Home Health Admissions RN

The Home Health Admissions Registered Nurse completes comprehensive admission assessments and OASIS documentation for patients entering home health services. The Admissions RN evaluates clinical needs, confirms eligibility and service requirements, initiates the individualized plan of care, coordinates with the physician and interdisciplinary team, and provides skilled nursing care and education in the patient's residence. This position promotes each patient's maximum potential throughout the home health episode and supports safe, timely transitions of care.

At Altruist, our commitment is to deliver top-quality home health, hospice, and primary home care services. We prioritize a holistic approach to patient care that considers physical health and emotional, social, and spiritual well-being, with the goal of providing comprehensive care that supports optimal wellness.

Altruist Home Care Solutions strives to provide comprehensive home health services, achieve national recognition, and expand its clinical specialty areas.

H
- Honesty O
- Organization M
- Maximum Potential E
- Empathy

• Complete timely and accurate start-of-care and other assigned OASIS assessments in accordance with physician orders, the plan of care, agency policy, and applicable requirements.
• Perform comprehensive admission assessments, including medical history, current diagnoses, medications, functional status, psychosocial needs, home environment, safety risks, and caregiver availability.
• Verify that the patient's clinical needs and ordered services can be safely and appropriately addressed in the home health setting and promptly report barriers or concerns.
• Initiate the individualized plan of care in collaboration with the physician, patient, caregiver, and interdisciplinary team.
• Complete medication reconciliation, identify discrepancies or potential concerns, and communicate needed clarification to the physician and clinical leadership.
• Obtain and document required consents, patient rights acknowledgments, emergency planning information, and admission education within the RN's assigned responsibilities.

• Provide skilled nursing care to patients of all ages in their places of residence within the RN scope of practice and demonstrated competency.
• Perform ordered treatments and procedures, which may include wound care, wound-vac therapy, IV therapy, venipuncture, medication management, disease-process education, and other authorized skilled services.
• Assess the patient's condition, response to treatment, pain, risks, and progress and promptly report significant changes or abnormal findings.
• Provide patient and caregiver education regarding diagnoses, medications, treatments, infection prevention, safety, emergency planning, and the plan of care.
• Use equipment and supplies safely, effectively, and in accordance with infection-control and agency requirements.

• Assume responsibility for coordinating admission-related care with the physician, interdisciplinary team, patient, caregiver, referral source, and agency departments.
• Communicate admission findings, identified risks, requested orders, and service needs to the Director of Nursing, Clinical Manager, and assigned care team.
• Coordinate ordered disciplines, services, supplies, equipment, laboratory needs, and follow-up care necessary to implement the plan of care.
• Collaborate with the physician, clinical team, patient, and caregiver regarding goals, progress, discharge planning, and transition-of-care needs.
• Participate in required daily, weekly, and monthly meetings, case conferences, and care-coordination activities.

• Complete OASIS, admission, clinical, and care-coordination documentation accurately, completely, and within agency-required time frames.
• Maintain proficiency with the agency's electronic medical record systems, including Well Sky/Kinnser and other designated platforms.
• Document only care, assessments, communication, and services actually completed; never falsify, pre-chart, backdate, duplicate, or improperly alter records.
• Protect patient confidentiality and electronic access credentials in accordance with HIPAA, agency policy, and applicable requirements.
• Participate in quality assurance, performance improvement, utilization review, training, competency, and audit activities as assigned.

• Maintain dependable…