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St. Mary Home care & Hospice, a member of Trinity Health at Home, has a need for a Full-time Home care Clinical Manager. This position is based out of our branch office in Watkinsville, Georgia. Home care & Oasis experience preferred.
Under the direction of the Regional Director, the Clinical Manager is responsible for the overall performance of the team including quality patient care, financial performance, utilization management, and compliance with state and federal regulations. Demonstrates fiscal responsibility through managing daily operations of their team to meet financial indicators, and quality standards.
Working knowledge in navigating through Excel and utilization of Outlook and Word. Excellent communication and problem-solving skills. Excellent organization and time management skills. Ability to multi-task. Excellent interpersonal skills and ability to work within an Inter-Disciplinary Team approach. Self-confident and assertive, flexible, reliable, and dependable. Positive, can-do attitude. Currently licensed or eligible for a license to operate an automobile in the applicable state.
REQUIREMENTS
Completion of an accredited Nursing curriculum in accordance with applicable state practice act.
BS or BA in Nursing required. Active and free from restrictions to practice or disciplinary action Georgia State licensure in clinician's field of practice.
MSN or advanced business degree preferred.
CPR certification. Current valid license to practice as a Clinician in Georgia.
Two (2) years of Home care nursing experience required, and one (1) year of management experience preferred.
Experience in EPIC a plus
Experience with Oasis documentation required
Other benefits
Day 1 Health, dental and vision insurance benefits
Short and long-term disability
403b
Generous paid time off
Mileage reimbursement
Comprehensive orientation
About St. Mary's Home care & Hospice
St. Mary's Home Care & Hospice is a member of Trinity Health At Home, a national home care, palliative care and hospice organization serving communities in twelve states. We are a comprehensive, trusted provider of home care and end-of-life care in the sacred place that people call home. A Catholic-based, non-profit organization, we serve patients and their loved ones with home care (skilled nursing, physical/occupational and speech therapy and medical social work), palliative care, hospice and bereavement services. Our legacy continues with a pioneering, future-thinking care model. We blend clinical expertise with our exclusive Home Care Connect™ virtual care program to help patients achieve their health goals. We have energizing new vision and strategy. Join us and shape the future of healthcare!
Apply now!
Qualified applicants are encouraged to apply online at Commitment
Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.
Remote working/work at home options are available for this role.
The home health registered nurse Mentor uses the nursing process (assesses, plans,
implements, evaluates) to provide patient care in the home setting and to provide field clinical training to new nursing hires to Home Health. Provides
individualized patient care for patients in all developmental stages throughout the life
span including: Adult - 18-72 years, Geriatric - 72 + years, according to
established policies, procedures, guidelines and nursing standards of care. Provides additional precepting oversight to new hires. This position is responsible for the care and case management of patients in all stages of life in their homes based on the nurse’s experience and competency evaluation.
PRIMARY JOB DUTIES
1. Assesses, interprets, plans, implements and evaluates patients according to the patient’s age and diagnosis.
2. Effectively and efficiently manages the care of a caseload of patients and coordinates care with a multidisciplinary team.
3. Appropriately communicates information in accordance with agency policies and procedures and discipline specific guidelines.
4. Provides practical clinical experience and guidance to field clinicians to include orientation of new clinicians
5. Contributes to program effectiveness.
6. Organizes and performs work effectively and efficiently.
7. Maintains and adjusts schedule to enhance agency performance.
8. Demonstrates a daily commitment to the values of the agency.
9. Demonstrates positive interpersonal relations in dealing with all members of the agency.
10. Maintains and promotes customer satisfaction.
11. Effectively demonstrates the mission, vision, and values of the Agency on a
daily basis.
1.0 30% QUALITY OF WORK:
1.1 7 %
Utilizing all aspects of the Nursing Process (assessment, planning, implementation, evaluation) with appropriate skill to effectively manage the Plan of Care for each patient as evidenced by:
- Providing nursing intervention based on physiological needs and clinical assessment appropriate for the patient’s age and developmental stage.
- Providing and/or facilitating education according to the Plan of Care and within the level of understanding and developmental age for both the patient and his/her family.
