Your Choice At Home is an affiliate of Cobble Hill Life Center and a Certified Home Health Agency (CHHA). We're culturally sensitive and many of our staff come from within the community that they serve. Operating 24 hours, 7 days a week, we offer reliable, dignified care in your own home and specialize in health services, personal care, and champion services.

As the Fee-For-Service RN, you will be responsible for providing and coordinating multidisciplinary home health services for patients in the community. You will work with the physician and other team members in implementing plans of care.

Schedule: Fee-For-Service (Visits located in Brooklyn, Queens, OR Manhattan)

Responsibilities include, but are not limited to:

• Provides and coordinates patient's care that is cost-efficient and reimbursable under the patient's insurance plan and approved by physician.
• Accepts case assignment depending on client's needs regardless of geographic location.
• Case assignment is all inclusive of CHHA requirements, including initial assessments, case opening and documentation on first day of service.
• Travels to patients' homes and/or other facilities using approved transportation to deliver direct care to the patient.
• Understands and interprets the CHHA reimbursement policy and determines the billing source for patient care.
• Ensures in-person completion of the Oasis that accurately reflects clinical and functional status of the patient. Uses diagnosis Coding skills to accurately rate the acuity of each diagnosis in the Oasis.
• Obtains and evaluates HHRG and HIPPS score and works with the Supervisor on matching the scores to frequencies and duration of services on 485(physician orders)
• Evaluates patient diagnosis and works with RN supervisor and physician to assign appropriate primary diagnosis.
• Participates in weekly PPS meetings to report adherence to frequency and duration of services as per physician's order.
• Communicates frequently with PT/OT to ensure adherence to the frequency and duration ordered by the physician.
• Acts as a coordinator of the multidisciplinary team providing care to patients and establishes a care plan with input from appropriate health team members.
• Documents content and process of all services provided and monitors the effect of care plans on the patient health status.
• Educates the patient and family regarding the disease process, self-care techniques and prevention strategies.
• Plans, facilitates, and documents patient's discharge from the program.
• Demonstrates knowledge of the PPS Medicare system and split billing
• Understanding of the Oasis and impact on payment as well as diagnosis coding

Required Qualifications:

• Be a graduate from an approved school of nursing
• An active RN license for New York State
• ACLS and BLS required
• Unexpired verification of US citizenship
• Up-to-date physical examination (within the past 12 months)
• MMR titers and immunizations
• CPR certification
• Malpractice insurance
• (2) professional references
• Full vaccination for COVID-19 + Booster
• A minimum of one year experience in LTHHCP and a minimum of one year experience in a CHHA (preferred).

Physical demands:

• Must be able to make home visits in potentially unsafe and unsanitary home environments (e.g., elevated buildings, walk ups, care facilities, single/multiple family homes, presence of pets, etc.).
• Driving or riding in a motor vehicle or using public transportation as designated by the Region served. Standing, sitting, walking, bending, reaching, stretching and climbing stairs.
• Lifting up to 50 pounds unassisted and up to 325 pounds utilizing an assistive device.

Reasonable accommodations may be made to enable an individual with disabilities to perform the essential functions of the position without compromising resident/patient care.

Health requirements:

• Adheres to the health requirements of New York State, including employment health assessment and annual health assessment.

Learn more about life at Cobble Hill: https://www.cobblehilllifecare.org/