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Location Detail: St Vincents Medical Center (10427)

Shift Detail: Shift 1

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. 

St. Vincent’s Medical Center in Bridgeport has more than 3,200 employees. It includes a 473-bed community teaching hospital, a 76-bed inpatient psychiatric facility in Westport, a large multispecialty provider group, and special needs services for adults and children. St. Vincent’s is the first hospital in Fairfield County to be integrated into the Hartford HealthCare network and is the system’s second-largest hospital.

This position is an essential member of the nursing clinical team.

The RN certified in wound, ostomy and continence provides expert clinical care, consultation/care coordination, education, quality improvement, leadership and research to the organization in relation to patients/ families and colleagues with wound, skin, ostomy and continence needs. This position is responsible for the assessment, planning, implementation, and evaluation and care of wounds (acute and chronic), fistulae, pressure ulcers, skin breakdown, ostomy care and incontinence.

Specifically, the WOCN RN Acute Performs the following:

·        Coordinates care for populations of patients, identifies trends, develops evidence-based protocols/treatments and refines protocols based on emerging evidence, products, therapies and outcomes.

·        Develops and implements and refines educational programs for patients, families, colleagues and community partners.

·        Provides formal and informal consultation and serves as resource for patients, healthcare team and leadership.

·        Promotes the profession of nursing and professional practice.

·        Represents the organization in a positive and professional manner.

·        Advocates for the rights, ethical standards, and safety of patients and healthcare team.

·        Is visible, accessible and committed to communicating effectively with staff.

Essential Functions/Responsibilities:  

Direct Patient Care

Provides expert consultation and/or hands-on care for individual patients with acute or chronic wounds, ostomy or continence issues.

•                  Incorporates specialized evidence-based knowledge and skills to provide excellence in assessment, therapeutic interventions, prevention and health maintenance for patients with select disorders of the integumentary, gastrointestinal and genitourinary systems.

•                  Differentiates characteristics of wound, ostomy, continence clinical presentations and attributes accurate etiology in development of treatment plans.

•                  Serves as a consultant to provide potential solutions for complex clinical cases to improve patient care and outcomes.

•                  Establishes and coordinates multidisciplinary and comprehensive management plans.

•                  Conducts ongoing re-evaluation and modifies the strategies and interventions as needed.

•                  Notifies supervising clinician and Team when the wound deteriorates or fails to progress.

Collaborates with healthcare team to provide interdisciplinary referrals to complement the treatment plan.

Care Coordination

Coordinates care for populations of patients with wounds, ostomy and continence conditions.

•                  Collaborates with Healthcare Teams and leadership to develop best practice cross-setting care coordination using standardized prevention and treatment protocols: Coordination of care involves consideration of care trajectory across multiple settings (pre-op, acute and post-acute).

Education

•                  Develops and implements educational programs and protocols for patients, staff and other health care providers that address the prevention and management of wound ostomy and continence health conditions.

•                  Arranges learning opportunities for RN Skin Champion.

•        Provides orientation for nurses and other health care team members.

Quality Improvement / Safety

•                  Collects and interprets wound, ostomy and continence-related data for continuous quality improvement, safety initiatives, surveillance and regulatory compliance.

•                  Leads or provides guidance in the leadership of initiatives to reduce harm and improve outcomes for patients with wounds, ostomy and continence conditions.

•                  Participates/ leads research and quality improvement projects to investigate or validate interventions and workflow related to wound ostomy continence care.

Qualifications

Education

•                  Baccalaureate degree in Nursing. Master’s degree in nursing or higher preferred.

Experience

•                  Minimum of 2 Years with a minimum of 2000 hours of progressive wound and skill experience in clinical practice.

•                  5 or more years of active clinical nursing experience preferred.

•                  Experience in EPIC EHR preferred.

Licensure, Certification, Registration

•                  Licensed Registered Nurse from the CT DPH.

•                  Enrollment in a WOCN Society Accredited Educational Program within one year of hire.

•                  Completion of board certification in wound/ ostomy/continence through WOCNCB within a defined timeline following enrollment in educational program.

•                  BLS certification.

•                  Completion of a WOCN Society accredited educational program in wound / ostomy/ continence preferred.

•                  Current board certified in wound/ ostomy / continence through WOCNCB preferred.

Knowledge, Skills and Ability Requirements

•                  Strong ability to collaborate with members of the interdisciplinary team.

•                  Demonstrated ability to facilitate prevention and treatment interventions per protocol.

•                  Excellent ability to advocate for the patient with skin and wound care needs and for the professional practice.

•                  Seeks opportunities for professional growth and skill maintenance as WOC RN.

•                  Strong ability to review cases for quality improvement; formulates, implements, and evaluates plans for improvement in coordination with the interdisciplinary team and other nursing personnel.

•                  Demonstrated ability to develop and deliver educational programs.

•                  Working knowledge of high reliability and LEAN process improvement strategies.

•                  Demonstrated leadership skills and a commitment to education as a methodology for promoting continuous quality improvement in the delivery of patient care and services.

•                  Excellent communication skills, both verbal and written.

•                  Ability to manage multiple priorities in a fast-paced environment.

•                  Must be able to work independently as well as part of a collaborative team.

•                  Proficient in use of electronic medical record.

•                  Working knowledge in Microsoft Word, PowerPoint and Excel.

Language Skills

Must be able to effectively communicate information in English.  Multilingual preferred.

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.

Location Detail: 34 Ledgebrook Dr Mansfield (10179)

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.

The Greater Manchester Region has approximately 2,500 employees. It includes Manchester Memorial Hospital, a 249-bed community hospital, Rockville General, a campus of Manchester Memorial Hospital, a 102-bed facility, a large multispecialty provider group and visiting nurse services. The Greater Manchester Region serves a region of 300,000 people in 19 towns.

General Summary of Duties: The provision of intermittent nursing service to patients in their homes under a plan of care established in collaboration with the patient's physician and according to agency policy and  procedures uses hospice concepts and promotes quality of life for the terminally ill.

Supervision Received: Reports directly to the Hospice/Palliative Clinical Supervisor.

Supervision Exercised: Home Care Aides.

Typical Physical Demands: Requires full range of body motion including handling and lifting patients, manual and finger dexterity, and eye-hand coordination.  Requires standing, walking, and the ability to ascend and descend stairs.  Occasionally, lifts and carries items weighing up to 30 pounds.  Requires corrected vision and hearing to normal range.  Requires working under stressful conditions.  Requires some exposure to communicable diseases and/or bodily fluids.

Typical Work Conditions: Work is performed in patients' homes and in an office environment.  Some exposure to communicable diseases, toxic substances, and medicinal preparations.

Qualifications

Essential Duties: (This list may not include all of the duties assigned.)

