Home Health Skilled Nurse; RN

Home Health Skilled Nurse (RN) – Full Time Hanford Home Health | Tri Cities, WA Job Overview:

Hanford Home Health is hiring Full Time Home Health Skilled Nurses (RNs) to provide in-home, skilled nursing care to EEOICPA (Department of Labor) benefits recipients and other medically complex patients. This position reports to the Director of Clinical Services.

Schedule & Shift Structure:

• Full time status is 36-40 hours per week

• Shifts range from 1 to 12 hours, based on patient needs and census

• Full time staff are primarily scheduled for 12-hour shifts

• Alternative shift lengths may occur only by mutual agreement

• Day Shift: 7:00 AM – 7:00 PM

• Night Shift: 7:00 PM – 7:00 AM

Staffing Model:

• Care is primarily one-to-one

• In limited circumstances, staff may support more than one patient within the same household when authorized by the individualized Plan of Care

• Work schedules are posted one (1) month or more in advance

• Staff are expected to complete all assigned shifts accepted, subject to agency attendance and call-out policies

Weekend & Holiday Expectations:

• Full time staff may be required to work weekends and holidays in accordance with agency policy, operational needs, and census

• Weekend and holiday assignments are scheduled and rotated per agency policy

• Schedules are subject to census changes as outlined in the Employment Contract

Key Responsibilities:

• Provide skilled nursing care in accordance with the authorizing practitioner's orders and the individualized Plan of Care

• Perform nursing assessments and ongoing monitoring within RN scope of practice

• Administer medications and treatments; monitor for side effects and changes in patient condition

• Provide skilled interventions as ordered (including wound care and other therapeutic interventions when within scope and ordered)

• Measure and document vital signs, intake/output as applicable, pain, weight, and patient responses per the Plan of Care

• Observe and report changes in patient condition to the supervising nurse, RN Case Manager, and/or Director of Clinical Services as required

• Educate patients and families on conditions, medications, treatments, safety measures, and Plan of Care requirements

• Collaborate with interdisciplinary team members to coordinate care and support optimal patient outcomes

• Assist with mobility, personal care, ADLs and IADLs when clinically indicated and outlined in the Plan of Care

• Complete accurate, timely documentation in the agency-approved electronic health record system

• Follow infection control, safety, emergency preparedness, confidentiality, and HIPAA requirements

• Report suspected abuse, neglect, or exploitation of vulnerable adults in accordance with Washington State mandatory reporting laws and agency policy

• Comply with OSHA standards, including the Bloodborne Pathogens Exposure Control Plan, and utilize required personal protective equipment

• Complete state-required continuing education requirements per state guidelines

• Perform only those duties authorized within the applicable RN scope of practice, licensure, and delegated authority under Washington State law and the agency's policies and procedures

Required Qualifications:

• The physical and functional requirements listed are considered essential functions of this position

• Ability to stand, walk, bend, lift, and assist with transfers as required by patient needs and the individualized Plan of Care

• Ability to lift up to 50 lbs using proper body mechanics

• Active Washington State RN license in good standing

• Graduate of an accredited School of Nursing

• Minimum of one (1) year of nursing experience; home health experience preferred

• Current CPR/BLS certification for healthcare professionals

• Washington State Food Worker's Card (or ability to obtain upon hire)

• Valid driver's license, reliable transportation,…