Home Health - LPN

Preferred Qualifications

1. Home care nursing experience preferred.

Duties and Responsibilities

The duties and responsibilities listed below are intended to describe the general nature of work and are not intended to be an all-inclusive list. Other duties and responsibilities may be assigned. 1. Assess, and using evidence based practice, implements nursing interventions 2. Assess the patient’s physical and psychosocial needs to determine health status within the scope of licensure. 3. Collects relevant data and documents the information according to Medicare record policy & procedure. 4. Completes all nursing documentation per procedures and nursing standard of practice including assessments, interventions, responses to interventions, communications, verbal orders, etc. 5. Derives a holistic nursing diagnosis from comprehensive patient assessment and prioritizes same according to patient need. Nursing diagnoses are documented according to agency record procedure and are reviewed and revised as indicated. 6. Follows the nursing care plan, established by the RN Case Manager, based on nursing diagnoses that includes measurable, realistic, and time directed goals and nursing interventions specific to the problem and individual patient; reports information about progress or changes to the RN Case Manager. Follows the nursing care plan demonstrating consideration of the following criteria: Patient learning needs; Patient’s priority needs; Patient’s maximum health potential; Patient’s changing health status; Patient’s discharge planning needs; Safe, skillful, effective and efficient therapeutic action; and Collaboration and communication with other health care team members (i.e., R.N.’s, rehabilitation staff, physicians, social services, community agencies staff and home health aides). 8. Communicates the effectiveness of the nursing care plan as needed and consults with RN Case Manager regarding revision of the plan of care as needed. 9. Provides therapeutic care, education and referral, seeking maximum patient & family participation and independence. 10. Keeps the RN Case Manager informed of visit via voice mail messages or in person after patient assignment completed. 11. In consultation with the RN Case Manager, may coordinate the delivery of multidisciplinary services to a primary patient population through appropriate referral, follow-up, and advocacy. 12. Assesses patient needs relative to HHAs and communicates with team RNs and HHA Manager. Demonstrates responsiveness to the observations and concerns of the HHA; documents accordingly. 13. Develops, maintains, and applies a knowledge of third party payer (Medicare, Medicaid and, private insurance) guidelines governing eligibility for reimbursable home health services 14. Documents data in the computerized patient record, and in a timely, legible, organized, concise manner to insure compliance with legal, certification, and third party payer requirements. 15. Seeks supervisory consultation with unusual/unfamiliar patient care situations and/or questions regarding home health policy and procedure and/or reimbursement guidelines. 16. Maintains a current body of knowledge and clinical competence through ongoing participation in continuing education relevant to the area of practice. 17. Participates in performance evaluation through professional and clinical goal setting. 18. Understands and practices agency safety guidelines and procedures including general safety, office (ergonomic) safety, fire safety, proper body mechanics, and proper patient/material handling. 19. Performs in a professional manner at all times, and maintains professional boundaries. 20. Assists in orientation and education of new employees and students as assigned; provides field demonstrations and acts as Preceptor. 21. Demonstrates a knowledge and understanding of what to report to the CEO or Chief Compliance Officer when concerns of corporate compliance arise. 22. Ensures compliance within guidelines set forth by regulatory agencies (DPH, ERISA etc.) and demonstrates compliance with Home Health Foundation policies and procedures. 23. Practices confidentiality principles set by the agency and federal HIPAA/HITECH guidelines. 24. Participates in all mandatory in-services. Physical Requirements: 1. Prolonged, extensive, or considerable standing/walking. 2. Lifts, positions, pushes and/or transfer patients and equipment. 3. Considerable reaching, stooping, bending, kneeling, crouching. 4. Frequent exposure to hazardous chemicals, sick patients, bodily substances, noise and possible exposure to radiation, lasers, electric shock, etc. 5. Regularly exposed to the risk of bloodborne diseases and other transmissible infections. 6. Contact with patients under wide variety of circumstances. 7. Subject to varying and unpredictable situations. 8. Handle emergency and crisis situations. 9. Subjected to irregular hours. 10. May have contact with hazardous materials. Skills & Abilities: 1. Ability to effectively communicate with patients, families, physicians, and healthcare team. 2. Knowledge and application of the nursing process to implement a nursing plan of care. 3. Possesses and applies the skills and knowledge necessary to provide care to patients throughout the life span, with consideration of aging processes, human development stages and cultural patterns in each step of the care process. 4. Demonstrates the skills and knowledge to provide care to the age groups of the population served including: Knowledge of growth and development; Ability to interpret age specific data and response to care; and provide age-appropriate communication. 5. Demonstrates essential knowledge of pharmacology/medications in administering drugs and monitoring the patient's response. At Tufts Medicine, we want every individual to feel valued for the skills and experience they bring. Our compensation philosophy is designed to offer fair, competitive pay that attracts, retains, and motivates highly talented individuals, while rewarding the important work you do every day. The base pay ranges reflect the minimum qualifications for the role. Individual offers are determined using a comprehensive approach that considers relevant experience, certifications, education, skills, and internal equity to ensure compensation is fair, consistent, and aligned with our business goals. Beyond base pay, Tufts Medicine provides a comprehensive Total Rewards package that supports your health, financial security, and career growth—one of the many ways we invest in you so you can thrive both at work and outside of it. Pay Range: $31.00 - $36.61 Tufts Medicine is a leading integrated health system bringing together the best of academic and community health care to deliver exceptional, connected and accessible care experiences to consumers across Massachusetts. Comprised of Tufts Medical Center, Lowell General Hospital, MelroseWakefield Healthcare, an expansive home care network and a large clinically integrated physician network, Tufts Medicine has more than 15,000 dedicated employees and caregivers. The health system came together in 2014 to leverage the experience of its member organizations and integrate their missions to together transform the ways that consumers engage with and experience their care.