PURPOSE OF POSITION
Under the direction of the supervising Assistant Director of Nursing in Community Care, provides community-based professional nursing care to patients in group and private homes, as well as those without housing across New York City. Diagnoses and treats responses to actual or potential health problems by means of nursing methods and techniques such as case-finding, health teaching, health counseling and the provision of care supportive to and restorative of life and well-being. Assesses, plans, implements, and evaluates the patient’s plan of care. Provides direct skilled nursing care and observes and instructs the patient in their place of residence. May coordinate services of other caregivers.
AREAS OF RESPONSIBILITIES
1. Provides services requiring substantial and specialized nursing skill, in accordance with the plan of
treatment signed by the physician and makes initial evaluation visits to clients with medical illnesses, chronic
diseases, behavioral health disorders, etc.
2. Identifies and distinguishes between physical and psycho-social signs and symptoms. Selects and performs
those therapeutic measures which are essential for effective execution of the nursing regimen for assigned
patients/clients.
3. Develops, implements and continuously evaluates the nursing regimen for assigned patients/clients. May
perform assessment of behavioral health needs, wound care, catheter insertion, medication teaching,
diabetic care, patient/family education and counseling and aseptic technique.
4. Completes comprehensive patient assessments and develops, prepares and maintains individualized client
care progress records, including required Outcome and Assessment Information Set (OASIS)
documentation.
5. Records and maintains nursing care plans and progress notes on patients/clients to ensure continuity of
care and initiates, develops and implements revisions as needed.
6. Interprets and reports responses of patients/clients to appropriate members of the health team and makes
referrals to other disciplines in collaboration with physician, client and family, as appropriate.
7. Maintains continuity of client care by liaising with other health professionals assigned to the client including
reporting signs, symptoms and changes to the patient’s condition to appropriate parties.
8. Provides teaching, guidance and direction to allied nursing personnel in rendering patient care.
9. Participates in departmental and interdisciplinary conferences pertaining to policies and procedures affecting
nursing practice.
10. Interprets philosophy and objectives of agency and Nursing Department to patients/clients, families and
other groups.
11. Maintains professional competence through participation in continuing education and other appropriate
learning experiences, including agency provided in-service programs.
12. Participates in internal/external quality assurance/performance improvement (QA/PI) activities, programs,
and training, as required.
13. Performs other professional nursing activities and related duties, as delegated by nursing service
administration, including clinical record reviews.
14. Provides individualized skilled nursing care to the patients requiring part-time intermittent professional
nursing service through the use of the nursing process.
15. Provides assessment of patient and develops a plan of treatment and care with ongoing evaluation of
patient/family needs for other services.
16. Provides professional nursing services as outlined in the patient's plan of treatment and authorized by
patient's physician, and provides emergency treatment as needed.
17. Records physical, social, psychosocial and environmental needs of the patient. Provide ongoing monitoring
of the patient in the home care setting and escalates any clinical changes to the physician or non-physician
provider as needed.
18. Utilizes input from patient, caregiver, MD and peers to devise a Nursing Care Plan which is feasible within
the physical, financial and emotional resources of the patient/caregiver and the Department of Health
regulations.
19. Evaluates patient's response to plan of care as necessary, consistent with physician's orders.
20. Reviews and revises plan of care as necessary, consistent with physician's orders.
21. Plans activities necessary for effectuating the timely discharge/transfer of patient, and notifies all appropriate
parties including patient's physician.
22. Collaborates with case managers and other disciplines regarding the patient’s progress and discharge plans.
23. Demonstrates a professional attitude and ethical conduct in compliance with departmental standards.
24. Involves the patient and caregiver actively in goal setting.
25. Establishes and maintains a cooperative, effective working relationship with the staff, physician and nonphysician
providers, Case Managers and other hospital personnel, outside vendors, agencies and the
community at large.
26. Attends weekly to bi-monthly team meetings and participates in case conferences and case load reviews on
a weekly to bi-weekly basis.
27. When needed completes Physician’s Orders in a timely manner.
28. Completes admission paperwork, including OASIS, Physician and Nursing POCs and progress notes within
48 hours of visit encounter.
29. Reviews clinical records to ensure compliance with departmental and regulatory standards.
30. Obtains written orders for all verbal orders returned.
31. Maintain up-to-date patient files with complete records including care plans and re-certifications, reports of
all services rendered, progress notes and discharge summaries.
32. Writes clean and concise progress notes that reflect the implementation of the plan of care and the patient’s
response to that plan of care.
33. Competent in knowledge of patient teaching plans and interventions.
34. Competent in knowledge of safe administration and teaching medications.
35. Demonstrates safety and accuracy in performing treatments and procedures according to the Home Care
Department standards of care/practice.
36. Competent to complete thorough and accurate nursing assessments.
37. Demonstrate competence in skilled nursing interventions.
38. Competent in knowledge of documentation requirements for Home Care.
39. Participates in case conferences and/or Interdisciplinary Team conferences as needed and as designated by
the Clinical Manager.
40. Works with other members of the Interdisciplinary Team to develop appropriate interventions in order to
achieve clinical and functional goals.
41. Participates in the agency’s Quality Assurance Performance Improvement/PIP as assigned.
42. Supervises and monitors the care given by home health aides and ensures proper documentation.
43. Participates in an interdisciplinary health care team in determining and implementing a comprehensive plan
of care.
44. Participates in the coordination and supervision of other professional and para-professional services in the
home and provides supervision as needed and per DOH regulations.
