Field-Based RN: Lead Home Health Outcomes

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

Job summary

VitalCaring Group is seeking a Home Health RN to lead care plans in patients' homes, coordinating across disciplines and driving outcomes from admission through discharge.

You will perform comprehensive in-home assessments, develop individualized care plans, deliver skilled nursing, educate families, and ensure timely documentation in the EMR, while maintaining strong patient relationships and autonomy in a supportive team.

Qualifications

• 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.

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 certification

Clinical judgment

Communication skills

EMR proficiency

Driver's license

Education

Graduate of an accredited nursing program

Tools

EMR systems

Job description

VitalCaring Group is seeking a Home Health RN to lead care plans in patients' homes, coordinating across disciplines and driving outcomes from admission through discharge.

You will perform comprehensive in-home assessments, develop individualized care plans, deliver skilled nursing, educate families, and ensure timely documentation in the EMR, while maintaining strong patient relationships and autonomy in a supportive team.