Licensed Nurse Assistant (LNA)

Eminence Home Care; Concord (NH); On-site; USD 25,000 - 30,000; Full time

Job summary

Eminence Home Care is seeking a Licensed Nurse Assistant (LNA) to support personal care services in clients’ homes and community settings. You will gather information, observe daily living activities, and document findings for review by a supervising nurse.

You will travel the assigned service area and maintain professional boundaries. The role emphasizes accurate observation, respectful communication, and timely reporting of changes in condition, with supervision from an RN/LPN.

Qualifications

• Current, unrestricted NH LNA license in good standing.
• NH Board-approved nursing assistant education program.
• CPR and first aid certification, if required by policy.
• At least one year of home care or related experience preferred.
• Background checks and onboarding completed.
• Valid driver''s license and reliable transportation.
• Ability to use electronic documentation systems securely.

Responsibilities

• Schedule and complete client visits within required timeframes.
• Verify client identity and protect privacy and rights.
• Observe and document client functioning related to daily activities.
• Observe home environment for hazards and accessibility.
• Record routines, preferences, strengths, and supports.
• Report urgent concerns to supervising nurse.
• Submit documentation for review and plan-of-care decisions.
• Maintain professional boundaries and infection control.

Skills

Observation skills

Communication

Documentation

Time management

Education

NH LNA license (unrestricted)

NH Board-approved CNA education program

Tools

Electronic documentation systems

Mobile technology

Job description

Eminence Home Care is looking for a talented Licensed Nurse Assistant (LNA) to join our amazing team! The Licensed Nursing Assistant (LNA) supports the delivery of Personal Care Services by meeting with clients in their homes or other approved community settings, gathering standardized information, observing functional abilities and safety needs, and documenting findings for review by the supervising licensed nurse. This position helps identify a client's ability to complete activities of daily living and instrumental activities of daily living, available natural supports, environmental considerations, and changes that may affect service needs. The LNA does not independently perform the nursing assessment, determine medical necessity, establish eligibility, develop or approve the plan of care, or exercise nursing judgment reserved to a licensed nurse.

Reporting Relationship and Scope

• Reports to and practices under the supervision of an RN, APRN, or LPN, consistent with New Hampshire law and agency policy.
• Uses only agency-approved forms, scripts, tools, and assessment-support procedures for which competency has been verified.
• Promptly reports findings, concerns, and changes in condition to the supervising nurse; does not interpret findings or make independent clinical conclusions.
• For New Hampshire Medicaid Personal Care Attendant services, the provider's licensed RN must conduct the personal care assessment and develop and sign the plan of care. The LNA may collect supporting information and observations but may not substitute for the RN.

Essential Duties and Responsibilities

• Schedule and complete assigned client visits within required timeframes and communicate delays or access issues promptly.
• Verify client identity, explain the purpose and limits of the visit, obtain required acknowledgments, and protect client choice, privacy, dignity, and rights.
• Gather client-reported information and directly observe functional performance related to bathing, dressing, grooming, toileting, eating, mobility, transfers, positioning, medication self-management, meal preparation, housekeeping, laundry, shopping, and other approved tasks.
• Observe and document the home environment for accessibility, equipment use, fall or fire hazards, sanitation concerns, and barriers to the safe delivery of personal care services.
• Record the client's current routines, preferences, strengths, limitations, ability to direct or participate in care, and the availability and role of family, friends, or other natural supports.
• Obtain and accurately record information requested by the supervising nurse regarding diagnoses, medications, equipment, nutrition, communication needs, and existing services without conducting medication reconciliation or making clinical determinations.
• Use objective, factual, complete, and timely documentation; distinguish direct observation from client or caregiver statements.
• Immediately report urgent concerns, including suspected abuse, neglect, exploitation, significant change in condition, unsafe living conditions, or risk of harm, in accordance with law and agency policy.
• Submit completed documentation to the supervising nurse for review, clarification, follow-up assessment, service authorization, and plan-of-care decisions.
• Participate in orientation, competency validation, quality review, case conferences, and continuing education as assigned.
• Maintain professional boundaries and comply with infection prevention, emergency preparedness, incident reporting, and confidentiality requirements.
• Travel safely throughout the assigned service area and maintain reliable communication with the agency.

Minimum Qualifications

• Current, unrestricted New Hampshire LNA license in good standing.
• Completion of a New Hampshire Board of Nursing-approved nursing assistant education program and demonstrated competency within the LNA scope of practice.
• Current CPR and first aid certification, if required by agency policy or contract.
• At least one year of experience in home care, long‑term care, community health, or services for older adults or individuals with disabilities preferred.
• Successful completion of required background checks, exclusion screening, health screening, and other onboarding requirements.
• Valid driver's license, reliable transportation, and automobile insurance when travel is an essential function.
• Ability to use electronic documentation systems and mobile technology securely and accurately.

Core Competencies

• Accurate observation and documentation
• Clear, respectful, person‑centered communication
• Recognition and escalation of changes in condition or safety concerns
• Understanding of professional boundaries and delegated duties
• Cultural responsiveness and respect for client preferences
• Organization, time management, and independent fieldwork
• Confidentiality and sound handling of protected health information

Physical and Work Requirements The role requires re