1.   Admits/readmits patients and provides intermittent nursing service to patients and their families in compliance with agency policies/procedures and state and federal regulations, incorporating the following:

a)   A complete physical and psychosocial assessment.

b)   Develops and implements an appropriate care plan and therapeutic goals with the patient/family.

c)   Evaluation of patient safety on a 24-hour basis.

d)   Exercises appropriate clinical judgment in coordination of patient care by all services involved.

e)   Ongoing evaluation of significant changes in the condition of the patient and of progress toward the therapeutic goals.

f)   Use of Agency and community consultants/resources.

g)   Instruction of patient/family in procedures or responsibilities they are assuming and optimum wellness practices.

h)   Planning for the patient's discharge from service.

i)    Appropriate implementation and utilization of OASIS system.

              j)    Consults with patient/family regarding the process of dealing with issues of ethical concern.

2.   Documents all services provided in the clinical record in accordance with state and federal regulations and Agency policy:

a)   All records are complete, accurate, and done in timely fashion: 

·   admissions within 24 hours from first visit.

·   subsequent visits within 48 hours.

b)   Obtains physician verbal/written orders and complies with all reporting requirements.

c)   Participates in coordination of care with physicians and with other disciplines as appropriate. 

3.   Manages work assignment in effective and efficient manner:

a)   Reports any cases to the Hospice/Palliative Clinical Supervisor where goals can not be met or at-risk situations exist and responds appropriately.

b)   Remains flexible in daily planning, allowing time for emergencies or unexpected visits.

c)   Maintains productivity as established by the Agency.

d)   Utilizes payor sources correctly, reflecting changing levels of care.

e)   Delegates patient care responsibilities to Home Care Nurse (LPN) as appropriate.

f)    Participates in the development of the hospice interdisciplinary team care plan.

4.   Establishes the plan of care to be delegated to the Homemaker/Home Care Aide/Companion, orients and supervises the home care aide in accordance with state and federal regulations and Agency policy:

a)   Develops an initial written plan of care for the HMK/HCA/Companion and updates this plan as patient's condition warrants but no less often than every 60 days.

b)   Obtains input from HMK/HCA/Companion regarding patient progress.

c)   Prepares written performance evaluations of home care aides under his/her supervision.

d)   Provides supervision of home care aides at a minimum of every two weeks or as required by payor source.

5.   Develops and maintains sufficient professional skills and credentials to meet the needs of patient care:

a)   Attends a minimum of 12 hours of in-service per year.  At least six of those hours shall deal with aspects of hospice care.

b)   Participates actively in self-appraisal and the formation of a plan of self-development.

c)   Knowledgeable of agency policies and procedures.  Adheres to Agency Corporate Compliance Plan and HIPAA Privacy Plan as per written agreement.

d)   Seeks appropriate clinical input to ensure appropriate patient care.

e)   Projects professional image through attitude and compliance with dress code.

f)   Capable of precepting new nurses and students.

g)   Functions as a team member with consideration to all staff.

h)   Provides Agency with current copy of professional license.

i)    Maintains CPR certification.

Ancillary Duties

1.   Performs other duties as necessary to support Agency programs as assigned by the Supervisor of Clinical Services.

a)   Agency committees as requested.

b)   Special clinics as needed.

c)   Adult Consultation Hours as assigned.

d)   Special agency or community programs during and/or after regular working hours.

e)   Participation in Agency focus groups.

2.   Performs other duties as necessary to maintain current Agency personnel policies:

a)   Gives adequate time and attention to administrative duties.

b)   Abides by Agency weekend/holiday rotation of nurses.

c)   May provide back-up for on-call service. 

HIPAA and Privacy: Properly direct any complaints and/or grievances as indicated per VNHSC policy.  Comply with HIPAA regulations, specifically the Privacy and Security Rules.  Protect personal health information (PHI), electronic personal health information (EPHI) and financial information by limiting the use and disclosure of health information and financial information to the minimum amount necessary with only those who must know how to get the job done.  Follow the department's specific policies and procedures to protect health information. Help one another to ensure confidentiality at all times. 

Knowledge, Skills, and Requirements: Knowledge of Hospice/Palliative concepts and philosophy.  Knowledge of professional nursing theory and practice and the skills to practice and evaluate patient care.  Knowledge of Agency policies, regulations and procedures to administer patient care.  Knowledge of medical equipment currently used to provide patient care.  Knowledge of common safety hazards and precautions to establish a safe work environment.  Skill in applying and modifying the principles, methods and techniques of professional nursing to provide ongoing patient care.  Skill in identifying patient-related problems and recommending solutions.  Skill in documentation in clinical records.  Skill in establishing and maintaining effective working relationships with patients, families, physicians, co-workers, and the community.  Ability to maintain quality control standards.  Ability to react calmly and effectively in emergency situations.  Ability to interpret, adapt and apply guidelines and procedures.  Ability to communicate clearly. 

Possess adequate transportation to carry out job requirements.  Must show proof of satisfactory automobile insurance with minimum coverage of $100,000/300,000 to be determined by Agency policy when using automobile for transportation.  Willingness to provide service in any part of Agency geographic area, according to Agency need.

Education: Graduate of an NLN-approved school of nursing, associate or baccalaureate degree program.

Experience: One (1) year of recent medical/surgical nursing experience, additional experience in community health nursing preferred.

Certificate/License: Possession of a current license to practice as a Registered Nurse in the State of Connecticut. 

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 colleagues-- we provide a competitive benefits program designed to ensure work/life balance.  Every moment matters.  And this is your moment.

Location Detail: St Vincents Medical Center (10427)

Shift Detail: Shift 1

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. 

St. Vincent’s Medical Center in Bridgeport has more than 3,200 employees. It includes a 473-bed community teaching hospital, a 76-bed inpatient psychiatric facility in Westport, a large multispecialty provider group, and special needs services for adults and children. St. Vincent’s is the first hospital in Fairfield County to be integrated into the Hartford HealthCare network and is the system’s second-largest hospital.

This position is an essential member of the nursing clinical team.

The RN certified in wound, ostomy and continence provides expert clinical care, consultation/care coordination, education, quality improvement, leadership and research to the organization in relation to patients/ families and colleagues with wound, skin, ostomy and continence needs. This position is responsible for the assessment, planning, implementation, and evaluation and care of wounds (acute and chronic), fistulae, pressure ulcers, skin breakdown, ostomy care and incontinence.

Specifically, the WOCN RN Acute Performs the following:

·        Coordinates care for populations of patients, identifies trends, develops evidence-based protocols/treatments and refines protocols based on emerging evidence, products, therapies and outcomes.

·        Develops and implements and refines educational programs for patients, families, colleagues and community partners.

·        Provides formal and informal consultation and serves as resource for patients, healthcare team and leadership.

·        Promotes the profession of nursing and professional practice.

·        Represents the organization in a positive and professional manner.

·        Advocates for the rights, ethical standards, and safety of patients and healthcare team.

·        Is visible, accessible and committed to communicating effectively with staff.

