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Providence Health & Services RN - Home Health in Spokane Valley, Washington


Providence is calling a Registered Nurse (RN) ( Home Health Spokane Vna, Day Shift, 1 FTE) to Providence SCS Home Health in Spokane Valley, Washington. We are a community of caregivers delivering every day on our Mission to provide compassionate care that is accessible for all - especially those who are poor and vulnerable.

In this position you will:


  • Assesses the physiological, psychosocial, spiritual and cultural needs of the patient/family.

  • Accurately completes OASIS assessments utilizing observation and interview techniques.

  • Demonstrates competency in OASIS assessment.

  • Assesses the patient’s level of pain on every visit.

  • Identifies the need for HHA, MSW, Pharmacy, OT, PT, RD, or SLP services and collaborates with the Case Manager who contacts the physician for orders.

  • Visualizes all medications the patient is currently using in order to identify any potential adverse effects and drug reactions, including ineffective drug therapy, significant side effects, significant drug interactions, duplicate drug therapy and noncompliance with drug therapy.

  • Instructs patients on how and when to take the medications and the purpose for each drug as indicated.


  • Provides appropriate interventions and follow up based on assessment.

  • Identifies discharge plan at admission reflecting the patient/care giver (cg) responsibilities during services and after discharge.

  • Collaborates in the development of the patient’s plan of care based upon physician orders, OASIS-C assessment, evaluation of patient needs and patient goals.

  • Demonstrates knowledge of reimbursement rules, restrictions and benefits as they relate to planning care.

  • Participates in team conferences for care planning and evaluation.Practice:


  • Applies principles of infection control in all care.

  • Teaches the patient and/or family members all aspects of care promoting full participation as able.

  • Performs technically precise interventions in accordance with best practices.

  • Ensures that physician orders are present for all services; Collaborates with the Case Manager to obtain orders as needed.

  • Notifies physician of changes in patient status at the visit when possible, takes orders and documents in secure message.

  • Assesses supply needs and orders supplies as needed during the visit.


  • Evaluates effectiveness of care at each visit and discusses changes needed to plan of care with the patient’s case manager.

  • Tracks progress of wounds and recommends WOCN evaluation if no improvement in 14 days.

  • Includes patient/family in evaluating effectiveness of care.

  • Collaborate with Case Manager in the development of patient summaries as needed.

  • Reviews patient’s outcomes with Case Manager to assess need for discharge.

  • Reviews OASIS for accuracy with Case Manager.


  • Documents all contacts with patients, family, caregivers, physicians and team members.

  • Documents patient/family response to teaching.

  • Documentation reflects knowledge/application of reimbursement requirements.

  • Documentation is clear and concise with attention to dates, spelling and grammar.

  • Documentation is completed in the patient’s home as much as possible.

  • All documentation is completed in a timely manner as defined by PVNA policy.

  • Complies with synching requirements as defined by PVNA policy.

  • Admission visit narrative reflects patient’s needs and problems for POC development by Case Manager.


  • Delegates and supervises selected nursing functions to others in accordance with their education, credentials and demonstrated competence.

  • Establishes the HHA plan of care in collaboration with the Home Health Aide.

  • Revises the Home Health Aide Plan of Care to reflect changes in the patient’s condition.

  • Completes and documents HHA supervision every 14 days.

  • Promotes proper body mechanics with HHA staff and establishes a HHA Plan of Care that assures safe transfers.

Patience Data Security:

  • Complies with the PVNA “Securing Patient Data During Offsite Patient Care” policy.

  • Keeps passwords private.

  • Locks devices when not in use to prevent unauthorized viewing.

  • Exits out of RoadNotes before closing the laptop.

  • Shuts down the laptop at the end of the shift.

  • Immediately notifies a manager of any loss of patient data.

  • Participates in annual “patient information security” training.

  • Leaves patient information (electronic or paper) at the PVNA office when away from work greater than five working days.

Professional Practice:

  • Demonstrates compliance with PVNA palliative care standards of care.

  • Demonstrates compliance with PVNA diabetic standards of care.

  • Follows best practices as identified as by PVNA.

  • Represents PVNA in a professional manner at all times.

Professional Ethics:

  • Promotes patient's right to self-determination, privacy, and confidentiality.

  • Functions as patient advocate while promoting self-care

  • Identifies, discusses and resolves ethical concerns with other team members, clinical managers and the Ethics Committee as appropriate.

  • Maintains therapeutic professional boundaries in all contacts with patients, families and staff per PVNA policy.


  • Promotes accident prevention for self, co-workers, patients and families by following established safety procedures.

  • Proactively works with patients and caregivers to create a safe environment for care.

  • Follows PVNA guidelines for assessing and managing safety risks, i.e. weapons, mental illness, domestic violence, pets.

  • Alerts colleagues of risk factors to coordinate a management plan.


Required qualifications for this position include:

  • Degree/diploma from accredited school of nursing.

  • 1 year experience in acute care.

  • Current RN license in Washington State.

  • valid driver’s license for operator of vehicle and personal vehicle insurance at prudent coverage levels as determined by PVNA management.

  • Evidence of current CPR training and negative TB screen.

Preferred qualifications for this position include:

  • BS Degree in nursing from accredited school of nursing with public health preparation.

  • 3 years Experience in home health, acute care or a skilled nursing facility.

  • Recent home health, acute or extended care experience

About the ministry you will serve.

Providence VNA Home Health is a not-for-profit, home health ministry serving patients in their places of residence in the greater Spokane community of Washington state. We provide health care for patients of all ages who have a temporary condition such as post-surgical care, or are recovering from or living with a chronic condition. Our skilled and compassionate team includes nurses, medical social workers, home health aides, registered dietitians, occupational/physical/speech therapists, and pharmacists.

We offer a full comprehensive range of benefits - see our website for details

Our Mission

As expressions of God’s healing love, witnessed through the ministry of Jesus, we are steadfast in serving all, especially those who are poor and vulnerable.

About Us

Providence Health & Services is a not-for-profit Catholic network of hospitals, care centers, health plans, physicians, clinics, home health care and services guided by a Mission of caring the Sisters of Providence began over 160 years ago. Providence is proud to be an Equal Opportunity Employer. Providence does not discriminate on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.

Schedule: Full-time

Shift: Day

Job Category: Home Health Nursing

Location: Washington-Spokane Valley

Req ID: 242996