Registered Nurse

Registered Nurse Navigator - Home Health Review We are seeking an experienced Registered Nurse Navigator – Home Health Review to support post-acute care management and ensure patients receiving home health services continue to meet CMS and payer requirements . This role will serve as a liaison between home health agencies, providers, and care teams to coordinate appropriate care, maintain regulatory compliance, and support positive patient outcomes. Key Responsibilities: Review Home Health Plan of Care (485) forms for medical necessity and homebound status compliance. Monitor patients receiving post-acute/home health services. Collaborate with home health agencies, physicians, and care teams regarding patient progress and ongoing care needs. Participate in case conferences and support discharge planning activities. Make recommendations regarding home health recertification or discharge based on clinical and payer guidelines. Utilize MCG and CMS guidelines to evaluate appropriate levels of care. Facilitate effective communication and coordination among providers, home health agencies, and care teams. Ensure compliance with applicable regulatory, CMS, and payer requirements. Maintain accurate clinical documentation and records. Required Qualifications: Associate Degree in Nursing (ADN) required. Active Texas Registered Nurse (RN) license required. Recent Home Health experience required. Strong knowledge of CMS guidelines, home health regulations, and care coordination processes . Strong clinical assessment, communication, organization, and critical-thinking skills. Experience reviewing Home Health Plan of Care (485) documentation preferred. If you are interested in this opportunity, please apply with your updated resume or reach out to me directly. #J-18808-Ljbffr Hornet Staffing, Inc, a GEE Group company