Home Infusion Registered Nurse (PRN)

CSI Companies•Mesquite, TX

1d•$45 - $55•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 tasks, such as assessing patients in their homes, obtaining IV and port access, administering intravenous and injectable medications, and educating patients and caregivers. The nurse also supports pharmacy operations through quality control activities, maintenance of pharmacy and nursing records, inventory management, and medication-order preparation. This PRN position is based in the Mesquite, Texas area and involves regular travel to patient residences, potentially up to two hours from Mesquite. The stated schedule is 5–10 or more hours per week depending on patient needs and the nurse’s availability; hours are not guaranteed. Compensation is $45–$55 per hour, depending on experience, plus $0.48 per mile. Travel time is included in work hours and compensated hourly, in addition to mileage. The nurse administers prescribed specialty medications, assesses and monitors patients before, during, and after infusions, responds to adverse reactions, documents care, and provides treatment and post-infusion education. The role involves coordination with nursing and pharmacy teams, medication-safety practices, inventory monitoring, and support for insurance verification and prior authorization. Nurses with active IgCN certification may also be assigned mentorship, training, competency-observation, and documentation duties as operational needs require. The position requires daily driving for meetings or home visits and work in varied residential environments. Travel may involve changing weather conditions. Physical activities include standing, walking, sitting, climbing stairs, handling objects and tools, reaching, and frequently lifting or moving up to 20 pounds. Successful completion of a pre-employment drug screen is part of the background process.

Requirements

Must be a licensed Registered Nurse (RN).
Two years of RN experience required.
One year of experience accessing PIV lines and ports and maintaining PICC lines required.
Must have and maintain a valid driver’s license and automobile insurance, and have access to a reliable automobile.
Must be able to multitask and frequently change direction.
College degree, certification, or equivalent experience required.
Must be able to perform the listed essential functions, with reasonable accommodations where applicable.

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 nurses who may be assigned additional mentorship duties.

Responsibilities

Provide in-home infusion therapy and travel regularly to patient residences.
Administer prescribed specialty medications through IV, subcutaneous, or other appropriate routes according to 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 infusion procedures; identify 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, and post-infusion care, including how to respond to emergencies at home.
Conduct follow-up calls or visits to assess patient progress and monitor for delayed side effects.
Provide clinical feedback and collaborate on care-plan adjustments based on patient response, changes in condition, or reported concerns.
Maintain accurate documentation of infusion procedures, patient responses, adverse events, medication administration, education, and follow-up instructions.
Collaborate with nursing, pharmacy, and pharmacy staff to coordinate patient care and treatment plans.
Communicate concerns about treatment effectiveness, patient responses, or adverse reactions to the Clinical Nurse Supervisor.
Prepare and handle medications safely; verify medication and dosage accuracy; follow sterile techniques and infection-control protocols.
Monitor specialty medication and infusion-supply inventory and collaborate with the pharmacy team on replenishment and stock control.
Support insurance verification and prior authorization processes for specialty medications.
If assigned as an IgCN mentor, guide and coach less experienced nurses; assist with training and skills development; observe clinical practice; assess competency; and document mentorship activities and assessments.