Registered Nurse (RN - Hospital) - Home Health & Hospice

Current Opening • Jamestown, ND

3d • Onsite

About The Position

Coordinates and delivers comprehensive nursing care to home health and hospice patients in a community-based setting. Provides patient and family education, supports interdisciplinary collaboration, and promotes high standards of professional nursing practice. This is a casual position requiring a minimum of 12 hours per six-week schedule. The schedule is Monday through Friday, with weekends as needed, and the role covers the Kulm/Edgeley area.

The RN provides skilled nursing care under agency policies, professional standards, and applicable regulations. Duties include assessing patients, developing and evaluating individualized care plans, completing OASIS assessments, administering medications and treatments, educating patients and caregivers, and maintaining compliant clinical documentation. The nurse also provides hospice symptom management and end-of-life support, supervises Home Health Aides and LPNs, participates in interdisciplinary care and improvement activities, and responds to urgent situations in patients’ homes. The position includes an on-call rotation covering nights, weekends, and holidays, as well as regular travel to patient homes using the employee’s own vehicle.

The role requires a current North Dakota RN license, BLS CPR, and CPI training within the timeframe specified by the department orientation checklist. At least one year of medical/surgical nursing experience is required. A current unencumbered North Dakota driver’s license and appropriate automobile insurance are also required. A background check and urine drug screen are conditions of employment.

Requirements

• Current RN licensure from the North Dakota State Board of Nursing.
• Completion of BLS CPR.
• Attend Crisis Prevention Intervention (CPI) training within the timeframe specified by the department orientation checklist.
• At least one year of medical/surgical nursing experience.
• Current, unencumbered North Dakota driver’s license and appropriate automobile insurance.
• Provide a vehicle for transportation to and from home visits.
• Strong clinical judgment, critical thinking, and problem-solving skills to assess patient conditions, interpret clinical data, and develop and evaluate care plans.
• Ability to recognize changes in patient status, assess interventions, make timely care decisions, and coordinate with the interdisciplinary team.
• Ability to exercise independent clinical judgment, prioritize care, implement interventions, manage symptoms, and escalate concerns appropriately.
• Ability to supervise LPNs and Home Health Aides and oversee ancillary staff as needed.
• Ability to work with terminally ill patients and families coping with death and dying.
• Ability to read charts and use medical devices; color perception to interpret testing procedures involving color comparisons.
• Ability to meet the physical and sensory demands of home-based care, including walking, standing, bending, lifting, assisting with mobility, transfers and positioning, and sustained concentration.
• Ability to travel regularly and safely navigate varied conditions in patient residences and the community.
• Punctual and regular attendance.
• A comprehensive background check and urine drug screening are conditions of employment; the drug screen must be completed within 30 days of hire.

Nice To Haves

• Prior home health, hospice, or community health experience.

Responsibilities

• Provide skilled nursing care in accordance with agency policies, professional standards, and applicable regulations.
• Assess patient conditions and nursing needs; develop, implement, and evaluate individualized care plans.
• Complete OASIS assessments, including start of care, resumption of care, recertification, and discharge, accurately and on time.
• Evaluate patient eligibility and payer requirements, consulting the Home Health Manager or designee before admission.
• Administer medications and treatments, complete medication reconciliation, and educate patients and caregivers.
• Educate patients and caregivers about disease processes, medication management, safety, and medical equipment.
• Conduct home safety, infection control, and environmental assessments and implement appropriate interventions.
• Monitor responses to treatment and report changes in condition to physicians and interdisciplinary team members.
• Participate in interdisciplinary team meetings to coordinate patient-centered care.
• Provide hospice symptom management, comfort-focused interventions, and end-of-life education and support.
• Support patients and families with coping, end-of-life needs, and awareness of bereavement resources.
• Delegate and supervise Home Health Aides and provide direction to LPNs in accordance with applicable standards.
• Participate in an on-call rotation, including nights, weekends, and holidays.
• Use telehealth and remote patient monitoring when appropriate.
• Promote cost-effective use of supplies and ensure proper care and maintenance of equipment.
• Participate in staff orientation, education, and performance improvement activities.
• Maintain accurate, timely, and compliant clinical documentation.
• Respond appropriately to urgent and emergent situations in patients’ homes.
• Maintain a safe and clean working environment for patients and staff.
• Travel to patient homes using a personal vehicle.

What This Job Offers

• Job Type: Part-time
• Education Level: No Education Listed