Running Head: Assessing a Career in Business

Assessing a Career in Business

Registered Nurse Manager in Home Health/Nurse Supervisor Home Health

Mirela Callister
Business 1010

Running Head: Assessing a Career in Business

Abstract
In 1867, Florence Nightingale was radical in thinking that by the year 2000,
hospitals would be abolished and the future of nursing care would be in the
home. Today, more than ever before, home healthcare and home healthcare
nursing is being seen as an essential part of the new healthcare delivery
landscape.

Hospitals or nursing homes are no longer the only options. In the months and
years to come, the home health care industry will become the de facto
solution for many as our aging population requires more care.
Home health care is a system of care provided by skilled practitioners to
patients in their homes under the direction of a physician. Home health care
services include nursing care; physical, occupational, and speech-language
therapy; and medical social services. The goals of home health care services
are to help individuals to improve function and live with greater
independence; to promote the clients optimal level of well-being; and to
assist the patient to remain at home, avoiding hospitalization or admission to
long-term care institutions. Physicians may refer patients for home health
care services, or the services may be requested by family members or
patients.

A major contributor to the increased demand for home health care is the
rising age of the American population. As both life expectancy and the
occurrence of chronic disease increase in the U.S., there are more people

Running Head: Assessing a Career in Business

living with chronic conditions or just advanced age that need regular care,
but want to be able to maintain their usual routine in their own home.

Job Description: The Nurse Manager, is responsible for the overall

management and education of multiple members of the care team including,
regarding best practices, regulatory requirements, and clinical workflows.
Serves as a leader, role model and liaison for the care team, ensuring quality
patient-centric care at the medical offices. Responsible for educational
support for all care team activities. The Nurse Manager is accountable for
incorporating the nursing process into all interactions involving nurses and
patients. Interfaces with the physicians and all staff members as it relates to
care team process.

Participates in the development of new programs within the

organization. Supports implementation of programs and procedures
developed at an organizational levelA. Assesses the practice needs to
identify gaps in care teams and assists with recruiting and retention
efforts as appropriate. Collects data and adjusts process to
accommodate program requirements.

Serves in a clinical capacity, as needed. Understands and supports

practice of other team members and refers patients appropriately.
Manages and resolves all patient complaints in collaboration with Risk

Running Head: Assessing a Career in Business

Management and Regional Medical Director and/or designee. Serves as
a clinical liaison between the call center and the medical office to
assure patient access and satisfaction.

Ensures nursing practices of the care team as well as own practices are
in accordance with the Utah Department of Education nursing
standards. Responsible for the performance evaluations and
performance improvement plans of the Nursing Staff within the
practice. Responsible for clinical in-services, ongoing education within
the practice for all clinical staff.

Maintains licensure and certification as required and maintains

responsibility for own professional development through periodic
attendance at ongoing educational events.

Evaluates the performance of the care teams and makes

recommendations for changes as needed. Follows up on any
implemented changes and supports the maintenance of the changes.
Oversees and supports the Case Management team members within
the practice.

Develops strategies to maintain high levels of wellness with care team

members.

Running Head: Assessing a Career in Business

Responsible for the ordering of medical supplies for the medical team
and reconciling purchase orders. Responsible for continual review of
products and their value to ensure the ordering is appropriate to the
facility.

Assists in the hiring and general orientation of staff; provides work

direction, assigns schedules, and conducts on-the-job training.
Monitors and evaluates performance, and recommends personnel
actions, such as promotions, demotions, transfers, and disciplinary
actions. Ensures employees understand and comply with local, state,
federal and regulatory standards, as they apply to respective job
functions.

Performs other job-related duties as required.

General Career Path - The following are required in order to be hired as a

Nurse Manager:
Associates Degree in Nursing, RN License, 2-3 years RN Experience on a
medical surgical floor at the hospital or in Home Health/Hospice and a
Bachelor of Science in Nursing (BSN)
The RN to BSN program I will be applying for at Dixie College is designed to
be completed in 24 months on a part time basis. Applicants of the BSN
program are evaluated on the following: Graduation from an accredited

Running Head: Assessing a Career in Business

Registered Nurse Associate Degree Program, Academic Excellence, Current
RN licensure and Personal References (Applicant must submit two letters of
recommendation from previous or current nursing supervisor, clinical
instructor, and/or personal reference.

