RN Independent Contractor - Direct Bedside Care for High-Level SCI Patient

We are seeking experienced Registered Nurses (RNs) to join a private care team as independent contractors, providing direct bedside care for an independent, active professional with a high-level spinal cord injury (C2-C3, ASIA A) and ventilator dependence. The client is a practicing attorney specializing in health law and policy.

This is a private home health case (not Medicaid or Medicare), requiring skilled nurses with strong clinical judgment, proactive care management, and the ability to deliver high-quality interventions.

• Shifts: 12-hour night shifts 7:00 PM – 7:00 AM and 12-hour day shifts 7:00 AM - 7:00 PM
• Availability: Flexible scheduling; seeking full-time nursing coverage (2–3 shifts per week)

Key Responsibilities:

Direct Bedside Nursing Care:

• Manage ventilator and tracheostomy care, including airway clearance, secretion management, and emergency response.
• Monitor and maintain skin integrity, positioning, and pressure injury prevention for an immobile patient.
• Provide proactive interventions to prevent and manage secondary complications (e.g., autonomic dysreflexia, respiratory infections, hypotension, skin breakdown).
• Perform patient transfers using an electric lift for bed-to-wheelchair transitions.
• Manage bowel and bladder routines, medication administration, and general hygiene assistance.

Clinical Oversight & Proactive Health Management:

• Apply advanced clinical knowledge and critical thinking to anticipate and respond to changing medical needs.
• Collaborate with the Care Coordination Team (Case Manager, Nurse Navigator, Wound Care Nurse) to ensure seamless care.
• Maintain detailed, accurate documentation of clinical observations, interventions, and health trends.

Professionalism & Work Environment:

• Maintain professional conduct at all times (no smoking, personal phone use, or texting during shifts).
• Communicate effectively and respectfully in a professional home and work environment.
• Dress appropriately for a business-professional office setting (when accompanying the client to in-office work).
• Participate in client activities, including professional events, social gatherings, and travel.
• Assist with light cooking and cleaning to maintain a clean and organized care environment.

Ideal Candidate:

• Personable, kind, and understanding with strong communication skills
• Comfortable asking questions and seeking clarification when needed
• Reliable, punctual, and flexible with scheduling
• Physically capable of assisting with patient transfers and positioning
• Proactive, organized, and detail-oriented with good time management
• Inquisitive and eager to learn about SCI care and general ambulatory care
• Bonus: Hair and makeup skills are a plus! (but not required)

Required Qualifications:

• Active California Registered Nurse (RN) license in good standing
• Valid California driver’s license and ability to travel as needed
• 3–5 years of hospital or acute care experience (ICU, respiratory, neurology, or complex case management preferred)
• Strong assessment and critical thinking skills with the ability to detect and respond to clinical changes
• Experience with ventilator management, tracheostomy care, and respiratory interventions
• Experience caring for immobile patients or those with high-level spinal cord injuries (or willingness to learn)
• Physical ability to perform:
• Patient transfers using an electric lift
• Turning/repositioning the patient in bed
• Moving quickly during emergencies, bending, reaching, and standing/sitting throughout the shift

Preferred Qualifications:

• Experience in private duty nursing, home healthcare, or long-term acute care
• Familiarity with autonomic dysreflexia, orthostatic hypotension, and other SCI-specific conditions
• Wound care and pressure injury prevention expertise (or willingness to coordinate with Wound Care Nurse)

If you are a registered nurse passionate about providing exceptional care to a ventilation-dependent patient in her home and meet the qualifications outlined above, we invite serious inquiries to apply.

Join our network of independent contractors and make a positive impact on the lives of our patients!

Job Types: Part-time, Contract

Pay: $80.00 - $100.00 per hour

Benefits:

• Flexible schedule

Work Location: On the road

Salary : $80 - $100