RN Home Health Per Diem
SYNERGY HomeCare

(RN)

SYNERGY HomeCare Columbia, SC 29210, US

Job Title: Registered Nurse (RN) – Medicaid Home Care Services (Paid Per Case)

Position Summary

We are seeking a compassionate and detail-oriented Registered Nurse (RN) to support Medicaid clients within our non-medical home care organization. The RN will provide clinical oversight, complete required assessments, develop care plans, and ensure services align with Medicaid guidelines and state regulations. This role focuses on supervisory and care coordination responsibilities rather than direct hands-on skilled nursing services.

This position is compensated on a per-case basis and is ideal for an RN seeking flexible scheduling and supplemental income.

Key Responsibilities

  • Conduct initial and ongoing nursing assessments for Medicaid clients in their homes

  • Complete required supervisory visits per Medicaid and state guidelines

  • Develop, review, and update individualized care plans

  • Provide clinical oversight of non-medical caregivers (e.g., personal care aides, home health aides)

  • Monitor client condition and report significant changes to physicians and/or case managers

  • Coordinate care with Medicaid service coordinators, healthcare providers, and family members

  • Ensure documentation meets all Medicaid, state, and company compliance standards

  • Provide caregiver training and competency validation as needed

  • Participate in quality assurance activities

Compensation Structure

  • Paid per completed case/visit

  • Competitive per-assessment and per-supervisory-visit rates

  • Mileage reimbursement (if applicable)

  • Flexible caseload based on availability

Compensation details will be discussed during the interview process.

Qualifications

  • Active, unrestricted Registered Nurse (RN) license in the state of employment

  • Minimum of 1–2 years of nursing experience (home health or community-based experience preferred)

  • Knowledge of Medicaid waiver programs preferred

  • Strong assessment and documentation skills

  • Ability to work independently and manage schedule efficiently

  • Valid driver’s license and reliable transportation

  • Current CPR certification

Work Schedule

  • Flexible, case-based scheduling

  • PRN/contractor-style role

  • No guaranteed hours; caseload varies based on referrals

Equal Opportunity Statement

We are an Equal Opportunity Employer committed to providing high-quality, community-based care services.

