Registered Nurse

Legacy Concierge is seeking a Registered Nurse to provide 1:1 skilled nursing care to patients in their homes. This role is designed for RNs who prefer direct patient care with structured mentorship and a clearly defined clinical career pathway. You will deliver hands-on clinical care, build continuity and trust with your assigned patient, and work under clinical supervision during full 12-hour shifts.

Clinical Responsibilities

• Deliver 1:1 skilled nursing care in the patient's home
• Perform comprehensive head-to-toe assessments including evaluation of physical attributes, neurological status, respiratory function, cardiovascular status, skin integrity, and musculoskeletal function
• Monitor, administer, and document vital signs throughout the shift, including blood pressure, pulse, respiration, temperature, and oxygen saturation
• Administer medications safely and accurately, including insulin management, blood pressure medications, oxygen, and other prescribed treatments in accordance with the patient's plan of care
• Support activities of daily living (ADLs) and instrumental activities of daily living (IADLs) including toileting, dressing, feeding, peri care, meal preparation, transportation, and companion care
• Perform G/J-tube feeding and medication administration as ordered
• Provide condition-specific management as directed by the plan of care
• Perform basic wound care and dressing changes

Communication and Documentation

• Complete daily clinical notes accurately and in a timely manner using the agency's document systems (QAPI Plus, WellSky, RN Pad, etc.)
• Communicate promptly and consistently with the RN Care Ambassador when there is a change in patient status, an incident, or a clinical concern requiring escalation
• Communicate with providers as directed, including conveying patient status updates, medication changes, and care plan modifications
• Report incidents or clinical changes promptly to the RN Care Ambassador
• Provide emotional and physical support to the patient and their family throughout the shift
• Maintain confidentiality of all patients and company information at all times in full compliance with HIPAA, infection control standards, and internal protocols

Team and Operational Responsibilities

• Support case management and patient intake responsibilities as needed and as directed by the RN Care Ambassador
• Maintain a reliable schedule, arrive on time, and communicate any scheduling changes according to company policy
• Attend all required training, in-services, and competency evaluations
• Demonstrate the organization's core values and patient-centered care principles
• Complete structured onboarding and orientation, including shadow shifts prior to independent assignment

Required Qualifications

• Active California Registered Nurse (RN) license in good standing
• Graduate of an accredited ADN or BSN nursing program
• Current BLS/CPR certification
• Demonstrated ability to work competently in a 1:1 private care environment
• Ability to work independently and follow instructions, asking questions when clarification is needed
• Strong communication, documentation, professionalism, and customer service skills

Experience Requirements

• ADN graduates: minimum of 2 years of hospital experience required, preferably in an emergency room, urgent care, bedside, telemetry, or step-down unit
• BSN graduates: minimum of 8-12 months of hospital or skilled nursing facility experience required, preferably in an emergency room, urgent care, bedside, telemetry, or step-down unit

Physical Requirements

• Ability to stand, sit, kneel, and move for extended periods of time
• Ability to lift, transfer, or reposition patients with appropriate assistive techniques
• Ability to lift or carry equipment and supplies up to 50 pounds
• Use of clinical and technology equipment including tablets, phones, and navigating through EMR platforms
• Visual acuity to observe and assess patient conditions throughout shift

Schedule

• Full 12-hour shifts