In-Home RN Nurse — Flexible Shifts, Impactful Care

Emerald Cares; Fargo (ND); On-site; USD 40,000 - 57,000; Full time

Job summary

Emerald Cares seeks a Registered Nurse (RN) in Fargo, ND, to provide person-centered nursing care for individuals with developmental disabilities and complex medical needs in residential and community settings.

The RN will assess health needs, administer treatments, coordinate care, and guide direct care staff while upholding dignity, choices, and independence. 12-hour shifts offered; pay is $35/hr with options for full-time, part-time, or PRN schedules.

Qualifications

• Graduate of an accredited registered nursing program.
• Current RN license authorizing practice in the state where services are provided.
• Current BLS/CPR certification.
• Strong assessment, communication, documentation, and organizational skills.
• Ability to work independently, prioritize care, and respond appropriately to changes in condition.
• Ability to complete required background screening, orientation, and competency validation.

Responsibilities

• Perform nursing assessments, monitor changes in condition, and promptly communicate concerns to the appropriate provider.
• Develop, implement, and evaluate individualized nursing care plans.
• Administer medications and treatments according to provider orders and document the individual’s response.
• Provide specialized care, as assigned and within demonstrated competency, including tracheostomy and ventilator care, enteral feeding and tube care, wound care, and seizure monitoring.
• Review medication orders, complete medication reconciliation, and coordinate prescription refills and medical supplies.
• Recognize urgent health concerns, initiate appropriate interventions, and coordinate emergency services when needed.
• Collaborate with healthcare providers, pharmacies, therapists, case managers, guardians, and families to support continuity of care.
• Coordinate appointments, hospital transitions, and follow-up care; accompany individuals on appointments or community outings when nursing support is required.
• Provide clinical guidance to LPNs, CNAs, and direct support professionals. Delegate and supervise tasks within applicable nursing requirements and agency policy.
• Educate individuals, families, and staff about health conditions, medications, treatments, and individualized care needs.
• Maintain accurate, timely documentation, including assessments, medication and treatment records, nursing notes, incident reports, and shift handoffs.
• Follow infection prevention practices and maintain a safe care environment.
• Support personal care, mobility, transfers, and daily activities when needed.
• Participate in staff training, care conferences, quality improvement activities, and required meetings.
• Protect confidentiality and uphold individual rights, informed choices, and respectful care.
• Report suspected abuse, neglect, exploitation, medication errors, and other safety concerns according to agency procedures and applicable requirements.

Skills

Assessment

Communication

Documentation

Organizational skills

Independence

Prioritization

Care planning

Background screening

Education

Graduate of accredited RN program

RN license (state-authorized)

BLS/CPR certification

Tools

Therap

Job description

Emerald Cares seeks a Registered Nurse (RN) in Fargo, ND, to provide person-centered nursing care for individuals with developmental disabilities and complex medical needs in residential and community settings.

The RN will assess health needs, administer treatments, coordinate care, and guide direct care staff while upholding dignity, choices, and independence. 12-hour shifts offered; pay is $35/hr with options for full-time, part-time, or PRN schedules.