Home Health Skilled Nurse (LPN) - Per Diem

Job Description

Job Description

Home Health Skilled Nurse (LPN) – Per Diem

Hanford Home Health | Tri Cities, WA

Employment Type: Per Diem / As Needed
Shift Availability: Day Shift, Night Shift, or Combination
Shift Length: Shifts range from 1 to 12 hours

Job Overview:

Hanford Home Health is hiring Per Diem Home Health Skilled Nurses (LPNs) to provide skilled nursing care to EEOICPA benefits recipients and other medically complex patients. As a Per Diem LPN, you will be part of a dedicated team focused on delivering high-quality, patient-centered care in the comfort of patients' own homes.

Schedule & Shift Structure:

• Scheduled as needed based on census and coverage requirements

• No guaranteed hours or fixed schedule

• Work schedules posted one (1) month or more in advance when applicable

• Staff are expected to complete all assigned shifts accepted, subject to agency attendance and call-out policies

• Per diem status does not guarantee hours, ongoing assignments, or priority scheduling

Staffing Model:

• Care is primarily one to one

• In limited circumstances, staff may support more than one patient within the same household when authorized by the individualized Plan of Care

Key Responsibilities:

• Provide skilled nursing care in accordance with the authorizing practitioner's orders and the individualized Plan of Care

• Perform nursing assessments and ongoing monitoring within LPN scope of practice (LPNs complete focused assessments and report findings to the supervising RN)

• Administer medications and treatments; monitor for side effects and changes in patient condition

• Provide skilled interventions as ordered (including wound care and other therapeutic interventions when within scope and ordered)

• Measure and document vital signs, intake/output as applicable, pain, weight, and patient responses per the Plan of Care

• Observe and report changes in patient condition to the supervising nurse, RN Case Manager, and/or Director of Clinical Services as required

• Educate patients and families on conditions, medications, treatments, safety measures, and Plan of Care requirements

• Collaborate with interdisciplinary team members to coordinate care and support optimal patient outcomes

• Assist with mobility, personal care, ADLs and IADLs when clinically indicated and outlined in the Plan of Care

• Complete accurate, timely documentation in the agency-approved electronic health record system

• Follow infection control, safety, emergency preparedness, confidentiality, and HIPAA requirements

• Report suspected abuse, neglect, or exploitation of vulnerable adults in accordance with Washington State mandatory reporting laws and agency policy

• Comply with OSHA standards, including the Bloodborne Pathogens Exposure Control Plan, and utilize required personal protective equipment

• Complete state-required continuing education requirements per state guidelines

• Perform only those duties authorized within the applicable LPN scope of practice, licensure, and delegated authority under Washington State law and the agency's policies and procedures

Required Qualifications:

• The physical and functional requirements listed are considered essential functions of this position

• Ability to stand, walk, bend, lift, and assist with transfers as required by patient needs and the individualized Plan of Care

• Ability to lift up to 50 lbs using proper body mechanics

• Active Washington State LPN license in good standing

• Graduate of an accredited School of Nursing

• Minimum of one (1) year of nursing experience; home health experience preferred

• Current CPR/BLS certification for healthcare professionals

• Washington State Food Worker's Card (or ability to obtain upon hire)

• Valid driver's license, reliable transportation, and auto insurance

• Ability to pass background check and drug screening

• Strong clinical judgment, documentation, and communication skills

• Ability to use agency-issued or personal mobile devices for scheduling, communication, and electronic documentation

• Ability to work safely and professionally in private home environments, which may include pets, exposure to tobacco smoke, limited space, and other residential conditions

Preferred Qualifications:

• Experience in home health, hospice, or geriatric care

• Prior experience with electronic documentation systems

Pay & Benefits:

• Pay Rate: Base rate $45.00 per hour

• Actual wage may vary based on assignment, credentials, experience, and applicable shift differentials

• This position is non-exempt (hourly). Overtime is paid in accordance with Washington State and federal law. Overtime pay and applicable shift differentials are paid in addition to the base hourly rate

• Shift differential pay per agency policy

• Mandatory Washington meal and rest periods are paid

• Travel within the Tri Cities and surrounding areas; mileage reimbursed at $0.725 per mile

• Washington Paid Sick Leave provided in accordance with Washington State law

• Supportive nursing supervision and leadership team

• Per diem positions are not benefits eligible except as required by law

Why Work at Hanford Home Health:

• Primarily 1:1 patient care — no rotating facilities

• Shifts offered based on census, coverage needs, seniority, and operational priorities

• Mission-driven care for a unique patient population

• Professional, compliant, and respectful workplace culture

Conditions of Employment:

• Employment contingent upon meeting agency health, immunization, and regulatory requirements

• Completion of required employment eligibility verification

• Execution of an Employment Contract and acknowledgment of receipt of the Employee Handbook are required as a condition of employment

• Washington State Patrol background check and disclosure required at hire and every two (2) years and as needed

• Driver's Record Request required annually and as needed

• Employment is at will

• Equal Opportunity Employer

If you are a motivated and compassionate LPN looking for a challenging and rewarding career, we encourage you to apply for this Per Diem Home Health Skilled Nurse position. Apply today to join our dedicated team and make a difference in the lives of our patients!