Health Coding Jobs in Endicott, NY (NOW HIRING)

Home Health RN - Admissions (Start of Care / OASIS), Up to $25,000 Sign-On Bonus | Day Shift | Autonomy + Mileage Reimbursement 
Looking for more independence without losing support?
Guthrie Home Health is hiring an experienced RN to focus on admissions and start-of-care visits across Cortland, Tompkins, and Northern Tioga County.
This is a field-based role where you'll complete OASIS assessments, open patients to service, and set the tone for the entire episode of care.
 

What You'll Actually Do

• Complete start-of-care (SOC) and admission visits in the home
• Perform OASIS assessments and build initial care plans
• Educate patients and families on diagnoses, medications, and next steps
• Coordinate with providers and the care team to ensure a smooth transition into home health
• Typically 4-6 visits per day depending on geography

Why Nurses Choose This Role

• True autonomy - manage your day independently in the field
• Focused role - primarily admissions, not full caseload case management
• Strong clinical impact - you set the direction for patient care from day one
• Supportive team - leadership and clinical resources available when you need them

Schedule & Coverage

• Monday-Friday, 8:00 AM - 4:30 PM
• Rotating on-call (weekday + weekend every 4-6 weeks)
• Holiday rotation

Territory & Travel

• Primary coverage: Cortland, Tompkins, Northern Tioga County
• Mileage reimbursement provided

What You'll Need

• RN license (NY)
• 1+ year RN experience (home health or OASIS strongly preferred)
• Valid driver's license and reliable transportation

Compensation

• $39.00 - $54.12 per hour based on experience
• Up to $25,000 Sign-On Bonus

Position Summary: 

• The Registered Nurse (RN) provides professional, comprehensive nursing care for patients in an acute care environment.  
• Accountable for the delivery of coordinated, safe, compassionate, therapeutic, evidencebased quality care to patients and families, based on individual physical, emotional, and spiritual needs, and appropriate care strategies throughout the lifespan. 
• Practices in accordance with the Nurse Practice Act in the state of employment, the American Nurses Association (ANA) Code of Ethics for Nurses, and the ANA scope and standards of practice. 
• Essential functions and specific skills for the job are found in the unit specific onboarding checklist and in standards that are applicable to the specialty. 
• Complete comprehensive OASIS assessments and admissions evaluations
• Develop individualized care plans in partnership with patients, families, and the multidisciplinary team
• Deliver skilled nursing interventions and patient education
• Document thoroughly and accurately in accordance with Home Health standards
• Communicate proactively with providers, team members, and leadership
• Serve as a key clinical resource to support safe transitions into Home Health
• Promote patient engagement and empower individuals to achieve independent health management

Education, License & Cert: 

• Registered Nurse in the State of Practice. 
• BSN in Nursing preferred.
• Any previously agreed upon effective date for obtaining a Bachelor's degree in nursing between individuals and facilities   will remain in effect, including those who transition to their position from the NLRN Program.
• Any contract with specific time frames for obtaining a bachelor's degree in nursing will supersede the above point and will remain in effect. Specialty Certification is preferred 
• BLS certification.
• ACLS is unit dependent.

Experience: 

• The Registered Nurse must be a registered nurse currently licensed in the state of employment with at least one year of experience (preferably two). Alternately, the Registered Nurse may have less than one year of experience if they have been transitioned to their position from the Newly Licensed Registered Nurse Residency (NLRN) Program. 
• The Registered Nurse must meet the individual nursing unit specifications regarding educational requirements during employment. 
• Must maintain BLS certification. ACLS is unit dependent. Specifications regarding educational requirements during employment are determined by the Nursing Department and Nursing Unit.
• Valid drivers license and reliable transportation preferred. 
• Strong clinical assessment, critical thinking, and documentation skills
• Excellent communication, organization, and timemanagement abilities
• OASIS experience preferred

Essential Functions: 

1. Employs Nursing Professional Practice: Assesses, diagnoses, plans, implements, and evaluates patients' care. Develops updates and coordinates the patients' plan of care to achieve patient goals and to optimize outcomes and transitions across the continuum. Monitors, records, and communicates patient condition as appropriate. Performs and maintains the currency of essential competencies as required by a specific area of hire and population served.
2. Advocates: Effectively advocates for ethical and holistic care by partnering in care planning to promote the autonomy, dignity, rights, values, and beliefs of those we serve.
3. Facilitates Learning: Fosters a learning environment for patients/families, nursing, and other members of the healthcare team, including student; Facilities formal and informal learning for patients/families, nursing, other members of the healthcare team, and community.
4. Aligns Practice with Safety and Quality: Accountable for safety, identifies and corrects problems, and integrates evidence and best practice into nursing care; uses data and evidence to improve patient outcomes. Aligns patient safety, selfsafety, and environmental safety as equally important for best outcomes.
5. Engages in Professional Development: Engages in ongoing professional development; practices at the top of license within the legal parameters of the Nurse Practice Act, the ANA Code of Ethics for Nurses, and specialty standards. Promotes a culture of inquiry that explores, integrates, and disseminates research and evidencebased practice.
6. Leader in Practice Setting & Community: demonstrates leadership as change agents using the collaborative leadership skills of advocacy, influence and innovation. In partnering with colleagues appropriately delegates, coordinates care, and collaborates with others as equal members of the interprofessional care team to integrate nursing knowledge. Models professional behaviors as a representative of the nursing profession.
7. Participates in the planning and presentation of educational programs.
8. It is understood that this description is not intended to be allinclusive and that other duties may be assigned as necessary in the performance of the position.

Other Duties: 

1. Proficiency in Information Technology, such as electronic health records, communication systems, computers, and equipment necessary to perform essential functions of the position.
2. Skilled to work with a wide range of staff as part of an interdisciplinary team, including physicians, nurses, and ancillary staff.
3. Ability to use independent, critical judgment in all aspects of patient care delivery.
4. Demonstrated interpersonal skills that convey a positive and supportive attitude.
5. Ability to effectively manage multiple responsibilities, urgent responses, and challenging situations.

The payrate for this position is $39.00 - $54.12 per hour.

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Joining the Guthrie team allows you to become a part of a tradition of excellence in health care. In all areas and at all levels of Guthrie, you'll find staff members who have committed themselves to serving the community.

The Guthrie Clinic is an Equal Opportunity Employer.

The Guthrie Clinic is a non-profit, integrated, practicing physician-led organization in the Twin Tiers of New York and Pennsylvania. Our multi-specialty group practice of more than 500 physicians and 302 advanced practice providers offers 47 specialties through a regional office network providing primary and specialty care in 22 communities. Guthrie Medical Education Programs include General Surgery, Internal Medicine, Emergency Medicine, Family Medicine, Anesthesiology and Orthopedic Surgery Residency, as well as Cardiovascular, Gastroenterology and Pulmonary Critical Care Fellowship programs. Guthrie is also a clinical campus for the Geisinger Commonwealth School of Medicine.