Private Duty Registered Nurse Legacy Concierge is looking for a dedicated, compassionate Private Duty Registered Nurse to give exceptional 1:1 care to patients in their own homes. This role suits RNs who want to focus on direct patient care. You’ll work independently, using your clinical skills to assess, triage and apply preventive care techniques, with your supervisor’s support and structured mentorship along a clearly defined clinical career path. Your focus will be hands-on concierge care and building continuity and trust with your assigned patient during each shift. Nurses in this role complete plan-of-care tasks under clinical supervision. They are expected to finish structured onboarding, show patient-centered care, and build competence in the private home environment. All key responsibilities depend on the patient’s individualized plan of care.
Key Responsibilities
Clinical Care & Patient Management
- Deliver 1:1 skilled nursing care in the patient’s home.
- Perform comprehensive head-to-toe assessments including, but not limited to: 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.
- Manage and administer medications safely and accurately in line with the patient’s plan of care, including insulin, blood pressure medications, oxygen, and other prescribed treatments.
- Support activities of daily living (ADLs) and instrumental activities of daily living (IADLs) including, but not limited to: 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 and advanced wound care and dressing changes.
- Provide tracheostomy and ventilator care.
- Provide seizure monitoring, oxygen therapy, oral suctioning, and other chronic condition management.
Communication & Documentation
- Complete daily clinical notes accurately and on time using the agency’s documentation systems (QAPI Plus, WellSky, RN Pad, etc.).
- Communicate promptly and consistently with the RN Care Ambassador about any change in patient status, incident, or clinical concern that needs escalation.
- Communicate with providers as directed, including patient status updates, medication changes, and care plan modifications.
- Report incidents or clinical changes promptly to the RN Care Ambassador.
- Keep all patient and company information confidential at all times, in full compliance with HIPAA, infection control standards, and internal protocols.
- Provide emotional and physical support to the patient and their family throughout the shift.
Team & Operational Responsibilities
- Support case management and patient intake as needed and as directed by the RN Care Ambassador.
- Keep 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 Legacy Concierge’s core values and patient-centered care principles at all times.
- Complete structured onboarding and orientation, including shadow shifts before independent assignment.
Required Qualifications
- Active California Registered Nurse (RN) license in good standing
- Graduate of an accredited ADN or BSN nursing program
- Minimum hospital experience, based on degree:
- BSN: at least 8–12 months in a hospital or skilled nursing facility
- ADN: at least 2 years in a hospital
- RNs with 5 or more years of hospital, skilled nursing or in-home concierge experience are encouraged to apply, and role level is based on experience
- Experience in an emergency room, urgent care, bedside, telemetry or step-down unit is preferred
- Current BLS/CPR certification
- Proven ability to work competently in a 1:1 private care environment
- Ability to work independently, follow instructions, and ask questions when clarification is needed
- Strong communication, documentation, professionalism, and customer service skills
Physical Requirements
- Ability to stand, sit, kneel, and move for extended periods of time
- Ability to lift, transfer, or reposition patients using appropriate assistive techniques
- Ability to lift or carry equipment and supplies up to 50 pounds
- Ability to use clinical and technology equipment, including tablets, phones, and EMR platforms
- Visual acuity to observe and assess patient conditions throughout the shift