On-Call RN (Home Health) PRN

Reasonable Accommodations Statement
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.
Reasonable Accommodations may be made to enable qualified individuals with disabilities to perform the
essential functions.

Essential Functions Statement(s)

• Monitor, record, and report symptoms and changes in patient condition.
• Provide telephonic triage and determine need for emergency intervention.
• Perform urgent skilled nursing and/or courtesy visits as indicated.
• Maintain accurate, detailed clinical documentation within required timeframes.
• Consult and coordinate with physicians, facilities, and interdisciplinary team.
• Educate patients and caregivers on disease management and prevention.
• Inform physician and DON of significant changes in patient condition.
• Maintain infection control standards.
• Perform other duties as assigned by management.

POSITION QUALIFICATIONS

Competency Statement(s)

• Active Listening - Ability to actively attend to, convey, and understand the comments and questions of others.
• Applied Learning - Ability to participate in needed learning activities in a way that makes the most of the learning experience.
• Assertiveness - Ability to act in a self-confident manner to facilitate completion of a work assignment or to defend a position or idea.
• Empathetic - Ability to appreciate and be sensitive to the feelings of others.
• Ethical - Ability to demonstrate conduct conforming to a set of values and accepted standards.
• Research Skills - Ability to design and conduct a systematic, objective, and critical investigation.
• Tactful - Ability to show consideration for and maintain good relations with others.
• Accountability - Ability to accept responsibility and account for his/her actions.
• Organized - Possessing the trait of being organized or following a systematic method of performing a task.
• Analytical Skills - Ability to use thinking and reasoning to solve a problem.
• Communication, Oral - Ability to communicate effectively with others using the spoken word.

PERFORMANCE METRICS - REHOSPITALIZATION PREVENTION

• Contributes to agency 30-day hospital readmission rate targets as established by leadership.
• Demonstrates appropriate clinical escalation to prevent avoidable ER visits.
• Accurately identifies and intervenes on red-flag symptoms (CHF weight gain, COPD exacerbation, hyper/hypoglycemia, infection indicators, etc.).
• Ensures timely physician notification for significant changes in condition.
• Provides evidence-based patient education during crisis calls and visits to reduce recurrence.
• Maintains 100% compliance with on-call response time expectations.
• Completes documentation within required timeframes to ensure continuity of care and risk mitigation.
• Participates in case review or QAPI meetings as needed when after-hours events result in hospitalization.

TIME FRAMES

• Assessments and documentation must be completed for each visit as follows unless extenuating or unforeseen circumstances occur:
  • Nursing Visit - within 24 hours of visit
  • ROC - within 48 hours of visit
  • Recert - within 24 hours of visit
  • Follow-UP/SCIC - within 24 hours of visit
  • SOC - within 48 hours of visit. Elements of the comprehensive assessment requiring additional information or follow-up may be completed within five (5) calendar days of the SOC date, as clinically appropriate.
• On-Call Response Expectations:
• Must be immediately available by phone during assigned on-call hours.
• Return patient/caregiver calls within 15 minutes.
• Complete clinical triage and determine intervention plan within 30 minutes of initial contact.
• If a skilled visit is required, respond to the patient’s home within 2 hours when feasible; no later than 4 hours unless otherwise directed by physician or immediate supervisor.
• Activate emergency medical services immediately for life-threatening symptoms.
• Communicate all after-hours activity to DON by next business day.

SKILLS & ABILITIES

Education: Associate’s or Bachelor's Nursing Degree

Experience: One year RN clinical experience required. Home Health or related experience preferred.

Computer Skills: Proficiency in electronic clinical documentation systems, general computer applications, and professional email communication.

Certificates & Licenses: Active Louisiana RN License; Current BLS Certification; Valid Louisiana driver’s license.

WORK ENVIRONMENT

Provides care in patient homes and community settings throughout the assigned service area. Requires remote documentation and may require occasional in-office work for meetings, training, or administrative purposes