Field RN – Per-Diem

Elite Home Health Care•City of Rochester, NY

20d•$75 - $100•Onsite

About The Position

The Field RN is responsible for creating and administering client-specific Plans of Care and overseeing patients’ health and wellness in accordance with those plans. The RN ensures compliance with clinical standards, applicable federal, state, and local regulations, and company policies. The role provides direct skilled nursing and private duty nursing services, as well as guidance and professional development support for caregivers. The position is assigned a primary office location, with flexibility to assist at other locations and travel to patient homes throughout the service area. Travel to other markets is required 10–20% of the time as needed. Compensation is listed as $75–$100 per visit; final pay depends on relevant experience, skills, certifications, and location.

Requirements

Graduate of an approved professional nursing school with a diploma, bachelor's degree, or master's degree.
Currently licensed and registered as a Registered Nurse in the practicing state; New York State licensure is required.
Licensed driver with independent transportation and current insurance coverage.
Strong problem-solving and organizational skills; able to work with minimal supervision.
Ability to ensure adherence to applicable federal and state rules and regulations.
Strong verbal and written communication skills and ability to interact effectively with staff, physicians, referral sources, patients, and families.
Computer literacy.
Ability to read and understand safety protocols, operating procedures, maintenance instructions, and healthcare procedure manuals.
Ability to stand, walk, bend, and climb stairs frequently.
Ability to lift, push, or pull 25–50 pounds occasionally.
Manual dexterity and visual acuity to perform clinical tasks such as wound care and administering injections.
Ability to drive for extended periods and enter and exit a vehicle multiple times daily.
Ability to work in varied home environments, including small or cluttered spaces, uneven surfaces, or locations with limited climate control.
Comfort driving multiple times per day and adapting to varied home settings.

Nice To Haves

One year of satisfactory nursing experience in home care.
One year of nursing care experience in an acute care facility.
Home care experience.
Current CPR certification.
Bilingual ability.
Compassionate, caring, and understanding approach.

Responsibilities

Administer the Care Plan in collaboration with the Director of Nursing, clients, caregivers, physicians, and other care team members.
Provide ongoing instruction and review of care plans during field visits, reinforcing standard precautions, client respect, HIPAA, point-of-care compliance, disease processes, and safety protocols.
Create individualized Plans of Care and write or update client care plans at admission and as needed.
Review personal care plans and orient aides to follow the care plan as authorized by the RN.
Conduct on-site orientations, quarterly supervision visits, skill checks, and annual performance evaluations for home care aides.
Document services provided and changes in client condition or family and home circumstances accurately and promptly.
Communicate concerns or changes in client status to case managers and clients’ legal representatives or families.
Provide ACD/PCA/HHA/SHA training under the approved training program if certified.
Conduct initial and reassessment nursing assessments for clients in accordance with Department of Health guidelines.
Participate in agency and regulatory audits.
Conduct annual caregiver assessments and reassessments and orient caregivers to the plan of care to ensure its effectiveness.
Travel to other locations and patient homes as needed.
Perform other duties as assigned.