Registered Nurse

Position Summary

The RN Bridge Nurse plays a vital role in supporting clinical operations by bridging staffing gaps in unassigned homes and working directly with patients and families to ensure acceptance and utilization of authorized care. This role ensures continuity of care, promotes patient engagement, and supports compliance with clinical and regulatory standards. When not actively filling staffing gaps, the RN Bridge Nurse contributes to clinical oversight through supervisory visits, documentation review, and nurse education.

Key Responsibilities

Utilization of Unstaffed Homes

- Provide direct nursing care in homes without assigned staff to maintain continuity and quality of care.

- Complete assessments and documentation (e.g., T1001) for patients in unstaffed homes.

- Identify and report trends in staffing gaps and collaborate with the DON and Care Team Directors to address them.

- Support interim care planning and execution until permanent staffing is secured.

Patient Engagement & Care Acceptance

- Engage patients and families to encourage acceptance of approved care services.

- Educate on the importance and benefits of home health services.

- Participate in care plan discussions and family meetings to resolve concerns or hesitations.

- Collaborate with Patient Coordinators and Directors to align care delivery with patient needs.

Clinical Oversight & Support

- Conduct supervisory visits for patients without assigned nurses or those assigned to LPNs.

- Review and sign Case Management notes to ensure compliance and quality.

- Support nurse education and mentorship to improve documentation, clinical judgment, and utilization practices.

- Notify physicians and interdisciplinary teams of changes in patient condition.

- Serve as a clinical resource for field staff and leadership.

Qualifications

- Active Registered Nurse (RN) license in the state of practice (BSN preferred).

- Minimum of 3 years of nursing experience; home health or transitional care experience preferred.

- Strong communication and interpersonal skills, with a focus on patient-centered care.

- Knowledge of DOL/EEOICPA guidelines and home health regulations a plus.

- Proficient in EMR systems; experience with IGEA preferred.

Competencies

- Patient-Centered Communication

- Adaptability & Problem Solving

- Clinical Judgment

- Compliance & Regulatory Awareness

- Initiative & Follow-Through

Work Environment

- Field-based with travel to patient homes as needed.

- Requires flexibility to respond to urgent staffing needs, conduct supervisory visits, and support nurse education.

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