Registered Nurse (RN)
About this role
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, oversees individualized care plans, administers medications and treatments, monitors health conditions, and responds to changes in status.
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, implements individualized care plans, and ensures services are delivered in accordance with physician orders, Medicaid waiver requirements, and South Carolina nursing regulations.
Key Responsibilities
The Registered Nurse (RN) conducts nursing assessments, 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
- 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
- Referral bonuses
- Weekly direct deposit
- DailyPay (get paid before payday)
- Mileage reimbursement (if applicable)
- Retirement plan benefits 401(k)
Health & 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 & Life Insurance
- Employee Assistance Program (EAP)
- Pet Insurance
Work-Life Balance & 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.
Benefits
Kristin Burns
Director of Nursing
Transcript
0:00
I really enjoy working in the home with my individual. It's a wonderful way to build a strong rapport with them — it's very individualized care.
0:15
Hi, my name is Kristin Burns and I'm the Director of Nursing at OneWell Healthcare. I look through our plan of care, review his medications, and provide medications on a timely basis.
0:30
Sometimes, if the individual is feeling up for it, we may go out into the community, so we come up with a game plan and figure out how we can do that.
0:38
In addition to coordinating his care, being their support, caregiver, and nurse in the home setting is a wonderful feeling — because they get to be in an environment where they feel the most comfortable.
0:54
I can advance my skills by learning the individual's needs, following the plan of care, and using my critical thinking skills to identify assessment changes or opportunities where we need to help and support their health.
1:09
I love the individual I'm working with, and I love the supportive culture that comes with this company. I feel that I'm able to provide a sense of purpose.
1:25
If you're looking for a career change — if you're working in a hospital or a skilled facility and thinking about coming to home care, or even if you've worked in home care before — OneWell is unique. It's very individualized; they value you as a nurse, and you have case managers and supervisors who want to support you.
1:50
Working at OneWell in the home is very different than a hospital. You have one patient you're caring for, whereas on a hospital floor you may have multiple patients. A lot of times hospitals may be understaffed, so you might take on even more patients, and there's a lot of stress with that. Working in home care, you have one individual you get to know and become very close with.
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