Home Health Registered Nurse
Saint Louis, MO
Access Healthcare
5x8 hrs, Days

Registered Nurse - Travel/Contract Position

Location: Saint Louis, Missouri
Specialty: Registered Nurse (RN)
Contract Length: 13 weeks

Job Details

• Setting: Home Health
• Shift: Days, 5x8 (08:00 AM - 4:30 PM)
• Patient Load: 5-20 visits per day on average
• Weekend Requirement: Every 4th weekend (Saturday and Sunday) with 2 days off around the weekend (Thursday and Monday)
• On-Call Requirement: Yes, 3-5 nights per month; on-call nights will not be scheduled on days off
• Guaranteed Hours: 40 hours per week
• Floating: No floating outside scope of practice
• Mileage Radius: 40-80 miles (mileage reimbursed)
• Return to Office (RTO) Restrictions: 7 days notice required for contract termination before 13 weeks
• Locals Accepted: No
• Pending License Accepted: Yes

Experience & Requirements

• Years of Experience Required: Minimum 1-2 years in Med Surg or acute care OR minimum 1 year in home care experience (higher value applies: 2 years)
• Home Health Experience: Required, including all visit types and case management experience
• First-Timers Accepted: Yes
• Certifications Required:

  • BLS (Basic Life Support)
• Skills & Knowledge:

  • Phlebotomy, pleurx, catheters, port access and maintenance
  • PT/INR finger sticks
  • Wound vac and wound care
  • Ventilator knowledge
  • Compression wraps/layered compression
  • Cardiac care including CADD pumps, handheld ECG monitor, telemetry interpretation
  • IV infusion/line care/lab draws, venipuncture for labs
  • Foley/supra-pubic catheter care
  • Ostomy care
• EMR System: EPIC (Home Health EPIC EMR experience preferred)

Clinical Teams & Duties

• MS Team: Antibiotic infusion, lab draws, IV care, ostomy care, tube feeding, wound vac, Foley care, disease management, patient education, socioeconomic and medical needs assessment
• Cardiac Team: Infusions (inotropes, dobutamine, milrinone), IVP Lasix, post-op care

Scheduling & Work Environment

• Monday through Friday, 8:00 AM - 4:30 PM
• On-call and holiday rotation included
• Diverse patient population with high acuity and limited resources

Compliance & Documentation Requirements

• Background Checks: Criminal background check within 6 months, including statewide and nationwide searches
• Education Verification: Highest nursing education must be verified before start
• Licenses: Primary source verification required; Missouri licenses verified via NURSYS
• Drug Testing: Required within 1 year of start, must include standard drug panels and be valid throughout assignment
• Health Documents:

  • Physical exam within 1 year
  • Fit mask test (annual renewal)
  • Tdap vaccine or declination
  • Negative TB test or chest X-ray within 1 year
  • Immunizations or immunity documentation for Rubeola, Mumps, Rubella, Varicella
  • Seasonal flu vaccination or approved exemption required during flu season
• Competency Exams: Medication/pharmacology competency and unit-specific competency exams required annually
• References: Two professional references required (supervisors preferred)
• Skills Checklist: Unit-specific skills checklist required within 1 year of start

Additional Facility-Specific Requirements

• Completion of orientation modules through WorkRamp prior to start (approximately 16 hours)
• Compliance with facility policies including hand hygiene, fingernail, dress code, and confidentiality
• Required to sign HIPAA acknowledgement, latex allergy questionnaire, and regulatory compliance education annually
• Return of all issued equipment and supplies upon contract completion

Summary

This travel RN position in home health requires a minimum of 2 years of relevant nursing experience (acute care or home care), BLS certification, and strong clinical skills in IV care, wound care, cardiac and respiratory support. The role includes day shifts with weekend and on-call rotations, serving a diverse and high-acuity patient population. Compliance with extensive background checks, health documentation, and facility-specific training is mandatory. Prior travel experience is not explicitly required.