Essential Functions/Responsibilities:  

Direct Patient Care

Provides expert consultation and/or hands-on care for individual patients with acute or chronic wounds, ostomy or continence issues.

•                  Incorporates specialized evidence-based knowledge and skills to provide excellence in assessment, therapeutic interventions, prevention and health maintenance for patients with select disorders of the integumentary, gastrointestinal and genitourinary systems.

•                  Differentiates characteristics of wound, ostomy, continence clinical presentations and attributes accurate etiology in development of treatment plans.

•                  Serves as a consultant to provide potential solutions for complex clinical cases to improve patient care and outcomes.

•                  Establishes and coordinates multidisciplinary and comprehensive management plans.

•                  Conducts ongoing re-evaluation and modifies the strategies and interventions as needed.

•                  Notifies supervising clinician and Team when the wound deteriorates or fails to progress.

Collaborates with healthcare team to provide interdisciplinary referrals to complement the treatment plan.

Care Coordination

Coordinates care for populations of patients with wounds, ostomy and continence conditions.

•                  Collaborates with Healthcare Teams and leadership to develop best practice cross-setting care coordination using standardized prevention and treatment protocols: Coordination of care involves consideration of care trajectory across multiple settings (pre-op, acute and post-acute).

Education

•                  Develops and implements educational programs and protocols for patients, staff and other health care providers that address the prevention and management of wound ostomy and continence health conditions.

•                  Arranges learning opportunities for RN Skin Champion.

•        Provides orientation for nurses and other health care team members.

Quality Improvement / Safety

•                  Collects and interprets wound, ostomy and continence-related data for continuous quality improvement, safety initiatives, surveillance and regulatory compliance.

•                  Leads or provides guidance in the leadership of initiatives to reduce harm and improve outcomes for patients with wounds, ostomy and continence conditions.

•                  Participates/ leads research and quality improvement projects to investigate or validate interventions and workflow related to wound ostomy continence care.

Qualifications

Education

•                  Baccalaureate degree in Nursing. Master’s degree in nursing or higher preferred.

Experience

•                  Minimum of 2 Years with a minimum of 2000 hours of progressive wound and skill experience in clinical practice.

•                  5 or more years of active clinical nursing experience preferred.

•                  Experience in EPIC EHR preferred.

Licensure, Certification, Registration

•                  Licensed Registered Nurse from the CT DPH.

•                  Enrollment in a WOCN Society Accredited Educational Program within one year of hire.

•                  Completion of board certification in wound/ ostomy/continence through WOCNCB within a defined timeline following enrollment in educational program.

•                  BLS certification.

•                  Completion of a WOCN Society accredited educational program in wound / ostomy/ continence preferred.

•                  Current board certified in wound/ ostomy / continence through WOCNCB preferred.

Knowledge, Skills and Ability Requirements

•                  Strong ability to collaborate with members of the interdisciplinary team.

•                  Demonstrated ability to facilitate prevention and treatment interventions per protocol.

•                  Excellent ability to advocate for the patient with skin and wound care needs and for the professional practice.

•                  Seeks opportunities for professional growth and skill maintenance as WOC RN.

•                  Strong ability to review cases for quality improvement; formulates, implements, and evaluates plans for improvement in coordination with the interdisciplinary team and other nursing personnel.

•                  Demonstrated ability to develop and deliver educational programs.

•                  Working knowledge of high reliability and LEAN process improvement strategies.

•                  Demonstrated leadership skills and a commitment to education as a methodology for promoting continuous quality improvement in the delivery of patient care and services.

•                  Excellent communication skills, both verbal and written.

•                  Ability to manage multiple priorities in a fast-paced environment.

•                  Must be able to work independently as well as part of a collaborative team.

•                  Proficient in use of electronic medical record.

•                  Working knowledge in Microsoft Word, PowerPoint and Excel.

Language Skills

Must be able to effectively communicate information in English.  Multilingual preferred.

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.

Location Detail: MMH-71 Haynes Street (10627)

Qualifications

EDUCATION/CERTIFICATION:

 • Must be a graduate of an accredited school of Nursing with a current licensure in the State of Connecticut.   
 • Must have certification in Basic Cardiac Life Support and Advanced Cardiac Life Support upon hire or receive certification within the new employee introductory orientation period and maintain clinical competency during employment in this role.  

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.

Location Detail: St Vincents Medical Center (10427)

Shift Detail: Day/Night with Holiday and weekend call requirement

Work where every moment matters.

Responsibilities:

• Implements and monitors patient care plans. Monitors, records and communicates patient condition as appropriate.
• Serves as a primary coordinator of all disciplines for well-coordinated patient care.
• Notes and carries out physician and nursing orders.
• Assesses and coordinates patient's discharge planning needs with members of the healthcare team.
• Demonstrates the knowledge and skills necessary to assess patients and to identify physical, psychosocial, cultural, spiritual and age-related needs in order to provide individualized care to the patient.
• Delegates aspects of care to other nursing personnel consistent with their level of education and expertise in order to meet patients' needs and to maximize staff performance.
• Participates in daily interdisciplinary patient rounds. Demonstrates knowledge of patients' condition and is able to provide appropriate
• input to meet desired outcomes for the appropriate patient population.
• Reflects ANA Scope and Standards of Nursing Practice (2015), ANA Code of Ethics (2015), and ANA Social Policy Statement (2015).
• Develops, implements and revises individualized plans of care.
• Participates in activities for professional growth and development outside of patient care.

Qualifications

• Current CT RN license
• Graduate of accredited nursing school with BSN preferred
• Current BLS, ACLS, PALS
• PACU and or ICU/ ED experience preferred

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.

Location Detail: MMH-8 Keynote Drive (10628)

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 as a Hospice Licensed Practical Nurse. 

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 employees 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 employees are appreciated for the real differences they make in both the lives of their clients and their clients’ families.  

Hartford HealthCare at Home is growing!  We currently have clinical opportunities to join an experienced multi-disciplinary team of clinicians providing Hospice care.

Job Description:  LPN Hospice Homecare Visit Nurse to provide hospice care.

 Ensure compassionate delivery of care to patients in their final journey.  Will work with interdisciplinary team of social workers and pastoral counselors to provide families and patients with understanding and support during this process.

Hartford Healthcare at Home offers a team-oriented

Qualifications

Licensed Practical Nurse with a license to practice in the State of Connecticut

One year of Home Care experience preferred, one year of nursing experience required.

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 colleagues-- we provide a competitive benefits program designed to ensure work/life balance.  Every moment matters.  And this is your moment.

Location Detail: MMH-8 Keynote Drive (10628)

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.

The Greater Manchester Region has approximately 2,500 employees. It includes Manchester Memorial Hospital, a 249-bed community hospital, Rockville General, a campus of Manchester Memorial Hospital, a 102-bed facility, a large multispecialty provider group and visiting nurse services. The Greater Manchester Region serves a region of 300,000 people in 19 towns.

