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About this Home Infusion Registered Nurse (PRN) role at Residential Home Health and Hospice

Residential Home Health and Hospice · Onsite · Waco, TX, USA

Job Title 

Home Infusion Registered Nurse (PRN)

Location

Waco, TX, USA

Additional Location(s)

Employee Type

Employee

Working Hours Per Week

8

Job Description

Summary

This position is available for licensed Registered Nurses (RN). Under the supervision of a Clinical Nurse Supervisor (CNS), the role involves a range of technical, clerical, clinical, and general infusion nurse tasks related to home infusion services. Responsibilities include patient home care, including assessment, obtaining IV and port access, administering intravenous and injectable medications, and providing education. Additionally, the role supports pharmacy operations through quality control activities, maintenance of pharmacy and nursing records, inventory management and preparation of medication orders.


Compensation Range: $47/hr - $51/hr (DOE) + $.48/mile

Location: Waco, TX

Schedule: 5-10hrs+ per week depending on patients and your availability (Not guaranteed hours)

Travel: Must be willing to travel up to 2 hours out from Waco to see patients in their homes which is included in work hours and is compensated for hourly + $.48/mile


Essential Duties and Responsibilities

The following duties are representative of the responsibilities of this position. Additional tasks may be assigned as necessary.



General Responsibilities

  • Provide in-home infusion therapy with regular travel required to and from patient residences.

Clinical Responsibilities

  • Administers prescribed specialty medications through intravenous (IV), subcutaneous, or other appropriate routes in accordance with provider orders and established protocols.
  • Monitors patients closely throughout the infusion process to identify and respond promptly to any adverse reactions or complications.
  • Conducts comprehensive pre-treatment assessments, including review of the patient’s medical history, allergies, and current medications to ensure safe and effective therapy.
  • Evaluates and monitors the patient’s physical condition and vital signs (e.g., blood pressure, heart rate) before, during, and after infusion procedures.
  • Identifies, documents, and communicates any potential risks, adverse reactions, or complications associated with infusion therapy in accordance with clinical protocols.
  • Educates patients and caregivers on prescribed medications, including their purpose, mechanism of action, potential side effects, and what to expect throughout the treatment process.
  • Provides clear post-infusion guidance, including instructions for managing side effects and responding to potential emergencies at home.
  • Monitors patients continuously during and after infusions to promptly identify and address any immediate adverse reactions.
  • Coordinates and conducts follow-up communications, including calls or visits, to assess patient progress and monitor for delayed side effects.
  • Provides clinical feedback and collaborates on care plan adjustments based on patient response, condition changes, or reported concerns.

Documentation and Compliance

  • Maintains thorough and accurate documentation of the infusion process, including patient responses, adverse events, and medication administration details.
  • Records patient education and follow-up instructions in compliance with healthcare regulations, clinical standards, and pharmacy policies.

Collaboration and Communication

  • Collaborates closely with the nursing team, pharmacists, and pharmacy staff to ensure coordinated, high-quality patient care and effective implementation of treatment plans.
  • Communicates promptly with the Clinical Nurse Supervisor regarding any concerns related to treatment effectiveness, patient responses, or adverse reactions.

Medication and Safety Management

  • Ensure proper preparation and handling of medications in accordance with established safety protocols and regulatory standards.
  • Verifies medication accuracy, confirming the correct drug and dosage are prepared and administered for each individual patient.
  • Maintains strict adherence to sterile techniques and safety protocols throughout the infusion process to ensure patient safety and procedural integrity.
  • Follows established infection control guidelines to prevent contamination during the preparation and administration of medications.

Inventory and Insurance Support

  • Monitors inventory levels of specialty medications and infusion-related supplies to ensure consistent availability and prevent shortages.
  • Collaborates with the pharmacy team to manage inventory effectively, ensuring timely replenishment and accurate stock control.
  • Provides support for insurance verification and prior authorization processes related to specialty medications, ensuring timely access to prescribed therapies.


Additional Responsibilities for IgCN-Certified Nurses

Clinical staff who hold an active IgCN certification may be required to participate in CSI’s Immunoglobulin Mentorship Program as part of their role. Participation is dependent on operational needs and program assignments.

  • Serve as an IgCN mentor to new or transferring nursing staff who are local or regional to the mentor, as assigned.
  • Provide guidance, coaching, and professional support to less experienced nurses to support safe and effective immunoglobulin therapy delivery.
  • Assist with training activities as outlined by the Ig educator, including review of educational materials, infusion protocols, and patient care standards.
  • Support skills development through direct observation, coaching, and feedback related to immunoglobulin administration and patient management.
  • Act as a clinical resource to the assigned mentee throughout the defined orientation or transition period.
  • Participate in document review, including competency checklists, orientation materials, and required training records.
  • Conduct direct observation of clinical practice as required and assess the mentee’s level of competency within the defined orientation period.
  • Document mentorship activities, observations, and competency assessments in accordance with CSI policies and accreditation requirements.

Qualification Requirements

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.


  • Must possess the ability to multi-task and frequently change direction.
  • Must have and maintain a valid driver's license, maintain automobile insurance coverage and have access to a reliable automobile.
  • College degree/ certification required or equivalent experience.
  • RN: 2 years (Required)
  • ER/ICU/Infusion: 1 year preferred (critical thinking)
  • Accessing PIV lines, Ports and maintaining PICC lines: 1 year (Required)
  • Infusion experience in a hospital or Home Health setting: 1 year (Preferred)

NOTICE: Successful completion of a drug screen prior to employment is part of our background process, which includes medical and recreational marijuana.

By supplying your phone number, you agree to receive communication via phone or text.

CSI Pharmacy is an Equal Opportunity Employer

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How this Nurse salary compares

This role pays $97,760/yr — in line with the typical range for Nurse roles.

$64,210 median $97,521 $137,665

Typical range $84,365–$111,509/yr, from 18,058 comparable Nurse listings on JobsRadar (pay annualized to USD). See Nurse salary insights →

About Residential Home Health and Hospice

Residential Home Health and Residential Hospice Consistently named as a 'Top Workplace', Residential Home Health and Hospice is a dynamic, growing, and innovative healthcare company that invests time and resources to foster employee success and patient satisfaction. It’s a promise we live day in and day out. Every employee – from those who work with our patients in the field, to those who support them in administrative and office roles – is valued, respected, and encouraged to grow. Our Mission: We aspire to be the leading providers of home-based healthcare products and services for geriatric and chronically ill patients. We are committed to equipping our highly-trained and dedicated employe

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