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Tufts Medicine

Integrated health system delivering connected care

Home Health Registered Nurse - RN Case Manager

Nursing & Frontline Patient CareUpdated on Nov 11
Full-time

About the Job

Requirements

  • An active registered nurse license in the state where services are provided is required; additional state licensure, if needed, must be obtained within 60 days.
  • A valid state-issued driver's license is required.
  • One year of acute medical/surgical nursing experience is required.
  • Basic Life Support certification is required.
  • For hires before September 28, 2026, CPR certification is required upon hire; for hires after that date, Basic Life Support certification must be obtained within 30 days of hire.
  • The employee must be able to perform the listed physical activities, regularly lift or move 25 pounds and occasionally lift or move up to 100 pounds, and communicate and exchange accurate information by phone, email, or in person.
  • Knowledge and skills necessary to provide age-appropriate care to patients are required.
  • Competence in home health and hospice standards of care, symptom management, and the psychosocial and spiritual aspects of care is required.
  • The ability to communicate, read, and write in English is required.
  • The ability to function effectively, manage time, prioritize busy schedules, and work autonomously in a home care setting is required.
  • Good organizational skills are required.

Responsibilities

  • Assess patients’ physical and psychosocial needs sensitively and in accordance with nursing practice standards and agency policies, and provide ongoing interdisciplinary patient assessment.
  • Assess patient and family learning needs, styles, and limitations, and adapt information delivery accordingly.
  • Recognize and respond sensitively to patients’ and caregivers’ cultural beliefs about death and dying.
  • Establish realistic goals and develop treatment plans with patients, families, and the health care team.
  • Identify abuse or neglect and follow the applicable reporting mechanism.
  • Adapt to new or unusual situations while maintaining work performance, and use Security when needed for potentially unsafe situations.
  • Collaborate with patients, families, health care providers, and community resources on care planning and discharge.
  • Continuously evaluate patient and family progress and goal achievement, keep the Clinical Manager informed, and justify continuing or terminating services.
  • Document patient data, activities, and communications promptly and clearly in the patient record using the computer system, in compliance with legal, certification, third-party payer, and agency requirements.
  • Complete physician orders, levels of care, and OASIS for assigned patients in accordance with care policies, and consistently reconcile medications with patients and physicians.
  • Follow safety guidelines and procedures, including ergonomics, fire, and personal safety; use proper body mechanics and patient-material handling.
  • Respond appropriately to emergencies and follow safety and security protocols, including stabilizing techniques.
  • Support patients and families experiencing emotional stress.
  • Manage the assigned caseload within the team-based care model, establish a daily work plan based on patient and area priorities, and triage visits, messages, and calls according to urgency.
  • Provide rotating coverage for evenings, nights, weekends, and holidays.
  • Use physical assessment and care-planning skills and maintain current knowledge of pharmacology, medication administration, and medication reconciliation.
  • Coordinate care and discharge planning with team members during case conferences.
  • Maintain working knowledge of third-party payers, regulatory bodies, and agency policies related to documentation and care.
  • Communicate and collaborate regularly with home-care disciplines and promptly address critical needs or crisis interventions.

Desired Qualifications

  • A Bachelor of Science in Nursing is preferred.
  • Specialty nursing certifications are preferred.
  • Three years of acute nursing experience, including medical/surgical, oncology, hospice, or home health, is preferred.
  • Experience with intravenous therapy and complex wound care is preferred.

About the Company

Tufts Medicine

Integrated health system delivering connected care

Tufts Medicine is an integrated health system in Massachusetts that brings together academic medical centers with community hospitals, a large home care network, and a wide physician network to coordinate care. It operates by aligning hospitals, doctors, and home care under a single strategy so patients can move smoothly across settings and receive consistent, lower-cost care. Its differentiator is the combination of academic medicine with broad community care and a focus on connected, low-friction patient experiences. The goal is to provide the highest quality care at the lowest possible cost, expand access, and transform how people engage with healthcare.

Company size
501-1,000
Company stage
Not listed
Total funding
Not listed
Headquarters
Burlington, MA
Founded
2014

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