General Summary of Duties: The provision of intermittent nursing service to patients in their homes under a plan of care established in collaboration with the patient's physician and according to agency policy and  procedures uses hospice concepts and promotes quality of life for the terminally ill.

Supervision Received: Reports directly to the Hospice/Palliative Clinical Supervisor.

Supervision Exercised: Home Care Aides.

Typical Physical Demands: Requires full range of body motion including handling and lifting patients, manual and finger dexterity, and eye-hand coordination.  Requires standing, walking, and the ability to ascend and descend stairs.  Occasionally, lifts and carries items weighing up to 30 pounds.  Requires corrected vision and hearing to normal range.  Requires working under stressful conditions.  Requires some exposure to communicable diseases and/or bodily fluids.

Typical Work Conditions: Work is performed in patients' homes and in an office environment.  Some exposure to communicable diseases, toxic substances, and medicinal preparations.

Qualifications

Essential Duties: (This list may not include all of the duties assigned.)

1.   Admits/readmits patients and provides intermittent nursing service to patients and their families in compliance with agency policies/procedures and state and federal regulations, incorporating the following:

a)   A complete physical and psychosocial assessment.

b)   Develops and implements an appropriate care plan and therapeutic goals with the patient/family.

c)   Evaluation of patient safety on a 24-hour basis.

d)   Exercises appropriate clinical judgment in coordination of patient care by all services involved.

e)   Ongoing evaluation of significant changes in the condition of the patient and of progress toward the therapeutic goals.

f)   Use of Agency and community consultants/resources.

g)   Instruction of patient/family in procedures or responsibilities they are assuming and optimum wellness practices.

h)   Planning for the patient's discharge from service.

i)    Appropriate implementation and utilization of OASIS system.

              j)    Consults with patient/family regarding the process of dealing with issues of ethical concern.

2.   Documents all services provided in the clinical record in accordance with state and federal regulations and Agency policy:

a)   All records are complete, accurate, and done in timely fashion: 

·   admissions within 24 hours from first visit.

·   subsequent visits within 48 hours.

b)   Obtains physician verbal/written orders and complies with all reporting requirements.

c)   Participates in coordination of care with physicians and with other disciplines as appropriate. 

3.   Manages work assignment in effective and efficient manner:

a)   Reports any cases to the Hospice/Palliative Clinical Supervisor where goals can not be met or at-risk situations exist and responds appropriately.

b)   Remains flexible in daily planning, allowing time for emergencies or unexpected visits.

c)   Maintains productivity as established by the Agency.

d)   Utilizes payor sources correctly, reflecting changing levels of care.

e)   Delegates patient care responsibilities to Home Care Nurse (LPN) as appropriate.

f)    Participates in the development of the hospice interdisciplinary team care plan.

4.   Establishes the plan of care to be delegated to the Homemaker/Home Care Aide/Companion, orients and supervises the home care aide in accordance with state and federal regulations and Agency policy:

a)   Develops an initial written plan of care for the HMK/HCA/Companion and updates this plan as patient's condition warrants but no less often than every 60 days.

b)   Obtains input from HMK/HCA/Companion regarding patient progress.

c)   Prepares written performance evaluations of home care aides under his/her supervision.

d)   Provides supervision of home care aides at a minimum of every two weeks or as required by payor source.

5.   Develops and maintains sufficient professional skills and credentials to meet the needs of patient care:

a)   Attends a minimum of 12 hours of in-service per year.  At least six of those hours shall deal with aspects of hospice care.

b)   Participates actively in self-appraisal and the formation of a plan of self-development.

c)   Knowledgeable of agency policies and procedures.  Adheres to Agency Corporate Compliance Plan and HIPAA Privacy Plan as per written agreement.

d)   Seeks appropriate clinical input to ensure appropriate patient care.

e)   Projects professional image through attitude and compliance with dress code.

f)   Capable of precepting new nurses and students.

g)   Functions as a team member with consideration to all staff.

h)   Provides Agency with current copy of professional license.

i)    Maintains CPR certification.

Ancillary Duties

1.   Performs other duties as necessary to support Agency programs as assigned by the Supervisor of Clinical Services.

a)   Agency committees as requested.

b)   Special clinics as needed.

c)   Adult Consultation Hours as assigned.

d)   Special agency or community programs during and/or after regular working hours.

e)   Participation in Agency focus groups.

2.   Performs other duties as necessary to maintain current Agency personnel policies:

a)   Gives adequate time and attention to administrative duties.

b)   Abides by Agency weekend/holiday rotation of nurses.

c)   May provide back-up for on-call service. 

HIPAA and Privacy: Properly direct any complaints and/or grievances as indicated per VNHSC policy.  Comply with HIPAA regulations, specifically the Privacy and Security Rules.  Protect personal health information (PHI), electronic personal health information (EPHI) and financial information by limiting the use and disclosure of health information and financial information to the minimum amount necessary with only those who must know how to get the job done.  Follow the department's specific policies and procedures to protect health information. Help one another to ensure confidentiality at all times. 

Knowledge, Skills, and Requirements: Knowledge of Hospice/Palliative concepts and philosophy.  Knowledge of professional nursing theory and practice and the skills to practice and evaluate patient care.  Knowledge of Agency policies, regulations and procedures to administer patient care.  Knowledge of medical equipment currently used to provide patient care.  Knowledge of common safety hazards and precautions to establish a safe work environment.  Skill in applying and modifying the principles, methods and techniques of professional nursing to provide ongoing patient care.  Skill in identifying patient-related problems and recommending solutions.  Skill in documentation in clinical records.  Skill in establishing and maintaining effective working relationships with patients, families, physicians, co-workers, and the community.  Ability to maintain quality control standards.  Ability to react calmly and effectively in emergency situations.  Ability to interpret, adapt and apply guidelines and procedures.  Ability to communicate clearly. 

Possess adequate transportation to carry out job requirements.  Must show proof of satisfactory automobile insurance with minimum coverage of $100,000/300,000 to be determined by Agency policy when using automobile for transportation.  Willingness to provide service in any part of Agency geographic area, according to Agency need.

Education: Graduate of an NLN-approved school of nursing, associate or baccalaureate degree program.

Experience: One (1) year of recent medical/surgical nursing experience, additional experience in community health nursing preferred.

Certificate/License: Possession of a current license to practice as a Registered Nurse in the State of Connecticut. 

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 colleagues-- we provide a competitive benefits program designed to ensure work/life balance.  Every moment matters.  And this is your moment.

Location Detail: 34 Ledgebrook Dr Mansfield (10179)

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.

The Greater Manchester Region has approximately 2,500 employees. It includes Manchester Memorial Hospital, a 249-bed community hospital, Rockville General, a campus of Manchester Memorial Hospital, a 102-bed facility, a large multispecialty provider group and visiting nurse services. The Greater Manchester Region serves a region of 300,000 people in 19 towns.

