OASIS RN - HomeCare

Location Detail: 60 Hartland St E. Hartford (10630)Work where every moment matters.Every day, over 40,000 Hartford HealthCare colleagues come to work with one thing in common: Pride in what we do, knowing every moment matters here.  We invite you to become part of Connecticut’s most comprehensive healthcare network years as an OASIS RN.Hartford HealthCare at Home, the largest provider of homecare services in Connecticut, has been fulfilling our mission for more than 115 years.  Our Person-Centered Care Model allows our colleagues to learn and grow within our organization, all while providing integrated support to the patient.  As part of Hartford HealthCare, we leverage cutting edge technology to provide quality care in our client’s home.  Most importantly, our colleagues are appreciated for the real differences they make in both the lives of their clients and their clients’ families. Provides skilled nursing care to clients in their homes or community health settings ensuring the delivery of outcome based, high quality, cost effective care.Reviews referrals, and initiates contact with client and family.Conducts a complete nursing assessment based on referral data, client/family interview, and clinical observation of patient health status.Focus on completing the OASIS assessment with accurate scoring of clinical & functional questions.Develops a plan of care in collaboration with client and all disciplines based on assessment data which documents need for services, appropriate discharge planning, short- and long-term goals, and utilization of appropriate resources.Provides OASIS time point assessments throughout a patient’s episode which provides objectivity and consistency.Initiates and maintains a client record utilizing the Agency’s standard for documentationMakes follow-up visits to provide skilled care to assess disease progress and evaluates response to treatment; provides support to client/family utilizing teaching principles to promote and restore health and prevent disease and disability; coordinates care with providers.Teaches patients and reinforces client/caregiver teaching and education.Refers, collaborates, and coordinates all client care services. Consults with physician regarding client needs and plan of care.Directs LPNs in carrying out the established plan of care. Directs Home Care Aides and supervises plan of care.Refers client/family to other community resources as needed.Attends and participates in in-service education program.Seeks consultation and guidance from supervisor.Participates in the evaluation of care given by paraprofessional staff.Participates in health care programs.Completes reporting requirements on a timely basis.Participates in client care conferences, staff, and group meetings, IDT, and LEAN Process Management.Participates in daily SBAR report with nurse care coordinator.Maintains productivity standard.Assumes the role of team leader on a rotating basis.Performs other duties as assigned. Qualifications Education: Graduate of an Associate’s Degree or diploma program in nursing required. Graduate of NLN approved BSN program preferred.Experience:  One year nursing experience or one year nursing experience in a specialty required. Medical/surgery or home care experience preferred.Licensure:  Registered nurse with a license to practice in the state of CT requiredKnowledge, skills, and ability requirements: Computer skills We take great care of careers. With locations around the state, Hartford HealthCare offers exciting opportunities for career development and growth.  Here, you are part of an organization on the cutting edge – helping to bring new technologies, breakthrough treatments and community education to countless men, women and children.  We know that a thriving organization starts with thriving employees-- we provide a competitive benefits program designed to ensure work/life balance.  Every moment matters.  And this is your moment.