Field RN presso Aspen Healthcare Services Inc

Description

The Home Health RN Field Nurse is responsible for providing skilled nursing care to patients in their homes under the direction of the DON and ADON.This role focuses strictly on field visits, including assessments, wound care, medication administration, and collaboration with interdisciplinary team members.

Responsibilities:

• Perform skilled nursing visits in patients’ homes based on the individualized Plan of Care and ensure delivery of safe, high-quality care.
  
  
• Conduct comprehensive OASIS assessments, including Start of Care (SOC), Re-certification, Resumption of Care, Follow-Up, and Discharge visits, adhering strictly to Medicare Home Health guidelines.
  
  
• Administer direct patient care services such as wound care, IV therapy, catheter care, medication administration, and other skilled nursing procedures within the RN scope of practice.
  
  
• Document all visits in real-time or within agency-required timelines in the EMR system (Kinnser/WellSky), including:
  
  
  • Accurate assessment data
  • Skilled interventions provided
  • Patient response and outcomes
  • Teaching and caregiver education
  • Clear communication of any clinical changes
  • Order entry as needed
• Prioritize timely and compliant charting for all required documents, ensuring each SOC, Recert, and Discharge note is fully completed and submitted by deadline to avoid delays in billing and patient care continuity.
  
  
• Identify and report any changes in patient condition to the physician immediately, supporting rapid intervention and coordination of care.
  
  
• Provide education to patients and caregivers on medication regimens, disease management, infection prevention, and home safety.
  
  
• Uphold all infection control practices, including proper PPE use, to ensure patient and clinician safety.
  
  
• Communicate consistently with the scheduling and clinical teams regarding visit completion, missed visits, patient refusals, or barriers to care.
  
  
• Collaborate with physical therapists, occupational therapists, and home health aides to ensure holistic care delivery and strong care coordination.

Qualifications:

• Current RN license in the state of Texas, in good standing.
• Minimum of 1 year of nursing experience in a home health, hospital, or skilled nursing setting preferred.
• Strong clinical skills and ability to work independently.
• Must have reliable transportation, valid driver’s license, and proof of auto insurance.
• Proficiency in using EMR systems (experience with Kinnser/WellSky is a plus).
• CPR Certification (must be current).
• Reliable transportation, valid driver’s license, and active auto insurance coverage
  
  

Essential Job Functions/Responsibilities 

The Home Health RN Case Manager position must exhibit the following competencies: 

1. Critical Thinking: 

Synthesize complex and diverse information; collect and objectively weigh data; use experience, intuition, and critical thinking to complement data; and design effective processes and workflows. 

2. Results Orientation: 

Actively involved in achieving or exceeding identified strategic patient census goals, patient service excellence, internal systems and processes, learning and growth initiatives, and financial health.

3. Integrity and Ethics: 

Treat others with respect and individuality regardless of their status or the situation; do what you say; be fair and equitable in all interactions; be a good steward of company resources; actively contribute toward the company’s success and goals; uphold organizational values. 

4. Dependability:

Maintain work behavior that invites trust and reliance; role model positive attendance and punctuality standards; ensure work responsibilities are completed correctly and are covered  when absent; arrive at meetings and appointments prepared and on time. 

5. Professionalism:

Uphold high work standards that reflect the company’s purpose and goals; accept responsibility for own actions; react to challenges positively and calmly; provide leadership in maintaining highest technical and customer service standards for the benefit of the patients served.  

6. Innovation: 

Meet challenges with creativity and resourcefulness; remain open to change, others’ ideas,

and trying new things; generate suggestions for improving work processes, services, and

products.  

7. Oral Communication: 

Speak persuasively, with intention and thought, in both positive and negative situations; fully

listen and get clarification; respond well to questions; demonstrate group presentation skills;

participate in meetings without dominating others. 

8. Written Communication: 

Write clearly and informatively; present numerical data effectively; read and interpret written

information; ensure adequate, effective communication with all team members to maintain

company values, goals, and culture. 

9. Quality: 

Demonstrate accuracy and thoroughness; look for ways to improve and promote quality;

monitor and self-correct own work processes and outcomes; apply feedback from others to

improve performance.  

Physical/Sensory Requirements (with or without the aid of mechanical devices)

Prolonged standing and walking required, with ability to lift up to 50 lbs and move patients. Requires working under some stressful conditions to meet deadlines and patient needs, and to make quick decisions and resource acquisition; meet patient and family individualized psychosocial needs. Requires eye-hand coordination and manual dexterity.

Environmental and Working Conditions: 

Works in patients’ homes in various conditions; possible exposure to blood, bodily fluids, and infectious diseases; ability to work a flexible schedule; ability to travel locally; some exposure to unpleasant weather; PRN emergency calls.

Prolonged standing and walking required, with ability to lift up to 50 lbs and move patients. Requires working under some stressful conditions to meet deadlines and patient needs, and to make quick decisions and resource acquisition; meet patient and family individualized psychosocial needs. Requires eye-hand coordination and manual dexterity