Registered Nurse – Home Health and Hospice

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Title: Registered Nurse – Home Health and Hospice

Department: ruralMED Home Care Resources - Holdrege, Alma, Lexington, Kearney, NE Service Areas

Reports To: Home Care Director

Status: Full-Time

Position Summary:

The Registered Professional Nurse plans, organizes, provides, directs and evaluates nursing care for the specified number of home care/hospice patients assigned within his/her area of responsibility to meet the needs of individuals and families within their homes and communities. Compliance with rules and regulations of all applicable federal, state and local laws as well as ruralMED and Home Care policies is a condition of employment.


Education and/or Experience:

Bachelor of Science in Nursing (BSN), Associates degree and/or diploma from an accredited school of nursing.

Licenses/Certifications Required:

  • Current Registered Nurse license from the State of Nebraska

  • Current BLS/CPR certification

  • Current and valid drivers license with acceptable driving record

  • Current and valid insurance coverage within the legal business limits.

General Requirements/Job Duties:

To perform this job successfully, an individual must be able to perform each essential job duty satisfactorily.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The requirements listed below are representative of the knowledge, skill, and / or ability required:

  1. Organize visits in conjunction with referrals assigned. Maintain close communication with Director, physicians, staff and caregivers on all assigned patients.
  2. Completes initial, comprehensive and ongoing assessments of patient and family to determine patient eligibility, status and home care needs. Provides a complete physical assessment and history of current and previous illness(es).
  3. Conducts home visits as assigned, assessing the patient’s condition, progress toward goals, providing patient care, teaching and other skilled interventions as ordered.
  4. Regularly re-evaluates patient nursing needs, as part of nursing visit.
  5. Develops a care plan which establishes goals based on nursing diagnosis and incorporates therapeutic, preventive and rehabilitative nursing actions. Includes the patient and family in the planning process.
  6. Expedites admissions, initiates, formulates and implements care plan. Makes necessary revisions as patient status and needs change.
  7. Initiates appropriate preventive and rehabilitative nursing procedures. Administers medications and treatment as prescribed by the physician.
  8. Counsels patient and family in meeting nursing and related needs as appropriate per assessment and plan of care.
  9. Identifies discharge planning needs. Communicates needs to team as part of the care plan and assists in implementing prior to discharge of the patient.
  10. Prepares home health clinical notes and maintains close communications with Social Service workers, Home Care RN’s and LPN’s, Home Care Aides, Respiratory Therapists, Physical Therapists, Occupational Therapists, Speech Therapists, and other persons working with clients.
  11. Completes, maintains and submits accurate and relevant clinical notes regarding the patient’s condition and care given. Records pain/symptoms management changes/outcomes as appropriate.
  12. Communicates with the physician regarding the patient’s needs and reports any changes in the patient’s condition; obtain/receive physician’s orders as required.
  13. Teaches the patient and family/caregiver self-care techniques as appropriate. Provides medication, diet and other instructions as ordered by the physician and recognizes and utilizes opportunities for health counseling with patients and families/caregivers.
  14. Responsible for representing ruralMED in hospital and community activities. Responsible for assisting on policy/procedures development, quality assurance activities and marketing activities.
  15. Seeks out opportunities for improvement and submits them to the Home Care Director.
  16. Carries out supervisory responsibilities in accordance with the organization’s policies and applicable laws. Responsibilities include training employees, planning work, addressing complaints and resolving problems.
  17. Responsible for supervision of Home Care Aides (if applicable) and monitoring care provided to patients.
  18. Demonstrates competency annually in assigned areas of work.


• Will have access to primary work location 24 hours a day.
• Will have access to confidential information abiding by the organizations privacy policies and regulations concerning this information.

Equipment Used:

• General office equipment to include: fax, copier, computer, printer, etc
• Telephone

Patient Age Groups Served:


Essential Work Environment & Physical Requirements:

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.