Registered Nurse (RN) - PRN

SmithLife Homecare | Maryland & Washington, DCBringing Care HomePosition SummarySmithLife Homecare is seeking a compassionate and experienced Registered Nurse (RN) to join our team on a PRN (as-needed) basis. In this flexible role, you will provide skilled nursing care to clients in their homes, helping to ensure their safety, comfort, and independence.The Registered Nurse (RN) provides skilled nursing assessment, care planning, and clinical oversight to clients receiving services through SmithLife Homecare on a PRN (as-needed) basis. The RN is responsible for developing, implementing, and supervising the Plan of Care, ensuring services are delivered safely, effectively, and in compliance with all applicable Maryland COMAR and Washington, DC Home Support Agency regulations.The RN plays a critical leadership role in supporting care transitions, managing changes in condition, and guiding caregivers and LPNs in the home setting.QualificationsActive Registered Nurse (RN) license in good standing in Maryland and/or Washington, DCGraduate of an accredited school of nursingMinimum of three (3) years of clinical nursing experience preferred (home care, hospital, or community-based)Experience with geriatric populations and chronic disease management strongly preferredDemonstrated ability to work independently and make sound clinical decisionsStrong assessment, care planning, and documentation skillsCurrent CPR/BLS certification requiredCore ResponsibilitiesClinical Assessment & Care PlanningPerform comprehensive nursing assessments in the home settingDevelop, implement, and update individualized Plans of CareEvaluate client needs, risks, and goals to support safe aging in placeConduct reassessments, including change-in-condition visits and routine supervisory visitsClinical Oversight & DelegationSupervise and provide clinical oversight to LPNs, CNAs, and caregiversDelegate nursing tasks in accordance with state regulations and scope of practiceEnsure all care provided aligns with the Plan of Care and agency standardsProvide guidance, training, and support to field staffCare Coordination & CommunicationCollaborate with care coordinators, physicians, families, and interdisciplinary teamsCommunicate changes in condition and recommendations for care adjustmentsSupport hospital-to-home transitions and other care transitionsServe as a clinical resource for staff and familiesDirect Skilled Nursing CareProvide direct care as needed, including but not limited to:Medication management and administrationWound care and infection preventionChronic disease monitoring and managementPatient and caregiver educationDocumentation & ComplianceComplete all documentation in WellSky in accordance with agency policy and regulatory requirementsEnsure documentation is accurate, timely, and audit-readyMaintain compliance with Maryland COMAR and Washington, DC regulationsAdhere to all SmithLife Homecare policies and proceduresQuality & SafetyIdentify and respond to changes in client condition, including escalation to physician or emergency services when appropriateMaintain a safe and therapeutic care environmentReport incidents, concerns, and risks per agency protocolParticipate in QAPI and quality improvement initiativesClient & Family SupportEducate clients and families on care plans, medications, and disease processesProvide emotional support and guidance to families navigating care needsPromote dignity, independence, and person-centered carePhysical RequirementsAbility to lift, transfer, and assist clients (50+ lbs as needed)Frequent standing, walking, bending, kneeling, and reachingFull use of hands and fine motor skills for clinical tasksWork EnvironmentClient homes, including private residences and senior living communitiesExposure to varying home environments and conditionsTravel required between client locationsAdditional ExpectationsMaintain professionalism, confidentiality, and clinical integrity at all timesDemonstrate reliability and responsiveness for PRN scheduling needsParticipate in required trainings and competency validationsSupport agency initiatives, including dementia care best practices (e.g., Positive Approach to Care® principles)Reports ToDirector of Nursing (DON) or DesigneeSchedule & StatusPRN / Per Diem (As Needed)Variable hours based on client needs, including potential evenings, weekends, or short-term assignmentsCompensationCompetitive hourly rate based on experienceOpportunities for additional hours based on performance and availabilityAbout SmithLife HomecareSmithLife Homecare is a licensed, bonded, and insured home care agency serving Maryland and Washington, DC. For over 25 years, we have supported older adults and families with personalized in-home care that promotes dignity, safety, and independence. Our team is committed to delivering exceptional care, because we believe in truly bringing care home.Apply TodayJoin a team where your clinical expertise and compassion make a meaningful difference every day.