Position Title: Community Health Nurse, RN

Clinical Lynn - Job Code #:  

Location: Lynn, MA
Department: Clinical
All Care Division: VNA

HOURS/SCHEDULE: 37.5 hours a week
Shift: Days

POSITION SUMMARY: To provide quality care to clients in their home. The scope of practice includes direct client care and advocacy.


All Care is committed to Service Excellence, outstanding communication and exceeding the expectations of those we serve, including our patients, our referral sources, those who support our agency and each other.  The agency recognizes employees who deliver on this commitment through a formal recognition program.  At minimum, All Care expects each employee to maintain a positive, respectful attitude, to demonstrate flexible and efficient time management, to meet departmental productivity standards, while keeping current the necessary skills to work in the home care environment.  Each employee is expected to maintain open, honest and appropriate confidential communications with all customer groups in order to foster an effective service environment.



§         Provides care

§         Maintains the level of clinical expertise necessary to meet the needs of the home care population.

§         Maintains patient confidentiality as required by HIPAA.

§         Complies with infection control in accordance with Agency Policy.

§         Attends Team meetings

§         Seeks out additional supervision or resources as needed.

§         Works closely with scheduler to submit in a timely manner and maintain an accurate visit schedule

§         Case conferences at least every two weeks with clinical manager.

§         Provides home health aid supervision in accordance with Federal/State regulations and Agency policy as assigned.

§         Participates in On Call rotation.

§         Performs any other tasks assigned by supervisor.

§         Check company email on normally scheduled days at a minimum of the beginning and ending of their normal scheduled day and responds ASAP but a maximum of within 24 hours

§         Provides effective case management of patients on caseload with focus on meeting and/or exceeding agency quality outcomes, included but not limited to:

o        Case Mix Weight

o        Re-Certification rate

o        Target visits per episode

o        Acute Care Re-Hospitalization


§         Provides care in manner that assures above average patient satisfaction outcomes as measured by HHCHPS and in accordance with professional standards of practice.

§         Adheres to Agency established protocols for patient care (CHF protocol, Complex Wound Care, etc.)

§         Completes clinical assessments per Federal/State regulations and Agency Policy.

§         Develops an individual plan of care including patient specific goals for each admission.

§         Makes appropriate referrals for other services within the agency and community.

§         Updates and revises the plan of care and interventions as appropriate.

§         Participates in and documents case conferences with other disciplines at least every two weeks.

§         Provides appropriate teaching interventions to each client’s status as appropriate.

§         Communicates with physicians regarding the client’s status as appropriate.

§         Demonstrates knowledge of contraindications/precautions in relation to diagnosis and/or treatment.

§         Develops appropriate discharge plans.


§         Completes documentation in accordance with Federal/State regulations and Agency Policy.

§         Documents client’s level of understanding and response to teaching on every visit.

§         Documents on each visit client’s progress towards goals including barriers that impede progress.

§         Documents a skill for each billable visit.

§         Documents at point of care with the completion of the note the same day as the visit.

Complies with agency policy regarding computer transfers

Experience, Education and Licensure
Graduate of an NLN accredited school of nursing. RN currently licensed in the state where client services are being rendered, current Driver's License. BSN from accredited school preferred. One to two years of recent clinical experience. CHN experience preferred. Must be familiar with MS Word, Outlook and Excel. Unless otherwise agreed upon by employer, employee must have a valid drivers license. Furthermore, employee shall have use of a vehicle during working times and insurance as a driver of that automobile.

Language Skills
Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals. Ability to write routine reports and correspondence.
Ability to speak effectively before groups of customers or employees of organization.

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee is occasionally required to stand; walk; sit; use hands to finger, handle, or feel objects, tools or controls; reach with hands and arms; climb stairs; balance; stoop, kneel, crouch or crawl; talk or hear; taste or smell. The employee must regularily lift and / or move 50 pounds and frequently lift and / or move up to 100 pounds. Specific vision abilities required by the job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus.

Work Environment
Work environment characteristics described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is exposed to weather conditions prevalent at the time. The noise level in the work environment is usually moderate

Contact Information:
Please contact Laurie Proulx, All Care Recruiter
All Care, 210 Market Street, Lynn, MA 01901
Email: lproulx@allcare.org
Phone: 781-244-1150
Fax: 781-586-1636