Registered Nurse (RN) – Pediatric & Adult Home Health | Private Duty Nursing

Team Select Home Care•San Antonio, TX

2d•$33 - $35•Onsite

About The Position

Team Select Home Care is hiring a Registered Nurse to provide skilled, individualized nursing care to medically complex pediatric and adult patients in their homes. The nurse delivers care in accordance with physician orders, individualized plans of care, state Practice Act requirements, agency policies, and the nurse’s competency level. The role includes case management, care coordination, patient and family education, clinical documentation, and collaboration with physicians, therapists, ancillary staff, and other healthcare providers. The nurse reports to the Director of Nursing (DON). The position is offered as PRN, part-time, or full-time, with flexible scheduling. Care may involve days or nights and weekdays or weekends; assigned on-call duty may include nights, weekends, and holidays. The role requires travel to patients’ residences and the physical ability to perform the described duties. Compensation is $33.00–$35.00 per hour, with weekly pay options.

Requirements

Active RN license in the state or states where practicing; must maintain licensure and continuing education as applicable.
Current CPR certification and ability to meet health requirements for clearances and CPR.
Graduate of an approved school of professional nursing.
Strong verbal and written communication skills, problem-solving ability, and positive interpersonal communication.
Average computer skills, including competency with media communications.
Ability to organize work through time management, assume responsibility, and effectively supervise ancillary disciplines as permitted by state requirements.
Ability to secure transportation and travel as required.
Ability to apply professional training, think critically about patient needs, follow physician orders, and produce accurate nursing records within agency guidelines.
Ability to exercise initiative and independent judgment and acceptance of the agency’s philosophy and goals.
Physical ability to perform the described duties.
Clinical experience is welcomed but not required for the introductory description; the detailed education and experience section lists one year of nursing experience as preferred.

Nice To Haves

One year of nursing experience and home care experience are preferred.
Experience caring for pediatric and/or adult patients with complex needs.

Responsibilities

Develop, implement, revise, and evaluate individualized patient-centered care plans under physician supervision.
Provide case management to an assigned group of patients and ancillary staff.
Complete required data collection, including OASIS and PAR, and other documentation requested by state or federal authorities and payers within required timeframes.
Perform initial evaluation visits and regularly reevaluate patients’ nursing needs according to state and payer requirements.
Advocate for patient welfare and coordinate care among patients, families or caregivers, authorized representatives, the agency, and other healthcare providers, facilities, or outside agencies.
Provide nursing services requiring specialized skill according to competency level, and initiate appropriate preventive and rehabilitative procedures.
Identify patient care preferences and verify that interventions support patients’ needs and treatment goals.
Prepare clinical and progress notes for each visit and summaries; submit documentation within 24 hours or as required by the state.
Attend assigned case conferences and participate in clinical record and utilization reviews, quality assurance, and quarterly QAPI activities as assigned.
Inform physicians and other personnel about changes in patient condition and needs; process orders and notify physicians of patient needs or changes.
Counsel and educate patients and families on nursing needs, home health procedures, strategies, and applicable community resources.
Observe and report symptoms, treatment or medication reactions, and physical or emotional changes; perform medication reconciliation and administer medication according to agency policy and physician orders.
Participate in in-service programs and supervise or teach other nursing personnel as assigned; provide written instructions for aides and other ancillary disciplines.
Refer patients with physician orders to physical therapy, speech-language pathology, occupational therapy, or medical social work when specialized services are needed.
Follow agency policies and procedures, best practices, infection control, emergency medical services, and compliance plans.
Report and record applicable infections, occurrences, complaints, incidents, and variances; promptly report incidents, variances, or complaints to the Nursing Supervisor.
Maintain patient, employee, and agency confidentiality and provide patients or caregivers written visit schedules, medication profiles, treatment plans, relevant care instructions, and Clinical Manager contact information.
Take assigned on-call duty nights, weekends, and holidays; when serving as on-call RN, act as after-hours supervising nurse and make nursing assessment and triage decisions under the applicable Clinical Supervisor’s guidance.
Maintain competent technical performance, acceptable attendance, effective time management, and accurate daily documentation; report incomplete assignments to the Nursing Supervisor.
Perform other duties as assigned.