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Changing health care
to improve quality of
life for all.

Beth Israel Lahey Health’s roots in providing top-quality health care date back nearly a century. We're fully committed to ensuring our patients receive the care they deserve. As a leading healthcare provider throughout New England, we aim to change the current state of health care for the better and make lasting improvements that guarantee access to our services.

Home Health RN

Woburn, Massachusetts

Organization Facility: Beth Israel Lahey Health at Home Category: Nursing Job ID: JR14070 Date posted: 05/19/2023
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When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives.

Job Type:


Scheduled Hours:


Work Shift:

Day (United States of America)

Job Description:

Patient Care
Assumes responsibility to coordinate patient care for assigned caseload including but not limited to: 
1.    Appropriate delegation to LPN staff, patient condition change visits, and completion of OASIS time points. Accepts accountability for patient satisfaction scores and quality of care outcome measure results. 
2.    Completes and documents an initial assessment of patient and family to determine home care needs.  Provides a complete physical assessment and history of current and previous illness(es).Develops a patient specific plan of care, which establishes goals based on nursing diagnosis and incorporates therapeutic, preventive, and rehabilitative nursing actions.  Includes the patient and the family in the planning process.
3.    Initiates the plan of care and makes necessary revisions as patient status and needs change.
4.    Initiates appropriate preventive and rehabilitative nursing procedures.  Administers medications and treatments as prescribed by the physician.
5.    Counsels the patient and family in meeting nursing and related needs.
6.    Respects and supports patient and family’s cultural beliefs and values, individual needs, health goals and treatment preferences.
7.    Provides health care instructions to the patient as appropriate per assessment and plan of care.
8.    Instructs, supervises and evaluates home health aide care provided every two (2) weeks.
9.    Manages episode of care in accordance with evolving nursing care needs and continued eligibility for services.
10.    Identifies discharge planning needs as part of the care plan development and implements prior to discharge of the patient.

1.    Communicates with the physician regarding the patient’s needs and reports any changes in the patient’s condition; obtains/receives physician’s orders as required.
2.    Attends regular case conferences and team meetings per Clinical Manager and as needed.
3.    Communicates with team LPN when delegating appropriate visits. 
4.    Communicates with other community providers to coordinate the care plan (i.e. Insurance case managers, high risk case managers, elder services, protective service, etc.).
5.    Practices confidentiality principles set by the agency and federal HIPAA guidelines.

FLSA Status:


As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) and COVID-19 as a condition of employment. Learn more about this requirement.

More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger.

Equal Opportunity Employer/Veterans/Disabled

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