Home Health RN Field -Registered Nurse

CHOICE HEALTH AT HOME · TEXAS CITY, TX Full Time
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Job Description

About the Role: The Home Health Field Registered Nurse (RN) plays a critical role in delivering high-quality, patient-centered care within the comfort of patients' homes. This position involves comprehensive assessment, planning, implementation, and evaluation of nursing care tailored to individual patient needs, often managing complex medical conditions. The RN collaborates closely with interdisciplinary teams, patients, and their families to promote health, prevent complications, and support recovery or chronic disease management. By providing education, emotional support, and clinical expertise, the RN empowers patients to achieve optimal health outcomes and maintain independence. Ultimately, this role ensures continuity of care outside traditional clinical settings, improving patient satisfaction and quality of life. As a Home Health RN , you will: Initial and ongoing comprehensive assessments and treatment on the patients physical, functional, psychosocial, and environmental needs as evidenced by documentation, clinical record, case conference, team report, evaluations, and ADLs. Apply specific criteria for admission and re-certification to home health care to establish appropriate levels of care and the patient’s eligibility. Implement, develop, and document the plan of care to ensure quality and continuity of care and recommend revisions to the plan as necessary. Consult with and educate the patient and family regarding self-care techniques, nutrition, and dietary needs. Determine scope and frequency of services needed based on acuity and patient/family needs. Assess the ability of the caregiver to meet the patient’s immediate needs upon admission and throughout care. Initiate appropriate preventative and rehabilitative nursing procedures. Applies concepts of infection control and standard precautions in coordinating and performing patient care activities to prevent contamination and transmission of disease. Provide clinical directions to the Home Health Aide and LPN/LVN to ensure quality and continuity of service provided. Prepare clinical and progress notes that demonstrate progress toward established goals. Inform physician and other personnel of changes in the patient’s needs and outcomes of intervention, while evaluating patient and family response to care. Monitor assigned cases to ensure compliance with requirements of third party payor. Provide effective communication to patients, family, team members, and other health care professionals. Requirements Current RN License Valid Driver’s License CPR Certification Valid Auto Insurance At least 2 years of Home Health RN experience preferred HomeCare HomeBase experience preferred Benefits and Perks Medical, Dental, Vision Insurance 401k You’re eligible after 3 months of service/The plan is 100% fully vested immediately /Choice Health At Home contributes 100% of the first 3% you contribute each pay period Health Savings Account Life Insurance Short & Long Term Disability Insurance Paid Time Off and Paid Holidays Company vehicles could be available after 90 days of full time employment and all the terms and conditions set by the Fleet Car team are met.

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What Most Job Listings Don’t Tell You

General overview for this role type — specific duties and requirements vary by employer.

Nursing roles in senior living are fundamentally different from hospital nursing. Most positions involve building long-term relationships with the same residents over months or years rather than cycling through new patients every shift. Facilities in the Houston area typically require an active Texas RN or LVN license, current CPR/BLS certification, and many prefer at least one year of geriatric or long-term care experience.

Shift patterns vary widely — some facilities run traditional 8-hour shifts (day, evening, night), while others use 12-hour rotations. Weekend and holiday coverage is almost always part of the schedule. The nurse-to-resident ratio in assisted living is generally more favorable than in hospitals, but you will likely be the highest-level clinical staff on the floor during your shift, which means more autonomy and more responsibility for clinical judgment calls.

What to Expect in This Role Day-to-Day

Based on typical senior living facilities in the Houston area.

A typical shift starts with medication pass and resident assessments. You will review overnight notes from the previous shift, check vitals for residents on your watch list, and coordinate with CNAs on any changes in condition. Mid-shift usually involves documentation, family communication, and working with physicians on care plan updates — often by phone or telehealth rather than in-person rounds.

Depending on the facility, you may also handle admissions paperwork, manage wound care, supervise medication techs, and respond to emergencies. The documentation load in senior living is significant — state surveys and compliance requirements mean thorough charting is non-negotiable. Many nurses in this setting say the most rewarding part is knowing their residents personally and being able to notice subtle changes that a rotating hospital nurse might miss.

About This Employer

CHOICE HEALTH AT HOME is a Parent Agency located in TEXAS CITY, TX at 8900 EMMETT F LOWREY EXPY. SUITE 103D. This facility holds a 2.7-star Google rating based on 7 reviews.

Care services offered: Licensed And Certified Home Health Services; Licensed Home Health Services; Personal Assistance Services

View Full CHOICE HEALTH AT HOME Profile → See all openings at CHOICE HEALTH AT HOME →

Employer profile provided by Houston Senior Living Guide

Houston Area Salary Data

According to the Bureau of Labor Statistics, Registered Nurse positions in the Houston metro area earn a median wage of $47.02/hr ($97,802/yr). The typical range is $38.29 – $50.95/hr (25th–75th percentile).

Entry Level (10th) $69,368/yr
Houston Median $97,802/yr
Experienced (90th) $125,320/yr
vs. National Median +4.5%

Source: Bureau of Labor Statistics, Occupational Employment & Wage Statistics (Houston-Pasadena-The Woodlands, TX Metro Area). Salary data provided by Houston Senior Living Guide.

Facility Snapshot

Google Rating ★ 2.7 (7 reviews)
Facility Type Parent Agency

8900 EMMETT F LOWREY EXPY. SUITE 103D, TEXAS CITY, TX 77591

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