RN Home Care Planner — Patient Transitions & Care Plans

MJHS; Teaneck Township (NJ); On-site; USD 90,000 - 110,000; Full time

Job summary

MJHS Home Care is seeking a Home Care Planner to evaluate and establish care plans for home health referrals within a nonprofit health system in the Greater New York area. The role partners with physicians, social workers, and discharge planners to coordinate admissions and ensure high-quality home-based care.

The ideal candidate will hold an RN license (NYS) with an associate degree in nursing, prefer a BSN, and have at least two years of home care nursing experience, plus strong communication

Qualifications

• Current NYS RN license and registration.
• Associates degree in nursing required; Bachelor’s degree preferred.
• Minimum of two years’ home care nursing experience with assessment and interview skills.
• Client-service focused with excellent written and verbal communication.
• Strong critical thinking and problem solving; able to work independently.

Responsibilities

• Meets the established Monthly Admission Targeted Goals.
• Delivers exceptional customer service while sustaining established business relationships and actively cultivating new ones.
• Responds to referrals promptly and coordinates plan of care with patient, physician and interdisciplinary health care team.
• Establishes a plan of care (POC) in collaboration with patient, physician and care team.
• Coordinates with discharge planning staff to identify and resolve barriers to home transition.
• Ensures CMS Home Health Face-to-Face documentation is located in patient records as required.
• Identifies referrals for MJHS services (Home First, Palliative Care, Hospice) as applicable.
• Maintains accurate documentation reflecting Joint Commission and regulatory standards under supervision.

Skills

RN license

Patient assessment

Interviews

Client-service orientation

Written communication

Verbal communication

Independent work

Education

Nursing associate degree

Bachelor’s degree in nursing preferred

Job description

MJHS Home Care is seeking a Home Care Planner to evaluate and establish care plans for home health referrals within a nonprofit health system in the Greater New York area. The role partners with physicians, social workers, and discharge planners to coordinate admissions and ensure high-quality home-based care.

The ideal candidate will hold an RN license (NYS) with an associate degree in nursing, prefer a BSN, and have at least two years of home care nursing experience, plus strong communication