Home Health Admissions Registered Nurse

Health Care Connectors•Greenwich, CT

About The Position

The Home Health Admission RN leads the admission process for patients beginning home health services. The role completes comprehensive Start of Care assessments, accurately documents OASIS data, and develops individualized plans of care based on patients’ clinical needs, physician orders, and goals. The Admission RN establishes a foundation for ongoing care by identifying risks, reconciling medications, educating patients and caregivers, and coordinating a thorough hand-off to the care team. The position requires strong assessment skills, attention to detail, and the ability to manage admissions independently across an assigned service area. Health Care Connectors provides personalized home health services to help patients recover, maintain independence, and manage their health at home. Nurses work alongside rehabilitation professionals, social workers, and medical providers to deliver coordinated, patient-centered care.

Requirements

Current, unrestricted Registered Nurse license in Connecticut.
Minimum of one year of home health nursing experience.
Demonstrated experience completing admissions, Start of Care assessments, and OASIS documentation.
Strong knowledge of home health eligibility, skilled nursing documentation, and care planning.
Excellent clinical assessment, communication, and organizational skills.
Ability to use electronic medical records and complete documentation accurately and promptly.
Current CPR/BLS certification.
Reliable transportation and willingness to travel to patients’ homes.

Responsibilities

Coordinate admission visits with patients, caregivers, referral sources, and the scheduling team.
Review referral information, discharge instructions, and physician orders before initiating care.
Complete comprehensive assessments of patients’ physical, functional, cognitive, psychosocial, and environmental needs.
Complete accurate OASIS assessments and admission documentation within agency-required timeframes.
Assess and document home health eligibility, including homebound status and the need for skilled services, when applicable.
Perform medication reconciliation, identify discrepancies or potential concerns, and communicate with the appropriate provider.
Develop individualized plans of care in collaboration with patients, caregivers, providers, and the interdisciplinary team.
Provide skilled nursing interventions and education related to diagnoses, medications, treatments, symptom management, and home safety.
Identify changes in condition or urgent concerns and initiate appropriate communication and follow-up.
Explain home health services, patient rights, agency contact procedures, and care expectations.
Communicate admission findings, clinical priorities, and follow-up needs to the ongoing care team.
Collaborate with clinical leadership and quality assurance staff to resolve documentation questions and support continuity of care.
Participate in weekend coverage as required by the position’s schedule.