Registered Nurse Homecare Clinical Lead
Company: MEDSTAR HEALTH
Posted on: April 30, 2021
About MedStar Health
Full time, benefits eligible position available inMontgomery
Provides, teaches, and demonstrates professional nursing
activities in accordance with policies and procedures of the
agency, and as defined by the Nurse Practice Act of the State of
Maryland, District of Columbia or Virginia.
Primary Duties and
Analyzes and documents patient's and family's response
to interventions. Evaluates measurable progress toward goals and
revises plan of care. Identifies and modifies underlying factors
that impede progress toward goals. Makes recommendations for update
in plan of care, using knowledge of interventions and
Collaborates with the patient's physician and staff in
planning and evaluating patient care. Provides timely, pertinent
written and verbal information to physicians and insurance case
managers. Establishes visit schedule and informs patient/family and
team supervisor. Uses wide variety of community and agency
resources as needed to meet patient needs. Independently manages
activities for caseload mix of patients as expert in designated
specialty. Independently organizes patient assignments for
completion of tasks within acceptable time frames. Demonstrates
basic leadership skills as a case manager and with other
responsibilities as required. Maintains necessary clinical records,
collects data and prepares reports on activities. Submits completed
admission records within 48 hours. Submits daily records within 24
hours. Recertification completed prior to recert date. Maintains
caseload mix and productivity for acuity level of
Contributes to the achievement of established goals and
objectives and adheres to department policies, procedures, quality
standards, and safety standards. Completes annual Code of Conduct,
Compliance and other mandatory training. Complies with governmental
and accreditation regulations.
Delegates cases to LPN’s.
Independently develops and documents individualized plan
of care and includes patient and family in development and revision
of plan and goal setting. Care plan includes specific care
interventions with expected measurable patient outcomes.
Establishes and documents teaching plan for
Independently identifies comprehensive learning needs of
designated patients. Independently develops teaching plans that
specify time frames. Bases teaching and counseling plan on
patient's level of knowledge, diagnosis, prescribed treatment and
available resources. Utilizes demonstration, verbal and written
instruction in order to carry out care plan. Independently
evaluates effectiveness of teaching plan in meeting patient/family
goals. Revises as needed.
Independently implements and documents plan of care for
patients with complex problems or specialty needs to facilitate
continuity of care. Documented interventions are related to plan of
care. Interventions reflect standard of care for patient
condition/diagnosis. Interventions include utilizing agency and
community resources for patients with special needs. Uses advanced
nursing judgment to implement therapeutic regime. Interventions
reflect knowledge of standard and complex home care
supplies/equipment used in patient care.
Is responsive to and communicates respectfully with
patients/families, peers and other health team members. Initiates
and participates in regularly scheduled case conferences; includes
all disciplines. Includes patient and family in mutual goal setting
and care plan revision.
Maintains effective working relationships with other
departments and participates in multidisciplinary quality and
service improvement teams. Participates in meetings and on
committees and represents the department and agency in community
outreach efforts. Enhances growth and development and enriches
personal knowledge and skill through participation in educational
programs and affiliations.
Performs comprehensive assessment related to episode of
patient illness, including pertinent history. Identifies COC and
discharge planning needs on admission and need for other
disciplines. Identifies and prioritizes problems based on
assessment. Interprets abnormal clinical data to anticipate
problems associated with changing patient status.
Performs other duties as assigned.
Participates in multidisciplinary quality and service
improvement teams as appropriate. Participates in meetings, serves
on committees and represents the department and hospital/facility
in community outreach efforts as appropriate.
Serves as educator in the discipline, providing feedback
and suggestions to improve workflow, best practices and standard
procedures. Collaborates with the Education and Operations team to
develop an individualized clinical orientation program for new
staff. Updates the program as needed.
MedStar Health is dedicated to providing the highest quality care
for people in Maryland and the Washington, D.C., region, while
advancing the practice of medicine through education, innovation
and research. Our 30,000 associates and 5,400 affiliated physicians
work in a variety of settings across our health system, including
10 hospitals and more than 300 community-based locations, the
largest visiting nurse association in the region, and highly
respected institutes dedicated to research and innovation. As the
medical education and clinical partner of Georgetown University for
more than 20 years, MedStar is dedicated not only to teaching the
next generation of doctors, but also to the continuing education
and professional development of our whole team. MedStar Health
offers diverse opportunities for career advancement and personal
Keywords: MEDSTAR HEALTH, Olney , Registered Nurse Homecare Clinical Lead, Other , Olney, Maryland
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