RN Charge Nurse

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.

Key Responsibilities

Staff Supervision and Coordination

Supervise daily clinical operations and act as the on-shift leader, including weekends.

Handle real-time callouts and ensure shift coverage by coordinating internal adjustments or utilizing agency nurses.

Create and update staff schedules.

Conduct and document 30, 60, and 90 day performance evaluations and skill observations for clinical staff.

Oversee the preceptor program and assign mentors to new staff.

Serve as the buddy for new hires during onboarding and orientation.

Conduct skills checks and competency assessments for all clinical staff.

Prepare talking points and concerns for monthly staff meetings.

Conduct interviews for nurse candidates and provide hiring input to the Director of Nursing.

Patient Care Quality Assurance

Conduct chart audits to ensure documentation is complete, accurate, and compliant.

Escalate complex patient care concerns to the DON.

Monitor and review authorization status and schedule accuracy for assigned patients.

Medication and Order Management

Add and update medications in patient records as needed.

Maintain and audit NARC (narcotic) sheets regularly.

Coordinate medication refills.

Ensure PRN orders are written with correct parameters and follow-up.

Patient and Household Supplies Management

Ensure the availability of required DME and respiratory equipment.

Oversee inventory needs for medical supplies related to patient care only.

Conduct monthly med cart checks and support medication delivery processing.

Transportation and Patient Logistics

Coordinate and request transportation for patient appointments.

Oversee logistical arrangements related to patient mobility and offsite care.

Clinical Care and Support

Provide direct clinical support as needed, including treatments and assessments.

Complete monthly APD Monitoring Visits and related documentation.

Serve as an expert resource for nursing staff in handling trach, G-tube, and vent care cases.

Administrative and Communication Duties

Respond to clinical messages, calls, and voicemails from the Charge Nurse phone.

Track and complete tasks in ClickUp.

Complete and escalate incident reports in coordination with the DON.

Ensure timely updates to Plan of Care (POC), Standard Orders, and eFax management in Worldview.

Required Qualifications

Education :

Associate or bachelor’s degree in nursing (BSN preferred).

Current, unencumbered Registered Nurse (RN) license in the state of operation.

Experience :

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.

Experience with electronic medical records (EMR) systems and proficient in documentation standards.

Skills :

Strong clinical knowledge and ability to provide expert guidance on patient care.

Proficiency in time management, critical thinking, and problem-solving.

Familiarity with healthcare regulations and quality assurance practices.

Certification :

BLS / ACLS certifications preferred.

Compensation and Benefits

Salary :

Competitive salary based on experience and qualifications.

Benefits :

Medical, dental, and vision coverage

401(k) retirement plan with company matching

Paid time off (PTO) and holidays

Continuing education