Registered Nurse 1

Legacy Concierge•Laguna Beach, CA

About The Position

Legacy Concierge is seeking a dedicated and compassionate Private Duty Registered Nurse I to provide exceptional one-to-one care to patients in their homes. The role is intended for RNs who prefer direct patient care with structured mentorship and a defined clinical career pathway. The nurse delivers hands-on clinical care and fosters continuity and trust with an assigned patient during each shift. Nurses work under clinical supervision and mentorship, complete structured onboarding, demonstrate patient-centered care, and build competence in a one-to-one private home environment. Responsibilities are contingent upon the patient's individualized plan of care.

Requirements

  • Active California Registered Nurse (RN) license in good standing.
  • Graduate of an accredited ADN or BSN nursing program.
  • ADN graduates must have at least two years of hospital experience.
  • BSN graduates must have at least 8–12 months of hospital or skilled nursing facility experience.
  • Current BLS/CPR certification.
  • Demonstrated ability to work competently in a one-to-one private care environment.
  • Ability to work independently, follow instructions, and ask questions when clarification is needed.
  • Strong communication, documentation, professionalism, and customer service skills.
  • Ability to stand, sit, kneel, and move for extended periods.
  • Ability to lift, transfer, or reposition patients using appropriate assistive techniques.
  • Ability to lift or carry equipment and supplies weighing up to 50 pounds.
  • Ability to use clinical and technology equipment, including tablets and phones, and navigate EMR platforms.
  • Visual acuity to observe and assess patient conditions throughout the shift.

Nice To Haves

  • For ADN graduates, hospital experience in an emergency room, urgent care, bedside nursing, telemetry, or a step-down unit is preferred.
  • For BSN graduates, hospital or skilled nursing facility experience in an emergency room, urgent care, bedside nursing, telemetry, or a step-down unit is preferred.

Responsibilities

  • Deliver one-to-one skilled nursing care in the patient's home.
  • Perform comprehensive head-to-toe assessments, including evaluation of physical attributes, neurological status, respiratory function, cardiovascular status, skin integrity, and musculoskeletal function.
  • Monitor, administer, and document vital signs throughout the shift, including blood pressure, pulse, respiration, temperature, and oxygen saturation.
  • Safely and accurately administer medications and prescribed treatments, including insulin management, blood pressure medications, and oxygen, in accordance with the patient's plan of care.
  • Support activities of daily living and instrumental activities of daily living, including toileting, dressing, feeding, peri care, meal preparation, transportation, and companion care.
  • Perform G/J-tube feeding and medication administration as ordered.
  • Provide condition-specific management as directed by the plan of care.
  • Perform basic wound care and dressing changes.
  • Complete accurate and timely daily clinical notes using agency documentation systems.
  • Promptly communicate patient status changes, incidents, and clinical concerns requiring escalation to the RN Care Ambassador.
  • Communicate with providers as directed, including conveying patient status updates, medication changes, and care plan modifications.
  • Maintain confidentiality of patient and company information in compliance with HIPAA, infection control standards, and internal protocols.
  • Provide emotional and physical support to the patient and family throughout the shift.
  • Support case management and patient intake responsibilities as needed and as directed by the RN Care Ambassador.
  • Maintain a reliable schedule, arrive on time, and communicate scheduling changes according to company policy.
  • Attend required training, in-services, and competency evaluations.
  • Demonstrate Legacy Concierge's core values and patient-centered care principles.
  • Complete structured onboarding and orientation, including shadow shifts before independent assignment.
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