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RN Field RN Home Health-Casual/Days in Lancaster, CA at Antelope Valley Hospital

Date Posted: 12/18/2018

Job Snapshot

Job Description

 Job Objective

To provide, supervise and coordinate the nursing care, personal care and other services given to her/his assigned patients.  

Duties and Responsibilities:

A.  Patients

  1. Acts as the patients advocate.
  2. Protects patient’s confidentiality.
  3. Distributes and explains patient’s rights and responsibilities.

B.  Bases clinical nursing practice on the nursing process.

  1. Demonstrates knowledge regarding special needs and behaviors of age specific groups.
  2. Participates in age specific educational and training programs.
  3. Demonstrates proficiency in required age specific competencies.
  4. Demonstrates knowledge of medical disease process, surgical procedures, psychosocial behavior, and nursing care theory and practice.
  5. Provides the initial nursing assessment on patients involving physical, physiological and psychosocial status.  This assessment should include therapeutic regimen and environmental factors involved in the patient’s care.
  6. Performs patient care according to plan of care and MD orders
  7. Counsels and instructs patients and caregivers in meeting nursing and related needs.
  8. Coordinates care with physician and other disciplines involved through participation in patient care conferences and ongoing conferences as needed.
  9. Encourages and moves patients/caregivers towards self management of patient’s care.
  10. Plan of Treatment
    1. Initiates a plan of treatment and makes necessary revisions based on her/his nursing assessment. Plan of care is established based on collaboration with patient, caregivers and physician.
    2. Plan of treatment includes skilled nursing services and services of other disciplines specific to adequately meet the needs of the patient.
    3. Establishes appropriate goals and discharge plan.
    4. vi.   Established and revises plan of treatment in accordance with physicians orders.
    5. Routinely re-evaluates plans of treatment and updates as needed.  
  11. Utilizes Best Practices as available in all aspects of patient care
  12. Utilizes Disease Management programs once established 

C.  Documentation:

  1. Prepares complete, concise and clear documentation of patient evaluation, nursing interventions, patient’s response to treatment, changes in patient condition and coordination with other services.
  2. All documentation is completed timely within agency policies
    1. No more than 1 late timesheet per pay period
  3. All documentation is accurate with a minimal amount of corrections
    1. No more than 10 corrections per month
  4. Maintains patients field chart for each patient assigned with current and updated orders for frequency, services and treatment, accurate and up to date medication list, clinical notes, and communication notes.

D.  Case Management:

  1. Responsible for the overall planning, ongoing care, and discharge planning of the patient’s care.
  2. Responsible that patient’s plan of care meets all regulations and that payment is authorizes when necessary.
  3. Responsible for notifying physician of changes to the plan of care and/or barriers to plan of care.
  4. Responsible for communication with other disciplines as appropriate
  5. Responsible for maintaining an accurate schedule per agency process, including appropriate clinical needs ie. labs etc. completing or assigning recertification within CMS requirements, and scheduling supervision of CHHA.
  6. Responsible for reporting patient’s care, progress and barriers to plan of care in Case Conferences and as needed to DPCS.
  7. Responsible for appropriate follow up to patient’s labs as appropriate.

E.  Supervision:

  1. Responsible for Supervision of CHHA by establishing CHHA plan of care, performing and documenting CHHA supervisory visits every 14 days, and updating the CHHA plan of care as needed.
  2. Responsible for Supervision of LVN by overseeing patient’s care, communication with LVN, updating plan of care as needed. 

Non-Essential Duties:

  • Participates in agency committees as appropriate.
  • Participates in QI process as requested in UR, chart audits, and QI committees.
  • Provides support and direction for nursing students and other health care students.
  • Participates in orientation of other personnel.
  • Other duties as assigned.  

Knowledge, Skills and Abilities: 


  • Knowledge of Nursing Process including assessment, and planning of patient’s care, overseeing appropriate patient’s care within scope of practice. 


  • Good communication skills
  • Strong assessment skills
  • Strong clinical skills
  • Good critical thinking skills
  • Basic computer skills required


  • Organization – must demonstrate basic ability to maintain schedule of home visits and complete paperwork according to agency procedures.
  • Must have good communication skills and have the ability to connect with patients and families in their homes in a kind and compassionate way.
  • Ability to project and maintain professionalism in all aspects of patient’s care
  • Ability to function independently seeking assistance when appropriate
  • Ability to supervise LVN’s and CHHA’s as required
  • Ability to take ownership of patient’s plan of care including establishing an appropriate plan of care, overseeing that care is done according to plan of care, communicate with physician and revise plan of care as needed.
  • Ability to understand basic Home Health regulations and financial impact of care being provided.
  • Ability to oversee all aspects of the patient’s care, insuring it meets all regulations, and that payment is authorized as required. 

Core Competencies: All AVH employees will effectively demonstrate these behaviors:


Action Oriented

Customer Focused


Effective Communication 


Ethics & Values

Integrity & Trust 

Education and Experience:


  • Must have successfully completed an approved course and graduated from an approved school of nursing.    


  • At least 1 year recent relevant clinical experience as an RN in an acute hospital setting.
  • Home Health experience preferred. Must have strong clinical skills in order to function independently in the field. 

Required Licensure and/or Certifications:

  • Current licensure as an RN in California.
  • Current CPR certification
  • Maintains a valid California driver’s license and evidence of current auto insurance.  

Key Physical Requirements and Working Conditions:

  • Must meet job physical standards: vision, hearing, and manual dexterity, ability to walk and meet lifting requirements.
  • Must be able to tolerate repetitive hand and arm movements
  • Able to walk to and from patient home and employee vehicle
  • Able to lift and/or carry up to 25 pounds
  • Home Care: Exposure to a variety of home environments; may involve exposure to variable weather conditions.

A detailed description of the physical requirements of this job is maintained in the Employee Health Department.

Looking for an opportunity to work in healthcare the way you always dreamed you could? At Antelope Valley Hospital, our employees are at the heart of what we do best – delivering high quality, patient-centered healthcare.

Antelope Valley Hospital, a 420 bed acute care facility, located just 60 miles north of Los Angeles, the Antelope Valley is one of Southern California’s fastest growing communities. We are a Level II Trauma Center and Joint Commission Primary Stroke Center Accredited. Serving the community for over 50 years, our non-profit hospital has grown to be the preeminent healthcare facility for our district’s nearly 1.2 million residents. 

An Equal Opportunity Employer.



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