Benefits We Have to Offer:
* Health, Dental, Vision, Disability & Life Insurance
* 401K Retirement Plan
* Paid Holidays
* PTO
* Flexible Spending Account
* Tuition Reimbursement
Position Description
Under the direct supervision of the Patient Care Coordinator (RN), or QA Nurse, or Case Manager, provides intermittent Skilled Nursing services to patients in the home setting according to the patients Plan of Care. Participates in the planning, evaluation and implementation of individualized patient care in coordination with the RN.
Essential Duties and Responsibilities
* Provides intermittent and skilled nursing services including assessment, evaluation, procedures, teaching, and training activities as outlined in the patient Plan of Treatment
* Reports significant findings to patient's physician and RN as they occur
* Submits completed skilled nursing notes, and communication notes per policy
* Submits change orders within 48 hours of occurrence
* Schedules a Case Conference/IDG with assigned RN to review patient's needs, problems, level of care and any changes in Plan of Care of next cert period
* Completes communication note documenting plans of recert were discussed and agreed upon between the physician, patient, RN, and RN case manager
* Participates in updating the Patient Care Plan on an ongoing basis
* Participates in PI program through submission of data collection as it relates to direct patient care problems and serving on PI teams
* Follows agency policies and procedures
* Attends staff meetings and educational in-services per agency requirements
* Continually strives to improve nursing care by broadening knowledge through formal education, attendance at work shops, conferences and participation in professional and related organizations and individual research reading
* A minimum of 50% of yearly in-services
* Effectively communicates with all members of the multidisciplinary team, the patient and Physician
* Acts as the patient's advocate and as such is liaison to assist in communicating the patient's needs to the multidisciplinary team
* Participates in the discharge planning process
* Documents discharge planning on SN notes
REQUIRED Knowledge, Skills, and Experience
* Currently licensed as a Licensed Practical Nurse or Licensed Vocational Nurse licensed by the State Board of Nursing
* Ability to work in a field setting and exhibited ability to make sound nursing judgment
* Effective communication skills
* Have and maintain an automobile to be used for work
Preferred Knowledge, Skills, and Experience
* One year prior nursing experience
Houston, TX
Founded 25 years ago,Visiting Physicians Association (VPA) is the nation’s leader in house call medicine. We specialize in caring for patients with complex health issues.
With our advanced medical technology, we are able to provide comprehensive care for every patient all within the comfort and privacy of their home. Our model ensures that patients medical needs are addressed in a timely manner.
We prioritize and are committed to best practices and high quality outcomes for our patients.
VPA is part of U.S. Medical Management (USMM). USMM is a family of companies that provides home-based medical services for elderly and other adult patients with complex health issues.
Our Experience
Expertise in geriatric care
Experience with Accountable Care Organizations (ACO) and value-based healthcare initiatives
Pioneer ACO (2012-2014)
CMS Independence at Home Program (2012 - current)
MSSP ACO (2015 to current)- 2016 Results
Experience with clinically integrated networks, population health management, and value-based initiatives
Fully implemented compliance, quality management and infection control programs
Patient specific proprietary clinical protocol software for chronic care management
Overview
Established in 1993
Largest physician house call practice in the U.S.
Over 200 full time Primary Care Providers (Physicians, NP's, PA's)
Physician-led model
Serve over 50,000 unique patients annually
Leader in government shared savings programs
Robust technology infrastructure
State of the art laboratory, mobile x-ray, ultrasound in the home
Member of the American Academy of Home Care Medicine (AAHCM)