Assessment and Field Support Nurse (AFSN

Assessment Field Support Registered Nurse (RN / AFSN) - Full Time, Pay Range $34-$40/hr Position Summary

The Registered Nurse / RN role is responsible for skilled and non-skilled assessments, in addition to providing oversight and support for Bright Star Care patients receiving caregiving, home health and privat duty care services. Reporting directly to the Director of Nursing (DON), this role serves as a clinical resource for patients, families, caregivers, and nursing staff by ensuring quality care, regulatory compliance, and continuity of services.

The role conducts initial assessments and ongoing reassessments, supports the admission process, provides clinical education and competency validation, and partners with the Director of Nursing on quality improvement initiatives. This position is highly visible in the field, serving as a liaison between patients and families, field staff, and the Director of Nursing to ensure exceptional clinical care and patient satisfaction.

This position is not responsible for employee performance management, disciplinary actions, scheduling, or direct supervision of staff. Instead, the role focuses on non-skilled and skill assessments, education, support, and quality.

• Complete comprehensive initial assessments for new patients receiving non-skilled and skilled home care services.
• Perform scheduled reassessments and supervisory visits in accordance with agency policy, regulatory guidelines, Joint Commission recommendations, physician orders, and/or payer requirements.
• Develop, review, and update individualized plans of care and task lists.
• Identify changes in patient condition and communicate recommendations to the Director of Nursing, Director of Operations, and other members of the care team.
• Ensure services are delivered safely and in accordance with clinical standards and best practice, Bright Star Care policies, and Joint Commission recommendations.

• Assist with the admission process and provide a smooth transition for new patients and families into Bright Star Care  services.
• Educate patients and families regarding care plans, expectations, safety, and available resources.
• Serve as a trusted clinical resource for patients, families and field staff.
• Collaborate with the Director of Nursing and Director of Operations to resolve issues and promote positive patient outcomes.

• Provide support to caregivers and nursing staff in the field.
• Conduct caregiver skills validation and new hire competency check-offs.
• Identify educational opportunities and provide coaching, mentoring, and training.
• Support ongoing clinical competency and best practices through field visits and one-on-one education.
• Serve as a resource for caregivers and nurses requiring assistance with patient care concerns.

• Participate in quality assurance and performance improvement initiatives.
• Assist with clinical chart audits to ensure documentation accuracy, completeness, and regulatory compliance.
• Support agency readiness for Joint Commission accreditation and regulatory surveys.
• Monitor compliance with agency policies, infection prevention standards, and documentation requirements.
• Collaborate with the Director of Nursing and Director of Operations to identify process improvements that enhance patient care and clinical outcomes.

• Communicate patient status updates and concerns promptly to the Director of Nursing and Director of Operations.
• Foster positive working relationships among patients, families, caregivers, nurses, physicians, and community partners.
• Act as a clinical liaison between field staff, patients/families, and agency leadership.

• Current unrestricted Registered Nurse (RN) license in the state of practice.
• Minimum of two years of nursing experience. Adult and/or pediatric home health, hospice, private duty, or community-based care preferred.
• Previous experience performing patient assessments and developing care plans.
• Excellent communication, teaching, and relationship-building skills.
• Strong organizational and critical thinking abilities.
• Ability to work independently while collaborating effectively with interdisciplinary teams.
• Valid driver's license, reliable transportation, and ability to travel within the service area.

• Comprehensive assessment skills.
• Clinical decision-making and critical thinking.
• Patient and caregiver education.
• Quality assurance and documentation review.
• Strong interpersonal and customer service skills.
• Ability to prioritize multiple responsibilities in a fast-paced environment.
• Proficiency with electronic medical records and Microsoft Office applications.

• Travel to patient homes and community locations.
• Must be able to stand, walk, squat, bend, kneel, reach, twist, push and pull with patient assessments as needed. Must be able to lift up to 50 pounds. Visual and hearing acuity required.
• Ability to utilize standard office…