Clinical Nurse (RN)

On-Site Clinical Nurse (RN) - Home Care

SmithLife Homecare is seeking a compassionate and clinically skilled Registered Nurse (RN) to serve as the On-Site Clinical Nurse for a designated location. This leadership role is responsible for overseeing clinical quality, caregiver supervision, and client care management to ensure safe, high-quality service delivery.

The On-Site Clinical Nurse conducts assessments, develops care plans, supervises caregivers, and supports regulatory compliance while serving as a clinical resource to the care team. This position is primarily based at a single location, with minimal travel required only to support coverage during scheduled PTO or absence of another clinical team member.

This role plays a key part in ensuring SmithLife Homecare maintains high clinical standards, regulatory readiness, and exceptional client care outcomes.

Principal Accountabilities

Essential job responsibilities:

• Conduct initial nursing assessments for new clients and develop individualized Care Plans within 24 hours of admission
• Perform routine supervisory visits and client reassessments every 90 days
• Conduct supervisory visits every 45 days for clients with complex or skilled needs including high-risk equipment, medication administration, or multiple co-morbidities
• Perform nursing assessments within 24 hours for clients returning home from hospitalization when services resume
• Update Care Plans and clinical documentation when changes in condition occur or when clinically indicated
• Monitor service delivery to ensure care aligns with physician orders, client needs, and agency care standards
• Observe caregiver performance during home visits and evaluate clinical competencies
• Provide training, retraining, and skill reinforcement for CNAs, HHAs, and care partners
• Review caregiver documentation, progress notes, and charting to ensure accuracy and completeness
• Identify documentation or care delivery gaps and implement corrective action plans when needed
• Support clinical training initiatives to maintain caregiver competency and quality care standards
• Collaborate with the Administrator regarding client admissions, service planning, and clinical quality
• Communicate with physicians, therapists, and other interdisciplinary team members as needed
• Provide clinical guidance to care coordinators and caregivers regarding client needs or care changes
• Support medication management oversight and skilled nursing needs when required
• Assist with urgent clinical situations and ensure appropriate follow-up care is coordinated
• Ensure all clinical documentation meets regulatory requirements and agency standards
• Participate in incident investigations related to client safety, caregiver performance, or changes in condition
• Support abuse, neglect, or exploitation investigations in accordance with regulatory requirements
• Assist with infection control monitoring and public health response when needed
• Prepare and issue discharge notices in compliance with COMAR home care regulations
• Serve as a clinical resource for caregivers, care coordinators, and administrative staff
• Promote strong communication between clinical, operational, and scheduling teams
• Participate in interdisciplinary care discussions to support continuity of care
• Contribute to quality improvement initiatives and support clinical process enhancements
• Promote a culture of accountability, professionalism, and compassionate care

Scope of Responsibilities

Every effort has been made to identify the essential functions of this position. However, it in no way states or implies that these are the only duties you will be required to perform. The omission of statements of duties does not exclude them from the position if the work is similar, related, or is an essential function of the position.

Required Skills and Experience

Requirements:

• Associate Degree in Nursing required; BSN preferred
• Active, unrestricted Registered Nurse (RN) license in the State of Maryland with ability to be endorsed or currently hold a license in Washington, DC
• Minimum 23 years of experience in sub-acute or acute care, home care, or home health healthcare setting
• Strong clinical assessment and care planning skills
• Experience supervising caregivers or direct care staff preferred
• Proficiency with electronic documentation and scheduling systems (e.g., WellSky/ClearCare preferred)

Preferences:

• Regulatory compliance expertise
• Client advocacy and service excellence
• Attention to detail and documentation accuracy with process improvement and quality monitoring
• Interdisciplinary collaboration with critical thinking and problem solving

Employment Type

Salaried, Exempt Primary Location: On-Campus, Rockville, MD Reports to: Administrator Schedule: MondayFriday