Registered Nurse (RN)

Registered Nurse (RN) | Home Health Location: South Carolina Employment Type: Flexible Work Location: Field-Based Schedule: Flexible FLSA Status: Non-Exempt under the Fair Labor Standards Act (FLSA) and applicable South Carolina law About Our Company OneWell Health Care and its affiliate, OneWell of South Carolina LLC, are dedicated to empowering individuals with Intellectual and Developmental Disabilities (IDD) and Autism to lead fulfilling, self-directed lives. We provide compassionate, person-centered care that promotes dignity, independence, and inclusion across community and home settings. Position Summary The Registered Nurse (RN) delivers skilled nursing services to individuals of all ages (pediatric, adult, and geriatric) receiving home and community-based services throughout South Carolina. Working within the scope of professional nursing practice and in accordance with physician orders, the RN provides comprehensive clinical assessments, develops and oversees individualized care plans, administers medications and treatments, monitors health conditions, and responds to changes in status. The RN provides clinical oversight and guidance to Licensed Practical Nurses (LPNs), Direct Support Professionals (DSPs), and other care team members as applicable. The RN supports individuals with Intellectual and Developmental Disabilities (IDD) and other complex medical needs, promoting safety, dignity, independence, regulatory compliance, and an optimal quality of life. Position Scope This position operates within the Nursing Department and provides direct and indirect clinical services in home and community-based settings. The RN performs comprehensive assessments, develops and updates individualized care plans, and ensures services are delivered in accordance with physician orders, Medicaid waiver requirements, and South Carolina nursing regulations. The RN practices independently within the scope of South Carolina licensure and provides clinical guidance to LPNs, DSPs, and caregivers as appropriate. Key Responsibilities The Registered Nurse (RN) conducts nursing assessments, develops and monitors individualized care plans, and provides direct skilled nursing services in accordance with physician orders and regulatory requirements. Responsibilities include administering medications and treatments, monitoring vital signs and health status, providing wound care, and supporting specialized medical needs such as PEG/G-Tube or tracheostomy care as applicable. The RN collaborates with physicians, families, and interdisciplinary teams to ensure coordinated, high-quality care, provides clinical guidance and caregiver education, maintains accurate and timely documentation, and ensures compliance with all state, federal, and agency standards. The RN also participates in care coordination, quality improvement initiatives, and additional duties consistent with licensure and organizational needs. Regulatory Frameworks This role operates under: South Carolina Board of Nursing regulations South Carolina Department of Health and Human Services (SCDHHS) Medicaid waiver requirements (as applicable) CMS Home and Community-Based Services (HCBS) guidelines HIPAA and federal privacy regulations Applicable state labor and employment laws Confidentiality The RN must maintain strict confidentiality of all participant information in compliance with HIPAA and OneWell policies. Protected Health Information (PHI) may only be accessed, used, or disclosed as required for treatment, payment, or healthcare operations. Documentation Requirements Completion of nursing assessments and reassessments Care plan development and updates Medication Administration Records (MAR) oversight Incident documentation and follow-up Clinical notes in electronic health record (EHR) systems Compliance with Medicaid and regulatory documentation standards Certifications Active South Carolina RN License (required) Multi-State Compact License (preferred, if applicable) CPR/BLS Certification (required) Current TB test or screening (required) Additional certifications based on case assignment Education Bachelor of Science in Nursing (BSN) preferred Associate Degree in Nursing (ADN) accepted if licensed and experienced Experience Minimum one (1) year of nursing experience required Experience in home health, IDD services, or long-term care preferred Experience with G-Tube, tracheostomy, ventilator care preferred (case dependent) Technical Skills Strong clinical assessment skills Medication administration proficiency Wound care and infection control knowledge Ability to interpret physician orders Proficiency with electronic documentation systems Basic computer and mobile device proficiency Languages English required. Bilingual abilities preferred (not required). Driver License Valid driver’s license required. Reliable transportation required. Ability to travel to participant homes within assigned region. Travel Requirement This position requires local travel within South Carolina to participant homes and community settings. Travel percentage varies depending on caseload and geographic assignment. Benefits Compensation and Financial Benefits Paid sick leave Vacation time Very competitive wages Overtime pay Referral bonuses Weekly direct deposit DailyPay (get paid before payday) Mileage reimbursement (if applicable) Retirement plan benefits 401(k) Health and Wellness Benefits (available for full time employees) Medical (PPO, Flex, and HSA plans) Dental Vision Critical Illness Insurance Accident Insurance Hospital Insurance Short-Term Disability Long-Term Disability and Life Insurance Employee Assistance Program (EAP) Pet Insurance Work-Life Balance and Other Benefits Flexible scheduling Supportive supervisor and work environment Legal Disclaimer This job description reflects the general nature and scope of the role and is not exhaustive. OneWell Health Care reserves the right to revise responsibilities, qualifications, or expectations at its discretion, consistent with applicable law. Employment is at-will and may be terminated by either party at any time, with or without cause or notice. If you are passionate about supporting individuals with developmental disabilities and thrive in a collaborative, mission-driven environment, we encourage you to apply today. Join OneWell Health Care — where your work truly changes lives. Job Type: Full time