Registered Nurse Home Health

Job Title

• Registered Nurse - Home Health

Location

• Rutland, VT

Schedule / Job Type

• Full-time, Night shifts, Onsite

Key Responsibilities

• Conduct comprehensive patient assessments using the nursing process, including OASIS documentation, to determine patient and caregiver needs.
• Develop and communicate individualized care plans aligned with evidence-based practices and regulatory guidelines, ensuring patient and caregiver involvement.
• Serve as Case Manager by managing caseloads and visit schedules to meet agency productivity standards.
• Implement nursing interventions, procedures, and medical plans of care to ensure safe, effective, and high-quality patient care.
• Maintain up-to-date knowledge of high-tech skills such as IV therapy, wound care, and wound VAC management, ensuring infection control standards are upheld.
• Collaborate with Licensed Practical Nurses (LPNs) to ensure care plans are followed, delegate tasks appropriately, and review visit documentation.
• Evaluate patient responses and the effectiveness of care plans, making adjustments as needed to optimize outcomes.
• Accurately document all nursing care and patient interactions in compliance with agency, state, and federal regulations, including timely completion of forms like HHABN and Medicare notices.
• Educate patients and caregivers on medication management, treatment options, discharge instructions, and reportable conditions.
• Identify additional interdisciplinary needs (such as physical therapy or social work), document findings, and communicate them promptly to the relevant team members.
• Coordinate safe patient discharges or transfers, ensuring all paperwork and information are properly processed.
• Communicate and coordinate with healthcare providers, team members, and vendors to support comprehensive, patient-centered care.
• Participate in peer review audits, providing and receiving constructive feedback professionally.
• Lead and document case conferences with the care team to review patient progress and update care plans.
• Advocate for patient needs to ensure personalized, compassionate care tailored to each family’s circumstances.
• Perform assessments for Home Care Agency services, develop care plans with patients/caregivers, and provide ongoing supervision in line with regulations.
• Report patient incidents or adverse events promptly to Quality Improvement personnel.
• Manage timely and compliant documentation of patient visits and related processes, ensuring proper use of agency systems.
• Support interdisciplinary collaboration and participate in team meetings to optimize patient outcomes.

Required Qualifications

• Current and valid Registered Nurse (RN) license in Vermont.
• Proven experience with OASIS documentation and home health care.
• Knowledge of high-tech skills including IV therapy, wound care, and wound VAC management.
• Ability to work nights and handle a fast-paced, caseload-driven environment.
• Strong communication skills, both verbal and written, with attention to detail.

Preferred Experience / Skills

• Prior experience in home health or similar settings.
• Familiarity with agency-specific systems and protocols, including McKesson processes.
• Ability to collaborate effectively with interdisciplinary teams and coordinate complex care plans.
• Bilingual skills or cultural competence is a plus.

Why Join Us

• Opportunity to work in a dynamic, patient-centered environment with a dedicated team.
• Contribute to delivering high-quality, compassionate home health care to diverse patient populations.