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Ann Arbor, MI

Alpine Care Home Health is dedicated to providing expert, compassionate care in the home setting. Our team of skilled clinicians help individuals remain safe and independent in their homes, with personalized care that respects the individuals' goals, values, and overall well-being. Our team brings deep expertise in physical therapy, occupational therapy, speech therapy, wound care, and complex care management, and more. We offer customized tools and hands-on support to improve mobility, accelerate recovery, and encourage lasting self-reliance. We take pride in offering personalized, evidence-based care. We work closely with primary care providers, families, and specialists to create care plans that are proactive, holistic, and aligned with each patient's priorities. Through access to a full range of physical and mental health services, we aim to support patient independence and long-term stability.

We're building a purpose-driven team passionate about making a difference. If you're excited to shape the future of home-based care, here's what the role involves.

The Home Health Visiting Nurse provides intermittent skilled nursing services in a face-to-face capacity to include patient residence and qualifying facilities. The Home Health Visiting Nurse is responsible to communicate the patient's progress with other disciplines and directs, supervises and instructs non-professional home health aide staff in the provision of personal care to the patient.

• Under the physician's order, admits patients eligible for home care services within 24-48 hours
• Assess and evaluates patient needs/problems, identifies mutually agreed upon goals with patients
• Reports patient status and need for other disciplines to agency Clinical Supervisor and referring physician
• Reports to assigned follow-up Clinician as indicated
• Develops patient care plan that specifically addresses identified patient problems; patient problems and goals
• Updates care plans on an ongoing basis; revises and resolves patient problems and goals as changes occur and/or at recertification
• Completed admission paperwork and patient care plan submitted to Clinical Supervisor per agency policy following the admission including completed and signed admission checklist
• Provides intermittent Skilled Nursing services including assessment, evaluation, procedures, teaching and training activities as outlined in the patient Plan of Care
• Provides Skilled Nursing visits according to visit schedule and notifies agency of need to alter schedule in any way
• Reports significant findings to patient's physician and Clinical Supervisor as they occur
• Submits completed skilled nursing visit notes; communication notes and home health aide supervisory notes per agency policy on designated days as requested by Clinical Supervisor
• Submits change orders per agency policy
• Performs all OASIS time point assessment per Medicare Criteria and submits recertification paperwork per agency policy and procedure
• Maintains open lines of communications to all members of the continuum of care team
• Supervises Home Health Aide and license and documents per Medicare criteria and per agency policy and procedure
• Acts as a preceptor in the orientation of new nursing staff as requested
• Attends staff meetings, team conferences and educational in-services per agency requirements
• Participates in Process Improvement (PI) program by assisting with collection of data and serves on PI team upon request
• Participates in discharge planning process Medicare Criteria and agency policy and procedure
• Follows agency policies and procedures
• Performs these and all other duties as assigned by the Administrator
• Able to lift 40 pounds from floor to shoulder
• Repetitive walking, standing, sitting, bending, and use of hands
• Able to drive a car 2-4 hours per day
• Responsible to ensure the use of the 4Ms (What Matters to the patient, Medications, Mentation, and Mobility) and provides Age-Friendly Care
• Other duties as assigned

Required Knowledge, Skills and Experience

• Current unencumbered State professional Nurse License
• Must maintain a valid driver's license and good driving record
• The ability to make sound professional clinical judgment
• The ability to assess and document patient needs and formulate individualized patient care plans to meet those needs
• Proficient clinical skills
• Excellent verbal and written communication skills
• Proficiency in personal computer use, including e-mail, clinical, word processing, spreadsheet and presentation software

Additional Florida Requirements:

• Active CPR Certification

Preferred Knowledge, Skills and Experience

• One year of experience as a home care professional nurse and is competent in performing home care comprehensive assessment

Perks and Benefits (What we offer):

• Competitive salary and multiple health benefit options
• Career growth and development
• Mentorship and continued learning opportunities
• Engaging and mission driven workplace
• 401(k) matching
• Mileage reimbursement (if eligible)

Every person on our team helps shape the future of Alpine Care Home Health. If you're excited by meaningful work and shared impact, we'd love to hear from you.