Seasoned Baylor Registered Nurse (RN) Home Health Admissions Specialist – Clinical Assessment, Care Coordination, and Patient Advocacy (Remote)

Welcome to CenterWell Home Health – Where Compassion Meets Clinical Excellence At CenterWell Home Health, formerly Kindred at Home, we are proud to be one of the nation’s leading providers of home‑based health care. Our mission is simple yet powerful: deliver high‑quality, specialty care to patients in the comfort of their own homes while fostering an environment where our clinicians feel valued, supported, and inspired to grow. With more than 80,000 patients served daily across 350 locations in 38 states, we have built a reputation for innovative, patient‑centered services that improve health outcomes and enhance quality of life. Joining our team means becoming part of a vibrant community of clinicians who live and work in the neighborhoods they serve. It means having access to industry‑leading benefits, competitive compensation, and a culture that prioritizes work‑life balance, continuous learning, and professional advancement. If you are a passionate, driven, and skilled Registered Nurse seeking a role that blends clinical expertise with leadership and advocacy, the Baylor RN Home Health Admissions Specialist position is your next exciting career step. Why This Role Is a Game‑Changer for Your Nursing Career In the rapidly evolving landscape of home health, skilled admission nurses serve as the critical gateway between patients, physicians, and the multidisciplinary care team. As a Baylor RN Home Health Admissions Specialist, you will be at the forefront of assessing patient needs, designing individualized plans of care, and ensuring seamless coordination of services—all while upholding the highest standards of regulatory compliance and clinical quality. This role offers a unique blend of direct patient interaction, strategic case management, and team leadership, giving you the opportunity to influence outcomes on a daily basis and shape the future of home health delivery. Key Responsibilities – Your Day‑to‑Day Impact Comprehensive Clinical Assessments: Perform, or delegate, thorough Start‑of‑Care (SOC), Resumption‑of‑Care (ROC), Recertification, and Discharge OASIS assessments, ensuring all data are accurate, complete, and reflect the patient’s current health status. Plan of Care Development: Craft individualized, physician‑approved treatment plans that incorporate evidence‑based interventions, health maintenance education, and safety precautions tailored to each patient’s unique situation. Care Coordination & Communication: Serve as the central hub for communication among patients, families, physicians, external case managers, and internal team members, facilitating timely information exchange and prompt resolution of any care‑plan modifications. Resource Management: Identify, allocate, and monitor community resources, home health aides, and licensed clinicians to guarantee the optimal execution of the plan of care and achievement of desired clinical outcomes. Quality Assurance & Compliance: Ensure all activities align with state and federal home health regulations, PDGM (Patient‑Driven Groupings Model) requirements, and CenterWell’s internal policies, conducting periodic audits and corrective actions when needed. Continuous Re‑Evaluation: Periodically reassess patient conditions, delegating as appropriate, and update the plan of care to reflect any changes in health status, goals, or environmental factors. Team Leadership & Mentorship: Provide guidance and mentorship to junior nurses, aides, and support staff, fostering a collaborative environment that encourages professional growth and high‑performing teamwork. Special Projects & Innovation: Participate in pilot programs, quality improvement initiatives, and research projects aimed at enhancing clinical practice, patient satisfaction, and operational efficiency. Travel & Flexibility: Allocate approximately 60% of work time to travel across assigned geographic regions, ensuring timely patient visits and face‑to‑face interactions where virtual care is insufficient. Essential Qualifications – What You Must Bring Licensure & Education: Active Registered Nurse (RN) license in the state of practice; Bachelor of Science in Nursing (BSN) preferred but not mandatory. Clinical Experience: Minimum of 2 years of direct clinical experience in home health, hospice, or a similar community‑based setting, with at least one year in a supervisory, case‑management, or clinical leadership role. Certifications: Current CPR/BLS certification; additional certifications such as Certified Case Manager (CCM) or Certified Hospice and Palliative Nurse (CHPN) are highly valued. Regulatory Knowledge: Demonstrated familiarity with Medicare Conditions of Participation, OASIS documentation, PDGM guidelines, and state-specific home health regulations. Communication Mastery: Exceptional verbal and written communication skills, with the ability to convey complex clinical information clearly to diverse audiences. Technological Proficiency: Comfortable using EMR/EHR systems, mobile health platforms, and telehealth tools; proficiency in Microsoft Office Suite and data entry accuracy. Transportation Requirements: Valid driver’s license, reliable personal vehicle with auto insurance, and willingness to travel extensively across the service area. Professional Attributes: Strong analytical and problem‑solving abilities, meticulous attention to detail, high ethical standards, and a commitment to continual learning. Preferred