RN for nursing services

The Skilled Nursing RN provides direct, intermittent clinical care in clients homes under authorized orders and an individualized plan of care. The RN performs comprehensive assessments, delivers evidence-based treatments, evaluates outcomes, educates clients and caregivers, coordinates with providers, and documents medical necessity and response to care. Services are accepted only when permitted by the agencys licensure, policies, staffing competency, and payer authorization. ESSENTIAL DUTIES AND RESPONSIBILITIES Perform comprehensive and focused nursing assessments; establish measurable goals and nursing interventions; reassess condition and revise the plan of care based on clinical findings and authorized orders. Provide skilled services within demonstrated competency and agency authorization, including vital-sign and wellness assessment, blood-glucose monitoring and diabetic support, medication management, oxygen-related nursing care, wound and skin care, enteral-feeding support, and colostomy or urostomy care. For wound care, assess and document location, type, dimensions, tissue and drainage characteristics, periwound condition, pain, infection indicators, treatment performed, supplies used, and client response; follow ordered use of barrier products and dressings. Use standard precautions, transmission-based precautions when indicated, appropriate PPE, aseptic or clean technique as ordered, and current infection-prevention practices for conditions such as MRSA, cellulitis, Candida/fungal infection, COVID-19, E. coli, and other communicable concerns. Verify orders, medication profiles, allergies, treatment parameters, and emergency instructions before care; clarify incomplete, conflicting, or unsafe orders before implementation. Recognize and respond to deterioration, adverse reactions, abnormal findings, falls, respiratory distress, suspected infection, hypoglycemia/hyperglycemia, or other urgent concerns; notify the provider and responsible party and activate emergency services when indicated. Teach clients and caregivers using return demonstration and teach-back; document understanding, competency, barriers, and follow-up needs. Coordinate care with physicians and advanced-practice providers, pharmacies, hospitals, rehabilitation facilities, case managers, payers, home-care staff, and other authorized members of the care team. Administer medications and treatments only when authorized, ordered, supplied, and within scope; follow rights of medication administration and agency medication-management policy. Complete timely, accurate, objective documentation of assessments, interventions, education, communications, outcomes, and care-plan updates; support billing and authorization requirements without altering or backdating records. Supervise LPNs and unlicensed personnel only as permitted; make appropriate assignments, verify competency, provide direction, and complete required supervisory review. Maintain equipment and supply safety, report defects or shortages, and follow storage, transport, sharps, biohazard, and disposal procedures. Participate in case conferences, utilization review, infection surveillance, quality improvement, emergency preparedness, audits, and required education. Protect client rights, privacy, dignity, informed choice, and confidentiality; report abuse, neglect, exploitation, unsafe practice, and reportable conditions. REQUIRED QUALIFICATIONS - Current, unrestricted Registered Nurse license in North Carolina, or valid privilege to practice in North Carolina under the Nurse - Licensure Compact. - Graduate of an accredited nursing program; BSN preferred. Current CPR/BLS certification; additional competency credentials may be required for assigned procedures. - At least one year of recent clinical nursing experience required; two years preferred. Home health, medical-surgical, wound care, diabet s, ostomy, infusion, rehabilitation, or geriatric experience is desirable. - Documented initial and ongoing competency for every procedure assigned; willingness to complete agency orientation, client-specific instruction, skills validation, annual education, and performance review. - Working knowledge of nursing standards, medication safety, infection prevention, emergency response, clinical documentation, care coordination, HIPAA, and mandatory reporting. - Successful completion of required background, exclusion, credential, and driving checks; reliable transportation and ability to travel between client homes. - Competence with electronic clinical records, secure communication, and telephonic or remote care coordination when assigned. CORE COMPETENCIES - Advanced assessment and critical-thinking skills. - Consistent adherence to orders, scope of practice, competency limits, and escalation pathways. - Precise clinical documentation and time management. - Patient education, motivational communication, and respect for informed choice. - Professional collaboration, accountability, adaptability, and calm emergency response. PHYSICAL AND ENVIRONMENTAL REQUIREMENTS - Ability to travel throughout the service area and enter private residences and community settings; reliable transportation, valid driver license, and automobile insurance as required for assigned duties. - Ability to stand, walk, bend, reach, and sit for extended periods; use standard clinical and office equipment; and communicate clearly in person, by phone, and electronically. - Ability to lift, reposition, or assist with client-care activities within agency policy and the employees demonstrated competency, with reasonable accommodation where applicable. - Potential exposure to blood, body fluids, infectious conditions, pets, smoke, and variable home environments; appropriate PPE and infection-control practices are required. - Ability to safely handle clinical supplies and equipment and perform procedures requiring fine-motor control, visual acuity, and accurate measurement. SCHEDULE AND AVAILABILITY Scheduling is based on authorized visits and client acuity and may include weekdays, evenings, weekends, holidays, admissions, urgent PRN visits, and rotating on-call coverage. The RN must communicate availability accurately and respond within established clinical and operational timeframes. COMPLIANCE AND EMPLOYMENT NOTICE This description does not authorize any service outside the agencys license, approved service line, payer authorization, valid provider order, employee competency, or nursing scope of practice. The RN must comply with the North Carolina Nurse Practice Act, Board of Nursing rules, applicable federal and state law, professional standards, and Senior Helpers of High Point policies. This is not an exhaustive list of duties. Employment is subject to applicable law and written agency agreements. Senior Helpers of High Point is an equal opportunity employer and will consider reasonable accommodations for qualified individuals.