Home Health Registered Nurse, RN Case Manager, Malden Area

Tufts Medicine • Malden, MA

5d

About The Position

The Home Health Registered Nurse uses the nursing process to manage and deliver comprehensive home health services to clients in their residences, including assessments, interventions, and supportive care. Depending on circumstances, the role may include telephone triage, problem-solving, patient and caregiver advocacy, and support, with an emphasis on avoiding hospitalization. The nurse works with patients and families, colleagues across Agency departments, community resources, and physicians to facilitate safe and efficient patient care while maintaining personal safety in the home and community.

The role assesses, plans, implements, and evaluates care for an assigned group of patients; establishes and monitors treatment goals; coordinates care and discharge planning; documents care and completes physician orders and OASIS; and manages an assigned caseload. The position includes rotating evening, night, weekend, and holiday coverage. The role is based in the Winchester and Medford, Massachusetts area and is full-time, 40 hours per week.

Tufts Medicine Care at Home offers competitive salaries and benefits, career growth opportunities, and programs supporting clinician development and field safety. The stated full-time-equivalent pay range is $84,300.22–$107,481.20.

Requirements

• Active RN license in the state where services are provided; the nurse may not work in states where they are not licensed. Any additional required state licensure must be obtained within 60 days.
• Valid state-issued driver’s license.
• At least one year of acute medical/surgical nursing experience.
• Basic Life Support (BLS) certification.
• For hires before 09-28-2026, CPR certification is required upon hire; for hires after 09-28-2026, BLS certification is required within 30 days of hire.
• Excellent interpersonal skills and ability to communicate, read, and write in English.
• Ability to function well, manage time effectively, and prioritize busy schedules.
• Good organizational skills.
• Ability to work effectively and autonomously in a home care setting.
• Ability to meet the listed physical requirements, including regularly lifting or moving 25 pounds and occasionally lifting or moving up to 100 pounds.
• Ability to exchange accurate information by phone, email, or in person.

Nice To Haves

• Bachelor of Science in Nursing (BSN).
• Specialty nursing certifications.
• Three years of acute nursing experience, including medical/surgical, oncology, hospice, or home health.
• Experience with IV therapy and complex wound care.

Responsibilities

• Assess patients’ physical and psychosocial needs according to nursing practice standards and Agency policies, and provide ongoing interdisciplinary assessment.
• Assess patient and family learning needs, styles, and limitations, adapting the delivery of information as needed.
• Respect and respond sensitively to patients’ and caregivers’ cultural beliefs regarding death and dying.
• Establish realistic goals and develop treatment plans with patients, families, and the health care team.
• Identify suspected abuse or neglect and follow the applicable reporting process.
• Adapt to new or unusual situations and use Security when needed for potential unsafe situations.
• Collaborate with patients, families, health care providers, and community resources on care and discharge planning.
• Evaluate patient and family progress toward goals, keep the Clinical Manager informed, and justify continuation or termination of services.
• Document patient data, activities, and communications accurately and promptly in the patient record using the computer system.
• Complete physicians’ orders, levels of care, and OASIS for assigned patients, and reconcile medications with patients and physicians.
• Follow safety guidelines and procedures, including ergonomics, fire safety, personal safety, body mechanics, and patient and material handling.
• Respond appropriately to emergencies and follow established safety and security procedures and protocols.
• Provide supportive care while coping appropriately with patient and family emotional stress.
• Manage the assigned caseload within the team model, establish a daily work plan, and triage visits, messages, and phone calls by priority and urgency.
• Provide nursing coverage on a rotating basis for evenings, nights, weekends, and holidays.
• Use strong physical assessment and care-planning skills, with current knowledge of pharmacology, medication administration, and medication reconciliation.
• Coordinate care and discharge planning with team members during case conferences.
• Maintain working knowledge of third-party payers, regulatory bodies, and Agency policies related to documentation and care.
• Communicate and collaborate regularly with home care disciplines, or immediately when critical needs or crisis interventions arise.
• Provide care appropriate to the ages of patients served and demonstrate competence in home health and hospice standards, symptom management, and psychosocial and spiritual aspects of care.

Benefits

• Competitive salaries and benefits.
• Medical, dental, and vision benefits starting day one.
• 403(b) retirement plan with company match.
• Tuition reimbursement and continuing education support, including access to MedBridge for PT continuing education units and licensure/certification support.
• Career growth opportunities.
• Fleet car program.
• Industry-leading safety program, including AVADE de-escalation and self-safety training, InvisaWear GPS-enabled safety devices, and escort services for field staff.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior
• Education Level: No Education Listed