RN Supervisor (Home Health)

Home Health Nurse Supervisor

Working title: Home Health Nurse Supervisor

Classification title: Registered Nurse Supervisor

Division: Home Health and Hospice

Program: Home Health

Reports to: Home Health Senior Director

FLSA status: Exempt: Full-time

Schedule: Monday-Friday; On call rotation

Wage Range: $85,527 to $115,461 annually depending on number of years of transferrable experience and internal equity

RiverStone Health:

Serving the Yellowstone County community and south-central Montana for nearly 50 years, RiverStone Health is an essential provider of personal and public health services. Health, Education, Leadership and Protection HELP is what we do. From medical, dental and behavioral healthcare; home care and hospice; public health services like immunizations, WIC, health promotion and restaurant inspections; and educating the next generation of health professionals, our expertise spans all ages and stages of life.

At RiverStone Health, we strive to build a personal connection with everyone we serve to provide optimal compete solutions without our realm of expertise to the variety of challenges faced by our patients, clients, and customers. Underlying principles of access, affordability, compassion and quality in all interactions, RiverStone Health improves life, health and safety for all the communities we serve.

Home Health Program Overview:

RiverStone Health Home Health Services provides medical treatment for an illness or injury, to help patients recover, regain independence, and become as self-sufficient as possible. Home health care helps patients manage chronic conditions like heart disease, diabetes, pain management or chronic obstructive pulmonary disease (COPD) and provides personal care services. Home Health Services may be requested by physicians, the patient or family member, or a hospital discharge planner. Through consultation with the patient's healthcare provider, Home Health Services develops a plan of care to meet the patient's individual healthcare needs. The team includes nurses, physical therapists, occupational therapists, speech therapists, medical social workers, and certified home health aides.

Job Summary:

The RN Supervisor is responsible for the delivery of quality patient care through the nursing process of assessment, nursing diagnosing, planning, implementation, and evaluation. In tandem with the clinical manager and clinical nursing staff, the RN admissions nurse helps to oversee patient care, nursing case management, clinical documentation (OASIS), referral staff, and customer satisfaction with home health patient care services. The incumbent brings content expertise and knowledge surrounding the program elements, deliverables, and metrics. The work environment is typically fast paced. Work is performed to ensure efficiency of program delivery, incorporating integrity and innovation to ensure a high level of customer service.

Essential Functions/Major Duties and Responsibilities:

• Coordinates the nursing team, including scheduling, workload management, and coverage to ensure efficient service delivery

• Provides clinical input for referrals, admissions, and intake processes, ensuring timely initiation of care.

• Participates in regular interdisciplinary team conferences to promote collaboration, information exchange, and integration of care plans.

• Oversees accurate and timely documentation within the electronic medical record, ensuring compliance with regulatory and agency standards.

• Provides clinical guidance and support for nursing staff in complex cases and decision-making.

• Directs the work of nursing staff, establishes schedules, reviews timecards, and ensures adherence to policies and procedures.

• Conducts performance evaluations, provides coaching and corrective action as needed, and collaborates with Human Resources on nurse recruitment, onboarding, and professional development.

• Promotes teamwork, accountability, and professional growth among nursing staff.

• Provides leadership in developing, implementing, and evaluating home health quality improvement and compliance initiatives, including QAPI activities.

• Identifies areas for home health improvement, gathers and analyzes data, and reports findings to Program Directors and staff.

• Leads QAPI projects, establishing measurable goals and performance indicators using the Plan-Do-Study-Act (PDSA) Model for Improvement.

• Educates staff on quality improvement principles and promotes adherence to evidence-based best practices.

• Monitors compliance with Medicare Conditions of Participation, accreditation standards, and internal policies, identifying risks and assisting with corrective action planning.

• Reviews and investigates incident reports, ensures appropriate follow-up, and implements preventive and corrective strategies.

• Provides clinical oversight for utilization review and care management activities with payers and third-party entities.

• Supports ongoing accreditation and regulatory readiness through audits, compliance reviews, and survey preparation

• Participates in leadership meetings, providing quality, compliance, and clinical updates.

• Serves in the leadership on-call rotation as assigned.

Admissions/Direct Skilled Care:

• Provides direct skilled nursing care to support case managers in the Home Health and Hospice programs.

• Completes patient admissions and initiates individualized plans of care in collaboration with physicians and the interdisciplinary team.

• Reassesses patient needs and revises the plan of care to ensure effective, patient-centered outcomes.

• Follows a plan of care that identifies, prioritizes, and meets the physical, emotional, and educational needs of patients and families.

• Administers medications, treatments, and interventions in accordance with physician orders and nursing best practices.

• Monitors, interprets, and evaluates patient symptoms, progress, and treatment responses; implements appropriate clinical actions and updates care plans accordingly.

• Provides education to patients and families regarding disease management, medication safety, preventative care, and discharge planning.

• Utilizes knowledge of age-specific and cultural considerations to tailor care and education to individual needs.

• Supervises and evaluates the work of Licensed Practical Nurses (LPNs) and Certified Home Health Aides (CHHAs), ensuring high standards of care.

• Communicates effectively with physicians, families, and interdisciplinary team members to ensure seamless coordination of care.

• Evaluates patient outcomes and identifies areas for improvement or intervention as needed.

• Maintains timely and accurate documentation in the electronic medical record per agency standards.

• Demonstrates working knowledge of OASIS-E data collection, quality measures, and reimbursement requirements.

• Participates in on-call rotation to ensure 24-hour nursing coverage for patients, carrying designated communication devices as required.

• Ensures compliance with infection control, safety, HIPAA, and agency policies.

• Participates in performance improvement activities and contributes to quality initiatives that enhance patient outcomes and program performance.

• Develops and maintains effective working relationships with patients, families, staff, and community partners.

• Responds promptly and courteously to inquiries, feedback, and concerns from patients, families, and team members.

• Attends continuing education and training sessions to remain current on nursing practice standards, quality improvement methodologies, and regulatory changes.

Non-Essential Functions/Other duties assigned <5%:

• Perform other duties as assigned in support of RiverStone Health's mission and goals.

Education and Experience:

• Minimum Qualifications

• Associate degree in Nursing.

• 3 years nursing experience

• Any combination of experience and training which provide the equivalent scope of knowledge, skills, and abilities necessary to perform the work.

• Preferred Qualifications:

• Bachelor of Science in Nursing

• Two years of case management

• Knowledge of nursing process and home care