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Immanuel In-Home Services RN - Full Time Evenings - Immanuel Pathways Southwest Iowa in Council Bluffs, Iowa

Purpose of the Job:

Performs initial assessment, semi-annual reassessment, annual reassessment, and change of condition assessments of participants in the participant’s home environment. Provides skilled nursing care, treatments, and health education to participants in their homes. Implements orders, develops appropriate plans of care for participants in their home, and oversees other in-home care staff members to carry out duties and responsibilities. Coordinates plan of care with appropriate community resources and Interdisciplinary Team (IDT). Maintains the participant’s medical record with thorough documentation. Communicates participant’s changes and progress to IDT and contracted home health agency. Supports and lives out Immanuel’s Mission and CHRIST Promises.

Key Areas

Key Responsibilities and Duties of the Job

70% In-Home Participant Care

  • Performs initial assessments of participants in their home environment to determine their individual needs and coordinates plan of care with care-giving resources. Coordinates with the Interdisciplinary Team (IDT) to develop plan of care for each participant.

  • May attend IDT meeting as a representative of In-Home Services. Maintains regular attendance at, and participates in meetings, communicates participant changes, collaborates on plan of care decisions and coordination of 24-hour care delivery.

  • Performs semi-annual, change of condition, and/or annual re-assessments of all Immanuel Pathways participants to determine that appropriate in-home services are provided and that participants are in the least restrictive environment.

  • Provides skilled supportive and restorative nursing care to participants as ordered, re-evaluating their plan of care and health status on an on-going basis.

  • Provides health counseling to participants and their families on an individual or group basis as needed.

  • Monitors medication compliance, administers medications and provides training in self-administration of all home meds as needed.

  • Maintains participants’ medical record and fulfills agency charting and reporting requirements.

  • Collaborates with other health care professionals and caregivers regarding provision of participant’s health care.

  • Reviews participant’s records, charts, and information pertinent to participant care.

  • Steps into the role of Home Health Administrator (Nebraska only) in the absence of the In-Home Services Manager, or as directed by the Governing Authority.

20% Staff Supervision

  • Performs orientation, initial and annual competencies for home care staff, as requested or assigned.

  • Supervises performance of home care staff members and reports results to In-Home Services Manager.

  • Schedules LPN and Home Health Aide visits, as requested or assigned.

  • Performs competency on appropriate Participant Center staff as needed.

  • Performs quarterly supervisory visits to Home Health Aides.

5% Compliance

  • Follows all Immanuel Pathways policies and procedures and Occupational Safety and Health Administration (OSHA) safety guidelines.

  • Acts within the scope of his or her authority to practice.

  • Maintains the confidentiality of all company procedures, results, and information about participants, clients or families.

  • Maintains safe working environment. Follows Immanuel Pathways Safety policies and procedures.

  • Implements Exposure Control Plan

  • Complies with Emergency Preparedness Plan

  • Uses proper lifting and push/pull techniques, uses gait belt assistance on participant transfers as needed.

5% Other

  • Performs other duties as required or requested.

  • Participates in continuing education classes and any required staff and training meetings.

  • Maintains professional affiliations and any required certifications.



  • Current Registered Nurses License, in the respective state in which he/she is employed, is required.

  • Bachelor of Science Nursing (BSN) preferred.


  • Two (2) years of nursing experience in a hospital, nursing home or community based setting; home health experience preferred.

  • One (1) year of experience in working with the frail or elderly population required.

  • One (1) year of supervisory experience, preferably in a geriatric care setting, is preferred.

Other Requirements-

  • Must have medical clearance for communicable diseases and up-to-date immunizations before having direct participant contact.

  • Must have a valid driver’s license, proof of insurance and have means of transportation.

  • Basic Life Support (BLS) Skills i.e. Health Care Level Cardiopulmonary resuscitation (CPR); Automated External Defibrillator (AED); First Aide (FA).

KSA- Knowledge Skills and Abilities-

  • Knowledge base of health care problems of the frail elderly

  • Knowledge of home care services nursing principles and practices, with particular reference to the elderly

  • Knowledge of medical equipment and instruments

  • Knowledge of common safety hazards and precautions to establish a safe working environment

  • Skilled in written and oral communication.

  • Skilled in decision making and critical thinking skills.

  • Skilled in establishing and maintaining effective working relationships with participants, medical staff, staff members and family caregivers.

  • Ability to react calmly and effectively in emergency situations. .

  • Ability to foster collaborative working relationships.

  • Ability to effectively and efficiently plan, prioritize and follow-up on delegated responsibilities.

  • Ability to oversee and monitor home care staff members.

  • Ability to chart via Electronic Health Records

  • Proven experience and basic computer proficiency ( internet, email, Microsoft Office

Posting Title: In-Home Services RN - Full Time Evenings - Immanuel Pathways Southwest Iowa

Job ID: 2020-4178

External Company URL:

Street: 1702 North 16th Street