RN Osceola
Listed on 2026-10-19
-
Nursing
Healthcare Nursing, RN Nurse
Kissimmee, United States | Posted on 10/15/2026
Matrix Home Health Care
provides services throughout Florida.
Our Primary Goal
is to assure that everyone involved in the patient’s well-being has executives and Champions in charge, personally involved in the delivery of care and achieving desired outcomes.
RN’s, LPN’s, Physical/Occupational/Speech Therapists, Home Health Aides, Certified Nursing Assistants, Attendants, Companions/Live-Ins and other specialized healthcare professionals are licensed, trained and ready to provide care twenty-four hours a day, every day.
Job DescriptionThe Registered Nurse provides skilled nursing care to home health patients in their homes under a physicianor allowed practitioner plan of care. The RN completes comprehensive assessments, including OASIS, develops and revises the plan of care, coordinates services, and supervises home health aides and LPNs. The RN works under the direction of the Clinical Supervisor and follows Medicare Conditions of Participation, Florida AHCA rules, Joint Commission standards, and Matrix CareLLC policies.
SummaryEssential Functions
- 1. Completes start of care, resumption of care,recertification, transfer, and discharge assessments within requiredtimeframes, including a physical assessment and history of current and prior illness.
- 2. Assesses the home environment, safety, fall risk,caregiver support, and psychosocial needs.
- 3. Completes medication reconciliation at each assessment and identifies drug interactions, duplications, and adherence issues.
- 4. Develops and revises the individualized plan of carewith measurable goals, including the patient and family in planning.
- 5. Provides skilled nursing interventions, medications,treatments, and wound care as ordered.
- 6. Teaches patients and caregivers on disease management,medications, safety, and when to seek help.
- 7. Identifies discharge planning needs early and implements them before discharge.
- 8. Acts as case manager for an assigned caseload when designated by the Clinical Supervisor.
- 1. Completes OASIS accurately using the current CMSversion, following CMS guidance on coding.
- 2. Documents each visit in the EMR (Kan Time) per agency timeliness standards [confirm: e.g., within 24 hours].
- 3. Uses electronic visit verification as required.
- 4. Supports accurate PDGM coding, functional scoring, and quality outcomes through complete documentation.
- 5. Responds to QA and coding review requests by the agency deadline.
- 1. Reports changes in condition to the physician orallowed practitioner and the Clinical Supervisor promptly, and obtains and documents orders.
- 2. Coordinates care with therapists, aides, MSWs,physicians, pharmacies, DME vendors, and community resources.
- 3. Participates in case conferences and interdisciplinary care coordination.
- 4. Arranges needed equipment, supplies, and services.
- 1. Instructs and supervises home health aides, completing onsite supervisory visits at least every 14 days for patients receiving skilled services, and annually with the aide present.
- 2. Prepares and updates written aide care plans.
- 3. Directs and oversees LPN care within Florida scope of practice.
- 4. Reports aide or LPN performance concerns to the Clinical Supervisor.
- 1. Follows Joint Commission National Patient Safety Goals,including two patient identifiers, medication safety, infection prevention, andfall risk reduction.
- 2. Follows infection control, emergency preparedness, andHIPAA policies.
- 3. Explains patient rights, responsibilities, and the complaint process.
- 4. Reports suspected abuse, neglect, or exploitation as required by Florida law.
- 5. Reports incidents and participates in quality improvement (QAPI) activities.
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