Registered Nurse, RN - Home Health Per Diem

Job Overview 

Utilizing the nursing process, the Home Health Registered Nurse will manage and deliver comprehensive home health services, including assessments, interventions, and supportive care to clients within their place of residence. Depending on the circumstances, duties may also include telephone triage, problem solving, patient/caregiver advocacy and support, with emphasis of avoiding hospitalization. As a key member of the health care team, this position must interact courteously and effectively with patients and their families as well as with co-workers from all Agency departments, community resources, and with patients' physicians in order to facilitate safe and efficient patient care while maintaining their own safety in the home and the community at large. This position is similar to the RN-Home Health-Case Manager, except this position will not manage a case load.

Hours: Per Diem (8 hours per month plus weekend/holiday commitment)

Location: New Hampshire (Multiple territories available)

Job Description 

Minimum Qualifications: 

1. Massachusetts RN Licensure and NH Licensure.

2. Valid state issued Driver’s License. 

3. One (1) year of acute medical/surgical nursing experience. 

4. Basic Life Support Certification. 

Preferred Qualifications: 

1. Bachelor of Science in Nursing (BSN). 

2. Specialty nursing certifications. 

3. Three (3) years of acute nursing including medical/surgical, oncology, hospice, or home health. 

4. Experience with IV and complex wound care.

Duties and Responsibilities: The duties and responsibilities listed below are intended to describe the general nature of work and are not intended to be an all-inclusive list. Other duties and responsibilities may be assigned. 

• Assesses patients' physical, psychosocial needs in a sensitive, caring manner following established Standards of Nursing Practice and Agency policies and procedures. Provides ongoing interdisciplinary assessment of the patient. 
• Assesses patient/family learning needs, style and limitations and makes adjustments for delivery of information. 
• Recognizes/identifies patients/caregivers’ cultural beliefs re: death and dying and is sensitive to those beliefs.  
• Establishes realistic goals and develops plan of treatment in cooperation with the patient, family and members of the health care team.
• Identifies abuse and/or neglect and identifies reporting mechanism per policy. 
• Adapts to new and unusual situations without affecting work performance negatively. Utilizes Security when and if needed for any potential unsafe situations.
• Collaborates with patient /family and other health care providers and/or community resources with planning of care and discharge. 
• Continuously assesses/evaluates patient and family progress and goal achievement, keeping Clinical Manager advised and justifying continuation and/or termination of services. 
• Documents patient data, activities, and communications in patient record using computer system in a timely, organized, concise manner to ensure compliance with legal, certification, third party payor guidelines and Agency policies.  
• Completes physicians' orders, levels of care, and OASIS on all patients assigned, in accordance with patient care policies. Reconciles medications with patient and physician consistently. 
• Demonstrates and practices according to safety guidelines and procedures including general ergonomics, fire, and personal safety. Utilizes proper body mechanics and patient material handling. 
• Demonstrates an awareness of safety and security issues by responding appropriately to emergency situations and following established procedures and protocols utilizing stabilizing techniques. 
• Demonstrates ability to cope with patient/family emotional stress and provide appropriate supportive care. 
• Establishes a daily work plan based upon patient/family priorities of service and total area needs. Promptly triages patient visits, messages, and phone calls according to priority and urgency.   
• Provides nursing coverage on a rotating basis for weekends and Holidays.
• Demonstrates excellent physical assessment and care planning skills. Demonstrates current knowledge of pharmacology and medication administration and reconciliation.
• Coordinates care and discharge planning with other team members during case conferences.
• Acquires and maintains an expert working knowledge of all third part payers and regulatory bodies and agency policies on issues related to documentation and care provided.
• Communicates and collaborates with all disciplines in the home care setting on a regular basis or immediately if there are any critical needs or crisis interventions needed.

What We Offer: 

• Competitive salaries & benefits that start on day one!
• 403(b) retirement with company match
• Tuition reimbursement
• Fleet Car Program

About Care at Home:

Tufts Medicine Care at Home is a proud member of Tufts Medicine, a health system that is rethinking how academic and community centers, local and national businesses, and technology and service innovators can all work together. So that clinicians can deliver expert care where it’s needed most and so that we can bring wellness back to health care, one person at a time. 

About Tufts Medicine 

A healthcare system that works Tufts Medicine is more than a health system — we’re a community that empowers people to live their best lives by reimagining healthcare, advancing knowledge and pioneering discovery. Every team member plays an integral role in realizing our vision of creating the most equitable and frictionless healthcare experience in the world. Here, you’ll join an enthusiastic community that champions your growth and receive generous benefits to support you and your family’s well-being. 

Tufts Medicine is an equal opportunity employer

At Tufts Medicine, we want every individual to feel valued for the skills and experience they bring. Our compensation philosophy is designed to offer fair, competitive pay that attracts, retains, and motivates highly talented individuals, while rewarding the important work you do every day.

The base pay ranges reflect the minimum qualifications for the role. Individual offers are determined using a comprehensive approach that considers relevant experience, certifications, education, skills, and internal equity to ensure compensation is fair, consistent, and aligned with our business goals.

Beyond base pay, Tufts Medicine provides a comprehensive Total Rewards package that supports your health, financial security, and career growth—one of the many ways we invest in you so you can thrive both at work and outside of it.

Pay Range:

$42.00 - $47.41