Registered Nurse, Per Diem Weekends, Home Health

BAYADA Home Health Care•Lebanon, MO

About The Position

Integrity Home Care + Hospice is seeking a per diem weekend Registered Nurse to join its home health visit team. The RN is an integral member of a multidisciplinary health care team, providing skilled nursing and rehabilitative care to clients so they can remain at home. Care is delivered with compassion, excellence, and reliability. The nurse uses comprehensive assessment skills and experience with acute and post-acute conditions to assess patients, identify changes, and manage urgent clinical situations independently in the home. The role also includes medication reconciliation and education, safety monitoring, wound assessment and care, and timely documentation. Nurses must be comfortable making real-time clinical decisions, adapting to changing patient needs, and working in varied home environments. The position offers paid training, around-the-clock clinical support, flexible scheduling, and weekly pay. Listed benefits include medical, dental, vision, and prescription coverage; FSA and HSA options; PTO and paid holidays; mileage reimbursement or schedule-specific benefits; employer-paid life insurance; recognition programs; and referral bonuses.

Requirements

  • Current nursing license in good standing in Massachusetts.
  • Graduation from an accredited and approved nursing program, as indicated by school transcript or diploma.
  • At least one year of current or recent hands-on medical experience within the past two years with the adult or geriatric population in acute care, an emergency department, home health, hospice, ICU, med-surg, sub-acute care, or medical or skilled nursing rehabilitation settings.
  • Ability to work independently and recognize when to escalate concerns.
  • Comfort making real-time clinical decisions without immediate on-site support.
  • Strong problem-solving skills in unpredictable home environments.
  • Ability to manage a changing visit schedule and prioritize urgent visits.
  • Efficiency with point-of-care documentation and technology.
  • Strong attention to detail while meeting productivity expectations.
  • Comfort providing care in varied home environments.
  • Flexibility and adaptability to changing patient needs and schedules.
  • Cultural sensitivity and respect for patient autonomy.

Responsibilities

  • Use strong head-to-toe assessment skills and identify subtle changes in patient condition.
  • Provide care for acute and post-acute conditions, including CHF, COPD, wounds, IV therapy, and post-surgical needs.
  • Triage and manage urgent clinical situations independently in the home setting.
  • Perform medication reconciliation, patient teaching, and safety monitoring.
  • Perform comprehensive wound assessments, provide wound care, and document care.
  • Manage a dynamic visit schedule and prioritize urgent visits.
  • Make real-time clinical decisions and escalate concerns when appropriate.
  • Provide culturally sensitive care while respecting patient autonomy.

Benefits

  • Medical, dental, vision, and prescription coverage
  • Flexible spending account (FSA) and health savings account (HSA) options
  • Recognition and Nurse Hero programs
  • Referral bonuses
  • Paid time off
  • Paid holidays
  • Mileage reimbursement or schedule-specific benefits
  • Employer-paid life insurance
  • Paid training from day one
  • Around-the-clock clinical support
  • Weekly pay
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