Possess a working knowledge base of Home Health coverage criteria, regulatory criteria and Payer source requirementsPossess a knowledge base and ability to apply Medical Center and Home Health policies and processesPossess a knowledge base and application for the completion of the Patient Comprehensive Assessments at the mandated timeframes of Admission, Recertification, Recertification, transfer or discharge.From the information obtained from the Comprehensive assessment, Physician initial orders or requested orders, Patient preferences and regulations devises the Patients 60 day Plan of Care meeting expected criteria.Incorporates and coordinates other Home Health disciplines as appropriate.Implements the Plan of Care as ordered by the Physician in a systematic approach to meet goalsCoordinates and monitors care/progress of other disciplines involved with the patientContinually evaluates progress towards goals with necessary adjustments in approach or with Physician orders as indicated.Follows up on problems identified with Physician notification as appropriateHas a strong clinical skill mix for all age ranges in the areas of Assessments, Teachings or Interventions.Has strong teaching / coaching skills using a variety of approved/acceptable media to reach patient goals.Has the ability to work with and trouble shoot a variety of business i.e computers, cell phones etc and medical equipment i.e IV pumps, wound vacs, feeding pumps etcUtilizes and Directs to Community ResourcesDemonstrates a consistent efficient level of performance in Scheduling/ completing assigned visits and required documentation timeframes and meeting productivity parametersDemonstrates a consistent efficient level employment requirements and departmental processes.Maintains consistent timely communications i.e hand off communication, Departmental postings, Management requests and meetings.Required SkillsMinimum Education: Graduate from an Accredited School of NursingRequired ExperienceMinimum Work Experience: Must be able to transport self in inclement weather. Must possess a reliable maintained representative vehicle. At least 1 year experience required. Home Health Experience preferred. Critical Care or Medical / surgical Nursing preferred. Must possess computer / typing skills. Excellent communication skills. Ability to tolerate a high stress environment.