- Providing developmental interventions appropriate to patient’s age and clinical status.
- In collaboration with the patient/family and the physician, the nurse performs and documents a thorough, timely initial assessment to determine the eligibility for home care and to identify needs and problems.
- Reassesses the patient at the minimum of every 60-62 days or when the patient demonstrates a significant change in clinical status, support system or care environment. Reviews and accurately updates the overall plan of care (CMS 485) at least every 60-62 days, incorporating all pertinent changes in the physician summary letter, concisely summarizes the significant facts of care and the progress toward achieving goals.
- Obtains physician orders and utilizes data collected during the admission assessment; agency teaching guidelines and appropriate nursing skills to implement and follow an established plan of care. Evaluate and revise the nursing and aide plans of care, when there are changes in the patient’s condition, psychosocial status, and home environment; when no progress toward stated goals is evident and when there is a change in physician orders.
1.2 6 %
Effectively and efficiently manages the care of a caseload of patients and coordinates care with a multidisciplinary team.
- Supervises the home health aides every 14 days in accordance with federal/state guidelines and agency policy.
- Collaborates with and supervises the nursing care provided by the LPN. Conferences with LPN on shared patients when there are changes in the plan of care or status of the patient.
- Conferences with other disciplines regarding the status of shared patients and consistently documents interdisciplinary coordination and communication activities in the clinical record. Attends interdisciplinary conferences in accordance with agency policy. Makes appropriate notifications in advance of the conference if unable to attend.
- Maintains patient caseload and keeps clinical manager informed of current caseload in accordance with agency guidelines.
- Appropriately informs the physician and other involved agency staff of any adverse changes in patient’s condition, safety issues, changes in plan of care and discharge plans.
- Informs supervisor of any potential or actual client concerns, risk management issues and referrals to Child/Adult Protective Services 100% of time.
1.3 7%
Appropriately communicates information in accordance with agency policies and procedures and discipline specific guidelines.
- Completes all forms accurately and in accordance with agency guidelines/policies.
- Appropriately describes the patient’s functional limitations to justify homebound status.
- Documents all verbal orders for new or changed orders according to agency guidelines.
- Completes clinical notes in accordance with agency guidelines and time frames.
- Documents involvement of the patient and family in developing and revising the plan of care.
- Consistently describes interdisciplinary, interagency, and intragency communication and coordination of services as per agency guidelines.
1.4 4%
Contributes to program effectiveness as evidenced by:
- Demonstrating understanding of the interdisciplinary team approach and continuum of care in accordance with the home health mission.
- Incorporating recommendations and goals of other disciplines and patient/family into nursing visits.
- Demonstrating willingness and ability to accommodate agency needs in order to provide optimum patient care.
- Accepting constructive criticism as evidenced by implementation of suggested actions for improved performance.
- Promoting change and being proactive in suggesting ideas and new ways of doing things.
- Demonstrating ability to prioritize and enhance services during fluctuating patient census.
1.5 5% Provides practical clinical experience and guidance to field clinicians to include orientation of new clinicians as evidenced by:
- Demonstrates process for SOC, ROC, Recert, Discharge and routine visits to clinicians during the orientation process and observes employee’s ability to perform
- Observes clinical skills and patient interaction of new clinicians and provides feedback to the clinician.
- Works with clinicians to review application of clinical protocols and programs
- Reviews orientation information with new clinicians to determine the clinician’s level of understanding and re-educate as necessary
- Collaborates with Field Clinical Manager weekly to review new hire progress and address deficiencies
2.0 20% PRODUCTIVITY/USE OF TIME:
2.1 10%
Organizes and performs work effectively and efficiently as evidenced by:
- Participating in continuous performance improvement and completing all required educational programs for the Agency and profession.
- Recognizing and performing duties in an independent manner.
- Accepting personal responsibility for the completion and quality of work outcomes.
- Meeting assigned deadlines.
- Meeting productivity expectations.
- Maintaining a clean and safe environment.
2.2 10%
Maintains and adjusts schedule to enhance team performance as evidenced by:
- Reporting to work on time and returning promptly from errands, breaks, and meals.
