RN- Full Time- Osceola County

Matrix Home Care•Kissimmee, FL

2d•Onsite

About The Position

The Registered Nurse provides skilled nursing care to home health patients in their homes under a physician or allowed practitioner plan of care. The RN completes comprehensive assessments, including OASIS, develops and revises plans of care, coordinates services, and supervises home health aides and LPNs. The RN works under the direction of the Clinical Supervisor and follows Medicare Conditions of Participation, Florida AHCA rules, Joint Commission standards, and Matrix Care LLC policies. The role includes patient assessments and care planning, medication reconciliation, skilled nursing interventions, patient and caregiver education, discharge planning, and case management when assigned. The RN documents visits in the KanTime EMR, completes OASIS accurately, coordinates with interdisciplinary providers and community resources, and responds to quality assurance and coding reviews. The RN also participates in on-call rotation and required training.

Requirements

Active, unrestricted Florida RN license or multistate compact license valid in Florida.
Graduate of a state-approved school of nursing.
Current CPR/BLS certification.
Minimum of one year of RN clinical experience.
Clear Level 2 background screening per Florida law and agency health screening.
Valid Florida driver's license, reliable transportation, and auto insurance meeting agency minimums.
Complete a skills competency checklist before independent practice.
Strong assessment, clinical judgment, and documentation skills.
Ability to work independently and manage a caseload with minimal supervision.
Clear verbal and written communication with patients, families, and physicians.
Comfort using an EMR, tablet, and mobile documentation.

Nice To Haves

BSN.
One or more years of home health experience.
OASIS experience; COS-C or HCS-D certification.
Bilingual English and Spanish.

Responsibilities

Complete start-of-care, resumption-of-care, recertification, transfer, and discharge assessments within required timeframes, including physical assessments and histories of current and prior illness.
Assess home environment, safety, fall risk, caregiver support, and psychosocial needs.
Complete medication reconciliation at each assessment and identify drug interactions, duplications, and adherence issues.
Develop and revise individualized plans of care with measurable goals, involving patients and families in planning.
Provide ordered skilled nursing interventions, medications, treatments, and wound care.
Teach patients and caregivers about disease management, medications, safety, and when to seek help.
Identify discharge planning needs early and implement plans before discharge.
Act as case manager for an assigned caseload when designated by the Clinical Supervisor.
Complete OASIS accurately using the current CMS version and guidance on coding.
Document each visit in the KanTime EMR according to agency timeliness standards and use electronic visit verification as required.
Support accurate PDGM coding, functional scoring, and quality outcomes through complete documentation.
Respond to quality assurance and coding review requests by agency deadlines.
Report changes in condition promptly to the physician or allowed practitioner and Clinical Supervisor, and obtain and document orders.
Coordinate care with therapists, aides, social workers, physicians, pharmacies, DME vendors, and community resources.
Participate in case conferences and interdisciplinary care coordination.
Arrange needed equipment, supplies, and services.
Instruct and supervise home health aides, including onsite supervisory visits at least every 14 days for patients receiving skilled services and annually with the aide present.
Prepare and update written aide care plans.
Direct and oversee LPN care within Florida scope of practice and report performance concerns to the Clinical Supervisor.
Follow Joint Commission National Patient Safety Goals, including patient identification, medication safety, infection prevention, and fall risk reduction.
Follow infection control, emergency preparedness, and HIPAA policies.
Explain patient rights, responsibilities, and the complaint process.
Report suspected abuse, neglect, or exploitation as required by Florida law.
Report incidents and participate in quality improvement activities.
Participate in the agency's on-call rotation.
Complete orientation, annual competencies, and required in-services.
Perform other related duties as assigned.