45. Provides patient/family/significant other/patient identified representatives with teaching and involves them in
assessment activities and goal setting.
46. Maintains current, complete, and appropriate documentation in the patient care record. May be required to
use computer systems in carrying out these functions.
47. Duties include but may not be limited to wound care, including NPWT/VAC, Peg/Trach Care Management,
Foley insertion and catheter care management, JP/PleuRx Drain care, administering injections.
48. Provides teaching on disease and medication management.
49. Obtains photographs for consultation by wound specialists.
50. Ability to apply evidence-based practices to the home care setting.
51. And other duties as ordered/prescribed.
Minimum Qualifications
For individuals holding an unrestricted registered professional nursing license BEFORE July 1,
2020 in New York State, another state or United States territory:
1. A valid New York State license and current registration to practice as a Registered Professional Nurse
in New York State; and
2. Valid and current certification in Basic Life Support (BLS) through the American Heart
Association (AHA).
Ability to travel regularly to patient/client assignments across New York City via public transportation and/or private vehicle; and Demonstrated commitment to continued professional development.
For individuals issued a registered professional nursing license on or AFTER July 1, 2020,
based on expected implementation of Chapter 502 of the Laws of 2017 and Chapter 380 of the
Laws of 2018:
1. A valid New York State license and current registration to practice as a Registered Professional
Nurse in New York State; and
a. A Bachelor’s of Science degree in Nursing or higher (or other nursing degree, as identified by NYS
Education Department including Master of Science in Nursing, Doctor of Nursing Practice, Doctor of
Philosophy Degree in Nursing or Doctor of Nursing Science) from an accredited college or
university, registered with the NYSED; or
b. Obtains a Bachelor’s of Science Degree in Nursing or higher, as described in “a” above, within ten
(10) years of the date of initial licensure; and
2. Valid and current certification in Basic Life Support (BLS) through the American Heart Association
(AHA).
Company DescriptionNYC Health + Hospitals/Community Care reaches outside the walls of our hospitals and brings health care to patients where they live. With more than 600 dedicated employees, Community Care provides services including home care, community care coordination, and community-based care management to individuals managing chronic health conditions residing in Brooklyn, Manhattan, Queens and The Bronx.Company DescriptionNYC Health + Hospitals/Community Care reaches outside the walls of our hospitals and brings health care to patients where they live. With more than 600 dedicated employees, Community Care provides services including home care, community care coordination, and community-based care management to individuals managing chronic health conditions residing in Brooklyn, Manhattan, Queens and The Bronx. Read Less
PURPOSE OF POSITION
Under the direction of the supervising Assistant Director of Nursing in Community Care, provides community-based professional nursing care to patients in group and private homes, as well as those without housing across New York City. Diagnoses and treats responses to actual or potential health problems by means of nursing methods and techniques such as case-finding, health teaching, health counseling and the provision of care supportive to and restorative of life and well-being. Assesses, plans, implements, and evaluates the patient’s plan of care. Provides direct skilled nursing care and observes and instructs the patient in their place of residence. May coordinate services of other caregivers.
AREAS OF RESPONSIBILITIES
1. Provides services requiring substantial and specialized nursing skill, in accordance with the plan of
treatment signed by the physician and makes initial evaluation visits to clients with medical illnesses, chronic
diseases, behavioral health disorders, etc.
2. Identifies and distinguishes between physical and psycho-social signs and symptoms. Selects and performs
those therapeutic measures which are essential for effective execution of the nursing regimen for assigned
patients/clients.
3. Develops, implements and continuously evaluates the nursing regimen for assigned patients/clients. May
perform assessment of behavioral health needs, wound care, catheter insertion, medication teaching,
diabetic care, patient/family education and counseling and aseptic technique.
4. Completes comprehensive patient assessments and develops, prepares and maintains individualized client
care progress records, including required Outcome and Assessment Information Set (OASIS)
documentation.
5. Records and maintains nursing care plans and progress notes on patients/clients to ensure continuity of
care and initiates, develops and implements revisions as needed.
6. Interprets and reports responses of patients/clients to appropriate members of the health team and makes
referrals to other disciplines in collaboration with physician, client and family, as appropriate.
7. Maintains continuity of client care by liaising with other health professionals assigned to the client including
reporting signs, symptoms and changes to the patient’s condition to appropriate parties.
8. Provides teaching, guidance and direction to allied nursing personnel in rendering patient care.
9. Participates in departmental and interdisciplinary conferences pertaining to policies and procedures affecting
nursing practice.
10. Interprets philosophy and objectives of agency and Nursing Department to patients/clients, families and
other groups.
11. Maintains professional competence through participation in continuing education and other appropriate
learning experiences, including agency provided in-service programs.
12. Participates in internal/external quality assurance/performance improvement (QA/PI) activities, programs,
and training, as required.
13. Performs other professional nursing activities and related duties, as delegated by nursing service
administration, including clinical record reviews.
14. Provides individualized skilled nursing care to the patients requiring part-time intermittent professional
nursing service through the use of the nursing process.
15. Provides assessment of patient and develops a plan of treatment and care with ongoing evaluation of
patient/family needs for other services.
16. Provides professional nursing services as outlined in the patient's plan of treatment and authorized by
patient's physician, and provides emergency treatment as needed.
17. Records physical, social, psychosocial and environmental needs of the patient. Provide ongoing monitoring
of the patient in the home care setting and escalates any clinical changes to the physician or non-physician
provider as needed.
