Field-Based Home Health RN: Lead Care & Outcomes

VitalCaring Group; Beaumont (TX); On-site; USD 70,000 - 90,000; Full time

Benefits offered by this job

Flexible scheduling

Generous PTO

Job summary

VitalCaring Group is seeking a Home Health RN to serve as the clinical lead for patients in their homes. You will manage plans of care, coordinate across disciplines, and drive outcomes from admission through discharge.

You will apply advanced assessment skills, care planning, and patient education to reduce hospitalizations, support recovery, and promote long-term independence at home.

Qualifications

• Active RN license (or compact eligibility) and CPR certification.
• Graduate of an accredited nursing program.
• Minimum one 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.

Responsibilities

• 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.

Skills

RN license

CPR

Communication

Caseload management

EMR systems

Driver's license

Clinical judgment

Independent thinking

Education

Accredited nursing program

BSN

Tools

Homecare Homebase (HCHB)

Job description

VitalCaring Group is seeking a Home Health RN to serve as the clinical lead for patients in their homes. You will manage plans of care, coordinate across disciplines, and drive outcomes from admission through discharge.

You will apply advanced assessment skills, care planning, and patient education to reduce hospitalizations, support recovery, and promote long-term independence at home.