Home Health Skilled Nurse (LPN) – Per Diem

Job Overview

Hanford Home Health is hiring Per Diem Home Health Skilled Nurses (LPNs) to provide skilled nursing care to EEOICPA benefits recipients and other medically complex patients. As a Per Diem LPN, you will be part of a dedicated team focused on delivering high-quality, patient-centered care in the comfort of patients' own homes.

Schedule & Shift Structure

• Scheduled as needed based on census and coverage requirements
• No guaranteed hours or fixed schedule
• Work schedules posted one (1) month or more in advance when applicable
• Staff are expected to complete all assigned shifts accepted, subject to agency attendance and call-out policies
• Per diem status does not guarantee hours, ongoing assignments, or priority scheduling

Key Responsibilities

• Provide skilled nursing care in accordance with the authorizing practitioner's orders and the individualized Plan of Care
• Perform nursing assessments and ongoing monitoring within LPN scope of practice (LPNs complete focused assessments and report findings to the supervising RN)
• Administer medications and treatments; monitor for side effects and changes in patient condition
• Provide skilled interventions as ordered (including wound care and other therapeutic interventions when within scope and ordered)
• Measure and document vital signs, intake/output as applicable, pain, weight, and patient responses per the Plan of Care
• Observe and report changes in patient condition to the supervising nurse, RN Case Manager, and/or Director of Clinical Services as required
• Educate patients and families on conditions, medications, treatments, safety measures, and Plan of Care requirements
• Collaborate with interdisciplinary team members to coordinate care and support optimal patient outcomes
• Assist with mobility, personal care, ADLs and IADLs when clinically indicated and outlined in the Plan of Care
• Complete accurate, timely documentation in the agency-approved electronic health record system
• Follow infection control, safety, emergency preparedness, confidentiality, and HIPAA requirements
• Report suspected abuse, neglect, or exploitation of vulnerable adults in accordance with Washington State mandatory reporting laws and agency policy
• Comply with OSHA standards, including the Bloodborne Pathogens Exposure Control Plan, and utilize required personal protective equipment
• Perform only those duties authorized within the applicable LPN scope of practice, licensure, and delegated authority under Washington State law and the agency's policies and procedures

Required Qualifications

• The physical and functional requirements listed are considered essential functions of this position
• Ability to stand, walk, bend, lift, and assist with transfers as required by patient needs and the individualized Plan of Care
• Ability to lift up to 50 lbs using proper body mechanics
• Active Washington State LPN license in good standing
• Graduate of an accredited School of Nursing
• Minimum of one (1) year of nursing experience; home health experience preferred
• Current CPR/BLS certification for healthcare professionals
• Washington State Food Worker's Card (or ability to obtain upon hire)
• Valid driver's license, reliable transportation, and auto insurance
• Ability to pass background check and drug screening
• Strong clinical judgment, documentation, and communication skills
• Ability to use agency-issued or personal mobile devices for scheduling, communication, and electronic documentation
• To work safely and professionally in private home environments, which may include pets, exposure to tobacco smoke, limited space, and other residential conditions

Preferred Qualifications

• Experience in home health, hospice, or geriatric care
• Prior experience with electronic documentation systems

Pay & Benefits

• Pay Rate: Base rate $45.00 per hour
• Actual wage may vary based on assignment, credentials, experience, and applicable shift differentials
• This position is non-exempt (hourly).
• Overtime is paid in accordance with Washington State and federal law. Overtime pay and applicable shift differentials are paid in addition to the base hourly rate
• Shift differential pay per agency policy
• Mandatory Washington meal and rest periods are paid
• Travel within the Tri Cities and surrounding areas; mileage reimbursed at $0.725 per mile
• Washington Paid Sick Leave provided in accordance with Washington State law
• Supportive nursing supervision and leadership team
• Per diem positions are not benefits eligible except as required by law

Why Work at Hanford Home Health

Primarily 1:1 patient care — no rotating facilities

Shifts offered based on census, coverage needs, seniority, and operational priorities

Mission-driven care for a unique patient population

Professional, compliant, and respectful workplace culture

Conditions of Employment

• Employment contingent upon meeting agency health, immunization, and regulatory requirements
• Completion of required employment eligibility verification
• Execution of an Employment Contract and acknowledgment of receipt of the Employee Handbook are required as a condition of employment
• Washington State Patrol background check and disclosure required at hire and every two (2) years and as needed
• Driver's Record Request required annually and as needed
• Employment is at will
• Equal Opportunity Employer

How to Apply

If you are a motivated and compassionate LPN looking for a challenging and rewarding career, we encourage you to apply for this Per Diem Home Health Skilled Nurse position. Apply today to join our dedicated team and make a difference in the lives of our patients!