18. Utilizes input from patient, caregiver, MD and peers to devise a Nursing Care Plan which is feasible within
the physical, financial and emotional resources of the patient/caregiver and the Department of Health
regulations.
19. Evaluates patient's response to plan of care as necessary, consistent with physician's orders.
20. Reviews and revises plan of care as necessary, consistent with physician's orders.
21. Plans activities necessary for effectuating the timely discharge/transfer of patient, and notifies all appropriate
parties including patient's physician.
22. Collaborates with case managers and other disciplines regarding the patient’s progress and discharge plans.
23. Demonstrates a professional attitude and ethical conduct in compliance with departmental standards.
24. Involves the patient and caregiver actively in goal setting.
25. Establishes and maintains a cooperative, effective working relationship with the staff, physician and nonphysician
providers, Case Managers and other hospital personnel, outside vendors, agencies and the
community at large.
26. Attends weekly to bi-monthly team meetings and participates in case conferences and case load reviews on
a weekly to bi-weekly basis.
27. When needed completes Physician’s Orders in a timely manner.
28. Completes admission paperwork, including OASIS, Physician and Nursing POCs and progress notes within
48 hours of visit encounter.
29. Reviews clinical records to ensure compliance with departmental and regulatory standards.
30. Obtains written orders for all verbal orders returned.
31. Maintain up-to-date patient files with complete records including care plans and re-certifications, reports of
all services rendered, progress notes and discharge summaries.
32. Writes clean and concise progress notes that reflect the implementation of the plan of care and the patient’s
response to that plan of care.
33. Competent in knowledge of patient teaching plans and interventions.
34. Competent in knowledge of safe administration and teaching medications.
35. Demonstrates safety and accuracy in performing treatments and procedures according to the Home Care
Department standards of care/practice.
36. Competent to complete thorough and accurate nursing assessments.
37. Demonstrate competence in skilled nursing interventions.
38. Competent in knowledge of documentation requirements for Home Care.
39. Participates in case conferences and/or Interdisciplinary Team conferences as needed and as designated by
the Clinical Manager.
40. Works with other members of the Interdisciplinary Team to develop appropriate interventions in order to
achieve clinical and functional goals.
41. Participates in the agency’s Quality Assurance Performance Improvement/PIP as assigned.
42. Supervises and monitors the care given by home health aides and ensures proper documentation.
43. Participates in an interdisciplinary health care team in determining and implementing a comprehensive plan
of care.
44. Participates in the coordination and supervision of other professional and para-professional services in the
home and provides supervision as needed and per DOH regulations.
45. Provides patient/family/significant other/patient identified representatives with teaching and involves them in
assessment activities and goal setting.
46. Maintains current, complete, and appropriate documentation in the patient care record. May be required to
use computer systems in carrying out these functions.
47. Duties include but may not be limited to wound care, including NPWT/VAC, Peg/Trach Care Management,
Foley insertion and catheter care management, JP/PleuRx Drain care, administering injections.
48. Provides teaching on disease and medication management.
49. Obtains photographs for consultation by wound specialists.
50. Ability to apply evidence-based practices to the home care setting.
51. And other duties as ordered/prescribed.
Minimum Qualifications
For individuals holding an unrestricted registered professional nursing license BEFORE July 1,
2020 in New York State, another state or United States territory:
1. A valid New York State license and current registration to practice as a Registered Professional Nurse
in New York State; and
2. Valid and current certification in Basic Life Support (BLS) through the American Heart
Association (AHA).
Ability to travel regularly to patient/client assignments across New York City via public transportation and/or private vehicle; and Demonstrated commitment to continued professional development.
For individuals issued a registered professional nursing license on or AFTER July 1, 2020,
based on expected implementation of Chapter 502 of the Laws of 2017 and Chapter 380 of the
Laws of 2018:
1. A valid New York State license and current registration to practice as a Registered Professional
Nurse in New York State; and
a. A Bachelor’s of Science degree in Nursing or higher (or other nursing degree, as identified by NYS
Education Department including Master of Science in Nursing, Doctor of Nursing Practice, Doctor of
Philosophy Degree in Nursing or Doctor of Nursing Science) from an accredited college or
university, registered with the NYSED; or
b. Obtains a Bachelor’s of Science Degree in Nursing or higher, as described in “a” above, within ten
(10) years of the date of initial licensure; and
2. Valid and current certification in Basic Life Support (BLS) through the American Heart Association
(AHA).
Company DescriptionNYC Health + Hospitals/Community Care reaches outside the walls of our hospitals and brings health care to patients where they live. With more than 600 dedicated employees, Community Care provides services including home care, community care coordination, and community-based care management to individuals managing chronic health conditions residing in Brooklyn, Manhattan, Queens and The Bronx.Company DescriptionNYC Health + Hospitals/Community Care reaches outside the walls of our hospitals and brings health care to patients where they live. With more than 600 dedicated employees, Community Care provides services including home care, community care coordination, and community-based care management to individuals managing chronic health conditions residing in Brooklyn, Manhattan, Queens and The Bronx. Read Less
PURPOSE OF POSITION
Under the direction of the supervising Assistant Director of Nursing in Community Care, provides community-based professional nursing care to patients in group and private homes, as well as those without housing across New York City. Diagnoses and treats responses to actual or potential health problems by means of nursing methods and techniques such as case-finding, health teaching, health counseling and the provision of care supportive to and restorative of life and well-being. Assesses, plans, implements, and evaluates the patient’s plan of care. Provides direct skilled nursing care and observes and instructs the patient in their place of residence. May coordinate services of other caregivers.
