsibility. Assesses health status, identifies problems and
needs of person(s) served in their assigned caseload, develops and
implements nursing care plans in collaboration with programmatic or
behavioral health staff, and oversees medical record maintenance.
Administers direct nursing care for persons served. Advises persons
served, their guardians and staff on health maintenance and disease
prevention. Supervises LPN's, CNA's and DSP's related to health
services activities and as directed
Responsibilities
* Participates in admission decisions, ensuring that company
admission criteria are met, and the needs of the person can be met
relative to staffing and competency of direct service staff.---
Conducts assessment and reassessment of persons served---
Develops/updates care plans. Determines persons served needs and
secures physicians orders as needed. --- Coordinates communication
between team members/attending physicians/and all direct caregivers
to ensure the appropriateness of care and outcome planning.---
Ensures compliance with state/local/payer requirements through
review of documentation, attendance at IDT and care coordination
activities.--- Ensures that caregiver clinical documentation meets
company and payer standards.--- Participates in the
recruitment/interviewing/selection/orientation of LPN/LVN's, direct
care/service staff; provides supervision and evaluates their
performance --- Provides coaching and education related to the
health and well-being of persons served. --- Participates in
performance improvement activities, maintains ongoing clinical
knowledge through internal/external training programs, provides
interpretation of knowledge and direction to staff.--- Addresses
acute and on-going health issues--- Ensures that medical
appointments are scheduled. May attend medical appointments when
indicated based on the individual's health needs and condition ---
Ensure physicians orders and plan of care meets the needs of the
individual served and are implemented by direct care staff (or
provides directly). --- Secures physicians orders for needed
medications/treatments --- Ensures that new/changed
medication/treatment orders are transcribed onto the MAR/TAR and
EHR as indicated--- Prepare and present in-service to staff (when
indicated)--- Document above actions in Nurse's Notes or Service
Delivery Log--- Keep QIDP/PM informed of health needs and of the
need to have an IDT meeting--- Supervise the health care team (LPN,
and health & wellness services provided by CNA, DSP staff) ---
Review MARs - investigate and resolve any medication errors,
missing doses, etc--- Ensure that complete mediation counts occur
in each home reconcile counts to ensure that medications were given
as ordered, reorder and restock medication supplies. --- Monitor
documentation, review clinical information (e.g., MARs, weights,
vital signs, etc.) and follow-up as indicated--- Ensure MARs are
prepared for upcoming month. (MARs must be reconciled and placed at
each group home prior to the last day of the month.) For
individuals to receive medications while attending day programs,
ensure a MAR is present and accurate at the Day Programo Cycle
medications come from the pharmacy the last week of the month.
These medications are for the following month. The Registered Nurse
is accountable to ensure that they are checked for accuracy and
sent to the homes prior to the end of every month.o Ensure all
medications that are not cycle fill (liquids, ointments etc.) are
available as needed--- Maintains certification an any/all
state-required clinical certifications (e.g., Medication Delegation
instructor)--- As new physician orders are received, ensure the
order is transcribed into the record, and that medication orders
are transmitted to the Pharmacy.--- Complete Quarterly/Monthly
Nursing Review which includes an assessment for each individual---
Complete AIMS assessment (if not completed by psychiatrist)---
Attend Psychiatric appointments as indicated--- Ensure
clinical/medical records are up to date, including medication,
clinical histories, Seizure Records, weights, immunizations, and
medical appointments, etc. Review all available data and reporting,
identify areas in need of attention, contact physician(s) and make
revisions to the plan of care/service as applicable--- May delegate
tasks to other direct-care/support staff as applicable and in
compliance with company, State and payer requirements --- Ensure
all required screenings are completed as applicable (e.g., Fall
Risk, Pneumonia, Mammograms, etc) --- Participate in on-call duties
to ensure weekend and after-hours access to clinicians by staff and
individuals served (participates in on-call rotation as assigned)
--- Actively participate in applicable meetings and committees
(e.g., IDT, HRC, Safety/Quality committee, and annual person served
directed/active treatment plan meetings--- Other duties as assigned
and within scope of practice
Qualifications
Qualifications:--- Must have at least one year of nursing
experience, including 6 months in a supervisory role
* Clinical experience in providing services and supports to
individuals with intellectual and developmental disabilities or
related disorders preferred
Education:--- Degree/ certification from an accredited school of
nursing.
Certificates, Licenses, Registrations:
* Must maintain licensure as a Registered Nurse (RN) in the state
of practice, which is current and remains in good standing--- Valid
driver's license from state of residence--- CPR Certification
About our Line of Business
ResCare Community Living has four decades of experience in the
disability services field, providing support to individuals who
need assistance with daily living due to an intellectual,
developmental or cognitive disability. Our community living
services are provided in 27 states with several thousand programs
and a comprehensive range of high-quality services, including:
Community Living, Adult Host Homes for adults regardless of
disability, Behavioral/Mental Health Support, In-home Pharmacy
Solutions, Telecare and Remote Support, Supported Employment and
Training Programs, and Day programs. For more information, please
visit www.rescarecommunityliving.com. Follow us on Facebook and
LinkedIn.
Salary Range
USD $35.00 / Hour
Keywords: Res-Care, Inc, Longview , Registered Nurse - Contract - Med Surg, Healthcare , Longview, Texas
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