UT Health ET Home Health Field RN - PRN

Choice Rehab•Tyler, TX

About The Position

The Home Health Field Registered Nurse (RN) delivers high-quality, patient-centered care in patients’ homes. The role involves assessing, planning, implementing, and evaluating nursing care tailored to individual needs, including care for patients with complex medical conditions. The RN collaborates with interdisciplinary teams, patients, and families to promote health, prevent complications, and support recovery or chronic disease management. Through education, emotional support, and clinical expertise, the RN supports patients in achieving optimal health outcomes and maintaining independence, while helping ensure continuity of care outside traditional clinical settings. The position includes conducting initial and ongoing assessments of patients’ physical, functional, psychosocial, and environmental needs; developing and documenting plans of care; determining service scope and frequency; and evaluating patient and family responses. The RN provides clinical direction to Home Health Aides and LPNs/LVNs and communicates with physicians, care team members, patients, and families.

Requirements

  • Current RN license.
  • Valid driver’s license.
  • CPR certification.
  • Valid auto insurance.

Nice To Haves

  • At least 2 years of Home Health RN experience preferred.
  • HomeCare HomeBase experience preferred.

Responsibilities

  • Conduct initial and ongoing comprehensive assessments and treatment of patients’ physical, functional, psychosocial, and environmental needs, with findings documented in clinical records and other care documentation.
  • Apply admission and recertification criteria to determine appropriate levels of home health care and patient eligibility.
  • Develop, implement, and document plans of care to support quality and continuity of care, recommending revisions as needed.
  • Consult with and educate patients and families about self-care techniques, nutrition, and dietary needs.
  • Determine the scope and frequency of services based on patient acuity and patient and family needs.
  • Assess caregivers’ ability to meet patients’ immediate needs upon admission and throughout care.
  • Initiate appropriate preventative and rehabilitative nursing procedures.
  • Apply infection-control concepts and standard precautions during care coordination and delivery to prevent contamination and disease transmission.
  • Provide clinical direction to Home Health Aides and LPNs/LVNs to support quality and continuity of services.
  • Prepare clinical and progress notes that demonstrate progress toward established goals.
  • Inform physicians and other personnel about changes in patient needs and intervention outcomes, and evaluate patient and family responses to care.
  • Monitor assigned cases for compliance with third-party payor requirements.
  • Communicate effectively with patients, families, team members, and other health care professionals.
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