"REGISTERED NURSE"

Position Summary:
The Registered Nurse (RN) – Home Health Assessment Nurse is responsible for conducting comprehensive in-home nursing assessments for new clients, resumption of care, and ongoing 60-day recertifications. The RN ensures accurate evaluation of patient needs, development of individualized plans of care, and compliance with state regulations, Medicare/Medicaid requirements, and agency policies.

• Perform Start of Care (SOC) assessments for new home health clients

• Conduct Resumption of Care (ROC) assessments following hospitalization or interruption of services

• Complete 60-day recertification assessments to determine continued eligibility and service needs

• Assess patient’s medical condition, functional status, ADLs, safety risks, and home environment

• Review medications for accuracy, compliance, and potential interactions

• Develop, update, and coordinate the Plan of Care (POC) in collaboration with physicians and interdisciplinary team

• Identify skilled nursing needs and recommend appropriate home health services

• Provide patient and caregiver education regarding disease management, medications, and safety

• Ensure all assessments and documentation are completed accurately, timely, and in compliance with regulatory standards

• Communicate changes in patient condition promptly to physicians and agency leadership

• Maintain patient confidentiality and uphold ethical nursing standards

• Active Registered Nurse (RN) license in good standing

• Minimum of 1–2 years of nursing experience (home health experience preferred)

• Knowledge of home health regulations, OASIS documentation, and care coordination

• Strong assessment, documentation, and communication skills

• Ability to work independently and manage multiple assessments efficiently

• Valid driver’s license and reliable transportation

This position requires travel to patients’ homes and the ability to perform physical assessments in a home setting.