Home Health Registered Nurse

Home Health Registered Nurse

West Bloomfield

Optimal Care is where your dedication meets a rewarding career.

As a clinician owned and operated company, we create the opportunity and environment for each employee to realize their highest potential while maintaining a personalized focus on our patients and families every day. We are the Midwest's premier provider of physician services, home health, and hospice care. Our integrated care delivery model incorporates technology, innovation, and best practices. We produce value-based outcomes by managing chronic disease process, rehabilitation, and end of life care.

We live a simple mission: Serve Together, Provide Value, and Deliver Exceptional Quality Care.

What does this mean for you? At Optimal Care, you have our resolute commitment to being an exceptional place to work. Your expertise, passion, and commitment to exceptional quality care will continue to thrive. With you we can build a remarkable place to work.

Exceptional benefits:

• Minimum of 3 weeks paid time off (PTO)
• Company vehicle program for field roles
• Medical, dental, and vision insurance
• HSA and FSA options including dependent care
• Company paid short term disability
• Company paid life insurance
• 401(k) with employer match
• Mileage reimbursement
• Pet insurance
• ID and fraud protection
• And more...

About the Role

Practice nursing the way it was meant to be - with time, autonomy, and the ability to truly impact your patients' lives. As a home health registered nurse, you'll provide comprehensive skilled nursing care to patients in their homes, helping them recover, manage chronic conditions, and achieve their health goals in the comfort of their own environment. This role is perfect for an RN who values independence, clinical decision-making, and building meaningful relationships with patients and families. You'll manage your own caseload from admission to discharge, collaborating with physicians and a multidisciplinary team while having the autonomy to make clinical judgments that directly shape patient outcomes.

What You'll Do

Provide comprehensive nursing care

• Conduct initial evaluations and ongoing OASIS assessments at appropriate time points
• Deliver skilled nursing services requiring specialized expertise according to physician orders
• Initiate diagnostic, preventive, and rehabilitative nursing procedures
• Demonstrate proficiency in phlebotomy, medication administration, and wound care
• Monitor and respond to changes in patient conditions promptly

Manage your caseload

• Assume primary responsibility for assessing, planning, coordinating, implementing, and evaluating care
• Develop, implement, and revise individualized plans of care based on patient needs
• Make clinical decisions about when to involve other disciplines or escalate concerns
• Plan and coordinate patient discharges from services
• Maintain accurate documentation within 24 hours of visits

Teach and empower patients

• Educate patients and families on home nursing procedures and self-care techniques
• Teach disease prevention, injury management, and health promotion strategies
• Work toward patient and caregiver independence as the ultimate goal
• Provide counseling appropriate to each patient's condition and learning needs
• Use evidence-based teaching materials and techniques

Coordinate multidisciplinary care

• Collaborate with physicians, therapists, social workers, and other healthcare professionals
• Initiate and participate in client care conferences for complex cases
• Assign and supervise home health aide services, conducting required supervisory visits
• Supervise LPN/LVNs and paraprofessionals providing care
• Ensure continuity of care across all providers

Maintain clinical excellence

• Communicate significant findings, problems, and changes to physicians and supervisors
• Report unsafe conditions promptly to appropriate parties
• Participate in quality improvement initiatives and in-service programs
• Stay current with best practices and regulatory requirements
• Follow infection control, safety, and documentation policies

What We're Looking For

Required qualifications

• Graduate of an accredited diploma, associate, or baccalaureate school of nursing
• Current state license as a registered nurse
• Minimum 1 year of experience as a licensed RN in a clinical care setting
• Reliable transportation with valid automobile insurance
• Willingness to travel daily for home visits within service area

Preferred qualifications

• Bachelor of science in nursing (BSN)
• Experience in home health environment
• OASIS certification or willingness to obtain

Essential skills and competencies

• Strong clinical assessment and critical thinking skills
• Proficiency in OASIS documentation and care planning
• Excellent time management and organizational abilities
• Effective communication and teaching skills
• Ability to work independently with minimal supervision
• Comfort working in diverse home and facility environments
• Strong clinical judgment and decision-making capabilities
• Understanding of Medicare, Medicaid, and third-party payor requirements

What Makes You Successful

You're a confident, experienced RN who thrives on independence and variety. You enjoy the challenge of managing complex cases and making autonomous clinical decisions while knowing when to collaborate with your team. You're an excellent teacher who can break down complex medical information into understandable terms for patients and families. You're patient, adaptable, and comfortable working in varied home environments, from well-appointed houses to more challenging settings. You're organized and self-directed, able to manage your schedule, prioritize competing demands, and handle the daily changes that come with community-based nursing. You understand that home health nursing isn't just about clinical skills - it's about building trust, respecting patients' autonomy in their own homes, and working toward independence rather than dependence.

Why Join Us?

Home health nursing offers the perfect balance of autonomy and support. You'll have the freedom to manage your own caseload and make clinical decisions while being backed by experienced clinical managers and a collaborative team. You'll experience the satisfaction of seeing your patients progress from admission to discharge, knowing that your teaching and interventions helped them achieve independence. We provide comprehensive orientation, ongoing clinical education, and opportunities for professional growth including OASIS certification and specialty training.

Work Environment and Schedule

This position requires daily travel to patient homes and occasional facility visits within your service area. You'll work independently in varied home environments, adapting to different settings and patient situations throughout your day. Schedule changes are common based on patient needs, new admissions, and staffing requirements. Flexibility is essential, and on-call responsibilities may be required. Physical demands include standing, walking, bending, and lifting up to 50 lbs with assistance.

Ready to Experience Home Health Nursing?

If you're an RN ready to practice with autonomy, build meaningful patient relationships, and make a real difference in patients' recovery journeys, we want to hear from you.

Location

• Office location: 24255 W 13 Mile Rd, Suite 250, Bingham Farms, MI 48025
• Main service area: West Bloomfield and surrounding area

Hours

• 8:00 am – 5:00 pm, Monday through Friday

Pay range

$80,000 - $90,000 USD

Background screening Optimal Care conducts a background screening upon acceptance of a contingent job offer. Background screening is completed by a third-party administrator, the Michigan Long-Term Care Partnership, and is performed in compliance with the Fair Credit Report Act. Reasonable accommodations We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job