Home Health Registered Nurse, RN, Case Manager

Job Profile Summary 

This role focuses on providing professional and nonprofessional nursing care services in accordance with physician orders. In addition, this role focuses on performing the following Home Care Nurse duties: Assesses, plans, implements, and evaluates the care needs of a designated group of patients or provides nursing care and identified clinical support tasks within the scope of practice for achievement of the patient’s plan of care as directed. Provides professional nursing care to patients. Requires a nursing license. A professional individual contributor role that may direct the work of other lower level professionals or manage processes and programs. The majority of time is spent overseeing the design, implementation or delivery of processes, programs and policies using specialized knowledge and skills typically acquired through advanced education. A senior level role that requires advanced knowledge of job area typically obtained through advanced education and work experience. Typically responsible for: managing projects / processes, working independently with limited supervision, coaching and reviewing the work of lower level professionals, resolving difficult and sometimes complex problems.

Job Overview 

Utilizing the nursing process, the Home Health Registered Nurse will manage and deliver comprehensive home health services, including assessments, interventions, and supportive care to clients within their place of residence.  Depending on the circumstances, duties may also include telephone triage, problem solving, patient/caregiver advocacy and support, with emphasis of avoiding hospitalization. As a key member of the health care team, this position must interact courteously and effectively with patients and their families as well as with co-workers from all Agency departments, community resources, and with patients' physicians in order to facilitate safe and efficient patient care while maintaining their own safety in the home and the community at large.

Job Description 

Minimum Qualifications: 

1. Massachusetts RN Licensure and NH Licensure.

2. Valid state issued Driver’s License. 

3. One (1) year of acute medical/surgical nursing experience. 

4. Basic Life Support Certification. 

Preferred Qualifications: 

1. Bachelor of Science in Nursing (BSN). 

2. Specialty nursing certifications. 

3. Three (3) years of acute nursing including medical/surgical, oncology, hospice, or home health. 

4. Experience with IV and complex wound care.

Duties and Responsibilities: The duties and responsibilities listed below are intended to describe the general nature of work and are not intended to be an all-inclusive list.  Other duties and responsibilities may be assigned. 

1. Assesses patients' physical, psychosocial needs in a sensitive, caring manner following established Standards of Nursing Practice and Agency policies and procedures. Provides ongoing interdisciplinary assessment of the patient. 

2. Assesses patient/family learning needs, style and limitations and makes adjustments for delivery of information. 

3. Recognizes/identifies patients/caregivers’ cultural beliefs re: death and dying and is sensitive to those beliefs.  

4. Establishes realistic goals and develops plan of tr