RN - Home Health

Position Overview

Seeking an experienced and autonomous Registered Nurse (RN) to provide skilled home health services throughout Lexington and the surrounding service area. This position is responsible for delivering high-quality nursing care, completing comprehensive assessments and OASIS documentation, coordinating care across the interdisciplinary team, and promoting positive patient outcomes. The ideal candidate will have prior home health experience, strong OASIS knowledge, and proficiency with Homecare Homebase (HCHB).

Schedule & Work Details

• Agency: Commonwealth Home Health - Lexington (KY118)
• Coverage Areas: Bourbon, Clark, Estill, Fayette, Franklin, Harrison, Jessamine, Nicholas, and Woodford Counties
  • High-need coverage areas include Estill, Clark, and Nicholas Counties
• Schedule: Monday through Friday, 8:00 AM to 4:30 PM
• Weekly Hour Guarantee: 32+ hours
• Pay Rate: $51.00 - $53.00 per hour
• Productivity Expectation: 30 points per week
• On-Call Requirement:
  • Approximately 1 weekend every 4 weeks
  • 5-6 weekday on-call shifts per month
• Mileage Reimbursement: Reimbursed between patient visits only; travel from home to the first patient and from the last patient to home is not reimbursed
• Required Meetings:
  • Daily morning Teams call at 8:30 AM
  • Weekly case conference every Wednesday at 8:30 AM

Key Responsibilities

Deliver Skilled Nursing Care

• Provide comprehensive skilled nursing assessments, interventions, treatments, and patient education in the home setting.
• Perform complete medication reconciliations during every patient encounter.
• Develop, implement, and revise individualized plans of care based on physician orders and patient needs.
• Monitor patient progress and communicate significant changes in condition to physicians and appropriate care team members.

Manage a Multi-County Caseload

• Schedule and coordinate patient visits efficiently across a large geographic territory.
• Adapt to changing referral volumes, census demands, and staffing needs.
• Provide coverage throughout multiple service areas as assigned.
• Manage daily travel while maintaining productivity and quality standards.

Complete OASIS & Clinical Documentation

• Perform Start of Care (SOC), Resumption of Care (ROC), Recertification, Follow-Up, and Discharge assessments.
• Complete accurate and timely OASIS documentation within required deadlines.
• Maintain documentation that supports clinical necessity, regulatory compliance, reimbursement requirements, and quality patient care.
• Utilize Homecare Homebase (HCHB) for documentation and patient management activities.

Ensure Regulatory & Quality Compliance

• Adhere to Medicare Conditions of Participation, agency policies, and state regulations.
• Follow infection prevention, patient safety, and risk management standards.
• Participate in audits, quality improvement initiatives, and performance enhancement activities.
• Ensure all documentation and care delivery meet compliance requirements.

Coordinate Interdisciplinary Care

• Collaborate with physicians, therapists, social workers, office staff, and other healthcare professionals.
• Communicate patient needs, barriers to care, and plan of care updates promptly.
• Participate in weekly case conferences and other care coordination activities.
• Support seamless communication across the healthcare team to enhance patient outcomes.

Promote Positive Patient Outcomes

• Identify and address patient risks including falls, medication concerns, and chronic disease management needs.
• Educate patients and caregivers to improve self-management skills and reduce avoidable hospitalizations.
• Support agency quality metrics, patient satisfaction goals, and positive clinical outcomes.

Maintain Productivity & Flexibility

• Meet productivity expectations while maintaining exceptional patient care and documentation standards.
• Respond to urgent patient and staffing needs throughout the service area.
• Demonstrate flexibility and willingness to accept assignments based on agency needs.
• Contribute to a team-focused environment that prioritizes patient care and organizational success.

Required Qualifications

• Active and unrestricted Registered Nurse (RN) license.
• Minimum of 1-2 years of home health nursing experience.
• Experience with Homecare Homebase (HCHB) is required.
• Strong knowledge of OASIS assessments and documentation requirements.
• Current BLS certification.
• Valid driver's license, reliable transportation, and proof of insurance.
• Strong head-to-toe assessment skills and medication reconciliation experience.
• Ability to work independently and effectively manage a field-based caseload.

Preferred Qualifications

• Demonstrated history of accurate and timely OASIS completion.
• Strong independent clinical judgment and decision-making abilities.
• Excellent time management, route planning, and territory management skills.
• Proven ability to solve problems independently and identify solutions proactively.
• Reliable, accountable professional with a strong attendance record.
• Team-first mindset with a willingness to support agency goals and coverage needs.
• Experience managing a multi-county home health territory.

Dress Code

• Solid-color scrubs required.
• No specific scrub color preference.

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Pride-Health offers eligible employee's comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance and hospital indemnity), 401(k)-retirement savings, life & disability insurance, an employee assistance program, legal support, pet insurance and employee discounts with preferred vendors.

Equal Employment Opportunity
Pride-Health is an equal opportunity employer. We do not discriminate on the basis of the race, religious creed, color, national origin, ancestry, physical disability, mental disability, reproductive health decision making, medical condition, genetic information, marital status, sex, gender, gender identity, gender expression, age, sexual orientation, veteran or military status, or any other characteristic protected by applicable federal, state, or local law.

Fair Chance Employment
Pride-Health is a Fair Chance employer. We consider all qualified applicants, including those with criminal histories, in a manner consistent with applicable state and local Fair Chance laws and ordinances, including, the California Fair Chance Act and all applicable local Fair Chance ordinances.

Accommodations
We are committed to providing reasonable accommodations to applicants and employees with disabilities. If you require a reasonable accommodation to participate in the application or interview process, or to perform the essential functions of this role, please contact us.

Only applicable for San Francisco Candidates : Under the San Francisco Lactation in the Workplace Ordinance, we will provide written notice of lactation accommodation rights, and this notice will automatically be given upon hiring, any inquiry of parental leave or lactation accommodation.
Only applicable for Kentucky positions: For this type of employment, state law requires a criminal record check as a condition of employment. This applies to direct care staff (Examples: RN, LPN, Nurse Aides, Therapists) referred to Kentucky nursing facilities, assisted living communities, or long-term care facilities, in accordance with KRS 216.793.

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