Key Responsibilities

Clinical Oversight & Care Coordination

• Conduct initial and ongoing nursing assessments as required
• Develop, review, and update individualized care plans
• Monitor client health status and respond to changes in condition
• Coordinate care with physicians, case managers, and other healthcare providers
• Review and monitor medication-related supports (non-administration unless authorized)

Compliance & Documentation

• Ensure compliance with Wisconsin DHS, ForwardHealth, and Medicaid regulations
• Review and maintain accuracy of client binders and clinical documentation
• Participate in audits, surveys, and corrective action planning
• Ensure emergency care plans (ECPs) are current and implemented
• Complete incident reviews and provide follow-up as required

Staff Support & Training

• Provide clinical guidance and supervision to caregivers and PCA staff
• Conduct staff training on client-specific care needs and nursing-related tasks
• Support competency evaluations and ongoing education
• Promote infection control, safety, and best practices

Quality Assurance & Program Development

• Participate in quality improvement initiatives
• Identify areas for improvement in care delivery and documentation
• Support policy development and implementation
• Maintain professional standards and ethical practice

Qualifications

• Current Wisconsin Registered Nurse (RN) license in good standing
• Minimum 1–2 years of nursing experience (home health, long-term care, or AFH preferred)
• Knowledge of ForwardHealth, Medicaid, AFH, and PCA regulations preferred
• Strong documentation, organizational, and communication skills
• Ability to work independently and collaboratively
• Proficiency with basic computer systems and electronic documentation

Physical & Work Requirements

• Ability to travel between client homes as needed
• Ability to perform assessments, observe care, and review documentation
• Ability to lift or assist as required by client care activities (as applicable)

Confidentiality & Professional Standards

• Maintain strict confidentiality in accordance with HIPAA and agency policies
• Adhere to ethical nursing standards and agency procedures
• Maintain professional boundaries at all times

Acknowledgment

This job description is not intended to be all-inclusive. Responsibilities may be adjusted to meet operational and regulatory needs.