About The Position

Matrix Home Care is seeking experienced and compassionate Registered Nurses to perform Start of Care visits in the Fort Myers area. The role focuses on initiating home health care, completing comprehensive assessments, and ensuring accurate OASIS documentation for patients with illnesses, injuries, and chronic conditions, often after discharge from a hospital, rehabilitation center, or nursing facility. The nurse provides skilled nursing and case management, develops and monitors individualized care plans, educates patients and families, coordinates services with clinicians and community resources, and documents care and patient progress.

Requirements

  • Active Florida Registered Nurse license in good standing.
  • At least 1 year of home health experience.
  • Strong experience with Start of Care visits and OASIS documentation.
  • Excellent clinical assessment and critical thinking skills.
  • Ability to work independently and manage a flexible schedule.
  • Reliable transportation and a valid driver’s license.
  • The role is subject to background screening under Chapter 435, Florida Statutes, including fingerprinting and an eligibility review before employment.

Nice To Haves

  • Experience with the KanTime EMR system.

Responsibilities

  • Provide home-based care to patients with illnesses, injuries, and chronic conditions, often following discharge from a hospital, rehabilitation center, or nursing facility.
  • Perform Start of Care visits and comprehensive assessments, and develop individualized care plans.
  • Examine patients, complete clinical assessments, document progress, and report changes to physicians.
  • Complete accurate and timely clinical documentation, including OASIS, evaluations, physician orders, and care coordination notes.
  • Develop, implement, and continuously monitor patient care plans in collaboration with patients and their representatives.
  • Deliver skilled nursing services and provide case management for assigned patients.
  • Educate patients on their plan of care, medications, therapies, diet, and exercise.
  • Coach and support family members on patient care, medication management, and home safety.
  • Coordinate care with physicians, discharge planners, and interdisciplinary teams.
  • Oversee and collaborate with LPNs, CNAs, and home health aides providing patient care.
  • Monitor patient progress, outcomes, and changing needs, adjusting care plans accordingly.
  • Ensure care goals are met and coordinate appropriate discharge from services.
  • Serve as a liaison with community health resources, including DME providers, oxygen services, and infusion therapy providers.
  • Maintain ongoing communication with patients, families, physicians, clinical managers, and office staff.
  • Participate in interdisciplinary team meetings and staff conferences.
  • Engage in continuous education and professional development opportunities.
  • Develop and follow work methods and procedures that support high-quality patient care.

Benefits

  • Competitive per-visit rates for Start of Care and routine visits.
  • Weekly pay via direct deposit.
  • Flexible scheduling.
  • Opportunity to transition into a full-time role with benefits.
  • Supportive team environment and career growth opportunities.
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