Registered Nurse


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Title: Registered Nurse

Facility: ruralMED Home Care Resources - Lexington, NE & Holdrege, NE

Reports To: Home Care Director

Status: Full-Time and Casual positions are available.


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 Health policies is a condition of employment.


Job Duties:

  • Incumbent must have the skills, ability and judgment to perform the following essential job duties and responsibilities with or without reasonable accommodation:

  • Organize visits in conjunction with referrals assigned. Maintain close communication with Director, physicians, staff and caregivers on all assigned patients.

  • 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).

  • Conducts home visits as assigned, assessing the patient’s condition, progress toward goals, providing patient care, teaching and other skilled interventions as ordered.

  • Regularly re-evaluates patient nursing needs, as part of nursing visit.

  • 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.

  • Expedites admissions, initiates, formulates and implements care plan. Makes necessary revisions as patient status and needs change.

  • Initiates appropriate preventive and rehabilitative nursing procedures. Administers medications and treatment as prescribed by the physician.

  • Counsels patient and family in meeting nursing and related needs as appropriate per assessment and plan of care.

  • Identifies discharge planning needs. Communicates needs to team as part of the care plan and assists in implementing prior to discharge of the patient.

  • 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.

  • 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.

  • 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.

  • 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.

  • Responsible for representing ruralMED in hospital and community activities. Responsible for assisting on policy/procedures development, quality assurance activities and marketing activities.

  • Seeks out opportunities for improvement and submits them to the Home Care Director.

  • 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.

  • Responsible for supervision of Home Care Aides (if applicable) and monitoring care provided to patients.

  • Demonstrates competency annually in assigned areas of work.

Physical Demands:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Regularly required to use hands to finger, handle or feel objects, tools or controls; reach with hands and arms; and talk and hear; regularly required to sit, stand, kneel and walk, including walking up several steps. The employee must regularly lift and/or move up to 40 pounds and occasionally lift and/or move up to 150 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus.

Work Environment:

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.

While performing the duties of this job, the employee frequently works near moving mechanical parts and is frequently exposed to fumes or airborne particles and risk of electrical shock. The employee is frequently subjected to outside weather conditions and is occasionally exposed to toxic or caustic chemicals. The level of risk of exposure to blood borne pathogens is Classification I, as outlined in the Blood Borne Pathogens Exposure Control Plan. The employee works in the homes of others and may be exposed to client’s pets. The noise level in the work environment is usually moderate.


Required Education:

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.