Share this job

Share to FB Share to LinkedIn Share to Twitter

Related Jobs

RN Outpatient Outpatient Full-time
Prisma Health

Registered Nurse (RN)-Outpatient, Pre/Postoperative, Full-Time, Days

Prisma Health Chapin, SC
Inspire health. Serve with compassion. Be the difference. Job Summary Provides clinical direction for all aspects of patient care in an outpatient setting. Demonstrates clinical competency utilizing evidence-based practices/research in all areas of the nursing process: assessment, planning, implementation, evaluation and outcomes. Incorporates knowledge of safety protocols, cost containment and quality improvement throughout the nursing process. Identifies patient, unit, and organizational priorities and incorporates into the nursing process. Adheres to all compliance and policy and procedure requirements of the organization including, but not limited to licensure renewal, assigned training, employee health screenings, time and attendance policy, dress code policy, patient confidentiality, infection control, medication administration. Demonstrates knowledge of regulatory agency requirements (JCAHO, DHEC). Provides care within the scope of the SC Nursing Practice Act. The outpatient setting usually does not require staff to be scheduled for a significant amount of shift, weekend, holiday, and on-call work. Job Description Bonus This position is bonus eligible, follow this link for details​. Essential Functions All team members are expected to be knowledgeable and compliant with Prisma Health's purpose: Inspire health. Serve with compassion. Be the difference. Collects data and completes nursing assessment utilizing appropriate area and/or age specific standards/policies and tools. Completes appropriate forms. Assesses and recognizes subtle or actual changes in patients' status and patient response to intervention. Identifies nursing priorities for patient plan of care based on nursing assessment (and other data as appropriate). Validates these priorities with healthcare team members and documents appropriately. Develops an individual plan of care based on the age and assessed needs of the patient. Develops the plan in collaboration with the patient and/or family, the physician, and other members of the interdisciplinary health care team. Updates the plan based on changes in the patient's condition and communicates changes in the plan to other members of the team. Identifies realistic and measurable goals and outcomes to be attained prior to discharge. Validates these with the patient and/or family. Demonstrates respect for the patient's/family's cultural, spiritual, and belief system in planning for care. Includes planning for discharge to assure continuity of care and a smooth transition post discharge from one level of care to another (to include appropriate referrals). Provides direct care to assigned patients consistent with the established nursing plan. Performs specific tasks based on organizational, departmental and/or unit policies and procedures within the RN scope of practice. Delegates nursing tasks as appropriate to members of the healthcare team, developing written assignments (if appropriate) and ensures completion of assigned tasks. Monitors quality of care delivered on a continual basis; ensures appropriate surveillance of assigned patients. Provides care based on patient and unit priorities, coordinating and organizing tasks as appropriate, utilizing known resources internal and external to the unit. Incorporates cost containment principles into nursing care. Assumes responsibility for patient safety by maintaining a safe environment to include awareness of safety procedures, protocols and adherence to patient care standards. Utilizes appropriate technology in daily practice. Utilizes performance indicators to collect data, monitor quality and effectiveness while providing nursing care. Completes assigned hospital/unit performance improvement monitoring (audits). Evaluates nursing plan of care for effectiveness and determines progress toward expected outcomes. Revises diagnosis, outcomes and plan of care based on evaluation of data. Reports changes in patient status and refers unresolved problems to appropriate health team members. Discusses outcomes with peers via shift-to-shift report and with other healthcare team members as appropriate. Evaluates opportunities for quality improvement and based upon evaluation, incorporates PI recommendation into nursing plan of care as appropriate. Identifies/assesses patient/family learning needs and teaches accordingly by using language and terminology that the patient/family is familiar with providing examples to clarify ideas, implementing and evaluating teaching plan (encourages patient/family, involvement/participation) Communicates the patient/family's need for education/teaching to others in the healthcare continuum. Evaluates own nursing practice in relation to professional practice standard guidelines, state statutes, family policies, procedures, rules and regulations and current specific knowledge. Maintains competency through education and professional activities. Reflects on identified areas of strength that offer opportunity for improvement. Performs other duties as assigned. Supervisory/Management Responsibilities This is a non-management job that will report to a supervisor, manager, director or executive. Minimum Requirements Education - Associate degree in Nursing. Bachelor's degree in Nursing preferred. Experience - One (1) year experience as a registered nurse. In Lieu Of In lieu of 1 year of registered nurse experience, will accept successful completion of the Prisma Health Nurse Residency Program or successful completion of a comparable residency from another organization. In lieu of one (1) year of registered nurse experience, will accept 1 year of licensed practical nurse (LPN) experience for internal candidates within the same service line. In lieu of Associate degree in nursing, will accept nursing diploma with licensure to practice as a registered nurse. Required Certifications, Registrations, Licenses Holds a current RN compact/multistate license recognized by the NCSBN Compact State or is licensed to practice as an RN in the state the team member is working. Knowledge, Skills and Abilities Basic computer skills Mathematical skills Working knowledge of Patient Equip (vitals, suction, defib) Work Shift Day (United States of America) Location Richland Chapin Facility 1510 Richland Hospital Department 15806169 Perioperative Administration Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.
RN Per Diem
Ernest Health