General Summary of Duties: The provision of intermittent nursing service to patients in their homes under a plan of care established in collaboration with the patient's physician and according to agency policy and  procedures uses hospice concepts and promotes quality of life for the terminally ill.

Supervision Received: Reports directly to the Hospice/Palliative Clinical Supervisor.

Supervision Exercised: Home Care Aides.

Typical Physical Demands: Requires full range of body motion including handling and lifting patients, manual and finger dexterity, and eye-hand coordination.  Requires standing, walking, and the ability to ascend and descend stairs.  Occasionally, lifts and carries items weighing up to 30 pounds.  Requires corrected vision and hearing to normal range.  Requires working under stressful conditions.  Requires some exposure to communicable diseases and/or bodily fluids.

Typical Work Conditions: Work is performed in patients' homes and in an office environment.  Some exposure to communicable diseases, toxic substances, and medicinal preparations.

Qualifications

Essential Duties: (This list may not include all of the duties assigned.)

1.   Admits/readmits patients and provides intermittent nursing service to patients and their families in compliance with agency policies/procedures and state and federal regulations, incorporating the following:

a)   A complete physical and psychosocial assessment.

b)   Develops and implements an appropriate care plan and therapeutic goals with the patient/family.

c)   Evaluation of patient safety on a 24-hour basis.

d)   Exercises appropriate clinical judgment in coordination of patient care by all services involved.

e)   Ongoing evaluation of significant changes in the condition of the patient and of progress toward the therapeutic goals.

f)   Use of Agency and community consultants/resources.

g)   Instruction of patient/family in procedures or responsibilities they are assuming and optimum wellness practices.

h)   Planning for the patient's discharge from service.

i)    Appropriate implementation and utilization of OASIS system.

              j)    Consults with patient/family regarding the process of dealing with issues of ethical concern.

2.   Documents all services provided in the clinical record in accordance with state and federal regulations and Agency policy:

a)   All records are complete, accurate, and done in timely fashion: 

·   admissions within 24 hours from first visit.

·   subsequent visits within 48 hours.

b)   Obtains physician verbal/written orders and complies with all reporting requirements.

c)   Participates in coordination of care with physicians and with other disciplines as appropriate. 

3.   Manages work assignment in effective and efficient manner:

a)   Reports any cases to the Hospice/Palliative Clinical Supervisor where goals can not be met or at-risk situations exist and responds appropriately.

b)   Remains flexible in daily planning, allowing time for emergencies or unexpected visits.

c)   Maintains productivity as established by the Agency.

d)   Utilizes payor sources correctly, reflecting changing levels of care.

e)   Delegates patient care responsibilities to Home Care Nurse (LPN) as appropriate.

f)    Participates in the development of the hospice interdisciplinary team care plan.

4.   Establishes the plan of care to be delegated to the Homemaker/Home Care Aide/Companion, orients and supervises the home care aide in accordance with state and federal regulations and Agency policy:

a)   Develops an initial written plan of care for the HMK/HCA/Companion and updates this plan as patient's condition warrants but no less often than every 60 days.

b)   Obtains input from HMK/HCA/Companion regarding patient progress.

c)   Prepares written performance evaluations of home care aides under his/her supervision.

d)   Provides supervision of home care aides at a minimum of every two weeks or as required by payor source.

5.   Develops and maintains sufficient professional skills and credentials to meet the needs of patient care:

a)   Attends a minimum of 12 hours of in-service per year.  At least six of those hours shall deal with aspects of hospice care.

b)   Participates actively in self-appraisal and the formation of a plan of self-development.

c)   Knowledgeable of agency policies and procedures.  Adheres to Agency Corporate Compliance Plan and HIPAA Privacy Plan as per written agreement.

d)   Seeks appropriate clinical input to ensure appropriate patient care.

e)   Projects professional image through attitude and compliance with dress code.

f)   Capable of precepting new nurses and students.

g)   Functions as a team member with consideration to all staff.

h)   Provides Agency with current copy of professional license.

i)    Maintains CPR certification.

Ancillary Duties

1.   Performs other duties as necessary to support Agency programs as assigned by the Supervisor of Clinical Services.

a)   Agency committees as requested.

b)   Special clinics as needed.

c)   Adult Consultation Hours as assigned.

d)   Special agency or community programs during and/or after regular working hours.

e)   Participation in Agency focus groups.

2.   Performs other duties as necessary to maintain current Agency personnel policies:

a)   Gives adequate time and attention to administrative duties.

b)   Abides by Agency weekend/holiday rotation of nurses.

c)   May provide back-up for on-call service. 

HIPAA and Privacy: Properly direct any complaints and/or grievances as indicated per VNHSC policy.  Comply with HIPAA regulations, specifically the Privacy and Security Rules.  Protect personal health information (PHI), electronic personal health information (EPHI) and financial information by limiting the use and disclosure of health information and financial information to the minimum amount necessary with only those who must know how to get the job done.  Follow the department's specific policies and procedures to protect health information. Help one another to ensure confidentiality at all times. 

Knowledge, Skills, and Requirements: Knowledge of Hospice/Palliative concepts and philosophy.  Knowledge of professional nursing theory and practice and the skills to practice and evaluate patient care.  Knowledge of Agency policies, regulations and procedures to administer patient care.  Knowledge of medical equipment currently used to provide patient care.  Knowledge of common safety hazards and precautions to establish a safe work environment.  Skill in applying and modifying the principles, methods and techniques of professional nursing to provide ongoing patient care.  Skill in identifying patient-related problems and recommending solutions.  Skill in documentation in clinical records.  Skill in establishing and maintaining effective working relationships with patients, families, physicians, co-workers, and the community.  Ability to maintain quality control standards.  Ability to react calmly and effectively in emergency situations.  Ability to interpret, adapt and apply guidelines and procedures.  Ability to communicate clearly. 

Possess adequate transportation to carry out job requirements.  Must show proof of satisfactory automobile insurance with minimum coverage of $100,000/300,000 to be determined by Agency policy when using automobile for transportation.  Willingness to provide service in any part of Agency geographic area, according to Agency need.

Education: Graduate of an NLN-approved school of nursing, associate or baccalaureate degree program.

Experience: One (1) year of recent medical/surgical nursing experience, additional experience in community health nursing preferred.

Certificate/License: Possession of a current license to practice as a Registered Nurse in the State of Connecticut. 

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 colleagues-- we provide a competitive benefits program designed to ensure work/life balance.  Every moment matters.  And this is your moment.

Location Detail: St Vincents Medical Center (10427)

Shift Detail: Shift 1

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. 

St. Vincent’s Medical Center in Bridgeport has more than 3,200 employees. It includes a 473-bed community teaching hospital, a 76-bed inpatient psychiatric facility in Westport, a large multispecialty provider group, and special needs services for adults and children. St. Vincent’s is the first hospital in Fairfield County to be integrated into the Hartford HealthCare network and is the system’s second-largest hospital.

