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Field Nurse Suffolk County

Green Key Resources

This is a Contract position in Islip, NY posted June 25, 2021.

  Position Summary:  The Registered Nurse: Staff will provide skilled professional service and case 

management oversight to a variety of home care patients.  


Duties and Responsibilities: 

1. Provides skilled services to patients as evidenced by: 

• Adherence to infection control practices and all agency policies and procedures. 

• Use of Chronic Disease management and health promotion strategies. 

• Use of Motivational Interviewing Techniques. 

• Use of Telehealth. 

• Utilization of the nursing process to evaluate patient-centered goals related to the 

physical/psychosocial and environmental assessment, diagnosis, plan, and implementation. 

• Communication and collaboration with the home care physician to maintain physician 

orders and report patient assessment and clinical course.

2. Provides case-management oversight when assigned and maintains schedule, as evidenced by: 

• Identification of patient centered goals and an interdisciplinary team approach to meet those 

goals, under the direction of the home care physician, with the most efficient use of 

resources and avoidance of re-hospitalization.  

• Development and ongoing revision of care plans specific to the patient needs. 

• Projection of need for home visits on a weekly basis with consideration of input from 

interdisciplinary team meetings, appropriate utilization of staff resources (i.e. LPN), and 

frequency ordered and established in individualized care plan. 

• Updates visit schedule by 8:30 each workday morning. 

3. Demonstrates OASIS proficiency as evidenced by:  

• OASIS Walk evaluations with clinical manager. 

• Scores on average of 94% or better in OASIS chart review. 

4. Participates in care management and demonstrates effective and timely communication as 

 evidenced by:  

• Attendance in weekly meetings 

• Preparation for and interaction at care management meetings at which RN will be expected 

to discuss entire case load addressing patient’s reason for home care and progress towards 

patient centered goals. 

• Follow up on Care Management and// or interdisciplinary group recommendations.  

• Effective utilization of voice mail, e-mail and messaging program. 

5. Demonstrates timely documentation as evidenced by:  

• Use of the computer in the home. 

• Availability of OASIS data for review/ coding, etc. within 24 hours of visit; re-visit notes 

locked for processing within 24hours of visit, and timely discharges and transfers. 

• Completion of clinical documentation daily. 

• Completion of HHA, LPN supervisions 

• Timely requests for insurance authorization. 

• Clear documentation of the patient’s progress towards goals and response to interventions. 

• Provision of mandated federal and state notices to patients to include, but not limited to, 

NYS Provision of Care, Home Health Beneficiary notice and Notice of Medicare non-


6. The Staff RN 

• manages a minimum average case load of 25 patients 

• is available to work on weekends on a rotating basis which includes two holidays (at 

least one being a major holiday) per year 

7. Performs at or above the state and national benchmarks for publically reported key 

performance indicators.

• Representation of the agency in a professional manner. 

• Flexibility in scheduling with a focus on meeting patient needs. 

• Participation in continuing education (minimum of 3 hours per calendar year), including 

attendance at annual competency and all mandatory in-services. 

• Attendance at team meetings. 

• Participation in orientation of clinical staff as needed.. 

• Participation in orientation of students assigned through educational affiliations between 

company and local colleges and universities. 

8. Employee adheres to all applicable federal, state, local laws and regulations as relate to 

Conditions of Participation of Certified Home Health Agency and/or Certified Hospice. 

9. Other duties as assigned. 


• New York State license and current registration as a registered nurse. 

• Able to comply with the New York State regulatory requirements to provide patient care 

• Able to comply with all policies, procedures and standards of conduct. 

• Previous experience as an RN. 

• Flexible and able to work well with others as well as function autonomously