Hospital Pediatrics / ICU Nurses - looking to pick up extra $$ or a few flexible hours?

Our home care visits run Sunday through Friday, giving you the freedom to build a schedule that works around you.

We are seeking a compassionate and experienced Registered Nurse (RN) to join our Certified Home Health Agency (CHHA) team. In this role, you will provide and coordinate multidisciplinary healthcare services for patients in the community, working closely with physicians and interdisciplinary team members to implement and monitor individualized plans of care.

The ideal candidate is skilled in home health nursing, documentation, and patient care coordination, and is comfortable traveling to patient homes within the assigned service area.

Pay: Starting at $105,000/year

Key Responsibilities

Patient Care & Clinical Oversight

• Provide and coordinate patient care that is cost-efficient and reimbursable under the patient's insurance plan
• Conduct initial assessments, case openings, and ongoing evaluations
• Travel to patient homes or facilities to provide direct nursing care
• Complete in-person OASIS assessments reflecting accurate clinical and functional patient status
• Utilize diagnosis coding skills to accurately rate acuity within OASIS documentation
• Collaborate with physicians and supervisors to determine appropriate primary diagnoses
• Establish and update individualized plans of care
• Monitor patient progress and adjust care plans as needed
• Educate patients and families on disease management and self-care

Care Coordination

• Coordinate services across the multidisciplinary care team (PT, OT, aides, physicians)
• Participate in weekly PPS meetings for case review and discharge planning
• Ensure adherence to physician-ordered service frequencies
• Maintain consistent communication with all care team members

Documentation & Compliance

• Complete 485 physician orders in alignment with insurance authorization and OASIS scoring
• Document all services, progress notes, and communications in the EHR
• Maintain accurate records of aide supervision and care plans
• Ensure timely and compliant documentation

Home Health Aide Supervision

• Supervise aides through home visits
• Review and maintain aide care plans with staff and families
• Document weekly supervision

Case Management & Program Participation

• Manage an assigned caseload
• Facilitate patient admissions and discharges
• Participate in staff training and orientation
• Maintain productivity standards

On-Call Responsibilities

• Participate in rotating 24-hour on-call coverage
• Respond to patient calls and document in the EHR
• Provide holiday coverage as assigned

Additional Responsibilities

• Support community outreach and referral relationships
• Complete additional duties and special projects as needed

Required Skills & Competencies

• Strong clinical skills in home health care
• Knowledge of Medicare PPS and split billing
• OASIS documentation expertise
• Diagnosis coding proficiency
• Strong organizational and care coordination skills
• EHR and computer proficiency
• Ability to work both independently and within a team

Qualifications

• Active RN license in New York State
• Graduate of an accredited nursing program (BSN preferred)
• 1+ year CHHA experience preferred
• 1+ year LTHHCP experience preferred
• Valid driver's license and ability to travel