RN - Registered Nurse - Home Health

About the Role
Sierra Health Care has served Las Cruces families since 1982. As a Registered Nurse - Home Health, you'll carry that commitment into patients' homes with skilled, patient-focused care that supports safety, recovery, and independence. This role fits a nurse who values clinical independence, builds trust with patients and families, and works well alongside an interdisciplinary team.

Key Responsibilities

• Assess patients and develop, carry out, and update individualized plans of care in line with physician orders
• Provide skilled nursing services and specialized procedures in the home
• Complete accurate, timely clinical documentation, including OASIS assessments
• Notify physicians of changes in patient condition and process orders, certifications, recertifications, and discharge summaries
• Educate patients and families on health needs, safety, infection control, and emergency preparedness
• Supervise and train LPNs and HHAs, including required supervisory visits
• Coordinate care with the interdisciplinary team through care conferences and QAPI activities
• Take on-call coverage as assigned

Job Specific Duties

• Conduct initial and ongoing assessments; develop, implement, and revise individualized plans of care based on patient condition and progress, in accordance with physician orders and regulatory deadlines
• Provide skilled nursing services and specialized procedures; complete accurate and timely clinical documentation (including OASIS assessments) to support compliance and coding accuracy
• Notify physicians of patient condition changes; process orders, certifications, recertifications, and discharge summaries
• Provide direct patient care and on-call coverage as assigned; promptly report incidents, variances, or complaints
• Supervise and train LPNs and HHAs, including required supervisory visits, retaining accountability for delegated tasks
• Educate patients and families on health needs, safety, infection control, emergency preparedness, and patient rights
• Coordinate services with the interdisciplinary team; participate in care conferences, QAPI activities, and peer review
• Maintain current licensure, CPR certification, and required continuing education in compliance with state and federal regulations

Other Duties:

• Provide care and services in accordance with infection control, safety, and risk prevention protocols
• Accurately document clinical interventions, care coordination, and communication in a timely manner
• Participate in interdisciplinary meetings, case reviews, and continuing education opportunities
• Maintain compliance with HIPAA and all company privacy and confidentiality standards
• Represent the organization positively and professionally in patients' homes and community settings
• Work independently with minimal daily oversight and demonstrate initiative in completing responsibilities
• Provide courteous, timely, and professional customer service to patients, families, and partners
• Exhibit adaptability to changing responsibilities and flexibility in completing assignments
• Demonstrate consistent and effective use of organizational technology systems and tools required for the role, including communication, documentation, productivity, and data management platforms
• Adhere to all organizational policies, including job descriptions, mission, and the Employee Handbook
• Communicate and interact professionally and respectfully with others to support team goals
• Perform all other duties as assigned and as required to effectively discharge the responsibilities of the position and are in the best interests of the company

What We're Looking For

• A current RN license in the state of practice
• At least one year of clinical nursing experience, preferably in home health or hospice
• Working knowledge of OASIS documentation and home health regulations
• Current CPR certification
• Sound clinical judgment, strong organizational skills, and attention to detail
• Comfort working independently in the field, with a valid driver's license, reliable transportation, and auto insurance for home visits
• Clear, caring communication with patients and families

Why Join Us
Sierra is a nonprofit, so our focus is on the patients and community we serve, not shareholders. You'll find a close-knit team and the support to grow your career.

• Medical, dental, and vision coverage, PTO, and a 401(k)
• Mileage reimbursement
• Flexible scheduling for clinical staff
• Educational Encouragement for certifications, licensure advancement, and continuing education
• Emergency Fund for team members facing unexpected personal hardship
• Monthly Employee Recognition and Discipline Appreciation Events, including a dedicated gift and luncheon for RNs
• Team building events, including potlucks and celebrations
• Referral bonuses for qualified referrals

If you bring steadiness and compassion into patients' homes, we'd be honored to meet you and help you bring out the courage in others.

#ZR

Requirements

What We're Looking For

• A current RN license in the state of practice
• At least one year of clinical nursing experience, preferably in home health or hospice
• Working knowledge of OASIS documentation and home health regulations
• Current CPR certification
• Sound clinical judgment, strong organizational skills, and attention to detail
• Comfort working independently in the field, with a valid driver's license, reliable transportation, and auto insurance for home visits
• Clear, caring communication with patients and families

Physical Requirements

• Must be able to stand, walk, bend, and assist with mobility or equipment as needed. Requires the ability to perform heavy lifting and to travel locally in various weather conditions.

#ZR