Average Salary: The median annual for a Nurse Supervisor in Home care is
$67,759 with a range usually between $62,987-$77,895. However, the salary
for someone with the title of Clinical Supervisor in Home Care may vary
depending on a number of factors including industry, company size, location,
years of experience and level of education.

Career Outlook: The outlook for positions within the field of registered
nursing shows clear signs of growth. In fact, the United States Bureau of
Labor Statistics has expressed that there should be about 19% growth by the
year 2022, which is much faster than other occupational growth within the
country. There are a number of reasons why this growth is apparent,
including an aging population, a rise in obesity which has sparked numerous
forms of heart disease as well as diabetes, and an increase in other chronic
health conditions as well. Although clinical nurses and registered nurses have
similar roles in the hospital, the advanced training of a clinical nurse gives
them the upper hand for a higher pay grade.

Bio of Someone in the profession - Ronda Van Meter VP Operations - Mission

Home Health

Running Head: Assessing a Career in Business

Ronda graduated from the University of Texas with a Bachelor of Science in
Nursing. After working in Critical Care and the ER for a couple of years, she
moved to Home Health where she has been for 22 years. Ronda has worked
in various leadership positions in the past 20 years, most recently as the VP
of Operations where she managed 65 offices from coast to coast. She joined
the team as VP of Operations for Home Health, and is very excited about the
culture, the leadership, and the excellent patient care delivered at Mission!

Pros: You get to be a nurse and do all the stuff that taught you in nursing
school. You meet the patient, the family, the pets, and you get to know them.
You have a real connection that may last days, months, and weeks. I had one
patient for 2 years. You see results. You see their wounds heal and their
antibiotics work, but sometimes they don't and you cry with them. You do a
lot of one on one teaching and you can change someones life by teaching
them about how to manage their disease. You really treat the whole patient.
You may be able to help with the patients living situation, depression,
inability to pay for meds. You have time to be a detective. What could be
causing that rash? Why is her hand swollen? If you like doing clinical stuff,
you'll have plenty of that. Home care nurses can do nearly everything at
home that nurses do in the hospital except give blood. You get to drive
around the community in the sunshine but also the snow storm. You may
have to eat your lunch driving, from a patients house to another.
Cons: The paperwork is 50% of the job and you'll still have to work some
weekends and holidays. There are many hours of driving from patient to

Running Head: Assessing a Career in Business

patient house, making sure the supplies are available, covering for nurses
that call in sick, taking on call shifts every couple of weeks, eating lunch in
the car, going into strangers homes, sometimes going to unsafe
neighborhoods.
My fit with this career - I have always known that I would be a good nurse,
since I was in my early teen years. Unfortunately, I did not pursued this
career after high school. I worked in banking for many years and I always
enjoyed the relationships I created with my customers. After coming to the
US I started hearing about the need of nurses, and how you never had to
worry about having a job if you were a nurse. That is when I decided it was
time for me to go back to school and pursue the nursing career. Since
becoming a nurse, I have enjoyed every minute of it. I feel like I finally found
my niche. There are so many opportunities and avenues that come along
with this profession. For now, my focus is to get as much hands on
experience as I can while working in the hospital. Getting comfortable with
the technical skills is what I need to move into the home care area. In Home
health care you have to be able to handle any critical situation that may
arise with your patient, before you make the call of getting in touch with a
doctor or taking the patient to the emergency room. Once I get to work as a
nurse in homehealth care for a few years, and after I get my BSN I would be
able to move up in a supervisor position, which is my goal as of now.

Running Head: Assessing a Career in Business

References
1.Ducket Kathy RN, BSN Home Healthcare Now 2012, March. Retrieved from:
http://www.nursingcenter.com/journalarticle?Article_ID=1314001
2. Seegert, Liz 2013, Novemner. Demand for Home-based Health Care.
Retrieved from: http://healthjournalism.org/blog/2013/11/demand-for-homebased-health-care-expected-to-rise/

Running Head: Assessing a Career in Business

3. Retrieved from: http://www.allnursingschools.com/nursingcareers/article/home-health-nurse/
4. Retrieved form: https://dixie.edu/health/nursing/bsn_admissions.php
5. Retrieved from:
http://www.payscale.com/research/US/Job=Clinical_Nurse_Manager/Salary
6. Elsevier, 23 October 2015. Home Healthcare on the Rise. Retrieved from:
http://confidenceconnected.com/blog/2015/10/23/home-health-care-on-therise/
7. Retrieved from: http://homewithmission.com/about-us/ourteam/member/ronda-van-meter/#