Field-Based Home Health RN: Lead Care & Outcomes

VitalCaring Group; Crystal River (FL); On-site; USD 75,000 - 105,000; Full time

Job summary

VitalCaring is seeking an experienced Home Health RN to serve as the clinical lead for patients, coordinating the plan of care and driving outcomes from admission through discharge.

You will conduct comprehensive in-home assessments, develop individualized care plans, and deliver skilled nursing care while educating patients and families to support disease management and independence.

Qualifications

• Active RN license or compact eligibility with CPR certification.
• Graduate of an accredited nursing program.
• Minimum of 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.

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

Active RN license

CPR certification

Strong clinical judgment

Communication skills

Caseload management

EMR proficiency

Driver's license

Education

BSN

Nursing degree

Tools

Homecare Homebase (HCHB)

Job description

VitalCaring is seeking an experienced Home Health RN to serve as the clinical lead for patients, coordinating the plan of care and driving outcomes from admission through discharge.

You will conduct comprehensive in-home assessments, develop individualized care plans, and deliver skilled nursing care while educating patients and families to support disease management and independence.