PRN Registered Nurse or LPN

Benefits:

• 401(k)

• Flexible schedule

PRN Registered Nurse (RN) / Licensed Practical Nurse (LPN) Starting Pay $25

Position: PRN Registered Nurse (RN) / Licensed Practical Nurse (LPN) Department: Clinical Services Reports To: Director of Nursing / Clinical Supervisor Employment Status: PRN (As Needed)

Position Summary

The PRN Registered Nurse (RN) / Licensed Practical Nurse (LPN) is responsible for providing skilled nursing services to patients in their homes in accordance with physician orders, individualized plans of care, applicable state and federal regulations, and company policies and procedures.

This position will conduct in-home nursing visits, assess and monitor patient conditions, coordinate care with physicians and other healthcare professionals, assist with obtaining and documenting physician orders, and ensure accurate and timely clinical documentation.

The ideal candidate will demonstrate strong clinical judgment, communication skills, professionalism, and the ability to work independently while maintaining quality patient care.

Essential Duties and Responsibilities

1. In-Home Nursing Visits

• Conduct scheduled and PRN nursing visits to patients in their homes.

• Perform initial, routine, follow-up, supervisory, and reassessment visits as assigned and permitted by licensure.

• Assess patients’ overall health status, medical needs, and changes in condition.

• Monitor vital signs and evaluate patient progress.

• Identify potential health concerns and communicate changes in patient condition to the appropriate healthcare provider.

• Provide patient and caregiver education regarding medications, treatments, safety, and disease management.

• Ensure services provided are consistent with the patient’s plan of care and physician orders.

1. Physician Orders and Medical Coordination

• Communicate directly with physicians, nurse practitioners, and other medical providers regarding patient care needs.

• Prepare, obtain, coordinate, and follow up on physician orders related to patient care.

• Request updated orders when changes in patient condition or care needs warrant modifications.

• Submit orders for physician review and signature in accordance with company procedures.

• Follow up with physician offices regarding pending orders, medication changes, treatment instructions, and required documentation.

• Ensure physician orders are communicated to the appropriate clinical and administrative staff.

• Maintain accurate records of all physician communications and order-related activities.

1. Clinical Documentation

• Complete accurate, thorough, and timely documentation for all nursing visits.

• Document patient assessments, vital signs, treatments, interventions, and responses to care.

• Maintain complete and organized clinical records in the company’s electronic documentation system or designated patient files.

• Document physician communications, verbal orders, order requests, and follow-up activities.

• Ensure documentation meets applicable state and federal requirements, payer requirements, and company policies.

• Report and document incidents, changes in condition, and other significant patient care concerns.

1. Patient Care Coordination

• Collaborate with the Director of Nursing, Clinical Supervisor, Care Coordinators, caregivers, physicians, and other healthcare professionals.

• Assist with coordinating patient care needs and communicating updates to appropriate team members.

• Identify additional services or interventions that may be necessary to support patient health and safety.

• Assist with coordinating referrals and follow-up appointments when appropriate.

• Promote continuity of care between the company, patients, families, and outside healthcare providers.

1. Compliance and Professional Responsibilities

• Maintain compliance with applicable state and federal regulations, nursing standards, HIPAA, and company policies.

• Protect patient confidentiality and maintain professional boundaries.

• Follow infection prevention, patient safety, and emergency reporting procedures.

• Maintain current professional licensure and required certifications.

• Participate in required training and staff meetings as applicable.

• Report suspected abuse, neglect, exploitation, or unsafe patient conditions in accordance with applicable reporting requirements.

• Perform other clinical duties within the scope of licensure as assigned.

Qualifications and Requirements

• Current, active, and unrestricted Registered Nurse (RN) or Licensed Practical Nurse (LPN) license in the state of practice.

• Previous home health, home care, clinical, or nursing experience preferred.

• Knowledge of nursing assessments, patient care planning, and clinical documentation.

• Ability to communicate effectively with physicians, medical office personnel, patients, families, and company staff.

• Strong organizational, time-management, and follow-up skills.

• Ability to work independently and manage assigned patient visits.

• Reliable transportation and ability to travel to patients’ homes.

• Current CPR certification or willingness to obtain as required by the company.

• Ability to utilize electronic documentation systems and communicate through email and telephone.

RN and LPN Scope of Responsibilities

Registered Nurse (RN):

• Perform nursing assessments and evaluations within the scope of RN licensure.

• Develop, establish, and revise nursing plans of care as permitted by applicable regulations.

• Evaluate patient responses to nursing interventions.

• Provide clinical oversight and coordination as assigned.

• Communicate clinical recommendations and changes in patient needs to physicians and the clinical leadership team.

Licensed Practical Nurse (LPN):

• Provide nursing services and patient assessments within the scope of LPN licensure.

• Perform assigned nursing visits and treatments in accordance with the established plan of care and applicable supervision requirements.

• Monitor and report changes in patient condition to the supervising RN or appropriate healthcare provider.

• Assist with implementing physician orders and communicating patient care needs.

• Document all nursing services and interventions performed.

PRN Employment Expectations

• This is an as-needed position based on patient census and company staffing needs.

• The employee may be contacted to complete nursing visits, assessments, follow-ups, and other assigned clinical responsibilities.

• Flexibility in scheduling and availability is expected.

• The employee is responsible for completing all assigned documentation and submitting required paperwork within established deadlines.

• The employee must maintain professional communication with the clinical team and promptly report any concerns regarding assigned patients.

• PRN employees are expected to maintain compliance with all company policies and credentialing requirements.

Physical Requirements

• Ability to travel to and enter patients’ homes.

• Ability to sit, stand, walk, bend, and perform nursing duties for extended periods.

• Ability to assist with patient care activities within the scope of the position.

• Ability to lift or move equipment and supplies as required by assigned duties, with appropriate assistance when necessary.