Registered Nurse, RN - Home Health - PRN

VitalCaring Group; Longview (TX); On-site; USD 70,000 - 90,000; Full time

Job summary

VitalCaring Group is seeking a Field-Based Home Health RN to lead patient care in patients' homes across an assigned territory. You will assess, plan, and deliver skilled nursing services with autonomy and a collaborative clinical team.

You will manage complex cases, coordinate care with physicians and therapists, and focus on reducing hospitalizations and supporting long-term independence at home.

Qualifications

• Active RN license (or compact eligibility) and CPR certification.
• Graduate of an accredited nursing program.
• Minimum one year RN experience (Home Health, Med-Surg, ICU, or Acute Care preferred).
• Strong clinical judgment and ability to think independently.
• Excellent communication skills and patient-centered approach.
• Ability to manage a caseload and prioritize effectively.
• Proficiency with EMR systems.
• Valid driver's license and reliable transportation.

Responsibilities

• Conduct comprehensive in-home assessments to evaluate clinical status, risks, and goals of care.
• Develop and manage individualized care plans in collaboration with physicians and care teams.
• Deliver skilled nursing care, including medication management, treatments, and interventions.
• Serve as the case manager, coordinating care across therapists, aides, and physicians.
• Monitor patient progress and make clinical decisions based on changing conditions.
• Educate patients and families to support disease management and independence.
• Coordinate care transitions and discharge planning to reduce readmissions.
• Maintain timely, accurate documentation in the EMR.
• Supervise and support Home Health Aides as needed.
• Participate in on-call rotation as appropriate.

Skills

RN license

CPR certification

EMR proficiency

Strong clinical judgment

Excellent communication

Driver's license

Education

BSN

Accredited nursing program

Tools

Homecare Homebase (HCHB)

Job description

Field-Based | Clinical Autonomy | Advanced Patient Care

Join VitalCaring - Where Your Work Truly Matters

At VitalCaring, care isn't just what we do - it's who we are.

If you're a nurse who wants to use your full clinical skillset, think critically, and make a measurable impact on patient outcomes, Home Health offers a different - and often more meaningful - way to practice.

You have the opportunity to lead decisions, manage complexity, and help patients recover and thrive in their own environment.

Why Home Health at VitalCaring

• Clinical Autonomy & Ownership

You're not waiting on orders—you're leading care. You assess, decide, and adjust in real time, owning outcomes for your patients.

• Complex, High-Impact Care

From post-acute recovery to chronic condition management, you'll care for patients with diverse and often complex needs—requiring strong clinical judgment and adaptability.

• Work-Life Balance That's Real

Flexible scheduling and generous PTO allow you to build a sustainable career without sacrificing impact or growth.

• Stronger Patient Connections

You'll build meaningful relationships with patients and families - seeing the direct results of your care over time.

• A Team That Supports You

Independence doesn't mean isolation. You'll have strong support from some of the industries most respected leaders, interdisciplinary collaboration, and clear processes behind you.

Role Overview

As a Home Health RN, you are the clinical lead for your patients - managing the plan of care, coordinating across disciplines, and driving outcomes from admission through discharge.

You'll combine advanced assessment skills, care planning, and patient education to reduce hospitalizations, improve recovery, and support long-term independence at home.

What You'll Do

• Conduct comprehensive in-home assessments to evaluate clinical status, risks, and goals of care
• Develop and manage individualized care plans in collaboration with physicians and care teams
• Deliver skilled nursing care, including medication management, treatments, and interventions
• Serve as the case manager, coordinating care across therapists, aides, and physicians
• Monitor patient progress and make clinical decisions based on changing conditions
• Educate patients and families to support disease management and independence
• Coordinate care transitions and discharge planning to reduce readmissions
• Maintain timely, accurate documentation in the EMR
• Supervise and support Home Health Aides as neededParticipate in on-call rotation as appropriate

What You Bring

• Active RN license (or compact eligibility) + CPR certification
• Graduate of an accredited nursing program
• Minimum one (1) year RN experience (Home Health, Med-Surg, ICU, or Acute Care preferred)
• Strong clinical judgment and ability to think independently
• Excellent communication skills and patient-centered approach
• Ability to manage a caseload and prioritize effectively
• Proficiency with EMR systems
• Valid driver's license and reliable transportation

What Sets You Apart

• Experience in home health or post-acute care
• Experience with case management and interdisciplinary coordination
• BSN
• Familiarity with Homecare Homebase (HCHB)

What to Expect

• Field-based role caring for patients in their homes within an assigned territory
• High level of autonomy supported by a collaborative clinical team
• A dynamic environment requiring adaptability, critical thinking, and strong time management
• Performance expectations tied to clinical quality, patient outcomes, and documentation timeliness

All employment decisions are made without regard to race, color, religion, sex, gender identity or expression, sexual orientation, national origin, age, disability, veteran status, or any other protected characteristic. Candidates are evaluated based on job-related qualifications, skills, and business needs.