The individual in this role is responsible for delivering high-quality, compassionate nursing care to patients in their homes. They will conduct supervisory joint visits with Field Nurses, provide training and in-service education to professional clinical field staff and paraprofessional staff, and perform nursing duties as assigned in the Diagnostic & Treatment Center or Medical Practice. This role also serves as a clinical oversight and quality monitoring resource for home-based clinical services.
Conduct audits and validate clinical documentation to ensure accuracy, consistency, regulatory compliance, and alignment with evidence-based nursing practice.
Perform joint supervisory field visits with clinical field staff, observe skills competencies, and provide oversight and supervision to paraprofessional staff.
Collaborate with partner organizations, care coordinators, and interdisciplinary team to meet patient needs.
Adhere to all clinical protocols, regulatory standards, and infection control guidelines.
Supervise, instruct, and guide CHNs, Personal Care Aides, or Home Health Aides.
Provide clinical leadership and operational oversight for assigned cases by coordinating care activities, monitoring service delivery, and ensuring alignment with organizational goals, regulatory requirements, and quality standards.
Review and monitor clinical documentation, visit completion, and follow-up actions to promote compliance with organizational policies, regulatory standards, and quality benchmarks.
Identify trends, barriers, or gaps in care delivery and escalate concerns to leadership while collaborating with interdisciplinary team members to implement solutions that improve patient outcomes and program performance.
Cross-trained for Care Delivery Manager Role to provide support and coverage for the Care Delivery Team as required and as assigned.
Direct Clinical Responsibilities
Perform routine home visits including wound care management, dressing changes, medication administration, and reconciliation.
Conduct general health and functional assessments as directed.
Provide nursing care in accordance with the individualized care plan, physician orders, and best nursing practice standards.
Assess patient conditions and monitor changes in health status, promptly communicating updates to the care team and physician as needed.
Educate patients and caregivers on disease management, medication adherence, wound care, and safety in the home environment.
Participate in interdisciplinary case conferences and clinical meetings as needed.
Perform nursing duties in DTC/Medical practice according to policies and professional nursing scope of practice.
Meet a standardized set of competencies for the specific position description established by partner organizations before working independently.
Travel between patient homes throughout the designated service area.
Qualifications:
Education: Graduation from an accredited school of nursing is required. Completed NYSED-approved infection control coursework.
Experience: Minimum of three years of clinical nursing experience, including 1-2 years in home care or a similar healthcare setting, preferred.
Skills:
Strong clinical assessment and critical thinking abilities.
Excellent communication skills and the capacity to manage multiple participant cases effectively.
Minimum of one year of experience working with a frail or elderly population or appropriate training from the organization if less than one year of experience.
Licensure: Current active and unrestricted license as a Registered Nurse in New York State.
Additional Requirements:
Available for weekends/nights/on-call coverage as needed.
Proficiency with computers and electronic health record (EHR) systems.
Experience with long-term care or managed care systems beneficial.
Vehicle and current New York State driver's license required.
Legally authorized to practice in the State in which the healthcare professional will perform the function.
Medically cleared for communicable diseases and have all immunizations up to date before engaging in direct participant contact.
Physical Requirements:
Standing duration of up to 6 hours a day.
Sitting/stationary positions sedentary position in duration of up to 6-8 hours a day for consecutive hours/periods.
Lifting/push/pull up to 50 pounds of equipment, baggage, supplies, and the ability to lift patients safely and using OSHA guidelines.
Numbers & Facts
Location
Suffolk County - Long Island, NY
Skills
Auditingunmatched
Benchmarkingunmatched
Best Practicesunmatched
Case Managementunmatched
Clinical Assessmentunmatched
Clinical Medicineunmatched
Clinical Monitoringunmatched
Clinical Nursingunmatched
Clinical Practices/Protocolsunmatched
Clinical Study Publicationsunmatched
Clinical Trainingunmatched
Communication Skillsunmatched
Computer Skillsunmatched
Delivery Managementunmatched
Disease Prevention and Controlunmatched
Driver's Licenseunmatched
Functional Analysisunmatched
Health Planunmatched
Healthcareunmatched
Home Careunmatched
Infection Controlunmatched
Infectious Diseasesunmatched
Leadershipunmatched
Lift/Move 50 Poundsunmatched
Long-Term Careunmatched
Managed Careunmatched
Medical Record Systemunmatched
Medication Administrationunmatched
Medicationsunmatched
Nursingunmatched
Nursing Managementunmatched
OSHAunmatched
On Callunmatched
Organizational Skillsunmatched
Patient Assessmentunmatched
Patient Careunmatched
Patient Educationunmatched
People Managementunmatched
Personal Careunmatched
Physical Demandsunmatched
Quality Managementunmatched
Quality Metricsunmatched
Quality Monitoringunmatched
Reconciliationunmatched
Registered Nurse (RN)unmatched
Regulationsunmatched
Regulatory Complianceunmatched
Regulatory Requirementsunmatched
Service Deliveryunmatched
Training/Teachingunmatched
Trend Analysisunmatched
Wound Careunmatched
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