Home Infusion Registered Nurse (PRN)

CSI Pharmacy•Roanoke, VA
•Onsite

About The Position

The Home Infusion Registered Nurse provides home infusion services under the supervision of a Clinical Nurse Supervisor. The role includes technical, clerical, clinical, and general infusion nursing duties, such as assessing patients in their homes, establishing IV and port access, administering medications, and educating patients and caregivers. The nurse also supports pharmacy operations through quality control, record maintenance, inventory management, and medication-order preparation. This position is based in the Roanoke, Virginia area and involves regular travel to patient homes, potentially up to two hours from Roanoke. The schedule is approximately 5–10 hours per week depending on patient needs and the nurse’s availability; hours are not guaranteed. Travel time is included in work hours and compensated hourly, with mileage reimbursed at $0.48 per mile. Compensation is $45–$55 per hour, depending on experience.

Requirements

  • Must be a licensed Registered Nurse.
  • Two years of RN experience required.
  • One year of experience accessing PIV lines and ports and maintaining PICC lines required.
  • Must have a valid driver’s license, automobile insurance, and access to a reliable automobile.
  • Must be able to multitask and frequently change direction.
  • College degree, certification, or equivalent experience required.
  • Must complete a pre-employment drug screen.

Nice To Haves

  • One year of ER, ICU, or infusion experience preferred.
  • One year of infusion experience in a hospital or home health setting preferred.
  • Active IgCN certification for potential participation in the Immunoglobulin Mentorship Program.

Responsibilities

  • Provide in-home infusion therapy and travel regularly to and from patient residences.
  • Administer prescribed specialty medications intravenously, subcutaneously, or by other appropriate routes, following provider orders and established protocols.
  • Assess patients before treatment, including reviewing medical history, allergies, and current medications.
  • Monitor patients’ physical condition and vital signs before, during, and after infusions, and respond to adverse reactions or complications.
  • Identify, document, and communicate risks, adverse reactions, and complications in accordance with clinical protocols.
  • Educate patients and caregivers about medications, treatment expectations, side effects, post-infusion care, and emergency response at home.
  • Conduct follow-up calls or visits to assess progress and monitor for delayed side effects; provide clinical feedback and collaborate on care-plan adjustments.
  • Maintain accurate documentation of infusion procedures, medication administration, patient responses, adverse events, education, and follow-up instructions.
  • Collaborate with nursing and pharmacy staff to coordinate care and communicate treatment concerns to the Clinical Nurse Supervisor.
  • Prepare and handle medications safely; verify the correct medication and dosage; follow sterile technique and infection-control protocols.
  • Monitor specialty medication and supply inventory, coordinate replenishment with the pharmacy team, and support insurance verification and prior authorization processes.
  • If assigned and actively IgCN-certified, mentor nursing staff, assist with training, observe and assess clinical competencies, serve as a clinical resource, and document mentorship activities.
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