Home Health Skilled Nurse; RN​/LPN

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.

• 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

• 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

• 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

• 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

• 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 Work's Card (or ability to obtain upon hire)
• Valid driver's license, reliable transportation, and auto insurance
• Ability to pass background check and drug screening
• Strong clinical judgment, documentation, and communication skills
• Ability to use agency-issued or personal mobile devices for scheduling, communication, and electronic documentation
• Ability to work safely and professionally in private home environments, which may include pets, exposure to tobacco smoke, limited space, and other residential conditions