Home Health Registered Nurse (RN) – Skilled Care / Initial Intake

Job Overview

We are an established home care agency expanding into Medicare/CHAP-certified skilled home health care. We are seeking a clinical, organized Registered Nurse (RN) to oversee skilled nursing care, conduct clinical admissions, and direct field staff. You will lead initial OASIS Start of Care assessments, establish Plans of Care (Form 485), manage complex clinical cases, and direct LPNs and Home Health Aides to ensure full state and CHAP accreditation compliance.

Key Responsibilities

· Comprehensive Patient Assessments: Conduct initial OASIS Start of Care (SOC), recertifications, resumptions of care, and discharges using CMS guidelines.

· Care Plan Development: Establish, implement, and update individual Plans of Care (CMS Form 485) based on physician orders and initial clinical evaluations.

· Skilled Clinical Nursing: Perform complex wound care, sterile dressing changes, infusion/IV therapy, injections, Foley catheter insertions, and G-tube/vent care as ordered.

· Medication Reconciliation: Complete thorough medication reconciliations, assess for drug interactions, set up pill organizers, and educate patients on self-administration.

· Field Delegation & Supervision:

o Develop written Care Plans for Home Health Aides (HHAs) and perform mandatory on-site supervisory visits every 14 days.

o Direct and supervise Licensed Practical Nurses (LPNs) executing routine follow-up care.

· Physician Collaboration: Communicate patient changes to primary care physicians, obtain verbal orders, and adjust plans of care accordingly.

· CHAP & CMS Survey Readiness: Maintain real-time, error-free documentation to ensure compliance with Ohio Board of Nursing regulations and CHAP accreditation standards.

Qualifications & Requirements

· Licensure: Active, unencumbered Registered Nurse (RN) license in the State of Ohio.

· Experience: Minimum 1–2 years of clinical nursing experience (Home Health care and OASIS assessment experience strongly preferred).

· Skills: Proficient in physical assessment, wound care, medication administration, and electronic health record (EHR) charting.

· Certifications: Current Basic Life Support (BLS) / CPR certification.

· Transportation: Valid driver’s license, reliable personal vehicle, and active auto insurance.

Preferred Attributes

· Knowledge of CHAP home health accreditation standards and CMS Conditions of Participation (CoPs).

· Strong leadership abilities with comfort delegating tasks to LPNs and Home Health Aides.

· Excellent communication and time management skills.

Pay: $42.00 - $140.00 per hour

Benefits:

• Flexible schedule

Work Location: On the road

Salary : $42 - $140