Xcel Home Health

At XCELHome Health, we believe that healthcare should be delivered with dignity, professionalism, and a personal touch. Our mission is to provide exceptional home healthcare services that promote healing, independence, and overall well‑being.

Position Overview

XCELHome Health is seeking a Registered Nurse for an exciting travel or local job in the locations identified below. The Registered Nurse coordinates all aspects of the client's home care and interacts with other disciplines as needed. She/he provides professional care to the client, as indicated by Agency policies, State and Federal laws/regulations. In‑home admission visits and eligibility determinations are part of the RN's duties, as is the development of the Care Plan. The RN also prepares paperwork necessary for agency policies and federal/state laws and assists with the training and supervision of Care Aides.

Location(s): BURTONSVILLE / SPENCERVILLE / POTOMAC; MD

Reporting Relationship

• Reports to Agency Manager/Administrator.

Qualification / Prerequisites

• Graduate of an accredited school of professional nursing and currently licensed as an RN through the State Board of Nursing.
• Minimum of one year of nursing experience, preferably with home care experience.
• Good physical stamina and mental health with pre‑employment health clearance.
• Licensed driver with at least a one‑year clean driving record.
• Vehicle insured in accordance with state and/or Agency requirements and in good working order.
• Excellent writing and charting skills.
• Passes a background check and drug screen.

Responsibilities / Activities

• Assess the home environment and determine the needs of clients.
• Record the health needs of the client.
• Initiate Nursing or Care Aide’s Care Plan and/or Homemaker/Companion Service Plan and associated paperwork in accordance with Agency policy.
• Evaluate the effects of care and regularly re‑evaluate the client’s nursing needs.
• Evaluate and revise the Care Plan as necessary.
• Make referrals to other agencies or services as needed.
• Coordinate the care of all assigned clients.
• Prepare written instructions for the Care Aide.
• Supervise the Care Aide in the home.
• Instruct Care Aides in the proper use of practices, procedures, and equipment.
• Participate in in‑service training programs and staff meetings.
• Serve as liaison between clients and other health care professionals.
• Teach, counsel, and demonstrate skills to clients and their families.
• Administer medications, monitor clients and instruct on appropriate home care.
• Provide services based on the physician’s orders such as urinary catheter insertion and care, venipuncture and administration of IV fluids or medications, and changing dressings.
• Initiate appropriate preventive and rehabilitative nursing procedures.
• Counsel the client and his/her family in meeting nursing and related needs.
• Act as the coordinator of the health care team.
• Provide reports to the client’s physician when the client’s condition changes or there are deviations from the Care Plan.
• Prepare clinical and progress notes on relevant and specialized nursing services provided.
• Maintain a clinical record for each client receiving care.
• Submit documentation as per Agency policy.
• Participate in clinical record reviews.
• Direct activities of the Licensed Practical Nurse, if relevant.
• Comply with Homecare Agency Compliance Plan, Infection Control Policies, HIPAA Policies, dress code, and all state and local regulations and accreditation standards.
• Work weekends, holidays, and occasional overtime when requested.
• Assume rotational on‑call responsibilities during non‑office hours.
• Project a professional attitude toward self, clients, and other staff members.
• Follow Agency public‑relation policies regarding outside speaking and professional affiliations, and clear related requests with Agency Manager/Administrator.
• Assume other duties as requested by the Agency Manager/Administrator or Governing Board.

Required Working Knowledge

• Medical issues and nursing procedures.
• Professional standards and principles.
• Other health care disciplines and their role in client and family care.
• Home safety for situations, including physical and psychological dangers, for self, clients, and other Agency staff.
• Case management practices.
• Clerical procedures such as maintaining records and completing forms.
• English language.

Required Skills / Abilities

• Adhere to practice standards as they apply to client care.
• Establish and maintain harmonious relations with clients, families, and co‑workers.
• Make initial nursing assessment visits.
• Assess both physical and psychological needs of clients and apply appropriate nursing interventions.
• Initiate, coordinate and revise treatment plans.
• Evaluate clients’ needs continually.
• Observe and recognize changes in clients.
• Consider clients’ past experiences, finances, and other resources.
• Render nursing care and perform treatments, such as IV administration, as ordered by the physician.
• Maintain confidentiality of information relating to the client.
• Coping effectively with clients, families, and others with varying backgrounds and socioeconomic conditions.
• Apply well‑developed communication skills.
• Observe accurately and make decisions accordingly.
• Honor the wishes of clients.
• Work with a team and be a good team member.
• Supervise others.
• Display emotional stability and a sympathetic disposition.
• Maintain objectivity when coping with the stress of working with acute, chronic, and terminally ill clients.
• Use effective problem‑solving approaches in delivering client care.
• Handle medical and situational emergencies with ingenuity.
• Operate alone without usual support systems immediately available.
• Deal with abrupt schedule changes.
• Participate in the quality assurance/quality improvement process.
• Prepare accurate, timely, and orderly reports and documentation.
• Comply with accepted professional standards and principles.
• Provide satisfactory references from previous or current employers and/or nursing school and professional peers.
• Use excellent observation, good clinical judgment, and strong communication skills.
• Be self‑directed with ability to work with little supervision; possess good organizational skills.
• Be flexible and cooperative in fulfilling role obligations.

Physical & Mental Demands

• Complete all physical and mental demands of the job, which may include, but not be limited to: lift and transfer clients and carry supplies; stand, walk, use hands and fingers, reach, stoop, kneel, crouch, talk, hear & see; read normal typewritten print; have corrected vision and hearing within normal range; have manual dexterity with normal range of motion of all extremities; have mental fortitude and stability to handle stress; be physically and mentally able to drive a vehicle.