Registered Nurse (RN-BSN) NurseAmerica, Inc. with VISA SPONSORSHIP
We are looking for an empathetic and well-qualified Registered Nurse (RN) for home-based care who can seamlessly blend clinical expertise with genuine compassion for pediatric and teenage patients. The primary goal is to ensure that each young individual under our supervision receives top-quality medical interventions alongside personal care within the nurturing environment of their own homes.
The perfect candidate for this role should exhibit strong clinical judgment, proficiency in delivering a wide range of nursing services and the ability to thoroughly address the holistic needs of young patients. This encompasses everything from direct nursing interventions, such as tracheotomy management and monitoring vital signs, to assisting with fundamental daily living tasks.
Because our patient demographic ranges from infants and toddlers to adolescents, each with varying levels of medical complexity, it is critical that the individual stepping into this role is adept at tailoring care plans to fit each patient’s precise circumstances.
For example, some children may present with chronic conditions that demand constant monitoring of respiratory health, while others may require assistance with developmental or rehabilitative activities. The nurse we are seeking should be fully prepared to administer, assess, document and evaluate all these differing health scenarios, particularly those involving specialized medical procedures, such as tracheotomy maintenance and related respiratory care.
WE PROVIDE VISA SPONSORSHIP, TRAINING and RELOCATION ASSISTANCE
To make this position accessible to a broader and more diverse pool of talented nurses, our organization proudly offers comprehensive support for candidates requiring visa sponsorship.
We firmly believe that expertise in pediatric care transcends geographical boundaries and we are committed to assisting nurses from various backgrounds to obtain the necessary work authorizations to practice in the United States. Furthermore, we provide training that is specialized for pediatric and adolescent in-home care, covering best practices in tracheotomy management, respiratory care, medication administration and family education.
We also extend relocation assistance to help ease the financial and logistical burdens of moving, ensuring that the transition for out-of-state or international candidates can be as smooth as possible.
Duties and Responsibilities
In the role of a Registered Nurse for Home Care, you will assume a wide array of tasks that reflect both the specialized nature of pediatric care and the personal considerations required to ensure children and teenagers can thrive in their own residences.
Below is an expanded overview of the duties and responsibilities:
- Comprehensive Patient Assessments
- You will conduct full-scale evaluations of each patient’s health status upon every visit. This involves gathering detailed vital signs, such as heart rate, blood pressure, respiratory rate and temperature and comparing them with the patient’s baselines to detect any possible deviations.
- Beyond vitals, you will also update each child or teenager’s medical history, confirming that all details regarding past diagnoses, interventions and relevant family health information are current.
- An essential part of this role is to interpret these findings, share any new insights with parents or guardians and record the data in a consistent, accurate manner to ensure effective health monitoring over time.
- Development and Implementation of Individualized Care Plans
- Recognizing the complexity of pediatric and adolescent health needs, you will work collaboratively with physicians, therapists, social workers and other healthcare experts to devise tailored care plans.
- These care plans address not only the present medical needs—such as respiratory support, wound care or nutritional guidance—but also anticipate potential challenges that could arise from chronic conditions or developmental stages.
- Once a plan is formulated, you are responsible for guiding the family through each step, clarifying what each intervention entails and ensuring that they understand the rationale and objectives of every recommended treatment or procedure.
- Medication Administration and Treatment Adherence
- You will be administering medications in strict accordance with physicians’ orders, whether these are oral, intramuscular, subcutaneous or intravenous.
- Thorough documentation of medication schedules, dosages and any observed effects—positive or adverse—is essential.
- Where possible, you may also collaborate with parents or guardians to teach them how to properly administer medications themselves. This empowers families to maintain continuity of care when the nurse is not present.
- Assistance with Activities of Daily Living (ADLs)
- Many pediatric patients require help with daily tasks essential for healthy development and comfort, such as bathing, dressing, feeding and personal hygiene.
- In cases involving patients with significant mobility or motor skill challenges, you may also implement strategies for safe transferring, positioning and ambulation, thereby reducing the risk of falls or further complications.
- By supporting these daily needs, you help foster a sense of normalcy and well-being in children who might otherwise experience restrictions in their day-to-day routines.
- Tracheotomy Management
- For children and teenagers who rely on tracheotomy tubes, specialized care is indispensable. You will be responsible for cleaning and maintaining the tracheotomy site to prevent infection and ensure optimal functioning.
- Regular suctioning may be required to keep airways clear and you will remain vigilant for signs of complications such as blockages, bleeding or site irritation.