AREAS OF RESPONSIBILITIES
1. Provides services requiring substantial and specialized nursing skill, in accordance with the plan of
treatment signed by the physician and makes initial evaluation visits to clients with medical illnesses, chronic
diseases, behavioral health disorders, etc.
2. Identifies and distinguishes between physical and psycho-social signs and symptoms. Selects and performs
those therapeutic measures which are essential for effective execution of the nursing regimen for assigned
patients/clients.
3. Develops, implements and continuously evaluates the nursing regimen for assigned patients/clients. May
perform assessment of behavioral health needs, wound care, catheter insertion, medication teaching,
diabetic care, patient/family education and counseling and aseptic technique.
4. Completes comprehensive patient assessments and develops, prepares and maintains individualized client
care progress records, including required Outcome and Assessment Information Set (OASIS)
documentation.
5. Records and maintains nursing care plans and progress notes on patients/clients to ensure continuity of
care and initiates, develops and implements revisions as needed.
6. Interprets and reports responses of patients/clients to appropriate members of the health team and makes
referrals to other disciplines in collaboration with physician, client and family, as appropriate.
7. Maintains continuity of client care by liaising with other health professionals assigned to the client including
reporting signs, symptoms and changes to the patient’s condition to appropriate parties.
8. Provides teaching, guidance and direction to allied nursing personnel in rendering patient care.
9. Participates in departmental and interdisciplinary conferences pertaining to policies and procedures affecting
nursing practice.
10. Interprets philosophy and objectives of agency and Nursing Department to patients/clients, families and
other groups.
11. Maintains professional competence through participation in continuing education and other appropriate
learning experiences, including agency provided in-service programs.
12. Participates in internal/external quality assurance/performance improvement (QA/PI) activities, programs,
and training, as required.
13. Performs other professional nursing activities and related duties, as delegated by nursing service
administration, including clinical record reviews.
14. Provides individualized skilled nursing care to the patients requiring part-time intermittent professional
nursing service through the use of the nursing process.
15. Provides assessment of patient and develops a plan of treatment and care with ongoing evaluation of
patient/family needs for other services.
16. Provides professional nursing services as outlined in the patient's plan of treatment and authorized by
patient's physician, and provides emergency treatment as needed.
17. Records physical, social, psychosocial and environmental needs of the patient. Provide ongoing monitoring
of the patient in the home care setting and escalates any clinical changes to the physician or non-physician
provider as needed.
18. Utilizes input from patient, caregiver, MD and peers to devise a Nursing Care Plan which is feasible within
the physical, financial and emotional resources of the patient/caregiver and the Department of Health
regulations.
19. Evaluates patient's response to plan of care as necessary, consistent with physician's orders.
20. Reviews and revises plan of care as necessary, consistent with physician's orders.
21. Plans activities necessary for effectuating the timely discharge/transfer of patient, and notifies all appropriate
parties including patient's physician.
22. Collaborates with case managers and other disciplines regarding the patient’s progress and discharge plans.
23. Demonstrates a professional attitude and ethical conduct in compliance with departmental standards.
24. Involves the patient and caregiver actively in goal setting.
25. Establishes and maintains a cooperative, effective working relationship with the staff, physician and nonphysician
providers, Case Managers and other hospital personnel, outside vendors, agencies and the
community at large.
26. Attends weekly to bi-monthly team meetings and participates in case conferences and case load reviews on
a weekly to bi-weekly basis.
27. When needed completes Physician’s Orders in a timely manner.
28. Completes admission paperwork, including OASIS, Physician and Nursing POCs and progress notes within
48 hours of visit encounter.
29. Reviews clinical records to ensure compliance with departmental and regulatory standards.
30. Obtains written orders for all verbal orders returned.
31. Maintain up-to-date patient files with complete records including care plans and re-certifications, reports of
all services rendered, progress notes and discharge summaries.
32. Writes clean and concise progress notes that reflect the implementation of the plan of care and the patient’s
response to that plan of care.
33. Competent in knowledge of patient teaching plans and interventions.
34. Competent in knowledge of safe administration and teaching medications.
35. Demonstrates safety and accuracy in performing treatments and procedures according to the Home Care
Department standards of care/practice.
36. Competent to complete thorough and accurate nursing assessments.
37. Demonstrate competence in skilled nursing interventions.
38. Competent in knowledge of documentation requirements for Home Care.
39. Participates in case conferences and/or Interdisciplinary Team conferences as needed and as designated by
the Clinical Manager.
40. Works with other members of the Interdisciplinary Team to develop appropriate interventions in order to
achieve clinical and functional goals.
41. Participates in the agency’s Quality Assurance Performance Improvement/PIP as assigned.
42. Supervises and monitors the care given by home health aides and ensures proper documentation.
43. Participates in an interdisciplinary health care team in determining and implementing a comprehensive plan
of care.
44. Participates in the coordination and supervision of other professional and para-professional services in the
home and provides supervision as needed and per DOH regulations.
45. Provides patient/family/significant other/patient identified representatives with teaching and involves them in
assessment activities and goal setting.
46. Maintains current, complete, and appropriate documentation in the patient care record. May be required to
use computer systems in carrying out these functions.
47. Duties include but may not be limited to wound care, including NPWT/VAC, Peg/Trach Care Management,
Foley insertion and catheter care management, JP/PleuRx Drain care, administering injections.
