Field-Based Home Health RN: Own Care, Drive Outcomes

VitalCaring Group; South Houston (TX); On-site; USD 70,000 - 95,000; Full time

Job summary

VitalCaring Group is seeking a Field-Based Home Health RN to lead the plan of care, coordinate across disciplines, and drive outcomes from admission through discharge.

You’ll apply advanced assessment, care planning, and patient education to reduce hospitalizations, support recovery, and promote long-term independence in patients’ homes. A strong clinical sense and autonomous decision-making are valued in this role.

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.
• Proficiency with EMR systems and valid driver’s license.

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

Strong clinical judgment

Excellent communication

Caseload prioritization

Independent thinking

EMR proficiency

Valid driver’s license

CPR certification

Education

BSN

Graduate of an accredited nursing program

Tools

Homecare Homebase (HCHB)

EMR systems

Job description

VitalCaring Group is seeking a Field-Based Home Health RN to lead the plan of care, coordinate across disciplines, and drive outcomes from admission through discharge.

You’ll apply advanced assessment, care planning, and patient education to reduce hospitalizations, support recovery, and promote long-term independence in patients’ homes. A strong clinical sense and autonomous decision-making are valued in this role.