Job Description
Job Description
Position Overview
The Charge Nurse is responsible for overseeing the clinical nursing team, ensuring high-quality patient care, coordinating staff schedules and training, and acting as a clinical leader during shifts. This role includes hands-on care, administrative follow-through, medication oversight, and supporting new hires through onboarding and skill validations. The Charge Nurse plays a critical role in maintaining compliance with healthcare standards and ensuring a safe, well-coordinated care environment.
Reports to: Director of Nursing (DON)
Key Responsibilities
Staff Supervision and Coordination
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Supervise daily clinical operations and act as the on-shift leader, including weekends.
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Handle real-time callouts and ensure shift coverage by coordinating internal adjustments or utilizing agency nurses.
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Create and update staff schedules.
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Conduct and document 30-, 60-, and 90-day performance evaluations and skill observations for clinical staff.
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Oversee the preceptor program and assign mentors to new staff.
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Serve as the buddy for new hires during onboarding and orientation.
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Conduct skills checks and competency assessments for all clinical staff.
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Prepare talking points and concerns for monthly staff meetings.
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Conduct interviews for nurse candidates and provide hiring input to the Director of Nursing.
Patient Care Quality Assurance
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Conduct chart audits to ensure documentation is complete, accurate, and compliant.
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Escalate complex patient care concerns to the DON.
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Monitor and review authorization status and schedule accuracy for assigned patients.
Medication and Order Management
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Add and update medications in patient records as needed.
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Maintain and audit NARC (narcotic) sheets regularly.
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Coordinate medication refills.
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Ensure PRN orders are written with correct parameters and follow-up.
Patient and Household Supplies Management
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Ensure the availability of required DME and respiratory equipment.
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Oversee inventory needs for medical supplies related to patient care only.
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Conduct monthly med cart checks and support medication delivery processing.
Transportation and Patient Logistics
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Coordinate and request transportation for patient appointments.
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Oversee logistical arrangements related to patient mobility and offsite care.
Clinical Care and Support
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Provide direct clinical support as needed, including treatments and assessments.
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Complete monthly APD Monitoring Visits and related documentation.
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Serve as an expert resource for nursing staff in handling trach, G-tube, and vent care cases.
Administrative and Communication Duties
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Respond to clinical messages, calls, and voicemails from the Charge Nurse phone.
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Track and complete tasks in ClickUp.
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Complete and escalate incident reports in coordination with the DON.
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Ensure timely updates to Plan of Care (POC), Standard Orders, and eFax management in Worldview.
Required Qualifications
Education:
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Associate or bachelor’s degree in nursing (BSN preferred).
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Current, unencumbered Registered Nurse (RN) license in the state of operation.
Experience:
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Minimum of 3–5 years of nursing experience, with at least 1–2 years in a supervisory or charge nurse role, preferably in a home health or similar setting.
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Experience with electronic medical records (EMR) systems and proficient in documentation standards.
Skills:
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Strong clinical knowledge and ability to provide expert guidance on patient care.
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Proficiency in time management, critical thinking, and problem-solving.
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Familiarity with healthcare regulations and quality assurance practices.
Certification:
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BLS/ACLS certifications preferred.
Compensation and Benefits
Salary:
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Competitive salary based on experience and qualifications.
Benefits:
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Medical, dental, and vision coverage
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401(k) retirement plan with company matching
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Paid time off (PTO) and holidays
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Continuing education and training reimbursement