48. Provides teaching on disease and medication management.
49. Obtains photographs for consultation by wound specialists.
50. Ability to apply evidence-based practices to the home care setting.
51. And other duties as ordered/prescribed.
Minimum Qualifications
For individuals holding an unrestricted registered professional nursing license BEFORE July 1,
2020 in New York State, another state or United States territory:
1. A valid New York State license and current registration to practice as a Registered Professional Nurse
in New York State; and
2. Valid and current certification in Basic Life Support (BLS) through the American Heart
Association (AHA).
Ability to travel regularly to patient/client assignments across New York City via public transportation and/or private vehicle; and Demonstrated commitment to continued professional development.
For individuals issued a registered professional nursing license on or AFTER July 1, 2020,
based on expected implementation of Chapter 502 of the Laws of 2017 and Chapter 380 of the
Laws of 2018:
1. A valid New York State license and current registration to practice as a Registered Professional
Nurse in New York State; and
a. A Bachelor’s of Science degree in Nursing or higher (or other nursing degree, as identified by NYS
Education Department including Master of Science in Nursing, Doctor of Nursing Practice, Doctor of
Philosophy Degree in Nursing or Doctor of Nursing Science) from an accredited college or
university, registered with the NYSED; or
b. Obtains a Bachelor’s of Science Degree in Nursing or higher, as described in “a” above, within ten
(10) years of the date of initial licensure; and
2. Valid and current certification in Basic Life Support (BLS) through the American Heart Association
(AHA).
Company DescriptionNYC Health + Hospitals/Community Care reaches outside the walls of our hospitals and brings health care to patients where they live. With more than 600 dedicated employees, Community Care provides services including home care, community care coordination, and community-based care management to individuals managing chronic health conditions residing in Brooklyn, Manhattan, Queens and The Bronx.Company DescriptionNYC Health + Hospitals/Community Care reaches outside the walls of our hospitals and brings health care to patients where they live. With more than 600 dedicated employees, Community Care provides services including home care, community care coordination, and community-based care management to individuals managing chronic health conditions residing in Brooklyn, Manhattan, Queens and The Bronx. Read Less
Rate of pay is per visit
PURPOSE OF POSITION
Under the direction of the supervising Assistant Director of Nursing in Community Care, assesses, plans, implements, and evaluates the patient’s plan of care. Provides direct skilled nursing care and observes and instructs the patient in their place of residence. May coordinate services of other caregivers.
AREAS OF RESPONSIBILITIES
1. Provides individualized skilled Nursing care to the patients requiring part-time intermittent professional nursing service through the use of the nursing process.
2. Provides assessment of patient and develops a plan of treatment and care with ongoing evaluation of patient/family needs for other services.
3. Provides professional nursing services as outlined in the patient's plan of treatment and authorized by patient's physician, and provides emergency treatment as needed.
4. Records physical, social, psychosocial and environmental needs of the patient. Provide ongoing monitoring of the patient in the home care setting and escalates any clinical changes to the physician or non-physician provider as needed.
5. Utilizes input from patient, caregiver, MD and peers to devise a Nursing Care Plan which is feasible within the physical, financial and emotional resources of the patient/caregiver and the Department of Health (DOH) regulations.
6. Evaluates patient's response to plan of care (POC) as necessary, consistent with physician's orders.
7. Reviews and revises plan of care as necessary, consistent with physician's orders.
8. Plans activities necessary for effectuating the timely discharge/transfer of patient, and notifies all appropriate parties including patient's physician.
9. Authorize & coordinate all services including nursing, rehab, respiratory therapy, nutritional services, equipment, professional and non- professional staffing and support services.
10. Collaborates with case managers and other disciplines regarding the patient’s progress and discharge plans.
11. Demonstrates a professional attitude and ethical conduct in compliance with departmental standards.
12. Involves the patient and caregiver actively in goal setting.
13. Establishes and maintains a cooperative, effective working relationship with the staff, physician and non-physician providers, Case Managers and other hospital personnel, outside vendors, agencies and the community at large.
14. Attends weekly to bi-monthly team meetings and participates in case conferences and case load reviews on a weekly to bi-weekly basis.
15. When needed completes Physician’s Orders in a timely manner.
16. Completes admission paperwork, including OASIS, Physician and Nursing POCs and progress notes within 48 hours of visit encounter.
17. Reviews clinical records to ensure compliance with departmental and regulatory standards.
18. Obtains written orders for all verbal orders returned.
Company DescriptionNYC Health + Hospitals/Community Care reaches outside the walls of our hospitals and brings health care to patients where they live. With more than 600 dedicated employees, Community Care provides services including home care, community care coordination, and community-based care management to individuals managing chronic health conditions residing in Brooklyn, Manhattan, Queens and The Bronx.Company DescriptionNYC Health + Hospitals/Community Care reaches outside the walls of our hospitals and brings health care to patients where they live. With more than 600 dedicated employees, Community Care provides services including home care, community care coordination, and community-based care management to individuals managing chronic health conditions residing in Brooklyn, Manhattan, Queens and The Bronx. Read LessJob Description
1. Provides individualized skilled Nursing care to the patients requiring part-time intermittent professional nursing service through the use of the nursing process.
2. Provides assessment of patient and develops a plan of treatment and care with ongoing evaluation of patient/family needs for other services.
3. Provides professional nursing services as outlined in the patient's plan of treatment and authorized by patient's physician, and provides emergency treatment as needed.