- Managing personal work schedule and time off to promote smooth agency operations.
- Assisting other team members to ensure completion of all work assignments.
- Demonstrating flexibility with changing workload/assignments.
3.0 25% TEAM WORK:
3.1 25%
Demonstrates positive interpersonal relations in dealing with all members of the team (i.e. co-workers, supervisors, physicians, etc.) as evidenced by:
- Communicating in a positive and productive manner.
- Demonstrating respect for team members.
- Managing stress and personal feelings without a negative impact on the team.
- Maintaining positive attitude about assignments and team members.
- Promoting professional / personal growth of co-workers by sharing knowledge and resources.
- Working collaboratively and cooperating with other agency employees.
4.0 25% MISSION, VISION, VALUES:
4.1 15%
Maintains and promotes customer satisfaction.
- Responding to all customers in a courteous, sensitive and respectful manner.
- Abiding by the confidentiality and ethics policies of Well Care Home Health.
- Participates in community outreach activities that promotes goals and objectives of the agency.
4.2 10%
Continuously and effectively demonstrates customer service standards of courtesy, efficiency, and presentation as evidenced by:
- Practicing personal cost containment by responsible use of equipment, supplies, and resources.
- Completing the review period without a formal disciplinary action.*
- Presenting a clean and neat appearanc
Position Purpose
Trinity Health At Home is seeking a compassionate, organized, and mission‑driven Home Care Coordinator to support patients transitioning from the acute care setting to home-based services. In this vital role, you will facilitate timely and efficient referrals to home care and hospice, educate clinical teams on available services, and collaborate across the healthcare continuum to ensure patients receive the highest standard of care. This position also contributes to business development and new program initiatives that support our commitment to exceptional patient-centered service.
Serve as the primary liaison between hospital care teams, patients, and Trinity Health At Home to coordinate safe and seamless discharges.
Maintain daily communication with case managers, discharge planners, and acute care units to follow up on referrals promptly.
Conduct initial assessments of home care needs, review hospital medical records, and prepare documentation according to agency policies.
Coordinate services based on admission criteria, patient preferences, and clinical needs, securing physician orders in accordance with regulatory requirements.
Provide education to patients, families, physicians, and healthcare staff regarding home care, hospice, and community resources.
Facilitate communication across physicians, hospital units, intake teams, and other care providers to support continuity of care.
Participate in quality improvement activities, business development efforts, and new program implementation.
Maintain confidentiality, ethical practice, accurate documentation, and adherence to compliance requirements.
Bachelor’s degree or equivalent experience required.
Clinical education and current state clinical license preferred.
Minimum 2 years’ experience in acute care, customer service, sales/marketing, or a related field.
Strong verbal and written communication skills.
Position Highlights & Benefits:
Paid holidays and generous Paid Time Off (PTO)
Up to $5,250 in tuition reimbursement annually!
Discounts with major vendors; AT&T, Verizon, Ford Motor Company, General Motors, Quicken Loans, AND MORE!
Day 1 Benefits - Low cost medical, dental and vision insurance plans. Enjoy lower cost medical services when you visit facilities within the Trinity Health network.
Daily-pay options
Fast response interview times and job offers!
About Trinity Health At Home:
Trinity Health At Home is a leading provider of home-based care, rooted in a mission to serve with compassion and excellence. As part of Trinity Health, one of the largest Catholic health systems in the U.S., we are committed to holistic, person-centered care that supports healing and independence.
Our Commitment
Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.
St. Mary Home care & Hospice, a member of Trinity Health at Home, has a need for a Full-time Home care Clinical Manager. This position is based out of our branch office in Watkinsville, Georgia. Home care & Oasis experience preferred.
Under the direction of the Regional Director, the Clinical Manager is responsible for the overall performance of the team including quality patient care, financial performance, utilization management, and compliance with state and federal regulations. Demonstrates fiscal responsibility through managing daily operations of their team to meet financial indicators, and quality standards.
