Position Summary:
The Registered Nurse (RN) – Home Health Assessment Nurse is responsible for conducting comprehensive in-home nursing assessments for new clients, resumption of care, and ongoing 60-day recertifications. The RN ensures accurate evaluation of patient needs, development of individualized plans of care, and compliance with state regulations, Medicare/Medicaid requirements, and agency policies.
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Perform Start of Care (SOC) assessments for new home health clients
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Conduct Resumption of Care (ROC) assessments following hospitalization or interruption of services
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Complete 60-day recertification assessments to determine continued eligibility and service needs
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Assess patient’s medical condition, functional status, ADLs, safety risks, and home environment
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Review medications for accuracy, compliance, and potential interactions
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Develop, update, and coordinate the Plan of Care (POC) in collaboration with physicians and interdisciplinary team
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Identify skilled nursing needs and recommend appropriate home health services
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Provide patient and caregiver education regarding disease management, medications, and safety
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Ensure all assessments and documentation are completed accurately, timely, and in compliance with regulatory standards
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Communicate changes in patient condition promptly to physicians and agency leadership
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Maintain patient confidentiality and uphold ethical nursing standards
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Active Registered Nurse (RN) license in good standing
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Minimum of 1–2 years of nursing experience (home health experience preferred)
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Knowledge of home health regulations, OASIS documentation, and care coordination
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Strong assessment, documentation, and communication skills
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Ability to work independently and manage multiple assessments efficiently
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Valid driver’s license and reliable transportation
This position requires travel to patients’ homes and the ability to perform physical assessments in a home setting.
MOONLIGHT HOME HEALTH SERVICES is an EEO Employer - M/F/Disability/Protected Veteran Status