4. Records physical, social, psychosocial and environmental needs of the patient. Provide ongoing monitoring of the patient in the home care setting and escalates any clinical changes to the physician or non-physician provider as needed.
5. Utilizes input from patient, caregiver, MD and peers to devise a Nursing Care Plan which is feasible within the physical, financial and emotional resources of the patient/caregiver and the Department of Health regulations.
6. Evaluates patient's response to plan of care as necessary, consistent with physician's orders.
7. Reviews and revises plan of care as necessary, consistent with physician's orders.
8. Plans activities necessary for effectuating the timely discharge/transfer of patient, and notifies all appropriate parties including patient's physician.
9. Authorize & coordinate all services including nursing, rehab, respiratory therapy, nutritional services, equipment, professional and non-professional staffing and support services.
10. Collaborates with Accountable Care Managers and other disciplines regarding the patient’s progress, plan of care and discharge plans.
11. Demonstrates a professional attitude and ethical conduct in compliance with departmental standards.
12. Involves the patient and caregiver actively in goal setting
13. Establishes and maintains a cooperative, effective working relationship with the staff, MD’s, Case Managers and other hospital personnel, outside vendors, agencies and the community at large.
14. Attends weekly to bi-monthly team meetings and participates in case conferences and case load reviews on a weekly to bi-weekly basis.
15. When needed completes Physician’s Orders in a timely manner.
16. Completes admission paperwork, including physician and nursing POCs within 48 hours of visit encounter
17. Reviews clinical records to ensure compliance with departmental and regulatory standards.
18. Obtains written orders for all verbal orders returned.
19. Writes clean and concise progress notes that reflect the implementation of the plan of care and the patient’s response to that plan of care..
20. Maintain up-to-date patient files with complete records including care plans and re-certifications, reports of all services rendered, progress notes and discharge summaries.
21. Competent in knowledge of patient teaching plans and interventions
22. Competent in knowledge of safe administration and teaching medications.
23. Demonstrates safety and accuracy in performing treatments and procedures according to the Home Care Department standards of care/practice.
24. Competent to complete thorough and accurate nursing assessments.
25. Demonstrate competence in skilled nursing interventions.
26. Competent in knowledge of documentation requirements for Home Care.
27. Participates in case conferences and/or Interdisciplinary Team conferences as needed and as designated by the Clinical Manager
28. Works with other members of the Interdisciplinary Team (IDT) to develop appropriate interventions in order to achieve clinical and functional goals
29. Participates in the agency’s Quality Assurance Performance Improvement/PIP as assigned.
30. Supervises and monitors the care given by home health aides and ensures proper documentation.
31. Participates in an interdisciplinary health care team in determining and implementing a comprehensive plan of care.
32. Participates in the coordination of other professional and para-professional services in the home and provides supervision as needed.
33. Provides patient/family/significant other/patient identified representatives with teaching and involves them in assessment activities.
34. Maintains current, complete, and appropriate documentation in the patient care record. May be required to use computer systems in carrying out these functions.
35. Duties include but may not be limited to wound care, including NPWT/VAC, Peg/Trach Care Management, Foley insertion and catheter care management, JP/PleuRx Drain care, administering injections.
36. Provides teaching on disease and medication management.
37. Obtains photographs for consultation by wound specialists.
38. Ability to apply evidence-based practices to the home care setting.
39. And other duties as ordered/prescribed.
Minimum Qualifications
For individuals issued a registered professional nursing license on or AFTER July 1, 2020,
based on expected implementation of Chapter 502 of the Laws of 2017 and Chapter 380 of the
Laws of 2018:
1. A valid New York State license and current registration to practice as a Registered Professional
Nurse in New York State; and
a). A Bachelor's of Science degree in Nursing or higher (or other nursing degree, as identified by NYS
Education Department including Master of Science in Nursing, Doctor of Nursing Practice, Doctor of
Philosophy Degree in Nursing or Doctor of Nursing Science) from an accredited college or
university, registered with the NYSED; or
b). Obtains a Bachelor's of Science Degree in Nursing or higher, as described in (a) above, within ten
(10) years of the date of initial licensure; and
2. Holds, or obtains through facility orientation, a valid and current certification in Basic Life
Support (BLS) through the American Heart Association (AHA); and
3. One (1) year of experience as a registered nurse.
Department Preferences
1. Minimum two (2) years of full-time nursing experience
2. At least 2 years of experience in Homecare, Long-term Care, or Hospital setting.
Company DescriptionNYC Health + Hospitals/Community Care reaches outside the walls of our hospitals and brings health care to patients where they live. With more than 600 dedicated employees, Community Care provides services including home care, community care coordination, and community-based care management to individuals managing chronic health conditions residing in Brooklyn, Manhattan, Queens and The Bronx.Company DescriptionNYC Health + Hospitals/Community Care reaches outside the walls of our hospitals and brings health care to patients where they live. With more than 600 dedicated employees, Community Care provides services including home care, community care coordination, and community-based care management to individuals managing chronic health conditions residing in Brooklyn, Manhattan, Queens and The Bronx. Read Less
PURPOSE OF POSITION
Community Care is a division of New York City Health and Hospitals which provides community-based health care services including: Health Home and Care Coordination, Certified Home Health Care (CHHA)/ Care Management, and Outreach/Engagement. We have over 400 clinical and non-clinical staff embedded throughout the NYC H+H enterprise who service over 9,000 patients located in group/private homes, as well as those without housing in the four boroughs of New York City. Our qualified licensed occupational therapists help get patients on the road to recovery in the comfort of the patients’ home environment. Through the rehabilitation process, patients can recapture the skills necessary to live safely at home, or in the community.
