Home Health Registered Nurse - Float RN Case Manager

BAYADA Home Health Care•Wilmington, MA

About The Position

BAYADA Home Health Care is seeking a Registered Nurse to join its home health visit team and provide coverage across service areas in northeast Massachusetts. The role supports fluctuating caseloads and other territories as needed. The nurse works as part of a multidisciplinary team to provide skilled nursing and rehabilitative care that helps clients remain at home. Medicare-certified home health and OASIS documentation experience is required. The position involves assessing patients, responding independently to urgent clinical situations in the home, providing acute and post-acute nursing care, reconciling and teaching medications, and completing wound care and documentation. The nurse must adapt to changing patient needs, schedules, and varied home environments while managing visits and documentation efficiently. BAYADA provides paid training and around-the-clock clinical support. Compensation is $60–$70 per point, depending on qualifications and subject to negotiation, with weekly pay. Scheduling is described as flexible.

Requirements

  • Current nursing license in good standing in Massachusetts.
  • Graduation from an accredited and approved nursing program, documented by school transcript or diploma.
  • At least one year of current or recent hands-on medical experience within the past two years with adult or geriatric patients in acute care, an emergency department, home health, hospice, ICU, med-surg, sub-acute care, or a medical or skilled nursing rehabilitation setting.
  • Medicare-certified home health experience.
  • OASIS documentation experience.
  • Ability to work independently and recognize when to escalate concerns.
  • Comfort making real-time clinical decisions without immediate on-site support.
  • Strong problem-solving skills in unpredictable home environments.
  • Ability to manage a dynamic visit schedule and prioritize urgent visits.
  • Efficiency with point-of-care documentation and technology.
  • Strong attention to detail while maintaining productivity expectations.
  • Comfort providing care in varied home environments.
  • Flexibility and adaptability to changing patient needs and schedules.
  • Cultural sensitivity and respect for patient autonomy.

Responsibilities

  • Provide skilled nursing and rehabilitative care to clients in their homes as part of a multidisciplinary team.
  • Provide coverage across service areas, fluctuating caseloads, and other territories as needed.
  • Perform strong head-to-toe assessments and identify subtle changes in patient condition.
  • Provide acute and post-acute care, including care related to CHF, COPD, wounds, IV therapy, and post-surgical recovery.
  • Triage and manage urgent clinical situations independently in the home setting.
  • Perform medication reconciliation, patient teaching, and medication safety monitoring.
  • Assess, treat, and document wounds comprehensively.
  • Manage a dynamic visit schedule and prioritize urgent visits.
  • Complete point-of-care documentation using technology.
  • Escalate clinical concerns when appropriate and adapt care to changing patient needs and schedules.

Benefits

  • Medical, dental, vision, and prescription coverage.
  • Flexible spending account (FSA) and health savings account (HSA) options.
  • Recognition and Nurse Hero programs.
  • Referral bonuses.
  • Paid time off.
  • Paid holidays.
  • Mileage reimbursement or schedule-specific benefits.
  • Employer-paid life insurance.
  • Paid training from day one in the office, in the home, and online.
  • Around-the-clock clinical support.
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