Home Health Admissions RN — Independent, Collaborative Care

Health Care Connectors LLC; Greenwich (CT); On-site; USD 95,000 - 115,000; Full time

Job summary

Health Care Connectors provides personalized home health services to help patients recover and maintain independence at home. The Home Health Admission RN leads Start of Care assessments, documents OASIS data, and develops individualized care plans based on patient needs and physician orders.

The role requires independent management of admissions across an assigned service area, collaborating with an interdisciplinary team, and educating patients and caregivers to ensure safe transitions to

Qualifications

• Current, unrestricted Registered Nurse license in Connecticut.
• Minimum of one year of home health nursing experience.
• Demonstrated experience completing admissions, Start of Care assessments, and OASIS documentation.
• Strong knowledge of home health eligibility, skilled nursing documentation, and care planning.

Responsibilities

• Coordinate admission visits with patients, caregivers, referral sources, and the scheduling team.
• Review referral information, discharge instructions, and physician orders before initiating care.
• Complete comprehensive assessments of patients’ physical, functional, cognitive, psychosocial, and environmental needs.
• Complete accurate OASIS assessments and admission documentation within agency-required timeframes.
• Assess and document home health eligibility, including homebound status and the need for skilled services, when applicable.
• Perform medication reconciliation, identify discrepancies or potential concerns, and communicate with the appropriate provider.
• Develop individualized plans of care in collaboration with patients, caregivers, providers, and the interdisciplinary team.
• Provide skilled nursing interventions and education related to diagnoses, medications, treatments, symptom management, and home safety.
• Identify changes in condition or urgent concerns and initiate appropriate communication and follow-up.
• Explain home health services, patient rights, agency contact procedures, and care expectations.
• Communicate admission findings, clinical priorities, and follow-up needs to the ongoing care team.
• Collaborate with clinical leadership and quality assurance staff to resolve documentation questions and support continuity of care.
• Participate in weekend coverage as required by the position’s schedule.

Skills

Home health nursing

OASIS documentation

Assessment skills

Communication

Education

Registered Nurse license (CT)

Tools

EMR/EHR systems

Job description

Health Care Connectors provides personalized home health services to help patients recover and maintain independence at home. The Home Health Admission RN leads Start of Care assessments, documents OASIS data, and develops individualized care plans based on patient needs and physician orders.

The role requires independent management of admissions across an assigned service area, collaborating with an interdisciplinary team, and educating patients and caregivers to ensure safe transitions to