Working knowledge in navigating through Excel and utilization of Outlook and Word. Excellent communication and problem-solving skills. Excellent organization and time management skills. Ability to multi-task. Excellent interpersonal skills and ability to work within an Inter-Disciplinary Team approach. Self-confident and assertive, flexible, reliable, and dependable. Positive, can-do attitude. Currently licensed or eligible for a license to operate an automobile in the applicable state.
REQUIREMENTS
Completion of an accredited Nursing curriculum in accordance with applicable state practice act.
BS or BA in Nursing required. Active and free from restrictions to practice or disciplinary action Georgia State licensure in clinician's field of practice.
MSN or advanced business degree preferred.
CPR certification. Current valid license to practice as a Clinician in Georgia.
Two (2) years of Home care nursing experience required, and one (1) year of management experience preferred.
Experience in EPIC a plus
Experience with Oasis documentation required
Other benefits
Day 1 Health, dental and vision insurance benefits
Short and long-term disability
403b
Generous paid time off
Mileage reimbursement
Comprehensive orientation
About St. Mary's Home care & Hospice
St. Mary's Home Care & Hospice is a member of Trinity Health At Home, a national home care, palliative care and hospice organization serving communities in twelve states. We are a comprehensive, trusted provider of home care and end-of-life care in the sacred place that people call home. A Catholic-based, non-profit organization, we serve patients and their loved ones with home care (skilled nursing, physical/occupational and speech therapy and medical social work), palliative care, hospice and bereavement services. Our legacy continues with a pioneering, future-thinking care model. We blend clinical expertise with our exclusive Home Care Connect™ virtual care program to help patients achieve their health goals. We have energizing new vision and strategy. Join us and shape the future of healthcare!
Apply now!
Qualified applicants are encouraged to apply online at Commitment
Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.
St. Mary Home care & Hospice, a member of Trinity Health at Home, has a need for a Full-time Home care Clinical Manager. This position is based out of our branch office in Watkinsville, Georgia. Home care & Oasis experience preferred.
Under the direction of the Regional Director, the Clinical Manager is responsible for the overall performance of the team including quality patient care, financial performance, utilization management, and compliance with state and federal regulations. Demonstrates fiscal responsibility through managing daily operations of their team to meet financial indicators, and quality standards.
Working knowledge in navigating through Excel and utilization of Outlook and Word. Excellent communication and problem-solving skills. Excellent organization and time management skills. Ability to multi-task. Excellent interpersonal skills and ability to work within an Inter-Disciplinary Team approach. Self-confident and assertive, flexible, reliable, and dependable. Positive, can-do attitude. Currently licensed or eligible for a license to operate an automobile in the applicable state.
REQUIREMENTS
Completion of an accredited Nursing curriculum in accordance with applicable state practice act.
BS or BA in Nursing required. Active and free from restrictions to practice or disciplinary action Georgia State licensure in clinician's field of practice.
MSN or advanced business degree preferred.
CPR certification. Current valid license to practice as a Clinician in Georgia.
Two (2) years of Home care nursing experience required, and one (1) year of management experience preferred.
Experience in EPIC a plus
Experience with Oasis documentation required
Other benefits
Day 1 Health, dental and vision insurance benefits
Short and long-term disability
403b
Generous paid time off
Mileage reimbursement
Comprehensive orientation
About St. Mary's Home care & Hospice
St. Mary's Home Care & Hospice is a member of Trinity Health At Home, a national home care, palliative care and hospice organization serving communities in twelve states. We are a comprehensive, trusted provider of home care and end-of-life care in the sacred place that people call home. A Catholic-based, non-profit organization, we serve patients and their loved ones with home care (skilled nursing, physical/occupational and speech therapy and medical social work), palliative care, hospice and bereavement services. Our legacy continues with a pioneering, future-thinking care model. We blend clinical expertise with our exclusive Home Care Connect™ virtual care program to help patients achieve their health goals. We have energizing new vision and strategy. Join us and shape the future of healthcare!
Apply now!
Qualified applicants are encouraged to apply online at Commitment
Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.
Physical Therapist (PT) – Home Care
Mount Carmel Home Care
As a Home Care Physical Therapist (PT), you’ll use advanced technology, strong clinical expertise, and compassionate care to help patients regain mobility, independence, and quality of life. You’ll work collaboratively across a multidisciplinary team—including physicians, nurses, social workers, and home health aides—while enjoying the autonomy and flexibility that home care provides.
