LPN Home Health Care

Licensed Practical Nurse (LPN) — Emerald Cares

Location: Fargo, ND
Employment Type: Full-time, Part-time, or PRN
Schedule: 12-hour shifts, 6:00 a.m.–6:00 p.m. or 6:00 p.m.–6:00 a.m., based on staffing needs

Pay $32/hr

Reports To: Registered Nurse or Nursing Supervisor

Position Summary

The Licensed Practical Nurse provides person-centered nursing care to individuals with developmental disabilities and complex medical needs in Emerald Cares’ residential and community settings. Under the direction of a registered nurse or authorized healthcare provider, the LPN delivers prescribed care, monitors health conditions, and supports each individual’s dignity, choices, and independence.

Essential Responsibilities

• Collect health information, monitor vital signs, and promptly report changes in condition to the supervising RN or healthcare provider.
• Contribute to individualized nursing care plans and implement assigned interventions.
• Administer medications and treatments according to provider orders, agency policy, and authorized scope of practice.
• Provide specialized care within demonstrated competency and required supervision, including tracheostomy and ventilator care, enteral feeding and tube care, wound care, and seizure monitoring.
• Monitor responses to medications and treatments and report adverse reactions or concerns.
• Coordinate prescription refills, medical supplies, and clarification of orders with the appropriate RN, provider, or pharmacy.
• Recognize urgent health concerns, initiate appropriate actions within training and scope, and contact emergency services when needed.
• Collaborate with RNs, healthcare providers, therapists, case managers, families, and guardians to support continuity of care.
• Assist with appointments, hospital transitions, and follow-up care; accompany individuals on community outings when nursing support is required.
• Provide guidance to CNAs and direct support professionals regarding assigned care activities, consistent with the RN’s care plan and agency policy.
• Reinforce health education provided by the RN or healthcare provider.
• Complete accurate, timely documentation, including medication and treatment records, nursing notes, incident reports, and shift handoffs.
• Follow infection prevention practices and maintain a safe care environment.
• Assist with personal care, repositioning, transfers, and daily activities as needed.
• Participate in staff training, care conferences, quality improvement activities, and required meetings.
• Protect confidentiality and uphold individual rights, informed choices, and respectful care.
• Report suspected abuse, neglect, exploitation, medication errors, and other safety concerns according to agency procedures and applicable requirements.

Required Qualifications

• Graduate of an approved practical nursing program.
• Current LPN license authorizing practice in the state where services are provided.
• Current BLS/CPR certification.
• Strong observation, communication, documentation, and organizational skills.
• Ability to prioritize assigned care and recognize when RN or provider guidance is needed.
• Completion of required background screening, orientation, and competency validation.

Preferred Qualifications

• Experience in home care, residential services, long-term care, or care of individuals with developmental disabilities.
• Experience caring for individuals with ventilators, tracheostomies, feeding tubes, seizure disorders, or other complex medical conditions.
• Familiarity with electronic documentation systems, including Therap.

Physical and Work Requirements

• Ability to perform essential nursing and direct care duties, with reasonable accommodation as appropriate.
• Ability to assist with repositioning and transfers using prescribed equipment and staff assistance.
• Ability to work scheduled shifts, including weekends and holidays as assigned.
• Potential exposure to infectious materials and other healthcare-related hazards; required protective equipment and safety procedures must be followed.

Equal Employment Opportunity

Emerald Cares provides equal employment opportunities and considers qualified applicants without discrimination based on characteristics protected by applicable law.