- Education of family members in these procedures is also part of the role, enabling caregivers to promptly address any urgent needs or warning signals.
Qualifications
To effectively address the multifaceted needs of pediatric and teenage patients in a home setting, applicants must meet specific professional and personal criteria. The requirements ensure that each Registered Nurse joining our team is well-prepared to deliver high-quality care.
Licensure
- You must hold a valid nursing license in the state of practice. If you possess a multi-state Compact License, it should permit you to practice seamlessly in New Jersey.
- If you are relocating from another state or country, you must have initiated the licensure transfer or reciprocity process as applicable.
Experience
- Prior experience in home health, pediatric nursing or a similar specialty is highly preferred. Such experience might come from working in a pediatric hospital unit, a pediatrician’s office, a school or in-home settings for children with special healthcare needs.
- Experience with tracheotomy care, ventilator support or other specialized equipment is especially advantageous, given the complex nature of care some children require.
- New graduates with a robust pediatric clinical rotation or a demonstrated passion for pediatric care may also be considered, provided they are willing to undergo additional training.
Skills
- Proficiency in Vital Signs Monitoring
- The ability to accurately monitor and interpret heart rate, respiratory rate, blood pressure and temperature is crucial.
- Knowledge of pediatric norms for different age groups is essential for identifying anomalies.
- Competence in Administering Prescribed Treatments
- You should be adept at giving oral, IV and other forms of medication, understanding correct dosing and recognizing potential side effects or interactions in pediatric populations.
- Expertise in Tracheotomy Care
- Familiarity with tracheotomy sites, cleaning techniques and suctioning processes is mandatory for addressing the needs of medically fragile patients.
- You should be able to respond immediately to complications such as accidental decannulation, blockages or signs of infection.
- Strong Documentation Skills
- Thorough and timely charting of all interventions, observations and communications is a vital part of this role.
- Mastery of electronic medical records (EMR) systems or digital documentation tools is a plus.
- Exceptional Communication
- Clear and empathetic communication skills are vital for interacting with children, guardians and members of the healthcare team.
- An ability to explain medical procedures in simple, understandable terms is also key to educating families.
Attributes
- Compassionate Demeanor
- A genuine commitment to providing attentive, patient-centered care is crucial. Pediatric and teenage patients need empathy and understanding during what may be stressful medical treatments.
- Independent Work Ethic
- Given that much of your responsibilities will be carried out in individual home settings, self-motivation and the ability to make sound clinical decisions independently are essential.
- Organizational Skills
- As you manage multiple patient cases and daily tasks, strong organizational abilities help ensure that each child’s care plan is adhered to and no details are overlooked.
- Adaptability
- Home environments vary greatly and each family dynamic is unique. The capacity to remain flexible and adapt to changing circumstances or family requests while maintaining high standards of care is crucial.
Join Our Dedicated TeamÂ
By becoming part of our healthcare organization, you join a compassionate and forward-thinking community of professionals whose primary objective is to enhance the lives of medically fragile children and adolescents. We believe that providing care within the familiarity of a patient’s own residence not only fosters better clinical outcomes but also promotes emotional stability and growth.
In this role, every day presents new opportunities to make a meaningful difference. You’ll witness firsthand how simple tasks, like helping a teenager maintain consistent medication schedules or teaching a parent how to gently bathe their child with mobility challenges, can profoundly improve a family’s quality of life.
If you are searching for a position that merges profound human connection with medical expertise, then our home care pediatric team is the ideal fit.
Job Types: Full-Time, Permanent
We are pleased to offer both full-time and permanent opportunities for qualified RNs. Our aim is to secure nurses who can form long-lasting relationships with the children and families we serve, thereby enriching continuity of care. Full-time positions generally involve working approximately 36 to 40 hours per week, though specific hours may shift based on patients’ individual schedules or medical requirements.
Hourly Rate: $39 – $41 (Full-Time, Permanent)
The range is designed to reflect the specialized skill set required for pediatric home care, the demands of tracheotomy management and the value we place on compassionate, patient-focused nursing. Within this range, we consider factors such as experience level, additional certifications and geographic location in New Jersey.
Expected Hours: 36 to 40 per week
While we strive to keep consistent scheduling, please note that some variation may occur due to child or family scheduling requests, holiday coverage or emergent patient needs.
Additional Pay
- Pay for Performance
- We reward clinical excellence and productivity. If you consistently demonstrate exceptional caregiving, meet or exceed performance metrics (like timeliness, patient satisfaction scores or adherence to care plans), you may qualify for performance-based incentives.