AREAS OF RESPONSIBILITIES
Provides physical therapy services in accordance with the physician’s plan of care.Assists the physician in assessing the patient’s functional level by applying appropriate tests and measurements, and advises the physician in the development and revision of the plan of care.Evaluates patient and establishes/upgrades the plan of treatment by applying diagnostic and prognostic muscle, nerve, joint, and functional ability tests.Treats patients through the use of therapeutic activities to relieve pain, develop and restore function, attain and maintain maximum performance, and utilize adaptive equipment with the functional limitations of the patient and in accordance with the plan of care.Observes, documents and reports the patient’s responses to treatment and any change in the patient’s condition to the physician, and/or the coordinator of care.Evaluates the home environment and makes appropriate recommendations with regard to safety issues.Orders assistive devices and equipment and trains the patient in the safe and effective use of the equipment.Instructs and advises patients, family members and other home health personnel in the phases of physical therapy in which they may assist the patient; and in the safe use of assistive devices, and the completion of the home exercise program.Demonstrates and teaches alternate techniques to perform the activities of daily living, transfers, and mobility and positioning.Regularly reviews the rehabilitation needs with patients; initiates/notifies the coordinator of care and/or the physician regarding the need for revisions of the patient’s plan of care. Ensures that the plan of care addresses all problems identified during the evaluation or demonstrates rationale for not doing so.Makes referrals to other disciplines as indicated by the needs of the patients or documents rationale for not doing so. Observes signs and symptoms and reports to the physician and/or other appropriate health professionals as often as needed or as directed by the changes in the patient’s condition.Assists with the coordination of the plan of care and maintains continuity of patient care through interdisciplinary coordination with the other health professional by attending patient care conferences.Teaches, supervises and counsels the patient and designated caregiver regarding home care procedures as appropriate to the patient’s condition.Develops, prepares and maintains individualized patient care documentation with accuracy, timeliness and in accordance with the Corporation’s policies.Performs SOC Assessments for Joint Replacement cases, following specified Joint Replacement Protocol.Participates in interdisciplinary case conferences and case load reviews to ensure optimal clinical outcomes for assigned patients.Escalates patient care concerns in a timely manner to Assistant Director of Nursing or Assistant Director of Rehab Services to prevent patient decline and potential rehospitalization.Collaborates with the patient and/or patient identified representative in developing appropriate treatment goals in alignment with the physician ordered plan of care.Participates in the agency’s Quality Assurance Performance Improvement/(QAPI) program.SUMMARY OF DUTIES AND RESPONSIBILITIES
The qualified licensed physical therapist will provide a comprehensive evaluation using evidence-based individualized treatment goals with patient input to reach their optimal functional level. They will provide home safety assessments, functional techniques to enhance critical skills such as strengthening, range of motion, balance, endurance, transferring from/to various surfaces, ADL/IADL’s, as well as education in the proper and safe use of assistive devices such as canes, walkers, transfer devices, wheelchairs, etc.
Following are the working conditions:
Minimum Qualifications
New York State license and current registration to practice as a Physical Therapist; and, One year of post-license experience as an Physical Therapist.
Department Preferences
EDUCATIONAL LEVEL:
Bachelors Degree or higher in the field of Physical Therapy.
KNOWLEDGEABLE IN:
All aspects of a Qualified Physical Therapist skill set.
Knowledge of computers.
Some knowledge of Home Care regulations preferable but not mandatory.
EQUIPMENT/MACHINES OPERATED:
DME appropriate for patient care, i.e., wheelchairs, canes, walkers, transfer devices, therabands, gait belts, etc.
COMPUTER PROGRAMS/SOFTWARE OPERATED
Knowledge of EPIC preferable but not mandatory.
Company DescriptionNYC Health + Hospitals/Community Care reaches outside the walls of our hospitals and brings health care to patients where they live. With more than 600 dedicated employees, Community Care provides services including home care, community care coordination, and community-based care management to individuals managing chronic health conditions residing in Brooklyn, Manhattan, Queens and The Bronx.Company DescriptionNYC Health + Hospitals/Community Care reaches outside the walls of our hospitals and brings health care to patients where they live. With more than 600 dedicated employees, Community Care provides services including home care, community care coordination, and community-based care management to individuals managing chronic health conditions residing in Brooklyn, Manhattan, Queens and The Bronx. Read LessJob Description
1. Provides physical therapy services in accordance with the physician’s plan of care.
2. Assists the physician in assessing the patient’s functional level by applying appropriate tests and measurements, and advises the physician in the development and revision of the plan of care.
3. Evaluates patient and establishes/upgrades the plan of treatment by applying diagnostic and prognostic muscle, nerve, joint and functional ability tests.
4. Treats patients through the use of therapeutic activities to relieve pain, develop and restore function, attain and maintain maximum performance, and utilize adaptive equipment with the functional limitations of the patient and in accordance with the plan of care.
5. Observes, documents and reports the patient’s responses to treatment and any change in the patient’s condition to the physician, and/or the coordinator of care.
6. Evaluates the home environment and makes appropriate recommendations with regard to safety issues.
7. Orders and/or fabricates adaptive/assistive devices and equipment and trains the patient in the safe and effective use of the equipment.
