Home Health Skilled Nurse (RN) - Full Time

Hanford Home Health; Washington (District of Columbia); Remote; USD 63,000 - 89,000; Full time

Benefits offered by this job

Medical, dental, and vision insurance

401(k) eligibility

Mileage reimbursement

Paid sick leave

Annual wage increases

Job summary

Hanford Home Health in Tri Cities, WA is seeking a Full Time Home Health Skilled Nurse (RN) to provide in-home, skilled nursing care for medically complex patients. The role reports to the Director of Clinical Services and involves 12-hour shift coverage with 36–40 hours per week.

Responsibilities include assessments, medication administration, plan-of-care delivery, and coordination with the clinical team. Must have WA RN license, CPR/BLS, and reliable transportation.

Qualifications

• Active Washington State RN 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.
• Ability to lift up to 50 lbs with proper body mechanics.

Responsibilities

• Provide skilled nursing care per Plan of Care and orders.
• Perform nursing assessments and ongoing monitoring within RN scope.
• Administer medications and treatments; monitor for side effects.
• Provide skilled interventions (e.g., wound care) as ordered.
• Measure and document vital signs, intake/output, pain, and weight.
• Report changes to supervising nurse or Director of Clinical Services.
• Educate patients and families on conditions, medications, and care requirements.
• Collaborate with interdisciplinary team to coordinate care.
• Assist with mobility, ADLs/IADLs as outlined in the Plan of Care.
• Document accurately in the electronic health record system.
• Follow infection control, safety, HIPAA, and confidentiality rules.
• Report suspected abuse or neglect per state law and policy.
• Comply with OSHA, Bloodborne Pathogens plan and PPE use.
• Complete required state continuing education.
• Perform only duties within RN scope and agency policies.

Skills

Active Nursing License RN

Home health experience

Patient assessments and monitoring

Medication administration

Documentation and charting

Education

Graduate of an accredited School of Nursing

Tools

EHR system

Job description

Home Health Skilled Nurse (RN) – Full Time

Hanford Home Health | Tri Cities, WA

Job Overview

Hanford Home Health is hiring Full Time Home Health Skilled Nurses (RNs) to provide in-home, skilled nursing care to EEOICPA (Department of Labor) benefits recipients and other medically complex patients. This position reports to the Director of Clinical Services.

Schedule & Shift Structure

Full time status is 36-40 hours per week

Shifts range from 1 to 12 hours, based on patient needs and census

Full time staff are primarily scheduled for 12-hour shifts

Alternative shift lengths may occur only by mutual agreement

Day Shift: 7:00 AM – 7:00 PM

Night Shift: 7:00 PM – 7:00 AM

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

Work schedules are posted one (1) month or more in advance

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

Weekend & Holiday Expectations

Full time staff may be required to work weekends and holidays in accordance with agency policy, operational needs, and census

Weekend and holiday assignments are scheduled and rotated per agency policy

Schedules are subject to census changes as outlined in the Employment Contract

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 RN scope of practice
• 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 RN 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 RN 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

• Base rate $55.00 per hour
• Actual wage may vary based on assignment, credentials, experience, and applicable shift differentials
• Full-time skilled nurses are eligible for annual wage increases in accordance with agency policies and procedures
• This position is nonexempt (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 and based on Washington State required break and meal periods
• Medical, dental, and vision insurance for employees working 36+ hours per week
• 401(k) eligibility after 6 months of service for employees working 20+ hours per week
• Travel required 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
• One (1) set of agency-issued scrubs for full-time staff
• Reimbursement for required CPR/BLS certification per agency policy
• Opportunity for additional shifts as available
• Supportive nursing supervision and leadership team

Why Work at Hanford Home Health

Primarily 1:1 patient care — no rotating facilities

Scheduling based on patient needs, census, and operational requirements, with consideration given to employee availability

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