Job Description

Monday - Friday, on site Littleton, NH, 8:00a-4:30p.

Job Description: Clinical Support Registered Nurse (CSRN)


Position Summary
Under the direction of the Interim President and CEO, the Clinical Support Registered Nurse (CSRN) plays a vital role in
ensuring high-quality patient care and operational support across all clinical services. This role is designed to support
both leadership and frontline clinical teams. The CSRN collaborates closely with agency leadership, field and office staff,
referral sources, physicians, advanced practice providers, and other healthcare professionals to facilitate
comprehensive, patient-centered care.

Essential Qualifications
Education:
- Bachelor of Science in Nursing (BSN) preferred; Associate Degree in Nursing (ADN) from an accredited program
required.
Licensure:
- Current and valid Registered Nurse (RN) license in the state of practice.
Skills:
- Demonstrates strong clinical assessment and critical thinking skills.
- Proficient in electronic health record (EHR) systems and related medical software.
- Excellent communication and interpersonal skills to support effective collaboration with patients and interdisciplinary
teams.
- Ability to manage multiple priorities in a fast-paced healthcare environment.
- Compassionate and patient-centered approach, with a focus on enhancing the overall patient and family experience.

Work Experience:
- Minimum of 2 years of clinical nursing experience preferred, particularly in home health and hospice settings.
- Experience in a supportive or quality-focused clinical role is a plus.

Essential Functions
1. Reviews orders and plans of care for completeness and regulatory compliance; tracks trends and
Job Description: Clinical Support Registered Nurse (CSRN)
regularly reports findings to the Leadership Team.
2. Performs audits of all Home Health Start of Care (SOC), Resumption of Care (ROC), Transfer, and
Discharge records for completeness, eligibility, and documentation standards; provides education
and feedback in alignment with Conditions of Participation (CoPs).
3. Assists with hospice audits, ensuring accuracy, program eligibility, and regulatory compliance,
while offering constructive feedback to staff.
4. Supports the Quality Manager in pulling and interpreting data from SHP and the EMR to inform
quality initiatives.
5. Assists with EMR training, implementation, and onboarding processes for clinical staff.
6. Provides ongoing computer and EMR support to clinicians in the field and office settings.
7. Serves as a backup to clinical leadership for both administrative and patient care functions as
needed.
8. Demonstrates strong organizational skills and exceptional customer service in all internal and
external interactions.
9. Collaborates with healthcare providers to develop and implement individualized patient care plans.
10. Assists with patient education to support health literacy and informed decision-making.
11. Supports the nursing team in executing clinical procedures, ensuring adherence to clinical
policies and safety standards.
12. Acts as a liaison between patients, families, and providers to ensure coordinated care and
address concerns effectively.
13. Participates in quality improvement initiatives to enhance outcomes and streamline workflows.
14. Provides emotional support to patients and families, fostering a compassionate and healing
environment.
15. Maintains accurate and complete patient records in accordance with HIPAA and regulatory
standards.
16. Engages in professional development to remain current on best practices and emerging
innovations.
17. Assists with inventory management of clinical supplies and equipment to ensure readiness for
patient care.
Job Description: Clinical Support Registered Nurse (CSRN)
18. Adheres to agency policies, procedures, and ethical guidelines to support high standards of
nursing practice.
19. Performs all other duties as assigned.

About NCHHHA:

North Country Home Health & Hospice Agency (NCHHHA), based in Littleton, NH, serves residents of Coos and Grafton Counties. Compassionate, patient-focused services include Home Care, Palliative Care, and Hospice Care. Home care offerings include, but may not be limited to, skilled observation and assessment, nursing care management, disease management, surgical aftercare, wound care, injections and IV therapy, maternal and baby health, pediatric care, rehabilitative services, and therapeutic assessment and rehabilitation planning specific to the home. Palliative care services include in-home consultation with a provider and/or Medical Social Worker, advanced care planning, symptom management recommendations, social and spiritual support, and bereavement and grief support. Hospice care includes a certified hospice nursing assessment, 24/7 clinical support, in-home provider visits for pain and symptom management, medical supplies, equipment and hospice medications, volunteer support and companionship, social and spiritual support, and bereavement and grief support. A proud partner of North Country Healthcare (NCH), NCHHHA is a Medicare-certified, non-profit organization and a member agency of the Home Care Association of NH.

About North Country Healthcare (NCH):

North Country Healthcare is a non-profit affiliation of four medical facilities, Androscoggin Valley Hospital, North Country Home Health & Hospice Agency, Upper Connecticut Valley Hospital, and Weeks Medical Center, located in the White Mountains Region of New Hampshire. NCH includes numerous physicians and medical providers at multiple locations. This leading comprehensive healthcare network which employs hundreds of highly-trained individuals delivers integrated patient care through three community hospitals, specialty clinics, and home health and hospice services. NCH remains committed to the health and well-being of the communities we serve.

 

North Country Healthcare is an equal-opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.

If you require a reasonable accommodation in completing this application, interviewing, completing any pre-employment testing, or otherwise participating in the employee selection process, please direct your inquiries to the Human Resources department at the affiliate to which you are applying.

Application Instructions

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