- Overtime Pay
- Should you work beyond your scheduled hours, you will receive compensation that meets or exceeds the standard overtime pay rates, in line with regulatory guidelines and organizational policies.
Benefits
We believe that supporting our nurses is just as important as supporting our patients. To ensure our RNs maintain a healthy work-life balance and feel valued, we offer a comprehensive benefits package which includes:
- Health, Dental and Vision Insurance
- Our organization provides a range of coverage levels so you can select the plan that best meets your individual and family needs. This helps ensure you have access to preventive care, specialist visits and essential treatments without undue financial stress.
- Two Weeks Paid Time Off
- Paid Time Off (PTO) can be utilized for vacations, personal commitments or simply to recharge. Nurses who continuously care for children with significant needs deserve dedicated rest and we prioritize your well-being.
- Continued Education
- We offer professional development opportunities, including workshops, online courses and possible assistance with higher education programs or certifications. Sharpen your clinical skills or explore new areas of pediatric specialization under our supportive educational umbrella.
Additionally, if you transition to one of our Contract roles rather than a full-time permanent position, please note that you may have a different benefits structure, but we still strive to include various resources to keep you healthy, secure and professionally satisfied.
ScheduleÂ
We understand that our families require a range of scheduling options, so we offer multiple shifts to meet diverse needs:
- Day Shift
- Typically covers the morning and early afternoon hours. Nurses on this shift handle vital signs, treatments, medication schedules and daily living activities.
- You may help prepare children for school or therapies during this period, ensuring they are set up for a successful day.
- Evening Shift
- Begins in the late afternoon and concludes at a reasonable evening hour. This shift may include routine check-ups, dinner assistance, bathing and preparation for bedtime.
- Evening shift nurses also monitor any changes in patient status after a day of activities or medical interventions.
- Monday to Friday
- Standard weekdays where you may have recurring appointments with the same families, creating a predictable schedule. This stable routine allows you to form strong bonds with patients and their guardians.
- Night Shift
- Covers late-night to early-morning hours. Particularly important for patients requiring overnight monitoring, especially those with tracheotomy tubes or ventilators.
- Night shift nurses ensure that the children can sleep safely, addressing any respiratory issues or other urgent complications that may arise.
- Weekends as Needed
- As previously mentioned, you may be required to work certain weekend shifts. This can involve day, evening or night hours based on patient requirements and staff availability.
Work Location: In Person
This role is predominantly in-person, given the necessity to provide direct, hands-on care. You will be traveling to patients’ homes within New Jersey, delivering the bulk of your services on-site in the child’s usual living space. This face-to-face engagement is indispensable for assessing nuances of the patient’s environment, family interactions and real-time healthcare needs. As a nurse, you become a vital figure in the child’s daily life, fostering a strong, trusting relationship that complements the technical aspects of nursing care.
Pay: $43.00 per hour (Contract)
This slightly higher rate acknowledges the adaptability and potential unpredictability of contract work. You may be called upon to cover varying shifts or travel to new patient locations with short notice and the compensation reflects that added flexibility and readiness.
Expected Hours: 16 – 40 per week
Contract nurses can sometimes opt for part-time or temporary schedules. This arrangement can serve as a middle ground if you have other commitments, such as continuing education, childcare or a second job.
Benefits for Contract Roles
Even though the structure might differ, we strive to offer valuable benefits to our contract employees whenever possible:
- 401(k)
- We provide a retirement savings plan option to help you invest in your future. Certain terms and conditions may apply depending on the length and type of contract.
- Dental Insurance
- Some contract positions qualify for partial or full dental insurance coverage. This ensures that you can maintain consistent oral health check-ups and necessary treatments.
- Health Insurance
- Depending on the duration of your contract, you may be eligible for health insurance benefits. We value your health, as it underpins your capacity to deliver quality care.
- Paid Time Off
- Certain contracts include Paid Time Off (PTO) after a set period or number of hours worked. This benefit can vary by contract terms but remains an important part of work-life balance.
- Vision Insurance
- Vision plans may also be offered to eligible contract nurses, enabling access to eye care and coverage for corrective lenses if needed.
Supplemental Pay
- Bonus Opportunities
- Performance-based bonuses may be available for meeting targets such as patient satisfaction, consistent attendance or quality improvement initiatives.
- Differential Pay
- Working certain shifts (e.g., nights, weekends or holidays) may come with a differential pay rate to compensate for less convenient hours.
- Overtime Pay
- If your contract requires you to exceed your scheduled hours, overtime pay is provided in compliance with applicable labor laws and organizational policies.