Assessment and Field Support Nurse (AFSN)
About The Position
The Assessment Field Support Nurse (AFSN) is a full-time role responsible for skilled and non-skilled patient assessments, providing oversight and support for patients receiving caregiving, home health, and private duty care services. Reporting to the Director of Nursing (DON), this position acts as a clinical resource for patients, families, caregivers, and nursing staff, ensuring quality care, regulatory compliance, and service continuity. Key responsibilities include conducting initial and ongoing assessments, supporting the admission process, providing clinical education and competency validation, and collaborating with the DON on quality improvement initiatives. This role is field-based and serves as a liaison between patients/families, field staff, and the DON to ensure exceptional clinical care and patient satisfaction. It does not involve employee performance management, disciplinary actions, scheduling, or direct staff supervision, but rather focuses on assessments, education, support, and quality.
Requirements
- Current unrestricted Registered Nurse (RN) license in the state of practice.
- Minimum of two years of nursing experience.
- Previous experience performing patient assessments and developing care plans.
- Excellent communication, teaching, and relationship-building skills.
- Strong organizational and critical thinking abilities.
- Ability to work independently while collaborating effectively with interdisciplinary teams.
- Valid driver's license, reliable transportation, and ability to travel within the service area.
- Proficiency with electronic medical records and Microsoft Office applications.
Nice To Haves
- Adult and/or pediatric home health, hospice, private duty, or community-based care preferred.
Responsibilities
- Complete comprehensive initial assessments for new patients receiving non-skilled and skilled home care services.
- Perform scheduled reassessments and supervisory visits in accordance with agency policy, regulatory guidelines, Joint Commission recommendations, physician orders, and/or payer requirements.
- Develop, review, and update individualized plans of care and task lists.
- Identify changes in patient condition and communicate recommendations to the Director of Nursing, Director of Operations, and other members of the care team.
- Ensure services are delivered safely and in accordance with clinical standards and best practice, BrightStar Care policies, and Joint Commission recommendations.
- Assist with the admission process and provide a smooth transition for new patients and families into BrightStar Care services.
- Educate patients and families regarding care plans, expectations, safety, and available resources.
- Serve as a trusted clinical resource for patients, families and field staff.
- Collaborate with the Director of Nursing and Director of Operations to resolve issues and promote positive patient outcomes.
- Provide support to caregivers and nursing staff in the field.
- Conduct caregiver skills validation and new hire competency check-offs.
- Identify educational opportunities and provide coaching, mentoring, and training.
- Support ongoing clinical competency and best practices through field visits and one-on-one education.
- Serve as a resource for caregivers and nurses requiring assistance with patient care concerns.
- Participate in quality assurance and performance improvement initiatives.
- Assist with clinical chart audits to ensure documentation accuracy, completeness, and regulatory compliance.
- Support agency readiness for Joint Commission accreditation and regulatory surveys.
- Monitor compliance with agency policies, infection prevention standards, and documentation requirements.
- Collaborate with the Director of Nursing and Director of Operations to identify process improvements that enhance patient care and clinical outcomes.
- Communicate patient status updates and concerns promptly to the Director of Nursing and Director of Operations.
- Foster positive working relationships among patients, families, caregivers, nurses, physicians, and community partners.
- Act as a clinical liaison between field staff, patients/families, and agency leadership.
Benefits
- Weekly pay with direct deposit
- PTO
- Health insurance
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