This position is an essential member of the nursing clinical team.

The RN certified in wound, ostomy and continence provides expert clinical care, consultation/care coordination, education, quality improvement, leadership and research to the organization in relation to patients/ families and colleagues with wound, skin, ostomy and continence needs. This position is responsible for the assessment, planning, implementation, and evaluation and care of wounds (acute and chronic), fistulae, pressure ulcers, skin breakdown, ostomy care and incontinence.

Specifically, the WOCN RN Acute Performs the following:

·        Coordinates care for populations of patients, identifies trends, develops evidence-based protocols/treatments and refines protocols based on emerging evidence, products, therapies and outcomes.

·        Develops and implements and refines educational programs for patients, families, colleagues and community partners.

·        Provides formal and informal consultation and serves as resource for patients, healthcare team and leadership.

·        Promotes the profession of nursing and professional practice.

·        Represents the organization in a positive and professional manner.

·        Advocates for the rights, ethical standards, and safety of patients and healthcare team.

·        Is visible, accessible and committed to communicating effectively with staff.

Essential Functions/Responsibilities:  

Direct Patient Care

Provides expert consultation and/or hands-on care for individual patients with acute or chronic wounds, ostomy or continence issues.

•                  Incorporates specialized evidence-based knowledge and skills to provide excellence in assessment, therapeutic interventions, prevention and health maintenance for patients with select disorders of the integumentary, gastrointestinal and genitourinary systems.

•                  Differentiates characteristics of wound, ostomy, continence clinical presentations and attributes accurate etiology in development of treatment plans.

•                  Serves as a consultant to provide potential solutions for complex clinical cases to improve patient care and outcomes.

•                  Establishes and coordinates multidisciplinary and comprehensive management plans.

•                  Conducts ongoing re-evaluation and modifies the strategies and interventions as needed.

•                  Notifies supervising clinician and Team when the wound deteriorates or fails to progress.

Collaborates with healthcare team to provide interdisciplinary referrals to complement the treatment plan.

Care Coordination

Coordinates care for populations of patients with wounds, ostomy and continence conditions.

•                  Collaborates with Healthcare Teams and leadership to develop best practice cross-setting care coordination using standardized prevention and treatment protocols: Coordination of care involves consideration of care trajectory across multiple settings (pre-op, acute and post-acute).

Education

•                  Develops and implements educational programs and protocols for patients, staff and other health care providers that address the prevention and management of wound ostomy and continence health conditions.

•                  Arranges learning opportunities for RN Skin Champion.

•        Provides orientation for nurses and other health care team members.

Quality Improvement / Safety

•                  Collects and interprets wound, ostomy and continence-related data for continuous quality improvement, safety initiatives, surveillance and regulatory compliance.

•                  Leads or provides guidance in the leadership of initiatives to reduce harm and improve outcomes for patients with wounds, ostomy and continence conditions.

•                  Participates/ leads research and quality improvement projects to investigate or validate interventions and workflow related to wound ostomy continence care.

Qualifications

Education

•                  Baccalaureate degree in Nursing. Master’s degree in nursing or higher preferred.

Experience

•                  Minimum of 2 Years with a minimum of 2000 hours of progressive wound and skill experience in clinical practice.

•                  5 or more years of active clinical nursing experience preferred.

•                  Experience in EPIC EHR preferred.

Licensure, Certification, Registration

•                  Licensed Registered Nurse from the CT DPH.

•                  Enrollment in a WOCN Society Accredited Educational Program within one year of hire.

•                  Completion of board certification in wound/ ostomy/continence through WOCNCB within a defined timeline following enrollment in educational program.

•                  BLS certification.

•                  Completion of a WOCN Society accredited educational program in wound / ostomy/ continence preferred.

•                  Current board certified in wound/ ostomy / continence through WOCNCB preferred.

Knowledge, Skills and Ability Requirements

•                  Strong ability to collaborate with members of the interdisciplinary team.

•                  Demonstrated ability to facilitate prevention and treatment interventions per protocol.

•                  Excellent ability to advocate for the patient with skin and wound care needs and for the professional practice.

•                  Seeks opportunities for professional growth and skill maintenance as WOC RN.

•                  Strong ability to review cases for quality improvement; formulates, implements, and evaluates plans for improvement in coordination with the interdisciplinary team and other nursing personnel.

•                  Demonstrated ability to develop and deliver educational programs.

•                  Working knowledge of high reliability and LEAN process improvement strategies.

•                  Demonstrated leadership skills and a commitment to education as a methodology for promoting continuous quality improvement in the delivery of patient care and services.

•                  Excellent communication skills, both verbal and written.

•                  Ability to manage multiple priorities in a fast-paced environment.

•                  Must be able to work independently as well as part of a collaborative team.

•                  Proficient in use of electronic medical record.

•                  Working knowledge in Microsoft Word, PowerPoint and Excel.

Language Skills

Must be able to effectively communicate information in English.  Multilingual preferred.

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.

Location Detail: 34 Ledgebrook Dr Mansfield (10179)

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 an Oasis Workflow Coordinator

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. 

Reporting to the Director of Clinical Services, this role ensures the accuracy, compliance, and quality of Outcome and Assessment Information Set (OASIS) assessments by reviewing for regulatory and policy adherence. The individual in this role provides clinical staff with guidance on documentation, utilization, and patient care decisions to support optimal clinical and operational outcomes. They review visit utilization for care appropriateness and collaborate with clinicians on necessary modifications, reporting any potential over or underutilization to leadership. The role requires timely completion of workflows in Homecare Homebase (HCHB) and flexibility to meet agency needs.

Collaboration with teams is key to identifying trends and developing action plans to address them. Participation in quality and performance improvement initiatives is expected, along with supporting the agency’s compliance with data submission requirements for regulatory and payor standards.

JOB RESPONSIBILITIES

Reviews OASIS assessments for accuracy, completeness, and regulatory compliance, providing recommendations to ensure quality and reliability.

Guides staff on clinical, documentation, and utilization decisions to improve OASIS accuracy and care quality, recommending cost-effective corrections that support clinical and operational goals.

Reviews visit utilization for appropriate patient care, collaborates and consults clinicians on needed adjustments, and reports utilization concerns and financial risks to the clinical manager. Ensures timely completion of HCHB workflows and maintains a flexible schedule to support agency needs.

Collaborates to identify documentation trends, supports improvement planning, participates in quality initiatives, and helps ensure compliance and accurate data submissions across all settings.

Qualifications

Degree from an accredited educational program leading to licensure as a Registered Nurse (RN), Physical Therapist (PT), Occupational Therapist (OT), or Speech-Language Pathologist (SLP). Required

Bachelor's degree in nursing, master's degree in PT, OT, SLP preferred 

2 years as certified home health clinical management or OASIS reviewer

Homecare Homebase experience required

OASIS Certification and/or Quality/Compliance Certification

3 years as certified home health clinical management or OASIS reviewer preferred

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 colleagues-- we provide a competitive benefits program designed to ensure work/life balance.  Every moment matters.  And this is your moment.

