RN - Registered Nurse - Home Health

Sierra Home Health and Hospice; Las Cruces (NM); On-site; USD 70,000 - 100,000; Full time

Benefits offered by this job

Medical coverage

Dental coverage

Vision coverage

PTO

401(k)

Mileage reimbursement

Flexible scheduling

Continuing education

Emergency fund

Recognition events

Team building

Job summary

Sierra Home Health and Hospice in Las Cruces, NM seeks a Registered Nurse - Home Health to deliver skilled, patient‑centered care in patients’ homes, promoting safety, recovery and independence.

You will work with an interdisciplinary team, develop and update care plans, perform OASIS assessments, supervise LPNs/HHAs, and participate in care conferences with on‑call coverage.

Qualifications

• Current RN license in the state of practice.
• At least one year of clinical nursing experience, preferably in home health or hospice.
• Working knowledge of OASIS documentation and home health regulations.
• Current CPR certification.
• Strong organizational skills and attention to detail.
• Clear, caring communication with patients and families.
• Valid driver’s license, reliable transportation for home visits.

Responsibilities

• Assess patients and develop, carry out, and update individualized plans of care in line with physician orders.
• Provide skilled nursing services and specialized procedures in the home; complete OASIS assessments.
• Document accurately and timely, including discharge summaries.
• Notify physicians of changes in patient condition; process orders and certifications.
• Educate patients and families on health needs, safety, infection control, and emergency preparedness.
• Supervise and train LPNs and HHAs, including supervisory visits.
• Coordinate care with the interdisciplinary team and participate in care conferences and QAPI activities.
• Maintain licensure and CPR certification and required continuing education; comply with state and federal regulations.
• Take on-call coverage as assigned.

Skills

RN license

Home health experience

CPR certification

OASIS knowledge

Communication

Driver's license

Organizational skills

Job description

Description

About the Role

Sierra Health Care has served Las Cruces families since 1982. As a Registered Nurse - Home Health, you’ll carry that commitment into patients’ homes with skilled, patient-focused care that supports safety, recovery, and independence. This role fits a nurse who values clinical independence, builds trust with patients and families, and works well alongside an interdisciplinary team.

Key Responsibilities

• Assess patients and develop, carry out, and update individualized plans of care in line with physician orders
• Provide skilled nursing services and specialized procedures in the home
• Complete accurate, timely clinical documentation, including OASIS assessments
• Notify physicians of changes in patient condition and process orders, certifications, recertifications, and discharge summaries
• Educate patients and families on health needs, safety, infection control, and emergency preparedness
• Supervise and train LPNs and HHAs, including required supervisory visits
• Coordinate care with the interdisciplinary team through care conferences and QAPI activities
• Take on-call coverage as assigned

Job Specific Duties

• Conduct initial and ongoing assessments; develop, implement, and revise individualized plans of care based on patient condition and progress, in accordance with physician orders and regulatory deadlines
• Provide skilled nursing services and specialized procedures; complete accurate and timely clinical documentation (including OASIS assessments) to support compliance and coding accuracy
• Notify physicians of patient condition changes; process orders, certifications, recertifications, and discharge summaries
• Provide direct patient care and on-call coverage as assigned; promptly report incidents, variances, or complaints
• Supervise and train LPNs and HHAs, including required supervisory visits, retaining accountability for delegated tasks
• Educate patients and families on health needs, safety, infection control, emergency preparedness, and patient rights
• Coordinate services with the interdisciplinary team; participate in care conferences, QAPI activities, and peer review
• Maintain current licensure, CPR certification, and required continuing education in compliance with state and federal regulations

Other Duties:

• Provide care and services in accordance with infection control, safety, and risk prevention protocols
• Accurately document clinical interventions, care coordination, and communication in a timely manner
• Participate in interdisciplinary meetings, case reviews, and continuing education opportunities
• Maintain compliance with HIPAA and all company privacy and confidentiality standards
• Represent the organization positively and professionally in patients’ homes and community settings
• Work independently with minimal daily oversight and demonstrate initiative in completing responsibilities
• Provide courteous, timely, and professional customer service to patients, families, and partners
• Exhibit adaptability to changing responsibilities and flexibility in completing assignments
• Demonstrate consistent and effective use of organizational technology systems and tools required for the role, including communication, documentation, productivity, and data management platforms
• Adhere to all organizational policies, including job descriptions, mission, and the Employee Handbook
• Communicate and interact professionally and respectfully with others to support team goals
• Perform all other duties as assigned and as required to effectively discharge the responsibilities of the position and are in the best interests of the company

What We're Looking For

• A current RN license in the state of practice
• At least one year of clinical nursing experience, preferably in home health or hospice
• Working knowledge of OASIS documentation and home health regulations
• Current CPR certification
• Sound clinical judgment, strong organizational skills, and attention to detail
• Comfort working independently in the field, with a valid driver’s license, reliable transportation, and auto insurance for home visits
• Clear, caring communication with patients and families

Why Join Us

Sierra is a nonprofit, so our focus is on the patients and community we serve, not shareholders. You’ll find a close-knit team and the support to grow your career.

• Medical, dental, and vision coverage, PTO, and a 401(k)
• Mileage reimbursement
• Flexible scheduling for clinical staff
• Educational Encouragement for certifications, licensure advancement, and continuing education
• Emergency Fund for team members facing unexpected personal hardship
• Monthly Employee Recognition and Discipline Appreciation Events, including a dedicated gift and luncheon for RNs
• Team building events, including potlucks and celebrations
• Referral bonuses for qualified referrals

If you bring steadiness and compassion into patients’ homes, we’d be honored to meet you and help you bring out the courage in others.

Physical Requirements

• Must be able to stand, walk, bend, and assist with mobility or equipment as needed. Requires the ability to perform heavy lifting and to travel locally in various weather conditions.