Registered Nurse; RN Assessment Nurse

Overview

Registered Nurse (RN) — Assessment Nurse

Location:

North Monmouth, NJ

Job Summary:

Comfor Care Home Care is seeking a compassionate, detail-oriented, and clinically skilled Registered Nurse (RN) to serve as an Assessment Nurse for our growing home healthcare practice. The RN conducts comprehensive in-home assessments, develops individualized care plans, and ensures safe, high-quality, person-centered care in the client’s home. The Assessment Nurse collaborates with clients, families, and caregivers to ensure continuity of care and regulatory compliance.

This position adheres to NJ home health regulations and ACHC accreditation standards.

• Conduct initial assessment for all active and prospective clients.
• Develop, implement, review, and update individualized care plans based on assessment findings.
• Supervise and evaluate the performance of Home Health Aides (HHAs) and CNAs assigned to client cases.
• Collaborate with physicians, specialists, and multidisciplinary team members to coordinate client care.
• Educate clients and family members on care plans, diagnoses, medications, and safe home practices.
• Ensure documentation is accurate, timely, and compliant with federal, state, and agency standards.
• Identify changes in client condition and communicate findings promptly to the supervising clinician.
• Maintain full compliance with HIPAA, OSHA, and all applicable New Jersey home health regulations.
• Complete all required documentation within agency-specified time frames using EHR systems.

The RN’s clinical evaluation responsibilities during all home visits include initial assessments, 30-day follow-ups, and 60-day reassessments.

• Review of current and past medical diagnoses, surgical history, hospitalizations, and allergies.
• Assessment of chronic conditions (diabetes, hypertension, COPD, dementia, Parkinson's, etc.).
• Review of physician orders, discharge summaries, mental health history, and immunization records.

• Vital signs: blood pressure, heart rate, respiratory rate, temperature, SpO2, weight, and pain level.
• Cardiovascular & respiratory: heart/lung auscultation, peripheral circulation, and edema.
• Neurological & cognitive: orientation, cognitive screening (Mini-Cog, MMSE, MoCA), and speech.
• Musculoskeletal & mobility: strength, gait, fall risk screening, and assistive device assessment.
• Skin, nutrition, GI & GU: skin integrity, Braden Scale, appetite, continence, and catheter use.
• Psychosocial: depression/anxiety screening (PHQ-9, GAD-7), social support, and isolation risk.
• Home Safety: fall hazards, bathroom safety, smoke/CO detectors, and emergency access.
• Medication Review: reconciliation, high-risk drug identification, adherence, and storage.
• Care Plan: nursing diagnoses, goal-setting, visit frequency, caregiver tasks, and POC approval.
• Client & Family
  
  Education:
  
  diagnosis, medications, safe transfers, fall prevention, and warning signs.

• Associate Degree in Nursing (ADN) required;
  Bachelor of Science in Nursing (BSN) preferred.
• Graduation from an accredited nursing program recognized by the New Jersey Board of Nursing.

• Active, unrestricted Registered Nurse (RN) license — State of New Jersey (required).
• Current Basic Life Support (BLS) / CPR certification (required).
• Valid driver's license and reliable personal transportation (required).

• Minimum 1–2 years of clinical nursing experience; home health or geriatric setting strongly preferred.
• Familiarity with NJ home health regulations and ACHC accreditation standards preferred.

• Must pass criminal background check, drug screening, and TB test prior to hire.
• Must maintain current…