REGISTERED NURSE
Company: Excelsure Homes Health Care Solutions LLC
Location: Springfield
Posted on: February 13, 2026
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Job Description:
Job Description Job Description DUTIES To provide nursing care
in accordance with the patient's plan of care to include
comprehensive health and psychosocial evaluation, monitoring of the
patient's condition, health promotion and prevention coordination
of services, teaching and training activities and direct nursing
care. RESPONSIBILITIES Coordinate total patient care by conducting
comprehensive health and psychosocial evaluation, monitoring the
patient's condition, promoting sound preventive practices,
coordinating services and teaching and training activities.
Evaluate the effectiveness of nursing service to the patient and
family on an ongoing basis. Perform admission, transfer,
re-certification, resumption of care and discharge OASIS for the
home care patient. Prepare and present patient's record to the
Clinical Record Review Committee as indicated. Consult with the
attending physician concerning alterations of Patient Care Plans,
checks with the appropriate supervisor and makes changes, as
appropriate. Coordinate patient services. Submit clinical notes no
less often than weekly, and progress notes and other clinical
record forms outlining the services rendered as indicated. Submit a
tally of patient care visits made each day. Participate in case
conferences, discuss with the supervisor problems concerning the
patients and how they may best be handled. Discuss with the
appropriate supervisor the need for the involvement of other
members of the health team such as the Home Health Aide, the
Physical Therapist, the Speech Therapist, the Occupational
Therapist, The Medical Social Worker, etc. Obtain orders for
paraprofessional service and submits a referral to the appropriate
personnel. Participate in the patient's discharge planning process.
Cooperate with other agencies providing nursing or related services
to provide continuity of care and to implement a comprehensive care
plan. Participate in staff development meeting. Continually strive
to improve his/her nursing care skills by attending in-service
education, through formal education, attendance at workshops,
conferences, active participation in professional and related
organizations and individual research and reading. Participate in
the development and periodic revision of the physician's Plan of
Treatment and processes change orders as needed Submit clinical
notes within seventy-two (72) hours, and progress notes and other
clinical record forms outlining the services rendered. Participate
in the patient's discharge planning process. Maintain an on-going
knowledge of current drug therapy. Adhere to Federal, state and
accreditation requirements including Medicare and Medicaid
regulations. May be requested by Clinical to fill in for the other
nurses. COORDINATES THE ADMISSION OF A PATIENT TO THE AGENCY
Conduct an initial and ongoing comprehensive assessment of the
patient's needs, including Outcome and Assessment Information Set
(OASIS) assessments at appropriate time points. Obtain a medical
history from the patient and/or a family member particularly as it
relates to the present condition. Conduct a physical examination of
the patient, including vital signs, physical assessment, mental
status, appetite and type of diet, etc. Evaluate the patient,
family member(s) and home situation to determine what health
teaching will be required. Evaluate the patient's environment to
determine what assistance will be available from family members in
caring for the patient. Evaluate the patient's condition and home
situation to determine if the services of a Home Health Aide will
be required and the frequency of this service. Explain nursing and
other Agency services to patients and families as a part of
planning for care. Develop and implement the nursing care plan. May
be requested by the Clinical to fill in for other nurses who are on
vacation or sick. PROVIDES SKILLED NURSING CARE AS OUTLINED IN THE
NURSING CARE PLAN Nursing services, treatments and preventative
procedures requiring substantial specialized skill and ordered by
the physician. The initiation of preventative and rehabilitative
nursing procedures as appropriate for the patient's care and
safety. Observing signs and symptoms and reporting to the physician
reactions to treatments, including drugs, as well as changes in the
patient's physical or emotional condition. Teaching, supervising
and counseling the patient and caregivers regarding the nursing
care needs and other related problems of the patient at home.
ASSUMES RESPONSIBILITY FOR THE CARE GIVEN BY THE HOME HEALTH AIDE
Supervise and evaluate the care given by the Home Health Aide as
needed, and at a minimum of once every 14 days. Submit to the
appropriate department/individual a written evaluations of the Home
Health Aides who are providing service to the patients in his/her
geographical area. Participate in periodic conferences with the
Home Health Aide supervisor concerning the Aide's performance.
Chart those services rendered to the patient by the staff nurse and
changes that have been noted in the patient's condition and/or
family and home situation, makes revisions in the nursing care plan
as needed, records supervisory visits conducted with the Home
Health Aide, evaluates patient care and progress and closes charts
of discharged patients. Evaluate the effectiveness of her nursing
service to the individual and family. Consult with the attending
physician concerning alteration of the plan of treatment in
consultation with the supervisor. Submit clinical notes no less
often than weekly, and progress notes and other clinical record
forms outlining the services rendered as indicated. Submit a tally
of visits made each day. Participate in case conferences. Discuss
with the supervisor problems concerning the patients and possible
resolution. Discuss with the supervisor the need for involvement of
other members of the health team such as the home health aide,
physical therapist, speech therapist, occupational therapist,
social worker, etc. Obtain orders for paraprofessional service and
submits referral to appropriate personnel. Provide guidance and
supervision to the LPN and supervises the LPN once monthly.
Coordinate total patient care. Cooperate with other agencies
providing nursing or related services to provide continuity of care
and to implement a comprehensive care plan. Participate in staff
development meetings. Participate in the educational experiences
for student nurses. Continually strive to improve his/her nursing
care by attending in-service education, through formal education,
attendance at workshops, conferences, goal setting, active
participation in professional and related organizations and
individual research and reading. Participate in the planning,
operation and evaluation of the nursing service. Participate in the
development and periodic revision of the physician's Plan of
Treatment and processes change orders as needed. Participate in the
patient's discharge planning. Submit clinical notes no less often
than weekly, and progress notes and other clinical record forms
outlining the services rendered as indicated. Maintain an on-going
knowledge of current drug therapy. Prepare the care plan for the
Home Health Aide. JOB CONDITIONS Must have a driver's license and
be willing and able to drive to patient's residences. The ability
to access patients' homes which may not be routinely wheelchair
accessible is required. Hearing, eyesight and physical dexterity
must be sufficient to perform a physical assessment of the
patient's condition and to perform and demonstrate patient care.
Physical activities will include, walking, sitting, stooping, and
standing and minimal to maximum lifting of patients and the turning
of patients. The ability to communicate both verbally and in
writing is required as frequent communication by telephone and in
wrirting in English is required. EQUIPMENT OPERATION Thermometer,
B/P cuff, glucometer, penlight, hand washing materials. COMPANY
INFORMATION Has access to all patient medical records, personnel
records and patient financial accounts which may be discussed with
the Clinical. QUALIFICATIONS Must be a graduate from an accredited
School of Nursing. Must be licensed in the State as a Registered
Nurse. One or more years of experience in community/home health
agency or in a hospital setting is preferred. Must have knowledge
of Medicare and Medicaid guidelines. Must have a working knowledge
of home health care and the principles and techniques of
professional nursing and required documentation that pertains to
it. Should be skillful in organization and in the principles of
time management and have knowledge of management processes. Must be
able to contribute to the quality of care being rendered through
constructive communication with nursing managers and staff. Must
have a criminal background check. Must have a current CPR
certification.
Keywords: Excelsure Homes Health Care Solutions LLC, Springfield , REGISTERED NURSE, Healthcare , Springfield, Massachusetts
