Description About the Role Sierra Health Care has served Las Cruces families since 1982. As a Registered Nurse - Home Health, you'll carry that commitment into patients' homes with skilled, patient-focused care that supports safety, recovery, and independence. This role fits a nurse who values clinical independence, builds trust with patients and families, and works well alongside an interdisciplinary team. Key Responsibilities • Assess patients and develop, carry out, and update individualized plans of care in line with physician orders • Provide skilled nursing services and specialized procedures in the home • Complete accurate, timely clinical documentation, including OASIS assessments • Notify physicians of changes in patient condition and process orders, certifications, recertifications, and discharge summaries • Educate patients and families on health needs, safety, infection control, and emergency preparedness • Supervise and train LPNs and HHAs, including required supervisory visits • Coordinate care with the interdisciplinary team through care conferences and QAPI activities • Take on-call coverage as assigned Job Specific Duties • Conduct initial and ongoing assessments; develop, implement, and revise individualized plans of care based on patient condition and progress, in accordance with physician orders and regulatory deadlines • Provide skilled nursing services and specialized procedures; complete accurate and timely clinical documentation (including OASIS assessments) to support compliance and coding accuracy • Notify physicians of patient condition changes; process orders, certifications, recertifications, and discharge summaries • Provide direct patient care and on-call coverage as assigned; promptly report incidents, variances, or complaints • Supervise and train LPNs and HHAs, including required supervisory visits, retaining accountability for delegated tasks • Educate patients and families on health needs, safety, infection control, emergency preparedness, and patient rights • Coordinate services with the interdisciplinary team; participate in care conferences, QAPI activities, and peer review • Maintain current licensure, CPR certification, and required continuing education in compliance with state and federal regulations Other Duties: • Provide care and services in accordance with infection control, safety, and risk prevention protocols • Accurately document clinical interventions, care coordination, and communication in a timely manner • Participate in interdisciplinary meetings, case reviews, and continuing education opportunities • Maintain compliance with HIPAA and all company privacy and confidentiality standards • Represent the organization positively and professionally in patients’ homes and community settings • Work independently with minimal daily oversight and demonstrate initiative in completing responsibilities • Provide courteous, timely, and professional customer service to patients, families, and partners • Exhibit adaptability to changing responsibilities and flexibility in completing assignments • Demonstrate consistent and effective use of organizational technology systems and tools required for the role, including communication, documentation, productivity, and data management platforms • Adhere to all organizational policies, including job descriptions, mission, and the Employee Handbook • Communicate and interact professionally and respectfully with others to support team goals • Perform all other duties as assigned and as required to effectively discharge the responsibilities of the position and are in the best interests of the company What We're Looking For • A current RN license in the state of practice • At least one year of clinical nursing experience, preferably in home health or hospice • Working knowledge of OASIS documentation and home health regulations • Current CPR certification • Sound clinical judgment, strong organizational skills, and attention to detail • Comfort working independently in the field, with a valid driver's license, reliable transportation, and auto insurance for home visits • Clear, caring communication with patients and families Why Join Us Sierra is a nonprofit, so our focus is on the patients and community we serve, not shareholders. You'll find a close-knit team and the support to grow your career. • Medical, dental, and vision coverage, PTO, and a 401(k) • Mileage reimbursement • Flexible scheduling for clinical staff • Educational Encouragement for certifications, licensure advancement, and continuing education • Emergency Fund for team members facing unexpected personal hardship • Monthly Employee Recognition and Discipline Appreciation Events, including a dedicated gift and luncheon for RNs • Team building events, including potlucks and celebrations • Referral bonuses for qualified referrals If you bring steadiness and compassion into patients' homes, we'd be honored to meet you and help you bring out the courage in others. #ZR Requirements What We're Looking For • A current RN license in the state of practice • At least one year of clinical nursing experience, preferably in home health or hospice • Working knowledge of OASIS documentation and home health regulations • Current CPR certification • Sound clinical judgment, strong organizational skills, and attention to detail • Comfort working independently in the field, with a valid driver's license, reliable transportation, and auto insurance for home visits • Clear, caring communication with patients and families Physical Requirements • Must be able to stand, walk, bend, and assist with mobility or equipment as needed. Requires the ability to perform heavy lifting and to travel locally in various weather conditions. #ZR