Autonomous Home Health RN: Lead Care & Outcomes

VitalCaring Group; College Station (TX); On-site; USD 65,000 - 85,000; Full time

Benefits offered by this job

Flexible scheduling

Generous PTO

Job summary

VitalCaring Group is seeking a Home Health Registered Nurse (RN) in College Station, TX, to lead patient care at home with strong clinical autonomy. You will assess, plan, and implement care, coordinating with physicians and care teams to improve outcomes and reduce hospitalizations.

The role emphasizes independent decision-making, comprehensive in-home assessments, and ongoing education for patients and families in a field-based setting.

Qualifications

• Active RN license (or compact eligibility) and CPR certification required.
• Graduate of an accredited nursing program.
• BSN preferred and strong EMR proficiency.
• Excellent communication and time-management abilities.

Responsibilities

• Conduct comprehensive in-home assessments to evaluate clinical status and goals of care.
• Develop and manage individualized care plans with physicians and care teams.
• Deliver skilled nursing care including medication management and treatments.
• Serve as case manager, coordinating care across therapists, aides, and physicians.
• Monitor progress and adjust care plans based on clinical changes.
• Educate patients and families for disease management and independence.
• Coordinate care transitions and discharge planning to reduce readmissions.
• Maintain accurate documentation in the EMR and supervise Home Health Aides.
• Participate in on-call rotation as appropriate.

Skills

Active RN license

CPR certification

Clinical judgment

Communication skills

EMR proficiency

Time management

Education

Accredited nursing program

BSN

Tools

Homecare Homebase (HCHB)

Job description

College Station, Texas, United States

Registered Nurse (RN) – Home Health

Field-Based | Clinical Autonomy | Advanced Patient Care

Join VitalCaring – Where Your Work Truly Matters

At VitalCaring, care isn’t just what we do - it’s who we are.

If you’re a nurse who wants to use your full clinical skillset, think critically, and make a measurable impact on patient outcomes , Home Health offers a different - and often more meaningful - way to practice.

You have the opportunity to lead decisions, manage complexity, and help patients recover and thrive in their own environment.

Why Home Health at VitalCaring

• Clinical Autonomy & Ownership

You’re not waiting on orders—you’re leading care. You assess, decide, and adjust in real time, owning outcomes for your patients.

• Complex, High-Impact Care

From post-acute recovery to chronic condition management, you’ll care for patients with diverse and often complex needs—requiring strong clinical judgment and adaptability.

• Work-Life Balance That’s Real

Flexible scheduling and generous PTO allow you to build a sustainable career without sacrificing impact or growth.

• Stronger Patient Connections

You’ll build meaningful relationships with patients and families - seeing the direct results of your care over time.

• A Team That Supports You

Independence doesn’t mean isolation. You’ll have strong support from some of the industries most respected leaders, interdisciplinary collaboration, and clear processes behind you.

Role Overview

As a Home Health RN, you are the clinical lead for your patients - managing the plan of care, coordinating across disciplines, and driving outcomes from admission through discharge.

You’ll combine advanced assessment skills, care planning, and patient education to reduce hospitalizations, improve recovery, and support long-term independence at home.

What You’ll Do

• Conduct comprehensive in-home assessments to evaluate clinical status, risks, and goals of care
• Develop and manage individualized care plans in collaboration with physicians and care teams
• Deliver skilled nursing care, including medication management, treatments, and interventions
• Serve as the case manager, coordinating care across therapists, aides, and physicians
• Monitor patient progress and make clinical decisions based on changing conditions
• Educate patients and families to support disease management and independence
• Coordinate care transitions and discharge planning to reduce readmissions
• Maintain timely, accurate documentation in the EMR
• Supervise and support Home Health Aides as needed
• Participate in on-call rotation as appropriate

What You Bring

• Active RN license (or compact eligibility) + CPR certification
• Graduate of an accredited nursing program
• Minimum one (1) year RN experience (Home Health, Med-Surg, ICU, or Acute Care preferred)
• Strong clinical judgment and ability to think independently
• Excellent communication skills and patient-centered approach
• Ability to manage a caseload and prioritize effectively
• Proficiency with EMR systems
• Valid driver’s license and reliable transportation

What Sets You Apart

• Experience in home health or post-acute care
• Experience with case management and interdisciplinary coordination
• BSN
• Familiarity with Homecare Homebase (HCHB)

What to Expect

• Field-based role caring for patients in their homes within an assigned territory
• High level of autonomy supported by a collaborative clinical team
• A dynamic environment requiring adaptability, critical thinking, and strong time management
• Performance expectations tied to clinical quality, patient outcomes, and documentation timeliness

If you’re looking for a role where you can practice at the top of your license, build real patient relationships, and deliver care that truly changes outcomes - this is it.

Apply today and experience a different kind of nursing with VitalCaring.

All employment decisions are made without regard to race, color, religion, sex, gender identity or expression, sexual orientation, national origin, age, disability, veteran status, or any other protected characteristic. Candidates are evaluated based on job-related qualifications, skills, and business needs.

Create a Job Alert

Interested in building your career at VitalCaring Group? Get future opportunities sent straight to your email.

Accepted file types: pdf, doc, docx, txt, rtf

Employment

Title *

Select...

Start date year *

End date month * Select...

End date year *

Current role

Education

Degree Select...

Select...

Are you currently or have you previously been employed by VitalCaring, At Home Healthcare or Traditions Health? * Select...

Would you like to opt in to receive job related updates by Email & SMS? Standard data rates may apply. * Select...

LinkedIn Profile

Are you legally authorized to work in the United States? * Select...

Will you now or in the future require sponsorship for employment in the United States? * Select...

Are you at least 18 years of age? * Select...

Are you being referred by a current VitalCaring or At Home Healthcare employee? * Select...

If you were referred, please indicate their name here:

This role requires travel between patient homes. Do you have a valid driver’s license, reliable transportation, and current auto insurance? * Select...

Do you currently hold an active RN license in the state of this position? * Select...

License Type * Select...

License State * Select...

License Number

Has your professional license and/or certification ever been suspended, revoked, or subject to disciplinary action? * Select...

Which best describes your recent RN experience? *

Home Health

Hospice

Med-Surg / Acute Care

ICU / Critical Care

Skilled Nursing / Rehab

Other

How many years of home health experience do you have? * Select...

What active certifications do you currently hold? (e.g., CPR, BLS, ACLS, Wound Care) *

What is your state of residence? * Select...

What is your ZIP code of residence? *

What is your desired compensation or salary expectations? *

How did you hear about this opportunity? *

Have you ever been excluded, suspended, or otherwise deemed ineligible to participate in any state or federal healthcare program (including Medicare or Medicaid)? * Select...

I certify that all of the information I have provided is true and complete, and I understand that any falsification or omission of information may disqualify me from further consideration for employment or, if hired, may result in termination regardless of the time elapsed before discovery. * Select...