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Lpn To Rn Jobs in Washington (NOW HIRING)

LPN / RN (Skilled Home Care)

Columbia, MD · On-site

$26.50 - $36/hr

Capital City Nurses is hiring skilled Licensed Practical Nurses (LPNs) and Registered Nurses (RNs) to join our clinical team. If you have high-level skilled care experience and want flexible, visit ...

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Lpn To Rn information

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$17

$33

$49

How much do lpn to rn jobs pay per hour?

As of Sep 15, 2026, the average hourly pay for lpn to rn in Washington is $33.84, according to ZipRecruiter salary data. Most workers in this role earn between $28.03 and $38.12 per hour, depending on experience, location, and employer.

What is an LPN to RN program?

An LPN to RN program is a bridge educational pathway designed for Licensed Practical Nurses (LPNs) who want to become Registered Nurses (RNs). These programs build on the knowledge and skills LPNs already have and typically offer a combination of classroom instruction and clinical experience. Completing an LPN to RN program allows nurses to take the NCLEX-RN exam, which is required to become a licensed Registered Nurse. These programs can be offered as associate degree in nursing (ADN) or bachelor of science in nursing (BSN) tracks and usually take between one to two years to complete, depending on the format and previous coursework.

What are the key skills and qualifications needed to thrive as an LPN to RN, and why are they important?

To thrive as an LPN transitioning to an RN, you need advanced clinical knowledge, critical thinking, and assessment skills, along with completion of an accredited RN program and successful passing of the NCLEX-RN exam. Familiarity with electronic health records (EHRs), patient care technology, and medication administration systems is also essential. Excellent communication, leadership, and adaptability help you stand out as you manage complex patient care and collaborate with interdisciplinary teams. These skills and qualifications are crucial to ensure safe, effective patient care and to meet the increased responsibilities of the RN role.

What are some common challenges LPNs face when transitioning to an RN role?

LPNs moving into RN positions often encounter challenges such as adapting to expanded clinical responsibilities, developing stronger critical thinking skills, and managing more complex patient care plans. The RN role typically involves increased autonomy, leadership duties, and a broader scope of practice, which can require additional adjustment and ongoing learning. Support from colleagues, mentorship programs, and continuing education can be invaluable during this transition to help build confidence and competence.

What is the difference between Lpn To Rn vs Medical Assistant?

AspectLpn To RnMedical Assistant
CredentialsLicensed Practical Nurse (LPN) license, some states require additional coursework for RN transitionPost-secondary diploma or certificate, no license required
Work EnvironmentHospitals, clinics, long-term care facilities, primarily patient careDoctor's offices, outpatient clinics, administrative tasks, basic patient assistance
Industry UsageHealthcare, nursing, patient careHealthcare, administrative support, patient interaction

The Lpn To Rn pathway involves advancing from a licensed practical nurse to a registered nurse, requiring additional education and licensing. Medical Assistants typically perform administrative and basic clinical tasks without licensing. While both roles support healthcare delivery, Lpn To Rn professionals have a broader scope of practice and responsibilities in patient care compared to Medical Assistants.

How fast can I go from LPN to RN?

The time to advance from LPN to RN varies depending on the program and pathway chosen, such as bridge programs or accelerated options. Typically, LPN to RN bridge programs take about 12 to 18 months to complete, allowing licensed practical nurses to earn an associate degree or diploma to become registered nurses more quickly than traditional routes.

What cities in Washington are hiring for Lpn To Rn jobs?

Cities in Washington with the most Lpn To Rn job openings:

Infographic showing various Lpn To Rn job openings in Washington as of August 2026, with employment types broken down into 3% As Needed, 52% Full Time, 11% Part Time, 2% Temporary, and 32% Contract. Highlights an 94% Physical, and 6% Remote job distribution, with an average salary of $70,380 per year, or $33.8 per hour.

$36 - $40/hr

Full-time, Part-time

Medical, Dental, Vision, PTO

Re-posted 29 days ago


Key responsibilities

  • Deliver skilled nursing visits including assessments, medication administration, wound care, and disease management within the plan of care.

  • Support coordination of supplies, communicate with patients and caregivers, and document care activities in the EMR.

  • Report changes in patient condition to the supervising RN/MD and ensure compliance with clinical policies and documentation standards.


Job description

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.