Location Detail: 34 Ledgebrook Dr Mansfield (10179)

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.

The Greater Manchester Region has approximately 2,500 employees. It includes Manchester Memorial Hospital, a 249-bed community hospital, Rockville General, a campus of Manchester Memorial Hospital, a 102-bed facility, a large multispecialty provider group and visiting nurse services. The Greater Manchester Region serves a region of 300,000 people in 19 towns.General Summary of Duties: The provision of intermittent nursing service to patients in their homes under a plan of care established in collaboration with the patient’s physician and according to agency policies and procedures.

Supervision Received: Reports directly to a Clinical Manager.

Supervision Exercised: Home Care Aides.

Education: Graduate of an NLN-approved school of nursing, associate or baccalaureate degree program.

Experience: One (1) year of recent medical/surgical nursing experience, additional experience in community health nursing preferred.

Certificate/License: Possession of a current license to practice as a Registered Nurse in the State of Connecticut. 

Typical Physical Demands: Requires full range of body motion including handling and lifting patients, manual and finger dexterity, and eye-hand coordination.  Requires standing, walking, and the ability to ascend and descend stairs.  Requires operation of a motor vehicle. Occasionally lifts and carries items weighing up to 30 pounds.  Requires corrected vision and hearing to normal range.  Requires working under stressful conditions.  Requires some exposure to communicable diseases and/or bodily fluids.

Typical Work Conditions: Work is performed in patients’ homes and in an office environment.  Some exposure to communicable diseases, toxic substances, and medicinal preparations.

Qualifications

Knowledge, Skills, and Requirements:

• Knowledge of professional nursing theory and practice and the skills to practice and evaluate patient care.  Knowledge of Agency policies, regulations and procedures to administer patient care. 
• Knowledge of medical equipment currently used to provide patient care.  Knowledge of common safety hazards and precautions to establish a safe work environment. 
• Skill in applying and modifying the principles, methods and techniques of professional nursing to provide ongoing patient care.  Skill in identifying patient-related problems and recommending solutions. 
• Skill in documentation in clinical records.  Skill in establishing and maintaining effective working relationships with patients, families, physicians, co-workers, and the community. 
• Ability to maintain quality control standards.  Ability to react calmly and effectively in emergency situations.  Ability to interpret, adapt and apply guidelines and procedures.  Ability to communicate clearly. 
• Possess adequate transportation to carry out job requirements.  Must show proof of satisfactory automobile insurance with State of CT minimum coverage, recommended amount of $100,000/300,000.  Willingness to provide service in any part of Agency geographic area, according to Agency need.

Essential Duties: (This list may not include all the duties assigned.)

1. Admits/readmits patients and provides intermittent nursing service to patients and their families in compliance with agency policies and State and Federal Regulations, incorporating the following:

• A complete physical and psychosocial assessment.
• Develops and implements an appropriate care plan and therapeutic goals with the patient/family.
• Evaluation of patient safety on a 24-hour basis.
• Exercises appropriate clinical judgment in coordination of patient care by all services involved.
• Ongoing evaluation of significant changes in the condition of the patient and of progress toward the therapeutic goals.
• Use of Agency and community consultants/resources.
•  Instruction of patient/family in procedures or responsibilities they are assuming and optimum wellness practices.
• Planning for the patient’s discharge from service.

2.  Establishes and maintains case mix weight, utilization, patient satisfaction that aligns with industry standards and agency operational objectives for quality care.

• OASIS documentation correlates with the Plan of Care.
• Uses recommended Oasis assessment techniques 100% of the time.
• OASIS, documentation, and plan of care correlate to 95%.

3.   Documents all services provided in the clinical record in accordance with State and Federal Regulations and Agency policy:

• Documentation, including activities and mileage is exported within 36 hours of visit or prior to next scheduled visit.
• Obtains physician verbal/written orders and complies with all reporting requirements.
• Participates in coordination of care with physicians and with other disciplines as appropriate.

4.   Manages work assignment in effective and efficient manner:

• • Visits all new therapeutic clients within 24 hours of referral unless otherwise specified
  • by the physician.
  • Reports any cases to the Supervisor of Clinical Services where goals can not be met
  • or at-risk situations exist and responds appropriately.
  • Remains flexible in daily planning, allowing time for emergencies or unexpected
  • visits.
  • Maintains productivity as established by the Agency.
  • Utilizes payer sources correctly, reflecting changing levels of care.
  • Delegates patient care responsibilities to Home Care Nurse (LPN) as appropriate.
  • Demonstrates an understanding of the principles of case management.
  • Demonstrates ability to manage cost and quality

5.   Establishes and evaluates the Plan of Care to be delegated to the Home Health Aide, orients and supervises the Home Health Aide in accordance with State and Federal Regulations and Agency policy:

• • Develops written plan of care for the Home Health Aide and updates this plan as patient’s condition warrants; plan of care must be reviewed every 60 days.
  • Obtains input from Home Health Aide regarding patient progress.
  • Prepares written performance evaluations of home care aides under his/her supervision.
  • Provides supervision of home care aides at a minimum of every 14 days or as required by payer source.

6.   Develops and maintains sufficient professional skills and credentials to meet the needs of patient care:

• Attends a minimum of 12 hours of in-service per year to include mandated annual in-services.
• Participates actively in self-appraisal and the formation of a plan of self-development.
• Adheres to Agency Corporate Compliance Plan and HIPAA Privacy Plan as per written agreement.
• Seeks appropriate clinical input to ensure appropriate patient care.
• Projects professional image through attitude and compliance with dress code.
• Capable of precepting new nurses and students.
• Functions as a team member with consideration to all staff.
• Provides Agency with current copy of professional license.
• Maintains CPR certification.

Ancillary Duties

1.   Performs other duties as necessary to support Agency programs as assigned by the Supervisor of Clinical Services.

• • Agency committees as requested.
  • Flu/special clinics as needed.
  • Elder Wellness Clinics as assigned.
  • Special Agency or community programs during and/or after regular working hours.

2.    Performs other duties as necessary to maintain current Agency personnel policies:

• • Gives adequate time and attention to administrative duties.
  • Abides by Agency weekend/holiday rotation of nurses.
  • May provide back-up for on-call service.

HIPAA and Privacy:  Properly direct any complaints and/or grievances as indicated per VNHSC policy.  Comply with HIPAA regulations, specifically the Privacy and Security Rules.  Protect personal health information (PHI), electronic personal health information (EPHI) and financial information by limiting the use and disclosure of health information and financial information to the minimum amount necessary with only those who must know how to get the job done.  Follow the department’s specific policies and procedures to protect health information.  Help one another to ensure confidentiality at all times. 

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 colleagues-- we provide a competitive benefits program designed to ensure work/life balance.  Every moment matters.  And this is your moment.

