Hha Home Care

SmithLife Homecare | Maryland & Washington, DC
Bringing Care Home

Position Summary

SmithLife Homecare is seeking a compassionate and experienced Registered Nurse (RN) to join our team on a PRN (as-needed) basis. In this flexible role, you will provide skilled nursing care to clients in their homes, helping to ensure their safety, comfort, and independence.

The Registered Nurse (RN) provides skilled nursing assessment, care planning, and clinical oversight to clients receiving services through SmithLife Homecare on a PRN (as-needed) basis. The RN is responsible for developing, implementing, and supervising the Plan of Care, ensuring services are delivered safely, effectively, and in compliance with all applicable Maryland COMAR and Washington, DC Home Support Agency regulations.

The RN plays a critical leadership role in supporting care transitions, managing changes in condition, and guiding caregivers and LPNs in the home setting.

Qualifications

• Active Registered Nurse (RN) license in good standing in Maryland and/or Washington, DC 
• Graduate of an accredited school of nursing 
• Minimum of three (3) years of clinical nursing experience preferred (home care, hospital, or community-based) 
• Experience with geriatric populations and chronic disease management strongly preferred 
• Demonstrated ability to work independently and make sound clinical decisions 
• Strong assessment, care planning, and documentation skills 
• Current CPR/BLS certification required 

Core Responsibilities

Clinical Assessment & Care Planning

• Perform comprehensive nursing assessments in the home setting 
• Develop, implement, and update individualized Plans of Care 
• Evaluate client needs, risks, and goals to support safe aging in place 
• Conduct reassessments, including change-in-condition visits and routine supervisory visits 

Clinical Oversight & Delegation

• Supervise and provide clinical oversight to LPNs, CNAs, and caregivers 
• Delegate nursing tasks in accordance with state regulations and scope of practice 
• Ensure all care provided aligns with the Plan of Care and agency standards 
• Provide guidance, training, and support to field staff 

Care Coordination & Communication

• Collaborate with care coordinators, physicians, families, and interdisciplinary teams 
• Communicate changes in condition and recommendations for care adjustments 
• Support hospital-to-home transitions and other care transitions 
• Serve as a clinical resource for staff and families 

Direct Skilled Nursing Care

• Provide direct care as needed, including but not limited to: 
  • Medication management and administration 
  • Wound care and infection prevention 
  • Chronic disease monitoring and management 
  • Patient and caregiver education 

Documentation & Compliance

• Complete all documentation in WellSky in accordance with agency policy and regulatory requirements 
• Ensure documentation is accurate, timely, and audit-ready 
• Maintain compliance with Maryland COMAR and Washington, DC regulations 
• Adhere to all SmithLife Homecare policies and procedures 

Quality & Safety

• Identify and respond to changes in client condition, including escalation to physician or emergency services when appropriate 
• Maintain a safe and therapeutic care environment 
• Report incidents, concerns, and risks per agency protocol 
• Participate in QAPI and quality improvement initiatives 

Client & Family Support

• Educate clients and families on care plans, medications, and disease processes 
• Provide emotional support and guidance to families navigating care needs 
• Promote dignity, independence, and person-centered care 

Physical Requirements

• Ability to lift, transfer, and assist clients (50+ lbs as needed) 
• Frequent standing, walking, bending, kneeling, and reaching 
• Full use of hands and fine motor skills for clinical tasks 

Work Environment

• Client homes, including private residences and senior living communities 
• Exposure to varying home environments and conditions 
• Travel required between client locations 

Additional Expectations

• Maintain professionalism, confidentiality, and clinical integrity at all times 
• Demonstrate reliability and responsiveness for PRN scheduling needs 
• Participate in required trainings and competency validations 
• Support agency initiatives, including dementia care best practices (e.g., Positive Approach to Care® principles) 

Reports To

• Director of Nursing (DON) or Designee

Schedule & Status

• PRN / Per Diem (As Needed)
• Variable hours based on client needs, including potential evenings, weekends, or short-term assignments 

Compensation

• Competitive hourly rate based on experience 
• Opportunities for additional hours based on performance and availability 

About SmithLife Homecare

SmithLife Homecare is a licensed, bonded, and insured home care agency serving Maryland and Washington, DC. For over 25 years, we have supported older adults and families with personalized in-home care that promotes dignity, safety, and independence. Our team is committed to delivering exceptional care, because we believe in truly bringing care home.

Apply Today

Join a team where your clinical expertise and compassion make a meaningful difference every day.