Clinical Lead /Registered Nurse (RN) at BrightStar Care · Sacramento

Are you looking for a home care job where you can make a difference in people’s lives? Do you want to work for a home care agency that truly cares about you? That’s where you can shine. We are proud to offer you the opportunity to pursue your passion at your own level, on a flexible schedule, and with the recognition and benefits you need. Come work for us and see how BrightStar Care of South Sacramento (“BrightStar Care”) employees uphold A Higher Standard.

What We Offer:

At BrightStar Care we value each of our employees and care about their well being. We strive to provide best-in-class benefits packages, including:

• 401(k)
• Time Off Bonus
• Insurance:
  • Medical
  • Dental
  • Vision
  • Term Life
• Mileage Reimbursement for clinical / administrative positions
• Free Training
• Part of a team with RN Oversight
• Employee referral bonus
• OnCall bonus
• Home Health or Facility shifts available
• Travel time reimbursement
• Mobile shift access
• Weekly pay w/ direct deposit
• Flexible schedule
• Every BrightStar Care location is independently owned and operated
• We promote from within
• Free continuing education
• Variety of in-home and assisted living assignments, procedures, and treatments
• Mobile time tracking and care notes, employees can easily clock in and out for work right from a mobile device. Online or offline
• Over 95% of BrightStar locations are Joint Commission accredited or in process!

We strongly live our value of a work-life balance by providing our employees with the following:

• We offer flexible work schedules on a variety of assignments, procedures, and treatments
• Weekend and evening opportunities, in-home and facility based

Responsibilities:

Clinical Oversight & Care Coordination

• Perform and/or supervise comprehensive initial assessments, including OASIS (if applicable), to determine patient needs and eligibility for home health services.
• Develop, implement, and periodically revise individualized Plans of Care (POC) in collaboration with the patient, family/caregiver, physician, and interdisciplinary team, consistent with RN scope of practice in California.
• Initiate appropriate nursing interventions and services; ensure timely and accurate physician orders, documentation, and care plan updates.
• Conduct regular patient reassessments, including at mandated intervals and with any significant change in condition, to evaluate progress, modify interventions, and determine ongoing service needs.
• Coordinate interdisciplinary care (PT, OT, ST, MSW, HHA, etc.) and participate in case conferences to review patient status, outcomes, and care plan effectiveness.
• Monitor clinical outcomes, patient safety, and satisfaction; assist in implementing quality improvement initiatives.

Direct Patient Care (Field Work)

• Provide skilled nursing care to patients in the home setting within the California RN scope of practice, including but not limited to:

• • Comprehensive nursing assessments and ongoing observation.
    • Medication management, reconciliation, and administration.
    • Wound care, catheter care, ostomy care, infusion therapy, and other skilled procedures as ordered.
    • Pain and symptom management, disease process teaching, and self‑management education.
    • Patient and family/caregiver teaching on treatment regimens, safety, infection control, and equipment use.

• Respond to changes in patient condition; implement appropriate interventions and promptly communicate significant findings to the physician and interdisciplinary team.

• Ensure timely and accurate clinical documentation in accordance with agency policy, state and federal regulations, and payer requirements.

Staff Training, Education & Competency

• Participate in the orientation of new clinical staff, including RNs, LVNs/LPNs, HHAs, and other field clinicians, ensuring understanding of agency policies, clinical standards, and regulatory requirements.

• Develop and/or deliver ongoing in‑services and educational programs focused on home health best practices, documentation standards, patient safety, infection control, and evidence‑based care.

• Perform competency assessments (initial and annual, and as needed) on clinical staff within the RN scope, including:

• Direct observation of clinical skills in the field and/or simulated settings.

• Review of clinical documentation and case management practices.

• Evaluation of adherence to care plans, infection control standards, and agency protocols.

• Identify learning needs and performance gaps; provide coaching, mentoring, and corrective action plans as needed, in collaboration with management.

• Serve as a clinical resource for staff, offering real‑time guidance on complex cases, procedures, and standards of care.

Regulatory Compliance & Quality Assurance

• Ensure that all nursing services are provided in compliance with the California Nurse Practice Act, Title 22, Medicare Conditions of Participation, OSHA, HIPAA, and other applicable regulations.
• Assist with internal audits, chart reviews, and performance improvement projects; implement corrective measures when deficiencies are identified.
• Participate in survey readiness activities and accompany surveyors (state, accreditation, payors) as assigned.
• Promote and model safe work practices, standard precautions, and infection prevention measures.

Leadership & Communication

• Support the Director of Patient Care Services/Clinical Director in daily clinical operations, including staffing, case assignment, and workload balancing.
• Provide input on clinical policies, procedures, and workflows to improve efficiency and quality of care.
• Participate in regular staff meetings, case conferences, and leadership meetings; communicate agency goals, changes in policy, and clinical expectations to field staff.
• Foster a culture of teamwork, accountability, and professional growth among interdisciplinary team members.
• Serve as a liaison between clinical staff, physicians, patients/families, and office leadership, ensuring timely and effective communication.

Requirements

• Current unrestricted CA RN license

• Certified CPR and negative TB skin test or chest x-ray

• Minimum one (1) year of documented experience required in a home health agency, primary care clinic or health facility, preferred.

• Possess exceptional nursing assessment skills

• Analytic/Critical thinker.

• Licensed driver with valid automobile insurance

• Ability to work on weekends, nights and holidays

• Reliable transportation

• Must be able to stand walk, squat, bend, kneel, reach, twist, push and pull. Varied assistance is required depending on the mobility of the client. Must be able to lift up to 50 pounds

We are an Equal Opportunity Employer and do not discriminate against applicants due to race, ethnicity, gender, veteran status, or on the basis of disability or any other federal, state or local protected class.