NNHC Skilled Home Care
Skilled Nursing Visits at Home
Intermittent licensed nursing support for ordered clinical needs that can be safely managed in the home.
What Skilled Nursing Visits Can Include
Services depend on the individual’s current orders, clinical needs, payer requirements, and NNHC’s ability to safely provide the requested intervention.
Clinical Assessment
Focused nursing assessment, monitoring, and documentation related to the ordered plan of care.
Medication Support
Medication administration, teaching, or other nursing interventions when ordered and within scope of practice.
Wound Care
Ordered wound assessment, dressing changes, treatment, and monitoring when appropriate to the referral.
Caregiver Teaching
Instruction and reinforcement for family caregivers on ordered home-care routines when included in the plan.
Change-of-Condition Reporting
Recognition and communication of clinically significant changes to the appropriate provider or care team.
Other Ordered Nursing Needs
Additional skilled services may be considered when medically appropriate, ordered, and within NNHC’s current capabilities.
Intermittent Skilled Nursing vs. Private Duty Nursing
These services are not interchangeable.
Skilled Nursing Visits
Typically involve shorter, intermittent nursing visits for a specific ordered clinical need, assessment, treatment, teaching, or monitoring.
Private Duty Nursing
Provides extended one-on-one RN or LPN coverage for individuals with ongoing complex skilled needs requiring more continuous nursing support.
Common Referral Situations
Families and referral sources often contact NNHC when a person needs skilled follow-up at home after a change in condition or treatment plan.
After Hospital or Facility Care
Ordered nursing support after discharge when the person still needs skilled monitoring or treatment at home.
Wound & Skin Concerns
Ordered wound-care services when ongoing treatment, documentation, and clinical monitoring are needed.
Medication or Clinical Changes
Nursing support when a new or changed treatment plan requires licensed assessment, teaching, or administration.
Coverage & Authorization
Skilled nursing coverage depends on medical necessity, payer rules, current orders, and authorization requirements.
NC Medicaid Home Health includes medically necessary skilled nursing services. South Carolina Medicaid also maintains home-health nursing benefits under its home-health program. Other payers, including VA-authorized care and private-pay arrangements, may have different documentation and authorization requirements. NNHC reviews the payer source and referral before confirming service.
What We Need to Review a Referral
A complete referral helps us determine whether the requested care is clinically appropriate and realistically staffable.
Current Orders
The specific skilled service being requested, frequency, treatment instructions, and relevant clinical information.
Payer Information
Authorization, referral source, plan or program information, and any service-specific payer requirements.
Location & Scheduling
Where care is needed, requested frequency, preferred schedule, and any time-sensitive start-of-care needs.
Request a Skilled Nursing Review
NNHC reviews each referral individually before confirming acceptance or a start date.
Service notice: Skilled nursing services require appropriate clinical orders and may require prior authorization. Availability, covered services, visit frequency, and start dates vary by payer, location, clinical need, and staffing.