Location Detail: MMH-8 Keynote Drive (10628)

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.

The Greater Manchester Region has approximately 2,500 employees. It includes Manchester Memorial Hospital, a 249-bed community hospital, Rockville General, a campus of Manchester Memorial Hospital, a 102-bed facility, a large multispecialty provider group and visiting nurse services. The Greater Manchester Region serves a region of 300,000 people in 19 towns.

General Summary of Duties: The provision of intermittent nursing service to patients in their homes under a plan of care established in collaboration with the patient's physician and according to agency policy and  procedures uses hospice concepts and promotes quality of life for the terminally ill.

Supervision Received: Reports directly to the Hospice/Palliative Clinical Supervisor.

Supervision Exercised: Home Care Aides.

Typical Physical Demands: Requires full range of body motion including handling and lifting patients, manual and finger dexterity, and eye-hand coordination.  Requires standing, walking, and the ability to ascend and descend stairs.  Occasionally, lifts and carries items weighing up to 30 pounds.  Requires corrected vision and hearing to normal range.  Requires working under stressful conditions.  Requires some exposure to communicable diseases and/or bodily fluids.

Typical Work Conditions: Work is performed in patients' homes and in an office environment.  Some exposure to communicable diseases, toxic substances, and medicinal preparations.

Qualifications

Essential Duties: (This list may not include all of the duties assigned.)

1.   Admits/readmits patients and provides intermittent nursing service to patients and their families in compliance with agency policies/procedures and state and federal regulations, incorporating the following:

a)   A complete physical and psychosocial assessment.

b)   Develops and implements an appropriate care plan and therapeutic goals with the patient/family.

c)   Evaluation of patient safety on a 24-hour basis.

d)   Exercises appropriate clinical judgment in coordination of patient care by all services involved.

e)   Ongoing evaluation of significant changes in the condition of the patient and of progress toward the therapeutic goals.

f)   Use of Agency and community consultants/resources.

g)   Instruction of patient/family in procedures or responsibilities they are assuming and optimum wellness practices.

h)   Planning for the patient's discharge from service.

i)    Appropriate implementation and utilization of OASIS system.

              j)    Consults with patient/family regarding the process of dealing with issues of ethical concern.

2.   Documents all services provided in the clinical record in accordance with state and federal regulations and Agency policy:

a)   All records are complete, accurate, and done in timely fashion: 

·   admissions within 24 hours from first visit.

·   subsequent visits within 48 hours.

b)   Obtains physician verbal/written orders and complies with all reporting requirements.

c)   Participates in coordination of care with physicians and with other disciplines as appropriate. 

3.   Manages work assignment in effective and efficient manner:

a)   Reports any cases to the Hospice/Palliative Clinical Supervisor where goals can not be met or at-risk situations exist and responds appropriately.

b)   Remains flexible in daily planning, allowing time for emergencies or unexpected visits.

c)   Maintains productivity as established by the Agency.

d)   Utilizes payor sources correctly, reflecting changing levels of care.

e)   Delegates patient care responsibilities to Home Care Nurse (LPN) as appropriate.

f)    Participates in the development of the hospice interdisciplinary team care plan.

4.   Establishes the plan of care to be delegated to the Homemaker/Home Care Aide/Companion, orients and supervises the home care aide in accordance with state and federal regulations and Agency policy:

a)   Develops an initial written plan of care for the HMK/HCA/Companion and updates this plan as patient's condition warrants but no less often than every 60 days.

b)   Obtains input from HMK/HCA/Companion regarding patient progress.

c)   Prepares written performance evaluations of home care aides under his/her supervision.

d)   Provides supervision of home care aides at a minimum of every two weeks or as required by payor source.

5.   Develops and maintains sufficient professional skills and credentials to meet the needs of patient care:

a)   Attends a minimum of 12 hours of in-service per year.  At least six of those hours shall deal with aspects of hospice care.

b)   Participates actively in self-appraisal and the formation of a plan of self-development.

c)   Knowledgeable of agency policies and procedures.  Adheres to Agency Corporate Compliance Plan and HIPAA Privacy Plan as per written agreement.

d)   Seeks appropriate clinical input to ensure appropriate patient care.

e)   Projects professional image through attitude and compliance with dress code.

f)   Capable of precepting new nurses and students.

g)   Functions as a team member with consideration to all staff.

h)   Provides Agency with current copy of professional license.

i)    Maintains CPR certification.

Ancillary Duties

1.   Performs other duties as necessary to support Agency programs as assigned by the Supervisor of Clinical Services.

a)   Agency committees as requested.

b)   Special clinics as needed.

c)   Adult Consultation Hours as assigned.

d)   Special agency or community programs during and/or after regular working hours.

e)   Participation in Agency focus groups.

2.   Performs other duties as necessary to maintain current Agency personnel policies:

a)   Gives adequate time and attention to administrative duties.

b)   Abides by Agency weekend/holiday rotation of nurses.

c)   May provide back-up for on-call service. 

HIPAA and Privacy: Properly direct any complaints and/or grievances as indicated per VNHSC policy.  Comply with HIPAA regulations, specifically the Privacy and Security Rules.  Protect personal health information (PHI), electronic personal health information (EPHI) and financial information by limiting the use and disclosure of health information and financial information to the minimum amount necessary with only those who must know how to get the job done.  Follow the department's specific policies and procedures to protect health information. Help one another to ensure confidentiality at all times. 

Knowledge, Skills, and Requirements: Knowledge of Hospice/Palliative concepts and philosophy.  Knowledge of professional nursing theory and practice and the skills to practice and evaluate patient care.  Knowledge of Agency policies, regulations and procedures to administer patient care.  Knowledge of medical equipment currently used to provide patient care.  Knowledge of common safety hazards and precautions to establish a safe work environment.  Skill in applying and modifying the principles, methods and techniques of professional nursing to provide ongoing patient care.  Skill in identifying patient-related problems and recommending solutions.  Skill in documentation in clinical records.  Skill in establishing and maintaining effective working relationships with patients, families, physicians, co-workers, and the community.  Ability to maintain quality control standards.  Ability to react calmly and effectively in emergency situations.  Ability to interpret, adapt and apply guidelines and procedures.  Ability to communicate clearly. 

Possess adequate transportation to carry out job requirements.  Must show proof of satisfactory automobile insurance with minimum coverage of $100,000/300,000 to be determined by Agency policy when using automobile for transportation.  Willingness to provide service in any part of Agency geographic area, according to Agency need.

Education: Graduate of an NLN-approved school of nursing, associate or baccalaureate degree program.

Experience: One (1) year of recent medical/surgical nursing experience, additional experience in community health nursing preferred.

Certificate/License: Possession of a current license to practice as a Registered Nurse in the State of Connecticut. 

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 colleagues-- we provide a competitive benefits program designed to ensure work/life balance.  Every moment matters.  And this is your moment.