Why You’ll Love Working With Us
Start Here… Grow Here… Stay Here!
We don’t just offer jobs—we build long-term careers. Many of our therapists have grown into leadership roles because we invest deeply in your development, well-being, and success.
Here’s what you can look forward to:
Consistent, Predictable Schedules
Enjoy reliable workloads with guaranteed hours—no guessing, no stress.
Competitive Pay & Affordable Benefits
Access comprehensive, low-cost benefits and compensation that truly reflects your expertise.
Supportive, Visible Leadership
You’ll always feel backed by leaders who understand home care and are committed to helping you excel.
Clear Pathways for Career Growth
Every leader on our team began in a field role—you can grow here, too.
Epic EMR System
Experience streamlined charting and communication with one of the most trusted systems in healthcare.
Fast, Candidate-Friendly Hiring Process
Quick interviews and prompt offers—we respect your time.
Deeply Meaningful Work
Deliver one-on-one, relationship-driven care that makes a real difference in the lives of patients and families.
Zero On-Call Requirements
Focus on great care without worrying about on-call rotations.
Minimum Qualifications
Bachelor’s degree with progressive experience or a Master’s degree in Physical Therapy
Active Physical Therapist license in the State of Ohio
Working knowledge of home health Conditions of Participation preferred
Home healthcare experience is a plus
Current driver’s license and reliable transportation
Position Highlights & Benefits
Medical, dental, and vision insurance starting Day One
Short-term and long-term disability
403(b) retirement plan with employer match
Generous paid time off plus seven (7) paid holidays
Comprehensive orientation and onboarding
Tuition reimbursement up to $5,250 per year
Who We Are
Mount Carmel Home Care is part of Trinity Health At Home, a nationally recognized home care, hospice, and palliative care organization serving patients across eleven states. As a faith-based, not-for-profit agency, we are dedicated to delivering exceptional, patient-centered care that extends compassion beyond the bedside.
We provide skilled nursing, therapy services (physical, occupational, speech), and medical social work—and we're proud to be Medicare certified and Joint Commission accredited
Our Commitment
Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.
Physical Therapist (PT) – Home Care
Mount Carmel Home Care
As a Home Care Physical Therapist (PT), you’ll use advanced technology, strong clinical expertise, and compassionate care to help patients regain mobility, independence, and quality of life. You’ll work collaboratively across a multidisciplinary team—including physicians, nurses, social workers, and home health aides—while enjoying the autonomy and flexibility that home care provides.
Why You’ll Love Working With Us
Start Here… Grow Here… Stay Here!
We don’t just offer jobs—we build long-term careers. Many of our therapists have grown into leadership roles because we invest deeply in your development, well-being, and success.
Here’s what you can look forward to:
Consistent, Predictable Schedules
Enjoy reliable workloads with guaranteed hours—no guessing, no stress.
Competitive Pay & Affordable Benefits
Access comprehensive, low-cost benefits and compensation that truly reflects your expertise.
Supportive, Visible Leadership
You’ll always feel backed by leaders who understand home care and are committed to helping you excel.
Clear Pathways for Career Growth
Every leader on our team began in a field role—you can grow here, too.
Epic EMR System
Experience streamlined charting and communication with one of the most trusted systems in healthcare.
Fast, Candidate-Friendly Hiring Process
Quick interviews and prompt offers—we respect your time.
Deeply Meaningful Work
Deliver one-on-one, relationship-driven care that makes a real difference in the lives of patients and families.
Zero On-Call Requirements
Focus on great care without worrying about on-call rotations.
