Skilled/Charge Nurse

The Medicare/Skilled Nurse is a professional position responsible for monitoring, auditing and delivering skilled care services to those patients admitted to this facility or those who are a current resident that may be in need of skilled services. To ensure all documentation is appropriate, accurate and complete according to patient’s condition.

QUALIFICATIONS

Education

Graduate of an accredited School of Nursing or completion from an accredited institution for Vocational Nursing. Relevant Experience: Three (3) years of long term care experience preferred. Computer Skills: Intermediate computer skills Licenses/Certifications: Current LPN required, RN preferred from the State of TN Benefits Overview Competitive Pay Rates 22-25% AT&T and Verizon Cell Phone Discount Direct Deposit Affordable Medical Insurance Dental, and Vision Insurance Offered as well as supplemental plans Employer Paid Life Insurance 100% Employer paid ESOP (Employee Stock Ownership Program) Opportunity for CEU Reimbursement 401K offered ESSENTIAL DUTIES AND RESPONSIBILITIES: Physician’s orders: Check/monitor admission orders for completeness/accuracy Orders designate level of care All medical diagnosis Therapy orders Equipment/devices and related orders( i.

e. cpap & settings, Foleys & related orders, staple removal, etc.) Date and time of admission accuracy Labs needed, medical appointments made All other as necessary Assist charge nurse in processing all admission orders Audit charts daily to ensure all physician’s order are processed and carried out accurately Ensure all medications are available according to MD orders Complete/ensure completion of all nursing admission assessments Assess assigned patients daily with complete and accurate documentation Participate in the UR meetings weekly Participate in UR and care plan meetings weekly, ready to share pertinent information In-service staff as indicated and as it relates to skilled services Assist in coordinating follow-up appointments and D/C planning Complete 30 day discharge summary for skilled patients Review charts to ensure nursing and therapy documentation supports each other Nursing documentation should reflect tolerance and response to therapy each day Review nursing/therapy documentation on Mondays to ensure weekend documentation is present and appropriate.

Follow up on reason therapy is not provided and take appropriate action Monitor lab orders and/or results notifying MD/family per patient needs and policy Monitor wounds, assess/obtain weekly measurements and complete weekly progress reports. This ensures your knowledge of all areas and their healing status. Notify MD/NP/family of changes in condition and/or physician’s orders for skilled patients Cross train to assist with MDS/CP as needed/assigned Update care plans and CNA Communication Sheets daily according to MD order changes May be required to work as a charge nurse with med pass administration Will collaborate daily with MDS & therapy to ensure current knowledge of patient’s status Will participate in the discharge planning process Supervise and delegate patient care needs to other nurses and CNAs Participate in Quality Improvement as assigned Perform other duties/tasks as assigned by the DON/ADON or Administrator These duties/responsibilities are not all inclusive.

There are others that may be assigned to the Medicare nurse as determined by the DON/ADON/Administrator. The job duties may vary and will be based on the needs of the facility, the number of skilled patients and other relative information. Tennessee Health Management, Inc. is an EQUAL OPPORTUNITY EMPLOYER