Per Diem Home Health Registered Nurse (RN)

Company

Always Best Care Senior Services – Solano & Napa Counties has proudly served local seniors and families since 2016. Our office has built a strong reputation throughout Solano and Napa Counties for compassionate care, dependable service, and a team culture that truly values the people who care for our clients and patients.

Over the past several years, our local office has continued to grow, earn recognition in the community, and expand the ways we support older adults and their families. We are excited to now bring that same level of commitment, professionalism, and heart into our licensed home health division.

This is an opportunity to join a well-established local agency while helping build and grow a newer home health program. We are looking for clinicians who want to be part of something meaningful from the ground up — a team that values quality, communication, compassion, and doing things the right way.

Job Summary

We are seeking a compassionate, dependable, and clinically skilled Per Diem Home Health Registered Nurse to join our growing home health team.

The Home Health RN provides professional skilled nursing services within the scope of nursing practice standards and under the supervision of the Director of Patient Care Services. The RN works closely with physicians, patients, families, and the interdisciplinary care team to provide high-quality, patient-centered care in the home.

This role is ideal for an RN who enjoys autonomy, meaningful one-on-one patient care, strong team communication, and the opportunity to help shape a growing home health division with a respected local agency.

Why Join Us?

• Be part of a locally established agency serving Solano and Napa Counties since 2016.
• Help grow a newer licensed home health division with strong local roots.
• Work with a supportive, compassionate, and professional team.
• Enjoy flexible per diem scheduling based on your availability and patient needs.
• Provide meaningful one-on-one skilled care in the home setting.
• Use your clinical skills to educate patients and families, support safe care at home, and make a direct impact.
• Join an agency that values communication, quality, dependability, and heart.

Key Responsibilities

• Provide skilled nursing services requiring substantial and specialized nursing knowledge.
• Complete comprehensive patient assessments, including medical history, physical assessment, home safety review, and environmental assessment.
• Perform assessment visits and complete timely documentation, including OASIS assessments and skilled nursing notes as required.
• Develop, implement, and revise individualized Plans of Care in collaboration with the physician and interdisciplinary team.
• Identify patient needs and determine when additional home health services may be medically necessary.
• Regularly re-evaluate the patient’s nursing needs, functional status, ADL and iADL abilities, and need for home health aide services.
• Develop, revise, and sign the Home Health Aide plan of care when HHA services are ordered.
• Supervise Home Health Aide services in accordance with state and federal requirements and document supervision timely.
• Provide patient and family education regarding disease management, medications, self-care techniques, safety, and the plan of care.
• Communicate patient status changes, needs, and concerns to the physician, Director of Patient Care Services, Nursing Supervisor, and other disciplines as appropriate.
• Coordinate patient services with nursing, therapy, social work, home health aide services, physicians, payers, and community resources.
• Participate in case conferencing to support best practices and quality patient outcomes.
• Submit timely requests for re-authorization or additional visits when more visits are needed.
• Review billing-related concerns with the patient and/or family when applicable, including situations where co-pay or Medicare coverage may not apply.
• Participate in clinical record reviews, performance improvement activities, staff meetings, and in-services as needed.
• Support the growth of the home health division by maintaining professional communication, strong documentation, and a team-centered approach.
• Maintain professional licensure and comply with agency policies, Medicare Conditions of Participation, and applicable state and federal regulations.
• Notify the agency promptly of emergencies, illness, schedule changes, or other issues that may impact patient care or caseload coverage.
• Perform other duties as assigned.

Qualifications

• Graduate of an approved professional nursing program.
• Active California Registered Nurse license in good standing.
• Minimum of 1 year of professional nursing experience required.
• Home health experience strongly preferred.
• OASIS experience preferred.
• Current CPR certification.
• Valid California driver’s license.
• Current auto insurance and reliable transportation.
• Ability to pass criminal background check, DMV check, and required onboarding requirements.
• Strong clinical judgment, communication skills, organization, and attention to detail.
• Ability to work independently in the field while maintaining timely communication with the office and interdisciplinary team.
• Comfortable using electronic documentation systems and completing documentation timely.

Location

Vacaville, CA

Service territory includes Dixon, Vacaville, Rio Vista, Fairfield, Suisun, American Canyon, Benicia, Vallejo, Napa, and Yountville.

Job Type

Per Diem

Schedule

Flexible schedule based on patient needs and clinician availability.

Compensation

Per diem / per-visit compensation.

Estimated pay range: $95–$165 per visit depending on visit type, documentation requirements, and clinical complexity.

Visit types may include routine skilled nursing visits, Start of Care, Resumption of Care, Re-certification, Discharge OASIS, supervisory visits, clinical record review, and approved administrative time.

Work Environment

This position requires travel to patient residences throughout the assigned service territory. Patient care is performed in the patient’s home, which may include exposure to communicable diseases and home environments that may not be handicap accessible.

Physical Requirements

• Ability to walk, stand, sit, reach, bend, stoop, climb stairs, and use a telephone, computer, and other office or clinical equipment.
• Ability to access patient homes and complete routine field visits.
• Ability to assist with patient care needs and use transfer or lifting devices when appropriate.
• Must have reliable transportation to complete routine patient visits.

Equal Opportunity Statement

Always Best Care is an Equal Opportunity Employer. We are committed to creating a supportive and respectful workplace and do not discriminate on the basis of race, color, religion, sex, national origin, age, disability, veteran status, sexual orientation, gender identity, or any other protected status under applicable law.