Care Plan Nurse

Required Qualifications

• Prior experience in long-term care preferred but not required.
• A Nursing degree from an accredited college or university.
• Current unrestricted license as a Registered Nurse (RN) or Licensed Practical Nurse (LPN) in practicing state.
• Current CPR certification.

Major Duties and Responsibilities

• • Conduct comprehensive assessments of new residents upon admission and periodically reassess them to identify changing health needs.
  • Develop and update individualized care plans based on each resident’s physical, mental, and emotional well-being.
  • Coordinate with healthcare professionals, residents, and their families to create a care plan that best suits the resident’s needs and preferences.
  • Implement care plans by overseeing and coordinating the delivery of nursing services and activities.
  • Work closely with other departments, including rehabilitation, dietary, and social services, to ensure all aspects of the care plan are carried out effectively.
  • Schedule and facilitate care plan meetings with residents, families, and healthcare providers as necessary.
  • Maintain accurate and up-to-date documentation on each resident’s care and any changes to their care plan, ensuring compliance with state and federal regulations.
  • Complete and submit required documentation for state surveys and inspections.
  • Serve as a resource for residents and their families, answering questions and providing updates about the resident’s health status and care plan.
  • Address concerns and advocate for residents’ rights and quality of life.
  • Identify opportunities for quality improvement in resident care and participate in facility-wide initiatives to enhance care standards.
  • Stay informed about best practices and regulatory changes impacting care planning in long-term care settings.

Additional Assigned Tasks

• Treats all residents with dignity and respect. Promotes and protects all residents’ rights.
• Establishes a culture of compliance by adhering to all facility policies and procedures. Complies with standards of business conduct, and state/federal regulations and guidelines.
• Follows appropriate safety and hygiene measures at all times to protect residents and themselves.
• Maintains confidentiality of protected health information, including verbal, written, and electronic communications.
• Reports noncompliance with policies, procedures, regulations, or breaches in confidentiality to appropriate personnel. Reports any retaliation or discrimination to HR or compliance officer.
• Reports any allegations of abuse, neglect, misappropriation of property, exploitation, or mistreatment of residents to supervisor/Administrator/Abuse Coordinator. Protects residents from abuse, and cooperates with all investigations.
• Reports any occupational exposures to blood, body fluids, infectious materials, and/or hazardous chemicals in accordance with facility policy.
• Participates in all life safety and emergency drills and trainings. Fulfills responsibilities as assigned during implementation or activation of the facility’s emergency plan.
• Reports work-related injuries and illnesses immediately to supervisor.
• Follows established infection control policies and procedures.
• As a condition of employment, completes all assigned training and skills competency.

Personal Skills and Traits Desired/Physical Requirements/Working Conditions

• Ability to read, write, speak and understand the English language.
• Must be a supportive team member, contribute to and be an example of team work.
• Ability to make independent decisions when circumstances warrant such action.
• Ability to deal tactfully with personnel, residents, family members, visitors, government agencies/personnel and the general public.
• Must have patience, tact, and willingness to deal with difficult residents, family and staff.
• Must not pose a threat to the health and safety of other individuals in the workplace.
• Must be able to move intermittently throughout the workday.
• Meets general health requirements according to facility policy, including medical and physical exams and checking immunity status to various infectious diseases.
• Ability to work beyond normal working hours and on weekends and holidays when necessary.
• Ability to assist in evacuation of residents during emergency situations.
• Ability to bend, stoop, kneel, crouch, perform overhead lifting and perform other common physical movements as needed for the position.
• Subject to exposure to infectious waste, diseases and/or conditions which include AIDS, Coronavirus, Hepatitis B, and Tuberculosis.
• May be subject to hostile or emotional residents, family members, visitors or personnel.
• Effective verbal and written communication skills and ability to exercise judgement.
• Ability to maintain composure in stressful situations.
• Strong leadership skills.
• Maintain a positive attitude and possess the ability to work in stressful situations.
• Ability to coordinate meetings, as well as set and achieve goals.
• Ability to be organized and efficient.
• Basic computer skills.
• CPR licensed and trained in first aid.