Minimum Qualifications
Bachelor’s degree with progressive experience or a Master’s degree in Physical Therapy
Active Physical Therapist license in the State of Ohio
Working knowledge of home health Conditions of Participation preferred
Home healthcare experience is a plus
Current driver’s license and reliable transportation
Position Highlights & Benefits
Medical, dental, and vision insurance starting Day One
Short-term and long-term disability
403(b) retirement plan with employer match
Generous paid time off plus seven (7) paid holidays
Comprehensive orientation and onboarding
Tuition reimbursement up to $5,250 per year
Who We Are
Mount Carmel Home Care is part of Trinity Health At Home, a nationally recognized home care, hospice, and palliative care organization serving patients across eleven states. As a faith-based, not-for-profit agency, we are dedicated to delivering exceptional, patient-centered care that extends compassion beyond the bedside.
We provide skilled nursing, therapy services (physical, occupational, speech), and medical social work—and we're proud to be Medicare certified and Joint Commission accredited
Our Commitment
Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.
Provide one-to-one, compassionate care and love your job
Mercy Home Health, an agency of Trinity Health At Home, provides compassionate, exceptional care where people are most comfortable: at home. We are the area's most comprehensive home care provider with trusted quality of care. With new strategy, vision and technology, we are growing and shaping the future of healthcare!
We have a pioneering care model with Home Care Connect, our integrated virtual care program that helps patients avoid preventable ER visits and hospitalizations. It enhances our clinical excellence with advanced, easy-to-use remote monitoring technology and 24/7 access to our Virtual Care Center RNs.
Home Care RN position summary
Provides primary nursing care to home based care patients as ordered by the physician, and in accordance to the organization’s policies and procedures. The RN is responsible for the initial assessment and care plan development in collaboration with the Population Health Case Manager. Provides functional support/supervision to Home Healthcare Aides and LPNs as needed. Provides therapeutic intervention, overall care management and achievement of top decile client outcomes and patient satisfaction.
Your opportunity
$10,000 Signing Bonus
Provide one-to-one care with your patients in their homes
Enjoy a truly patient-centered focus
Excel with supportive, motivated colleagues in an inspiring environment
Flexibility
Competitive salary
Career paths and professional development
Learn the industry's best, easy-to-use, advanced technology
Other benefits
Health, dental and vision insurance
Short and long-term disability
403b
Generous paid time off
Mileage reimbursement
Comprehensive orientation
Minimum qualifications
Graduate of an approved nursing education program
Licensure as a Registered Nurse in the state of PA
One (1) year experience as a professional care nurse
Must have current Driver’s license and reliable transportation
About Mercy Home Health
Mercy Home Health is a member of Trinity Health At Home, a national home care, palliative care and hospice organization serving communities in twelve states. We are a comprehensive, trusted provider of home care and end-of-life care in the sacred place that people call home. A Catholic-based, non-profit organization, we serve patients and their loved ones with home care (skilled nursing, physical/occupational and speech therapy and medical social work), palliative care, hospice and bereavement services. Our legacy continues with a pioneering, future-thinking care model. We blend clinical expertise with our exclusive Home Care Connect™ virtual care program to help patients achieve their health goals. We have energizing new vision and strategy. Join us and shape the future of healthcare!
Our Commitment
Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.
Provide one-to-one, compassionate care and love your job
Mercy Home Health, an agency of Trinity Health At Home, provides compassionate, exceptional care where people are most comfortable: at home. We are the area's most comprehensive home care provider with trusted quality of care. With new strategy, vision and technology, we are growing and shaping the future of healthcare!
We have a pioneering care model with Home Care Connect, our integrated virtual care program that helps patients avoid preventable ER visits and hospitalizations. It enhances our clinical excellence with advanced, easy-to-use remote monitoring technology and 24/7 access to our Virtual Care Center RNs.
Home Care RN position summary
Provides primary nursing care to home based care patients as ordered by the physician, and in accordance to the organization’s policies and procedures. The RN is responsible for the initial assessment and care plan development in collaboration with the Population Health Case Manager. Provides functional support/supervision to Home Healthcare Aides and LPNs as needed. Provides therapeutic intervention, overall care management and achievement of top decile client outcomes and patient satisfaction.
