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

Team Select Home Care•San Antonio, TX

1d•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 role emphasizes one-on-one, patient-centered care, comfort, safety, and continuity. Nurses develop and implement care plans under physician orders and in accordance with the plan of care and applicable state Practice Acts. The position reports to the Director of Nursing (DON). The nurse manages an assigned group of patients, evaluates and monitors nursing needs, coordinates care with physicians, families, caregivers, agency staff, and other healthcare providers, and educates patients and families about home care. The role includes clinical documentation, medication reconciliation and administration, referrals to other disciplines, participation in case conferences and quality activities, and compliance with agency policies and applicable state and federal requirements. On-call duty nights, weekends, and holidays may be assigned. The posting offers flexible scheduling, including days or nights and weekdays or weekends, and identifies PRN, part-time, and full-time arrangements. Pay is listed as $33.00–$35.00 per hour, with weekly pay. Team Select also describes pediatric and adult care training, paid hands-on training, tuition assistance, and continuing education opportunities.

Requirements

Graduate of an approved school of professional nursing.
Currently licensed in the state or states where practicing.
Current CPR certification and ability to meet health requirements for clearances.
Ability to maintain licensure and continuing education as applicable.
Average computer skills, including competency in media communications.
Ability to organize work, manage time, assume responsibility, and supervise ancillary disciplines effectively as required.
Ability to secure transportation and travel as required.
Ability to apply professional training, think critically about patient needs, follow physician orders, and produce accurate records within agency guidelines.
Ability to exercise initiative and independent judgment and acceptance of the agency’s philosophy and goals.
Excellent verbal and written communication and problem-solving skills.
Physical ability to perform the described duties.

Nice To Haves

Clinical experience is preferred; passionate new graduates are also welcomed.
One year of nursing experience and home care experience are preferred.

Responsibilities

Develop, implement, revise, and evaluate individualized patient-centered care plans under physician supervision.
Provide case management to assigned patients and ancillary staff.
Complete initial evaluations and regularly reevaluate patients’ nursing needs according to state and payer requirements.
Coordinate care among patients, families or caregivers, the agency, and other healthcare providers, facilities, or outside agencies.
Provide skilled nursing services within the nurse’s competency level and initiate preventive and rehabilitative nursing procedures.
Prepare clinical and progress notes, summaries, and required data collection and documentation within required timeframes.
Attend case conferences and participate in clinical record and utilization reviews and QAPI activities as assigned.
Monitor patients’ conditions and report changes, symptoms, treatment reactions, incidents, variances, and complaints to appropriate personnel.
Educate and counsel patients and families on nursing needs, home health strategies, procedures, and care instructions.
Reconcile and administer medications according to agency policy and physician orders.
Provide written instructions to patients or caregivers regarding visit schedules, medication profiles, treatments, and other care needs.
Refer patients to physical therapy, speech-language pathology, occupational therapy, or medical social work when ordered and appropriate.
Supervise and teach other nursing personnel as assigned and provide written instructions to aides or ancillary disciplines.
Follow agency policies and plans, including infection control, emergency medical services, and compliance requirements.
Maintain patient, employee, and agency confidentiality.
Perform on-call duties at night, on weekends, and on holidays when assigned, including after-hours assessment and triage under clinical guidance.
Maintain attendance, report incomplete assignments, manage time effectively, and perform other duties as assigned.