Pediatric Registered Nurse – Skilled Nursing Assessments

Job Overview

The Good Care Helpers is seeking an experienced and dependable Pediatric Registered Nurse (RN) to complete skilled nursing assessments for pediatric patients in their homes on an as-needed (PRN) basis. This is an assessment-focused position and is not a continuous private-duty nursing or regularly scheduled shift position. The RN will evaluate each patient’s clinical condition, determine skilled nursing needs, develop or update the nursing plan of care, communicate findings to the appropriate healthcare providers, and ensure all required documentation is completed accurately and on time.

Assignments will be offered based on patient referrals, assessment needs, geographic location, and RN availability.

• 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…