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

Registered Nurse - Travel/Contract Position

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

Job Details

• Setting: Home Health
• Shift: Days, 5x8 (08:00 - 16:30)
• 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)
• Locals Accepted: No
• Return to Office Restrictions: 7 days notice to terminate contract before 13 weeks

Experience & Requirements

• Years of Experience Required: Minimum 1-2 years in Medical-Surgical (MS) or acute care OR minimum 1 year in home care experience (use higher value: 2 years)
• Home Health Experience: Required
• First-Timers Accepted: Yes
• Certifications Required:

  • BLS (Basic Life Support)
• Pending License Accepted: Yes

Clinical Skills & Special Requirements

• Experience with diverse, high acuity patient population with limited resources
• Skills including:

  • Phlebotomy
  • Pleurex, catheters, port access and maintenance
  • PT/INR finger sticks
  • Wound vac and wound care
  • Ventilator knowledge
  • Compression wraps / layered compression
  • Cardiac care: CADD pumps, handheld devices, ECG monitoring and telemetry interpretation
• Teams may include:

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

Documentation & Compliance Requirements

• Government-issued ID (Driver’s License required for Home Health)
• Criminal Background Check (within 6 months) including statewide and nationwide searches
• Quarterly EPLS/GSA/SAM and HHS/OIG checks
• Education verification of highest nursing degree
• Professional license primary source verification (Missouri licenses via NURSYS)
• Drug testing within 1 year of start, including multiple substances, must remain valid throughout assignment
• Physical exam within 1 year of start
• Fit mask testing (N95) required and must be renewed annually
• Immunizations and health screenings required:

  • Tdap vaccine or declination
  • Negative TB test or chest X-ray (with yearly questionnaire)
  • Measles, Mumps, Rubella, Varicella immunity or vaccination/declination as applicable
  • Seasonal flu vaccination or approved exemption during flu season
• Facility-specific documents including:

  • HIPAA Acknowledgement
  • Latex Allergy Questionnaire
  • Confidentiality Form
  • Regulatory Compliance Education (annual, via WorkRamp)
  • Hepatitis B declination (facility-specific)
  • Hand Hygiene, Fingernail, Dress Code policies acknowledgment
  • Orientation modules (required for all RNs and LVNs)

Additional Notes

• Must return all issued equipment (laptop, cell phone, nursing bag, supplies) upon contract completion
• Two professional references required (supervisors preferred)
• Unit-specific competency exams and skills checklists required and must be updated annually
• Prior travel experience is not explicitly required for this position

This position offers a structured home health nursing role with a focus on high acuity patients and requires strong clinical skills in both medical-surgical and home care settings. The role includes weekend and on-call responsibilities with comprehensive compliance and documentation requirements.