A professional who provides professional nursing services within the scope of nursing practice standards in collaboration with primary care physicians, teaches and educates clients and their families. Professional skilled nursing is performed under the supervision of the Administrator/Director of Nursing.


Graduate of an approved professional nursing program (RN). Currently, licensed in good standing” in MN. Minimum of one (1) year of experience as a professional nurse, preferably in-home care. Must have a criminal background check and current CPR certification. Prefer a BA degree.


  • Furnishes those services requiring substantial and specialized nursing skills.
  • Initiates appropriate preventative and rehab nursing procedures.
  • Prepares & submits timely, clinical, and progress notes. Oversees coordination of client services.
  • Informs MD and other staff of changes in client’s situation or needs.
  • Completes medical history/home safety check/environmental assessments.
  • Performs socio-psychological evaluation.
  • Performs assessment visits and documents timely. (ie. OASIS/ Skilled Nursing Note etc.).
  • Performs physical examination and review of all body systems and documents accordingly.
  • Develops individualized Plan of Care (POC) to be submitted to the physician for approval and implementation and performs necessary revisions based upon client needs.
  • Determines medical necessity for other services.
  • Regularly re-evaluates the client’s nursing needs.
  • Evaluates the client’s ADL and iADL abilities and the need for a home health aide.
  • Develops and implements the HHA plan of care when HHA services are ordered.
  • Revises and signs this care plan at the beginning of each certification period.
  • Supervises HHA in accordance with state/federal requirements and documents the supervision.
  • Orders ‘other professional services that may be appropriate to the needs.
  • Reviews billing processes with client and/or family advising client and/or family when co-pay or Medicare is not likely to pay for services.
  • Effectively communicates ongoing with client and family progression/changes in POC.
  • Effectively communicates with Supervisor/DON/other disciplines in the case.
  • Communication with the client’s MD (verbally and/or in writing) to obtain effective treatment modalities and/or rehabilitative therapy modalities.
  • Actively communicates in the case of conferencing sessions to establish best practices.
  • Submits requests for re-authorization of more visits needed” to payers timely.
  • Coordinates Community Services for the client to assist in safe home care needs.
  • Participates in the QA Committee.
  • Performs timely clinical record reviews (CRR) per Agency policy in collaboration with the Nursing Supervisor.
  • Participates in ongoing staff meetings/in-services.
  • Participates in the growth of office by being a willing preceptor for same discipline employees.
  • Participates in the planning, operation, and evaluation of the nursing services of the organization.
  • Maintains professional licensure per state requirements.
  • Notifies the Agency of emergencies, sickness, and other imminent occurrences that may affect the client caseload as quickly as possible relative to the event’s occurrence.
  • Submits written time requests 2 weeks or more in advance of planned time off.
  • Other duties as assigned.


Vehicle to do routine client visits, possible transfer/lifting devices, medical supplies


  • Indoors, performing client care assessment/tasks in the client’s residence
  • Travel to client residences/meetings; will require transportation to get to various work sites
  • Possible exposure to communicable diseases


  • Able to access client’s homes that may not be handicap accessible.
  • Able to hear, speak, understand, and communicate effectively in English.


On a daily basis: walking, standing, sitting, reaching, use of telephone, use of computers & other office equipment, lifting/transferring 150 lbs or greater, bending, stooping, climbing stairs.