Your opportunity
$10,000 Signing Bonus
Provide one-to-one care with your patients in their homes
Enjoy a truly patient-centered focus
Excel with supportive, motivated colleagues in an inspiring environment
Flexibility
Competitive salary
Career paths and professional development
Learn the industry's best, easy-to-use, advanced technology
Other benefits
Health, dental and vision insurance
Short and long-term disability
403b
Generous paid time off
Mileage reimbursement
Comprehensive orientation
Minimum qualifications
Graduate of an approved nursing education program
Licensure as a Registered Nurse in the state of PA
One (1) year experience as a professional care nurse
Must have current Driver’s license and reliable transportation
About Mercy Home Health
Mercy Home Health is a member of Trinity Health At Home, a national home care, palliative care and hospice organization serving communities in twelve states. We are a comprehensive, trusted provider of home care and end-of-life care in the sacred place that people call home. A Catholic-based, non-profit organization, we serve patients and their loved ones with home care (skilled nursing, physical/occupational and speech therapy and medical social work), palliative care, hospice and bereavement services. Our legacy continues with a pioneering, future-thinking care model. We blend clinical expertise with our exclusive Home Care Connect™ virtual care program to help patients achieve their health goals. We have energizing new vision and strategy. Join us and shape the future of healthcare!
Our Commitment
Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.
The home health registered nurse Mentor uses the nursing process (assesses, plans,
implements, evaluates) to provide patient care in the home setting and to provide field clinical training to new nursing hires to Home Health. Provides
individualized patient care for patients in all developmental stages throughout the life
span including: Adult - 18-72 years, Geriatric - 72 + years, according to
established policies, procedures, guidelines and nursing standards of care. Provides additional precepting oversight to new hires. This position is responsible for the care and case management of patients in all stages of life in their homes based on the nurse’s experience and competency evaluation.
PRIMARY JOB DUTIES
1. Assesses, interprets, plans, implements and evaluates patients according to the patient’s age and diagnosis.
2. Effectively and efficiently manages the care of a caseload of patients and coordinates care with a multidisciplinary team.
3. Appropriately communicates information in accordance with agency policies and procedures and discipline specific guidelines.
4. Provides practical clinical experience and guidance to field clinicians to include orientation of new clinicians
5. Contributes to program effectiveness.
6. Organizes and performs work effectively and efficiently.
7. Maintains and adjusts schedule to enhance agency performance.
8. Demonstrates a daily commitment to the values of the agency.
9. Demonstrates positive interpersonal relations in dealing with all members of the agency.
10. Maintains and promotes customer satisfaction.
11. Effectively demonstrates the mission, vision, and values of the Agency on a
daily basis.
1.0 30% QUALITY OF WORK:
1.1 7 %
Utilizing all aspects of the Nursing Process (assessment, planning, implementation, evaluation) with appropriate skill to effectively manage the Plan of Care for each patient as evidenced by:
- Providing nursing intervention based on physiological needs and clinical assessment appropriate for the patient’s age and developmental stage.
- Providing and/or facilitating education according to the Plan of Care and within the level of understanding and developmental age for both the patient and his/her family.
- Providing developmental interventions appropriate to patient’s age and clinical status.
- In collaboration with the patient/family and the physician, the nurse performs and documents a thorough, timely initial assessment to determine the eligibility for home care and to identify needs and problems.
- Reassesses the patient at the minimum of every 60-62 days or when the patient demonstrates a significant change in clinical status, support system or care environment. Reviews and accurately updates the overall plan of care (CMS 485) at least every 60-62 days, incorporating all pertinent changes in the physician summary letter, concisely summarizes the significant facts of care and the progress toward achieving goals.
- Obtains physician orders and utilizes data collected during the admission assessment; agency teaching guidelines and appropriate nursing skills to implement and follow an established plan of care. Evaluate and revise the nursing and aide plans of care, when there are changes in the patient’s condition, psychosocial status, and home environment; when no progress toward stated goals is evident and when there is a change in physician orders.
1.2 6 %
Effectively and efficiently manages the care of a caseload of patients and coordinates care with a multidisciplinary team.
- Supervises the home health aides every 14 days in accordance with federal/state guidelines and agency policy.
- Collaborates with and supervises the nursing care provided by the LPN. Conferences with LPN on shared patients when there are changes in the plan of care or status of the patient.
