Clinical Nurse Specialist - Home Care jobs in New Hampshire

Excellent Salary and Benefit package available for FT, PT, and Baylor positions. On call required

Primary Duties and Responsibilities:

Patient Care:

• Completes an initial assessment of patient and family to determine home care/hospice needs. Provides a complete physical assessment and history of current and previous illness(es).
• Regularly re-evaluates patient nursing needs.
• Initiates the plan of care and makes necessary revisions as patient status and needs change.
• Uses health assessment data to determine nursing diagnosis.
• Develops a care plan which establishes goals, based on nursing diagnosis and incorporates therapeutic, preventive, and rehabilitative nursing actions. Includes the patient and the family in the planning process.
• Initiates appropriate preventive, rehabilitative and comfort focused nursing procedures. Administers medications and treatments as prescribed by the physician.
• Counsels the patient and family in meeting nursing and related needs.
• Provides health care instructions to the patient and caregiver as appropriate per assessment and plan.
• Identifies discharge planning needs as part of the care plan development and implements prior to discharge of the patient.

Communication:

• Prepares clinical notes and updates the primary physician when necessary and at least every sixty-two days.
• Communicates with the physician regarding the patient’s needs and reports any changes in the patient’s condition; obtains/receives physicians orders as required.
• Communicates with community health related persons to coordinate the care plan.

Secondary duties and responsibilities

• Participates in on-call duties as defined by the on-call policy.
• Ensures that arrangements for equipment and other necessary items and services are available.
• Instructs, supervises and evaluates home health aide care provided every fourteen days.

Preferred Qualifications

• Graduate of an accredited school of nursing. One to two years of recent acute care experience in an institutional setting.
• Current licensure in State, CPR certification and valid drivers license.
• Bachelors degree, with one year of home health care experience.
• Management experience not required. Responsible for supervising home health aides.
• Excellent observation, verbal and written communication skills, problem solving skills, basic math skills; nursing skills per competency checklist.
• Prolonged or considerable walking or standing. Able to lift, position or transfer patients. Able to lift supplies and equipment. Considerable reaching, stooping, bending, kneeling or crouching. Visual acuity and hearing to perform required nursing skills.

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.

Physical requirements

• Prolonged or considerable walking or standing.
  • Able to lift, position, or transfer patients 50 lbs
  • Able to lift supplies and equipment.
    • Considerable reaching, stooping, bending, kneeling, or crouching.
    • Visual acuity and hearing to perform required nursing skills.

Supervisory Responsibility

This position requires supervision and coordination of care with LPN’s and LNA’s.

• 401(k) and 401(k) matching
• Dental insurance
• Disability insurance
• Flexible schedule
• Health insurance
• Life insurance
• Paid time off
• Travel reimbursement
• Tuition reimbursement
• Vision insurance