Registered Nurse - RN

Responsive Recruiter

Benefits: 401(k) matching, competitive salary, dental insurance, flexible schedule, health insurance, opportunity for advancement, paid time off

Position: Registered Nurse (RN) Private Duty/Field Nurse

Reports to: Clinical Supervisor

Compensation: $55 $65/hour, depending on experience

Schedule: Part-Time (16-24 hours/week)

Location: Napa County

About the Role

We are seeking a Registered Nurse (RN) to provide continuous, one-to-one nursing care in the patient's home, typically through 8-hour shifts. This role is ideal for an RN who operates with great attention to detail and a big heart, delivering high-quality, compassionate care while remaining attentive to changes in the patient's condition. In this role, you will focus on direct patient care, comprehensive assessment, and clinical escalation within the patient's home environment. You serve as the primary link between the patient and the clinical team, ensuring continuity of care and clinical excellence in accordance with California Title 22 HHA regulations and CDPH standards, Accreditation Commission for Health Care (ACHC) standards, VA/TRICARE, Medi-Cal/CCS, and private insurance requirements.

Key Responsibilities

1. Clinical Excellence & Patient Care

Perform initial and ongoing physical assessments and histories to determine home care needs. Deliver direct, skilled nursing care including medication administration and treatments as prescribed by the physician. Initiate the plan of care and make necessary revisions as patient status and needs change. Develop care plans that establish goals based on nursing diagnosis and incorporate therapeutic, preventive, and rehabilitative nursing actions. Provide health care instructions and counseling to patients and families to support home-based stability Function as a case manager/supervisor when assigned by the Clinical Supervisor.

2. Communication & Coordination

Prepare timely clinical notes and update the primary physician regarding condition changes at least every 60 days. Communicate with community health-related persons to coordinate a holistic care plan. Identify discharge planning needs during the care plan development and implementation. Supervise and evaluate home health aide care provided every two (2) weeks when assigned.

3. Compliance & Administrative Standards

Ensure necessary equipment and supplies are available for patient care. Participate in on-call duties as defined by agency policy. Maintain strict adherence to CMS, ACHC, and Title 22 standards.

Position Qualifications

• Active California RN license and current CPR certification.
• Graduate of an accredited school of nursing; BSN is preferred (not required).
• Minimum of one (1) year nursing experience in acute care or equivalent experience is preferred.
• Case management/supervisor only when assigned
• Excellent observation, verbal and written communication skills, problem solving skills, basic math skills; competency matched to patient acuity.
• Prolonged or considerable walking or standing. Able to lift, position or transfer patients. Able to lift supplies and equipment. Considerable reaching, stooping, bending, kneeling or crouching. Visual acuity and hearing to perform required nursing skills.
• Licensed driver with automobile that is in good working order and insured in accordance with the organization requirements

Why Join Us?

High-touch, mission-driven culture. Diverse case mix: pediatric EPSDT/CCS, veterans, private-pay clients, and post-acute adult patients. Opportunities for growth as census expands

About Atlas Home Health

Our Story At Atlas Home Health, we started with a simple idea: lift people up. With decades of experience in long-term home healthcare, our founders Aaron Starfire, JD, and Robert Okin, MD, envision a warm and welcoming healthcare system where patients thrive in their own home and community. Our Services We specialize in long-term, private-duty home care, where each client is treated on a one-to-one basis by an individual or team of caregivers and nurses. We serve adult and pediatric clients with a wide range of medical conditions, from simple daily needs to complex treatments. Our team of supervisors works with each family to create a personalized care plan to meet their unique needs. We are a premium Home Health Agency focused on continuous nursing care services in Napa County and the Northern California Bay Area. We operate two primary skilled-nursing pathways: 1. Pediatric Home Health Continuous Care Nursing We provide long-term, high-acuity nursing support for medically fragile children, including: EPSDT/CCS clients Infants and children with tracheostomies, ventilators, and tube feeding Genetic, congenital, or developmental disorders Neuromuscular diseases and complex, technology-dependent conditions Post-NICU/children's hospital discharges 2. Adult Home Health Continuous Care Nursing We also support adults with complex needs, including: Veterans through VA/TriWest programs Adults with spinal cord injuries, ALS, TBI, stroke, or long-term disabilities Post-hospital recovery (CHF, COPD, surgical recovery) High-net-worth private-pay families seeking concierge-level clinical management