Qualifications – Elevate Your Candidacy Master’s degree in Nursing, Healthcare Administration, or a related field. Experience with advanced practice roles such as Nurse Practitioner (NP) or Clinical Nurse Specialist (CNS) within home health. Track record of leading successful quality improvement projects or research initiatives. Familiarity with value‑based care models, risk adjustment, and population health management. Fluency in a second language, enhancing ability to serve diverse patient populations. Core Skills & Competencies for Success Clinical Judgment: Ability to assess complex medical conditions, interpret OASIS data accurately, and make evidence‑based decisions. Care Planning: Expertise in developing comprehensive, patient‑centered care plans that align with physician orders and regulatory standards. Leadership & Influence: Skilled at motivating interdisciplinary teams, delegating tasks appropriately, and fostering a culture of accountability. Patient Advocacy: Commitment to championing patient rights, preferences, and safety throughout the care continuum. Time Management: Efficiently balancing high‑volume travel schedules, documentation, and real‑time clinical decision‑making. Interpersonal Skills: Empathetic, culturally competent, and adept at building trust with patients, families, and healthcare partners. Technology Integration: Leveraging digital tools to streamline documentation, communication, and remote monitoring. Continuous Learning: Proactive pursuit of professional development through certifications, workshops, and industry conferences. Career Growth & Learning Opportunities CenterWell Home Health is dedicated to nurturing talent and providing clear pathways for advancement. As a Baylor RN Home Health Admissions Specialist, you will have access to: Tuition Reimbursement: Financial support for pursuing higher education, certifications, or specialized training relevant to home health and chronic disease management. Advanced Continuing Education (CE): Accredited programs that keep you at the forefront of clinical practice, regulatory changes, and emerging technologies. Leadership Development Tracks: Structured mentorship, coaching, and rotational assignments designed to prepare you for senior clinical, operational, or executive roles. Professional Networking: Participation in national conferences, webinars, and community outreach initiatives that expand your visibility and influence within the industry. Innovation Labs: Opportunities to collaborate on pilot projects, digital health solutions, and data analytics initiatives that shape the future of home care delivery. Work Environment & Company Culture Our culture is built on three pillars: Compassion, Collaboration, and Continuous Improvement. At CenterWell, you will experience: Supportive Leadership: Transparent communication, open‑door policies, and recognition programs that celebrate both individual achievements and team successes. Community Connection: A workforce that lives within the neighborhoods we serve, fostering deeper patient relationships and greater cultural competence. Flexible Scheduling: Options for part‑time, full‑time, or hybrid remote arrangements to accommodate personal needs and promote work‑life harmony. Safe & Inclusive Workplace: Commitment to diversity, equity, and inclusion, ensuring every employee feels respected, heard, and valued. State‑of‑the‑Art Technology: Access to mobile devices, secure telehealth platforms, and electronic health records that empower efficient, high‑quality care. Compensation, Perks, & Benefits Overview While exact salary ranges will be discussed during the interview process, successful candidates can expect a competitive, market‑aligned compensation package that reflects experience, education, and geographic location. In addition, CenterWell Home Health offers a robust benefits portfolio, including: Medical, Dental, & Vision Coverage: Comprehensive plans with low employee contributions. Retirement Savings: 401(k) plan with 50% employer match up to 6% of salary. Paid Time Off (PTO): Generous vacation, sick leave, and holiday policies. Life & Disability Insurance: Financial protection for you and your loved ones. Employee Assistance Program (EAP):** Confidential counseling, wellness resources, and crisis support. Company Car: Dedicated vehicle for work‑related travel, fully insured and maintained by CenterWell. Uniform Stipends & Supplies: Professional attire and necessary clinical tools provided. Recognition Programs: Awards, bonuses, and peer‑recognition initiatives that celebrate exceptional performance. How to Apply – Take the Next Step Toward a Rewarding Career If you are ready to bring your clinical expertise, leadership acumen, and compassionate heart to a role that truly makes a difference, we encourage you to apply today. Even if you don’t meet every single qualification, we value a positive attitude, a willingness to learn, and a dedication to patient‑centered care. Submit your resume, cover letter, and any relevant certifications through the link below. Our recruitment team will review your application promptly and reach out to discuss next steps. Apply to This Position Now Join Us and Elevate Home Health Care At CenterWell Home Health, you won’t just fill a role—you’ll become a pivotal part of a mission-driven organization dedicated to transforming the home health experience for patients and clinicians alike. We look forward to welcoming you to a team where your skills are celebrated, your growth is supported, and your impact is felt every day. Apply for this job