RN Emergency PRN Evenings

SmithLife Homecare | Maryland & Washington, DC
Bringing Care Home
SmithLife 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.
Active Registered Nurse (RN) license in good standing in Maryland and/or Washington, DC
Graduate of an accredited school of nursing
Minimum of three (3) years of clinical nursing experience preferred (home care, hospital, or community-based)
Strong assessment, care planning, and documentation skills
Clinical Assessment & Care Planning
Perform comprehensive nursing assessments in the home setting
Develop, implement, and update individualized Plans of Care
Evaluate client needs, risks, and goals to support safe aging in place
Delegate nursing tasks in accordance with state regulations and scope of practice
Ensure all care provided aligns with the Plan of Care and agency standards
Provide guidance, training, and support to field staff
Care Coordination & Communication
Collaborate with care coordinators, physicians, families, and interdisciplinary teams
Communicate changes in condition and recommendations for care adjustments
Support hospital-to-home transitions and other care transitions
Serve as a clinical resource for staff and families
Direct Skilled Nursing Care
Provide direct care as needed, including but not limited to:
Wound care and infection prevention
Chronic disease monitoring and management
Complete all documentation in WellSky in accordance with agency policy and regulatory requirements
Adhere to all SmithLife Homecare policies and procedures
Quality & Safety
Identify and respond to changes in client condition, including escalation to physician or emergency services when appropriate
Maintain a safe and therapeutic care environment
Report incidents, concerns, and risks per agency protocol
Participate in QAPI and quality improvement initiatives
Client & Family Support
Educate clients and families on care plans, medications, and disease processes
Provide emotional support and guidance to families navigating care needs
Promote dignity, independence, and person-centered care
Client homes, including private residences and senior living communities
Travel required between client locations
Demonstrate reliability and responsiveness for PRN scheduling needs
Support agency initiatives, including dementia care best practices (e.g., Positive Approach to Care principles)
Director of Nursing (DON) or Designee

PRN / Per Diem (As Needed)
Variable hours based on client needs, including potential evenings, weekends, or short-term assignments
Competitive hourly rate based on experience
Opportunities for additional hours based on performance and availability
About SmithLife Homecare
SmithLife 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.
SmithLife Homecare