Registered Nurse Supervisor (Personal Care)

The RN (registered nurse) supervisor

performs several roles. As the title suggests, the RN supervisor performs duties related to supervising the member's PCW (personal care worker). The RN supervisor's duties also include activities related to the medically necessary personal care services provided to the member.

Duties for Personnel and Service Delivery The supervisory role applies to the PCW and to the delivery of personal care services. Supervision, according to Wis. Admin. Code §

DHS 101.03(173)

, is defined as intermittent direct contact between the supervisor and assistant and a regular review of the PCW's work by the supervisor. According to Wis. Admin. Code §

DHS 107.112

, RN supervisory duties include the following: Assign PCW to specific members giving full consideration to the member's preference for choice of PCW. Assign specific tasks to the PCW giving full consideration to the member's preference for service arrangements. Assure the PCW is trained for the specific tasks the PCW is assigned to provide to the member Set standards for the assigned personal care activities. Review the PCW's daily written record. Supervise the PCW according to a written POC (plan of care) and, at least every 60 days, provide a supervisory review of the PCW providing personal care service(s) in the member's home, per Wis. Admin. Code §

DHS 105.17(1n)(d)1

. Comply with additional requirements for prior authorized services that are specifically listed in Wis. Admin. Code §

DHS 107.11(2)(b)

. Duties for Physician Orders and Plans of Care Personal care services are covered only if they are ordered by the member's PCP (primary care provider) (physician or NPP (non-physician practitioner), included in the POC, and meet all other program requirements. Home health agencies providing personal care services are required also to meet the POC requirements under Wis. Admin. Code §

DHS 133.20

. According to Wis. Admin. Code §

DHS 107.02(2m)(b)

, the PCP orders must be in writing and signed and dated. Wis. Admin. Code §

DHS 105.17(2)(b)

requires the RN supervisor to obtain the orders for personal care and to renew the orders once every three months unless the PCP specifies orders covering a period of time up to a year or when the member's needs change, whichever occurs first. As part of the POC review, the RN supervisor is required to visit the member's home. Also, according to Wis. Admin. Code §

DHS 107.112

, the following are RN supervisor duties applicable to the member and the POC for the member: Assess the member's environment (social and physical), functional level, and pertinent cultural factors. Review and interpret the PCP's orders. Develop a written POC for the purposes of providing necessary and appropriate services. At least every 60 days, review the POC, evaluate the member's condition, and discuss any necessary changes in the POC with the PCP.

BENEFITS 401K Health Insurance PTO