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About Direct Care Home Health Services

Direct Care Home Health Services is a mission-driven home health agency serving adults and seniors across Washington, DC. Our promise, Compassionate Care Delivered, guides how we partner with patients, caregivers, and providers to keep care safe at home.

Position Summary

The Field LPN provides direct, inhome nursing care and coordination under the supervision of a Registered Nurse (RN) and/or physician. The LPN implements the established plan of care, delivers evidencebased interventions within the LPN scope, documents timely and accurately in the EMR, and proactively communicates changes in condition to ensure exceptional outcomes and regulatory compliance.

Schedule & Travel

Fulltime or parttime; daytime hours with occasional evening/weekend or holiday coverage as needed. Local travel within the District of Columbia. Mileage/expense reimbursement per policy.

Key Responsibilities

Direct Patient Care

• Deliver skilled nursing visits per plan of care (POC), including vital signs, assessments, medication administration, injections, wound care, catheter care, ostomy care, and diseasemanagement reinforcement within the LPN scope.
• Perform dressing changes and wound care per orders; monitor and document healing progress and supply needs.
• Support medication reconciliation and adherence education; reinforce RN education using teachback.
• Identify and promptly report changes in condition to the supervising RN/MD; escalate urgent findings per protocol.
• Promote infection prevention, fall prevention, and safe home environment practices during each visit.

Coordination & Communication

• Collaborate with RN Case Managers, Therapists, HHAs, and Intake to support patient goals and continuity of care.
• Coordinate supplies (wound/ostomy/catheter) and DME needs; verify orders and deliveries.
• Provide clear instructions to patients/caregivers; address questions within scope and route others to RN/MD.

Documentation & EMR

• Complete accurate, timely visit notes, communications, and care coordination in the EMR in accordance with agency policy.
• Ensure orders, consents, and signatures are obtained and routed; maintain documentation that supports billing and compliance.
• Support OASIS-related workflows by contributing supporting documentation and tasks as directed by the RN (LPNs do not complete OASIS assessments).

Quality, Safety & Compliance

• Adhere to the LPN scope of practice, agency clinical policies, and the home health Medicare Conditions of Participation (CoPs).
• Follow HIPAA and minimumnecessary PHI standards; maintain professional boundaries and cultural competence.
• Meet visit timeliness, documentation turnaround, and QA correction expectations; participate in case conferences and competencies.
• Use EVV/visit verification workflows (as applicable) and report any exceptions promptly.

Benefits

• Competitive pay
• Medical, dental, vision
• Paid time off and paid holidays.
• Paid Sick Leave

Pay Range

$36 – $40 per hour, depending on experience, certifications, territory, and shift/weekend coverage.

EEO Statement

Direct Care Home Health Services is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.

Qualifications

Required

• Active LPN license in the District of Columbia, in good standing.
• Current BLS/CPR certification.
• 1+ years of recent clinical experience (home health, medsurg, primary care, LTC, or similar).
• Proficiency with EMR systems and Microsoft 365 (Outlook, Teams, Word, Excel).
• Excellent communication skills; reliable transportation and ability to travel to patient homes.

Preferred

• Home health field experience.
• Wound care experience/certification; ostomy and catheter care proficiency.
• Familiarity with OASIS workflows and Medicare/Medicaid home health requirements.
• Experience with EVV, scheduling platforms, and home health EMRs (e.g., Axxess, Homecare Homebase, WellSky/Kinnser, AlayaCare).
• Bilingual or multilingual skills.

Core Competencies

• Patientcentered care and service mindset.
• Clinical judgment within LPN scope; timely escalation to RN/MD.
• Strong organization, time management, and followthrough.
• Clear, compassionate communication and cultural humility.
• Adaptability and teamwork in a fastpaced, community setting.
• Discretion and professionalism in handling PHI.

Physical & Work Environment Requirements

• Frequent driving and home-based care in varied environments (stairs, pets, limited space).
• Ability to stand, walk, and use hands for clinical tasks; occasional lifting up to 25 lbs (supplies/equipment).
• Exposure to common home and healthcare-related environmental factors; uses appropriate PPE.

Compliance & Health Requirements

• Background check and employment eligibility verification.
• Health clearance per agency policy (e.g., TB screening, immunizations).
• Annual competencies and mandatory trainings.