Registered Nurse (RN) – Start of Care (SOC) Home Health – Per Diem- Fort Myers

Matrix Home Care•Fort Myers, FL

About The Position

Matrix Home Care is seeking experienced and compassionate Registered Nurses to perform Start of Care (SOC) visits in the Fort Myers area. This role initiates home health care for patients with illnesses, injuries, and chronic conditions, often after discharge from a hospital, rehabilitation center, or nursing facility. The nurse completes comprehensive assessments, develops individualized care plans, delivers skilled nursing services, and provides case management for assigned patients. The role includes educating patients and family members, coordinating care with physicians and interdisciplinary teams, collaborating with other care providers, monitoring progress and outcomes, and ensuring appropriate discharge from services. Nurses maintain accurate and timely clinical documentation, including OASIS records, evaluations, physician orders, and care coordination notes. The position is per diem and offers flexible scheduling.

Requirements

Active Florida Registered Nurse (RN) license in good standing.
Minimum 1 year of home health experience.
Strong experience with Start of Care (SOC) 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.
Subject to background screening under Chapter 435, Florida Statutes, including fingerprinting and eligibility review before employment.

Nice To Haves

Experience with the KanTime EMR system.

Responsibilities

Perform Start of Care (SOC) visits and comprehensive patient assessments.
Develop, implement, and monitor individualized patient care plans in collaboration with patients and their representatives.
Examine patients, document progress, and report changes in condition to physicians.
Complete timely clinical documentation, including OASIS, evaluations, physician orders, and care coordination notes.
Deliver skilled nursing services and provide case management for assigned patients.
Educate patients about their plan of care, medications, therapies, diet, and exercise.
Coach and support family members in patient care, medication management, and home safety.
Coordinate care with physicians, discharge planners, interdisciplinary teams, and community health resources.
Oversee and collaborate with LPNs, CNAs, and home health aides providing patient care.
Monitor patient progress, outcomes, and changing needs, and adjust care plans accordingly.
Ensure care goals are met and coordinate appropriate discharge from services.
Maintain 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.
Develop and follow work methods and procedures that support high-quality patient care.