Registered Nurse; RN

We are seeking a dedicated Registered Nurse (RN) in Bluffton, SC.

Location: South Carolina

Employment Type: Flexible

Work Location: Field-Based

Schedule: Flexible

FLSA Status: Non-Exempt under the Fair Labor Standards Act (FLSA) and applicable South Carolina law

One Well Health Care and its affiliate, One Well of South Carolina LLC, are dedicated to empowering individuals with Intellectual and Developmental Disabilities (IDD) and Autism to lead fulfilling, self-directed lives. We provide compassionate, person-centered care that promotes dignity, independence, and inclusion across community and home settings.

The Registered Nurse (RN) delivers skilled nursing services to individuals of all ages (pediatric, adult, and geriatric) receiving home and community-based services throughout South Carolina. Working within the scope of professional nursing practice and in accordance with physician orders, the RN provides comprehensive clinical assessments, oversees individualized care plans, administers medications and treatments, monitors health conditions, and responds to changes in status.

The RN supports individuals with Intellectual and Developmental Disabilities (IDD) and other complex medical needs, promoting safety, dignity, independence, regulatory compliance, and an optimal quality of life.

This position operates within the Nursing Department and provides direct and indirect clinical services in home and community-based settings. The RN performs comprehensive assessments, implements individualized care plans, and ensures services are delivered in accordance with physician orders, Medicaid waiver requirements, and South Carolina nursing regulations.

The Registered Nurse (RN) conducts nursing assessments, monitors individualized care plans, and provides direct skilled nursing services in accordance with physician orders and regulatory requirements. Responsibilities include administering medications and treatments, monitoring vital signs and health status, providing wound care, and supporting specialized medical needs such as PEG/G-Tube or tracheostomy care as applicable. The RN collaborates with physicians, families, and interdisciplinary teams to ensure coordinated, high-quality care, provides clinical guidance and caregiver education, maintains accurate and timely documentation, and ensures compliance with all state, federal, and agency standards.

The RN also participates in care coordination, quality improvement initiatives, and additional duties consistent with licensure and organizational needs.

• South Carolina Board of Nursing regulations
• South Carolina Department of Health and Human Services (SCDHHS)
• Medicaid waiver requirements (as applicable)
• CMS Home and Community-Based Services (HCBS) guidelines
• HIPAA and federal privacy regulations
• Applicable state labor and employment laws

The RN must maintain strict confidentiality of all participant information in compliance with HIPAA and One Well policies. Protected Health Information (PHI) may only be accessed, used, or disclosed as required for treatment, payment, or healthcare operations.

• Completion of nursing assessments and reassessments
• Medication Administration Records (MAR) oversight
• Incident documentation and follow-up
• Clinical notes in electronic health record (EHR) systems
• Compliance with Medicaid and regulatory documentation standards

• Active South Carolina RN License (required)
• Multi-State Compact License (preferred, if applicable)
• CPR/BLS Certification (required)
  Current TB test or screening (required)
• Additional certifications based on case assignment

• Bachelor of Science in Nursing (BSN) preferred
• Associate Degree in Nursing (ADN) accepted if licensed and experienced

• Minimum one (1) year of nursing experience required
• Experience in home health, IDD services, or long-term care preferred
• Experience with G-Tube, tracheostomy, ventilator care preferred (case dependent)

• Strong clinical assessment skills
• Medication administration proficiency
• Wound care and infection control knowledge
• Ability to interpret physician orders
• Proficiency with electronic documentation systems
• Basic computer and mobile device proficiency

English required. Bilingual abilities preferred (not required).

Valid driver's license required. Reliable transportation required Ability to travel to…