LVN - In Home Services

St. Paul's Senior Services; Escondido (CA); On-site; USD 60,000 - 90,000; Full time

Job summary

St. Paul’s Senior Services seeks a dedicated LVN to provide in-home skilled nursing care in the North County area. You will work under the Clinical Services Manager to ensure safe transitions, med management, and timely interventions after hospitalizations.

The role supports home health and hospice services with care planning, documentation, and education for participants and families, promoting continuity of care and reducing hospital readmissions.

Qualifications

• Current RN or LVN license. CPR certification required.
• Experience with frail or elderly population preferred (1+ year).
• IV certification preferred. Home health or hospice experience highly regarded.

Responsibilities

• Provide in-home skilled nursing care per order, including injections, wound care, and clinical evaluations.
• Review patient status and follow up on hospital discharges and condition changes.
• Educate participants and families on disease processes, meds, treatments, and safety.

Skills

Geriatrics care

Medication management

Wound care

Infection control

Interdisciplinary teamwork

Clinical assessment

Documentation

Patient education

Home health care

IV therapy

Education

Registered Nurse (RN)

Licensed Vocational Nurse (LVN)

CPR certification

Tools

Greenway EHR

EireneRx

Job description

We're looking for LVNs to assist in the North County area! Full-time hours.

Job Description: Under the direction and supervision of the Clinical Services Manager, provides skilled nursing care to participants in their homes, ensuring safe transitions of care, effective medication management, and timely clinical interventions following hospitalization or changes in condition. This role supports participants receiving home health, hospice, or in-home services by delivering provider-ordered skilled nursing care, completing medication reconciliations, developing care plans, and coordinating closely with the interdisciplinary care team. The In-Home Services Nurse plays an important role with in-home skilled nurses services, post-acute follow-up, participant education, and documentation to promote continuity of care, reduce hospital readmissions, and ensure compliance with regulatory and organizational standards.

Duties and Responsibilities:

• Review daily morning meeting updates to identify participant hospitalizations, discharges, or changes in condition requiring follow-up.
• Complete wellness checks as assigned by the Case Manager for participants recently discharged from the hospital or skilled nursing facility.
• Communicate changes in participant status and concerns to the Case Manager and appropriate interdisciplinary team members.
• Provide in-home skilled nursing services as ordered by the provider, including but not limited to injections, wound care, and clinical evaluations.
• Deliver education to participants and families related to disease processes, medications, treatments, and safety.
• Complete weekly or bi-weekly skilled nursing visits for participants receiving hospice services.
• Complete medication reconciliations for participants receiving medication management services.
• Monitor medication adherence and report discrepancies, concerns, or adverse effects to the appropriate provider. Refill medications through EireneRx as needed to ensure uninterrupted therapy.
• Administer narcotic medications for hospice participants in the home or licensed residential care settings, in accordance with policy and regulatory standards.
• Process In-Home Services orders in a timely manner and create required nursing care plans.
• Develop and maintain care plans for participants receiving home health services, ensuring accuracy and compliance with regulatory requirements.
• Deliver medical supplies is necessary to support participants receiving in-home services.
• Enter all scheduled home health visits into Greenway to capture encounters, including checking participants in and out and linking all required documentation. Maintain timely, accurate, and complete clinical documentation in accordance with organizational policies and regulatory standards.
• Shall attend in-service education program, including orientation and skill training and continuing education.
• Shall receive in-service training in first aid and in cardiopulmonary resuscitation within the first six months of employment.
• Follows all St. Paul’s PACE Policies and Procedures and OSHA safety guidelines.
• Maintains the confidentiality of all company procedures, results, and information about participants, clients or families.
• Practices Universal precautions and follows appropriate Infection Control procedures.
• Maintains safe working environment. Follows St. Paul’s PACE Safety Policies and Procedures.
• Participates in and supports Quality Improvement initiatives
• Performs other duties as required or requested

Qualification and Requirements:

• Education - Current Registered Nurse or Licensed Vocational Nurse. CPR certification required.
• Experience – A minimum of one year’s experience in working with the frail or elderly population required. IV Certification preferred. Experience in home health, hospice, or community-based nursing highly preferred.

Skills/Knowledge:

• Broad knowledge base of health care problems of the frail elderly.
• Knowledge of medical equipment and instruments.
  Knowledge of common safety hazards and precautions to establish a safe work environment.
• Skilled in identifying problems and recommending solutions.
• Skilled in preparing and maintaining records and writing reports and responding to correspondence.
• Skilled in developing and maintaining department quality assurance.
• Skilled in establishing and maintaining effective working relationships with participants, medical staff, staff members and family caregivers.
• Ability to react calmly and effectively in emergency situations.
• Knowledge of medications used in geriatrics and adverse reactions.
• Skilled in wound care.
• Strong clinical assessment, medication management, and documentation skill.
• Ability to work independently in the field and collaboratively with an interdisciplinary team.
• Reliable transportation and ability to travel to participant home
• Knowledge of home care services nursing principles and practices, with particular reference to the elderly.