8. Instructs and advises patients, family members and other home health personnel in the phases of physical therapy in which they may assist the patient; and in the safe use of assistive devices, and the completion of the home exercise program.
9. Demonstrates and teaches alternate techniques to perform the activities of daily living, transfers, and mobility and positioning.
10. Regularly reviews the rehabilitation needs with patients; initiates/notifies the coordinator of care and/or the physician regarding the need for revisions of the patient’s plan of care. Ensures that the plan of care addresses all problems identified during the evaluation or demonstrates rationale for not doing so.
11. Makes referrals to other disciplines as indicated by the needs of the patients or documents rationale for not doing so. Observes signs and symptoms and reports to the physician and/or other appropriate health professionals as often as needed or as directed by the changes in the patient’s condition.
12. Assists with the coordination of the plan of care and maintains continuity of patient care through interdisciplinary coordination with the other health professional by attending patient care conferences.
13. Teaches, supervises and counsels the patient and designated caregiver regarding home care procedures as appropriate to the patient’s condition.
14. Develops, prepares and maintains individualized patient care documentation with accuracy, timeliness and in accordance with the Corporation’s policies.
15. Provides Field Evaluations to therapists as per regulatory requirements.
16. Meets the prescribed productivity standard as per operational need.
17. Assists Director with Quality Improvement activities and educational initiatives.
18. Performs SOC Assessments for specified cases as required.
19. Other Job Duties as needed.
Minimum Qualifications
1. A Baccalaureate Degree issued after completion of a four-year course at an accredited college or university and a New York State license to practice Physiotherapy; and,
2. Four years of professional experience in administering physical therapy under medical supervision in a hospital or similar institution, or in the office of a doctor of medicine, at least two years of which must have been in a supervisory capacity.
Company DescriptionNYC Health + Hospitals/Community Care reaches outside the walls of our hospitals and brings health care to patients where they live. With more than 600 dedicated employees, Community Care provides services including home care, community care coordination, and community-based care management to individuals managing chronic health conditions residing in Brooklyn, Manhattan, Queens and The Bronx.Company DescriptionNYC Health + Hospitals/Community Care reaches outside the walls of our hospitals and brings health care to patients where they live. With more than 600 dedicated employees, Community Care provides services including home care, community care coordination, and community-based care management to individuals managing chronic health conditions residing in Brooklyn, Manhattan, Queens and The Bronx. Read Less
Full Time and Part Time positions available.
The successful Physical/Occupational Therapist candidate:
Provides therapy services in accordance with the physician’s plan of care.Assists the physician in assessing the patient’s functional level by applying appropriate tests and measurements, and advises the physician in the development and revision of the plan of care.Evaluates patient and establishes/upgrades the plan of treatment by applying diagnostic and prognostic muscle, nerve, joint and functional ability tests.Treats patients through the use of therapeutic activities to relieve pain, develop and restore function, attain and maintain maximum performance, and utilize adaptive equipment with the functional limitations of the patient and in accordance with the plan of care.Observes, documents and reports the patient’s responses to treatment and any change in the patient’s condition to the physician, and/or the coordinator of care.Evaluates the home environment and makes appropriate recommendations with regard to safety issues.Orders and/or fabricates adaptive/assistive devices and equipment and trains the patient in the safe and effective use of the equipment.Instructs and advises patients, family members and other home health personnel in the phases of physical therapy in which they may assist the patient; and in the safe use of assistive devices, and the completion of the home exercise program.Demonstrates and teaches alternate techniques to perform the activities of daily living, transfers, and mobility and positioning.Regularly reviews the rehabilitation needs with patients; initiates/notifies the coordinator of care and/or the physician regarding the need for revisions of the patient’s plan of care. Ensures that the plan of care addresses all problems identified during the evaluation or demonstrates rationale for not doing so.Makes referrals to other disciplines as indicated by the needs of the patients or documents rationale for not doing so. Observes signs and symptoms and reports to the physician and/or other appropriate health professionals as often as needed or as directed by the changes in the patient’s condition.Assists with the coordination of the plan of care and maintains continuity of patient care through interdisciplinary coordination with the other health professional by attending patient care conferences.Teaches, supervises and counsels the patient and designated caregiver regarding home care procedures as appropriate to the patient’s condition.Develops, prepares and maintains individualized patient care documentation with accuracy, timeliness and in accordance with the Corporation’s policies.Provides Field Evaluations to therapists as per regulatory requirements.Meets the prescribed productivity standard as per operational need.Assists Director with Quality Improvement activities and educational initiatives.Performs SOC Assessments for specified cases as required.Minimum Qualifications
Unexpired NYS license to practice Physiotherapy/Occupational TherapyA Baccalaureate Degree issued after completion of a four-year course at an accredited college or universityMinimum 1 year post-grad Therapist experience under medical supervision in a hospital or similar institution, or minimum 2 years post-grad experience in the office of a doctor of medicineStable job historyCompany DescriptionNYC Health + Hospitals/Community Care reaches outside the walls of our hospitals and brings health care to patients where they live. With more than 600 dedicated employees, Community Care provides services including home care, community care coordination, and community-based care management to individuals managing chronic health conditions residing in Brooklyn, Manhattan, Queens and The Bronx.Company DescriptionNYC Health + Hospitals/Community Care reaches outside the walls of our hospitals and brings health care to patients where they live. With more than 600 dedicated employees, Community Care provides services including home care, community care coordination, and community-based care management to individuals managing chronic health conditions residing in Brooklyn, Manhattan, Queens and The Bronx. Read Less