Registered Nurse - Baylor

The OASIS Registered Nurse (RN) provides skilled nursing care to patients in their homes and community settings, ensuring high-quality, outcome-based, and cost-effective care. This role specializes in completing comprehensive OASIS assessments, developing individualized care plans, and collaborating with interdisciplinary teams to support positive patient outcomes.

Key Responsibilities

• Complete comprehensive patient assessments, including accurate OASIS clinical and functional evaluations.

• Review referrals and initiate patient and family contact.

• Develop and implement individualized plans of care in collaboration with patients, families, physicians, and care team members.

• Perform OASIS assessments throughout the patient's episode of care to ensure consistency and quality outcomes.

• Provide skilled nursing visits, assess patient progress, and evaluate responses to treatment.

• Educate patients and caregivers on disease management, treatment plans, and health promotion.

• Coordinate care with physicians, therapists, and other healthcare professionals.

• Supervise LPNs and Home Care Aides in carrying out the established plan of care.

• Maintain accurate and timely clinical documentation and reporting requirements.

• Participate in care conferences, interdisciplinary team meetings, SBAR reports, and quality improvement initiatives.