Welcome To Beth Israel Lahey Health at Home. Our team provides high-quality home care and hospice services by partnering with physicians, hospitals and skilled nursing facilities to provide specialized care to patients in the comfort of their own home. Our team of nurses, therapists (physical, occupational, and speech), medical social workers, and home health aides work together to devise and implement a compassionate care plan that is expressly tailored for each patient.
About the Job
The Triage Registered Nurse will coordinate the afterhours healthcare needs of home health patients by utilizing a disease management process, critical thinking skills, sound judgment, the OASIS assessment, physician orders, plan of care and established protocols. The Triage RN will also educate the patient/caregiver in the management of their illness and promote the home health support systems to decrease rehospitalization and utilization of hospital emergency services.
** This is a part-time position consisting of 12 hours per week **
- Triage after hour calls with the goal of problem resolution, patient satisfaction, patient safety, positive patient outcomes and reduction of preventable ER/hospital admissions.
- Maintain physician communication with the goal of problem resolution to prevent avoidable ER/hospital admissions.
- Accepts accountability for patient satisfaction scores and quality of care outcome measure results.
- Counsels the patient and family in meeting nursing and related needs.
- Respects and supports patient and family’s cultural beliefs and values, individual needs, health goals and treatment preferences.
- Provides health care instructions to the patient as appropriate per triage assessment and plan of care.
- Helps manage episode of care or coordination of care with the primary disciplines in accordance with evolving nursing needs and continued eligibility for services.
- Delegates PRN visits to field clinicians as appropriate based on triage outcome.
- Supports field clinician questions and will contact administrator on call when needed.
- Communicates with the physician regarding the patient’s needs and reports any changes in the patient’s condition; obtains/receives physician’s orders as required.
- Document accurately and appropriately all communication from physicians, clinicians, caregivers and patients, etc., as a Case Communication in the patient’s chart in real time.
- Attends meetings per Clinical Director and as needed.
- Communicates with other disciplines on the care team if triage does not result in a PRN visit.
- Practices confidentiality principles set by the agency and federal HIPAA guidelines.
- Clinical case communication notes explain the need for PRN skilled nursing services in light of the patient’s overall medical condition and experiences; Assessment/triage process if a PRN visit is not required and the plan for the next visit based on the rationale of prior results.
- Document new physician orders in the order section of the patient’s chart when applicable.
- Completes documentation in accordance with agency timeliness policies.
- Registered Nurse from a Graduate of National League for Nursing accredited school of nursing
- BSN strongly preferred
- Registered nurse with current licensure to practice professional nursing in the state of Massachusetts.
- Has an active American Health Association BLS. If no American Heart Association BLS the employee must complete an annual BILHAH BLS Competency. No other forms of BLS will be accepted.
- Minimum of 1-2 years nursing experience, at least one of which is in the area of public health or home care nursing with OASIS experience is preferred
- Demonstrates excellent observation and problem solving/critical thinking skills.
- Well-developed verbal and written communication skills; essential computer skills to work with EMR.
- Must be a licensed driver with an automobile that is insured in accordance with state or organization requirements and is in good working order.
- Self-directed and able to work with minimal supervision
- Shows strong ability to organize and prioritize workload independently; nursing skills per competency checklist.