PRN Pediatric Registered Nurse – Skilled Nursing Assessments

Primary Responsibilities

• Conduct comprehensive in-home skilled nursing assessments for pediatric patients.
• Complete initial assessments, reassessments, recertification assessments, resumption-of-care assessments, and other clinical visits as assigned.
• Evaluate the patient’s medical condition, functional abilities, developmental needs, home environment, safety risks, caregiver support, and need for skilled nursing services.
• Obtain and document vital signs, medication information, diagnoses, allergies, medical history, nutritional status, equipment needs, and current treatments.
• Assess pediatric patients with complex medical needs, including feeding tubes, seizure disorders, respiratory conditions, developmental disabilities, tracheostomies, ventilators, and other specialized healthcare needs, when applicable.
• Develop, review, and update individualized nursing plans of care based on the physician’s orders and the patient’s assessed needs.
• Verify that physician orders, medication profiles, emergency plans, and clinical interventions are complete, accurate, and appropriate.
• Identify changes in condition, safety concerns, unmet needs, or potential barriers to care and promptly report findings to the Clinical Supervisor and ordering provider.
• Communicate and coordinate with physicians, caregivers, therapists, case managers, schools, insurance representatives, and other members of the interdisciplinary care team.
• Provide patient and caregiver education regarding diagnoses, medications, treatments, medical equipment, infection prevention, emergency procedures, and the plan of care.
• Determine whether the home environment can safely support the ordered services.
• Complete all clinical documentation within agency-established time frames and in accordance with applicable state, payer, accreditation, and HIPAA requirements.
• Participate in case conferences, care coordination, and clinical follow-up when required.
• Follow all agency policies, infection-control standards, professional nursing standards, and applicable laws and regulations.
• Perform additional PRN supervisory or skilled nursing visits when separately assigned and accepted.

• Current, unrestricted Registered Nurse license in the state where services are provided.
• Graduate of an accredited registered nursing program.
• Current CPR/BLS certification.
• Minimum of one year of professional nursing experience.
• Pediatric, home health, private-duty nursing, or complex-care experience strongly preferred.
• Knowledge of pediatric assessment, medication reconciliation, care planning, clinical documentation, and caregiver education.
• Ability to recognize changes in condition and determine when provider notification or emergency intervention is required.
• Strong clinical judgment, organizational skills, and attention to detail.
• Ability to complete accurate and timely electronic documentation.
• Excellent written, verbal, and interpersonal communication skills.
• Ability to work independently while maintaining communication with the agency’s clinical leadership.
• Reliable transportation, a valid driver’s license, and current automobile insurance.
• Ability to travel to patient homes within the agency’s service area.
• Ability to successfully complete required background checks, health screenings, competency evaluations, and orientation requirements.

• Two or more years of pediatric nursing experience.
• Previous experience conducting home-health admissions, skilled nursing assessments, reassessments, or recertification visits.
• Experience caring for medically complex children.
• Familiarity with Medicaid, managed-care, private-duty nursing, or home-health documentation requirements.
• Experience developing and updating pediatric nursing plans of care.
• Experience with electronic medical record or home-health documentation systems.

• PRN/as-needed position.
• No guaranteed minimum number of visits or hours.
• Visits are assigned based on agency needs, patient location, and RN availability.
• The RN may accept or decline offered assignments based on availability.
• Some assessments may require evening or weekend availability depending on patient and caregiver…