- Conferences with other disciplines regarding the status of shared patients and consistently documents interdisciplinary coordination and communication activities in the clinical record. Attends interdisciplinary conferences in accordance with agency policy. Makes appropriate notifications in advance of the conference if unable to attend.
- Maintains patient caseload and keeps clinical manager informed of current caseload in accordance with agency guidelines.
- Appropriately informs the physician and other involved agency staff of any adverse changes in patient’s condition, safety issues, changes in plan of care and discharge plans.
- Informs supervisor of any potential or actual client concerns, risk management issues and referrals to Child/Adult Protective Services 100% of time.
1.3 7%
Appropriately communicates information in accordance with agency policies and procedures and discipline specific guidelines.
- Completes all forms accurately and in accordance with agency guidelines/policies.
- Appropriately describes the patient’s functional limitations to justify homebound status.
- Documents all verbal orders for new or changed orders according to agency guidelines.
- Completes clinical notes in accordance with agency guidelines and time frames.
- Documents involvement of the patient and family in developing and revising the plan of care.
- Consistently describes interdisciplinary, interagency, and intragency communication and coordination of services as per agency guidelines.
1.4 4%
Contributes to program effectiveness as evidenced by:
- Demonstrating understanding of the interdisciplinary team approach and continuum of care in accordance with the home health mission.
- Incorporating recommendations and goals of other disciplines and patient/family into nursing visits.
- Demonstrating willingness and ability to accommodate agency needs in order to provide optimum patient care.
- Accepting constructive criticism as evidenced by implementation of suggested actions for improved performance.
- Promoting change and being proactive in suggesting ideas and new ways of doing things.
- Demonstrating ability to prioritize and enhance services during fluctuating patient census.
1.5 5% Provides practical clinical experience and guidance to field clinicians to include orientation of new clinicians as evidenced by:
- Demonstrates process for SOC, ROC, Recert, Discharge and routine visits to clinicians during the orientation process and observes employee’s ability to perform
- Observes clinical skills and patient interaction of new clinicians and provides feedback to the clinician.
- Works with clinicians to review application of clinical protocols and programs
- Reviews orientation information with new clinicians to determine the clinician’s level of understanding and re-educate as necessary
- Collaborates with Field Clinical Manager weekly to review new hire progress and address deficiencies
2.0 20% PRODUCTIVITY/USE OF TIME:
2.1 10%
Organizes and performs work effectively and efficiently as evidenced by:
- Participating in continuous performance improvement and completing all required educational programs for the Agency and profession.
- Recognizing and performing duties in an independent manner.
- Accepting personal responsibility for the completion and quality of work outcomes.
- Meeting assigned deadlines.
- Meeting productivity expectations.
- Maintaining a clean and safe environment.
2.2 10%
Maintains and adjusts schedule to enhance team performance as evidenced by:
- Reporting to work on time and returning promptly from errands, breaks, and meals.
- Managing personal work schedule and time off to promote smooth agency operations.
- Assisting other team members to ensure completion of all work assignments.
- Demonstrating flexibility with changing workload/assignments.
3.0 25% TEAM WORK:
3.1 25%
Demonstrates positive interpersonal relations in dealing with all members of the team (i.e. co-workers, supervisors, physicians, etc.) as evidenced by:
- Communicating in a positive and productive manner.
- Demonstrating respect for team members.
- Managing stress and personal feelings without a negative impact on the team.
- Maintaining positive attitude about assignments and team members.
- Promoting professional / personal growth of co-workers by sharing knowledge and resources.
- Working collaboratively and cooperating with other agency employees.
4.0 25% MISSION, VISION, VALUES:
4.1 15%
Maintains and promotes customer satisfaction.
- Responding to all customers in a courteous, sensitive and respectful manner.
- Abiding by the confidentiality and ethics policies of Well Care Home Health.
- Participates in community outreach activities that promotes goals and objectives of the agency.
4.2 10%
Continuously and effectively demonstrates customer service standards of courtesy, efficiency, and presentation as evidenced by:
- Practicing personal cost containment by responsible use of equipment, supplies, and resources.
- Completing the review period without a formal disciplinary action.*
- Presenting a clean and neat appearanc
