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

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 .

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