Registered Nurse - Per Diem

Ernest Health Elgin, SC
Overview Registered Nurse - Per Diem- Midlands Regional Rehabilitation Hospital We have a great PRN opportunity for a Registered Nurse! Midlands Regional Rehabilitation Hospital in Elgin, South Carolina serves the greater Columbia area with high-quality inpatient rehabilitative care. We provide specialized rehabilitation services for patients recovering from strokes, brain and spinal cord injuries, amputations, orthopedic injuries, and other debilitating conditions. Our passionate team of rehabilitation physicians, nurses, and therapists works together to deliver individualized treatment plans – including intensive physical, occupational, and speech therapy – to help patients rebuild strength and independence. In our nurturing, state-of-the-art facility, patients benefit from the latest rehab technologies and a supportive atmosphere. Joint Commission-accredited and part of an award-winning network, Midlands Regional Rehabilitation Hospital takes pride in helping patients achieve meaningful recovery close to home. What you bring: A passion for providing patient care, strong clinical skills, and a strong collaborator with Physicians and Therapists. Degree from an accredited Nursing Program. Current State Registered Nurse License. Current CPR Qualifications Required Skills: Successful completion of accredited Registered Nursing program required. Bachelor of Science in Nursing degree preferred. Current state license as a Registered Nurse required. Current CPR Certification required. One (1) year recent experience preferred. Acute care setting preferred. ACLS certification preferred in LTACH and Texas hospitals. Additional Qualifications/Skills: Knowledge of and adherence to current nursing theory and practice, infection control, and wound care standards of practice. Knowledge of accreditation standards to ensure adherence to all standards set forth by state and accrediting agencies of TJC and CMS. Knowledge of clinical operations and procedures, and utilizes proper policies, procedures, and guidelines in caring for patients. Demonstrates critical thinking skills. Demonstrates general computer skills including: data entry, word processing, email, and record management. Effective organizational and time management skills. Effective written and verbal communication skills. Ability to maintain proper levels of confidentiality. Ability to work closely and professionally with others. Ability to maintain quality, safety, and/or infection control standards. Responsibilities The Registered Nurse provides professional nursing care to patients within assigned unit. The role is also responsible for patient assessments, planning, supervising, interventions, and evaluations designed to prevent complications of physical disability, restore optimal functioning, and help the patient adapt to an altered life style. Integrates the hospital’s mission and “Guiding Principles” into daily practice.
RN Per Diem
Ernest Health

Registered Nurse - Per Diem

Ernest Health Elgin, SC
Overview Registered Nurse - Per Diem- Midlands Regional Rehabilitation Hospital We have a great PRN opportunity for a Registered Nurse! Midlands Regional Rehabilitation Hospital in Elgin, South Carolina serves the greater Columbia area with high-quality inpatient rehabilitative care. We provide specialized rehabilitation services for patients recovering from strokes, brain and spinal cord injuries, amputations, orthopedic injuries, and other debilitating conditions. Our passionate team of rehabilitation physicians, nurses, and therapists works together to deliver individualized treatment plans – including intensive physical, occupational, and speech therapy – to help patients rebuild strength and independence. In our nurturing, state-of-the-art facility, patients benefit from the latest rehab technologies and a supportive atmosphere. Joint Commission-accredited and part of an award-winning network, Midlands Regional Rehabilitation Hospital takes pride in helping patients achieve meaningful recovery close to home. What you bring: A passion for providing patient care, strong clinical skills, and a strong collaborator with Physicians and Therapists. Degree from an accredited Nursing Program. Current State Registered Nurse License. Current CPR Qualifications Required Skills: Successful completion of accredited Registered Nursing program required. Bachelor of Science in Nursing degree preferred. Current state license as a Registered Nurse required. Current CPR Certification required. One (1) year recent experience preferred. Acute care setting preferred. ACLS certification preferred in LTACH and Texas hospitals. Additional Qualifications/Skills: Knowledge of and adherence to current nursing theory and practice, infection control, and wound care standards of practice. Knowledge of accreditation standards to ensure adherence to all standards set forth by state and accrediting agencies of TJC and CMS. Knowledge of clinical operations and procedures, and utilizes proper policies, procedures, and guidelines in caring for patients. Demonstrates critical thinking skills. Demonstrates general computer skills including: data entry, word processing, email, and record management. Effective organizational and time management skills. Effective written and verbal communication skills. Ability to maintain proper levels of confidentiality. Ability to work closely and professionally with others. Ability to maintain quality, safety, and/or infection control standards. Responsibilities The Registered Nurse provides professional nursing care to patients within assigned unit. The role is also responsible for patient assessments, planning, supervising, interventions, and evaluations designed to prevent complications of physical disability, restore optimal functioning, and help the patient adapt to an altered life style. Integrates the hospital’s mission and “Guiding Principles” into daily practice.
RN Full-time
Ernest Health

Registered Nurse - Full-time

Ernest Health Elgin, SC
Overview Registered Nurse - Full-time- Midlands Regional Rehabilitation Hospital Openings on dayshift and nightshift! Midlands Regional Rehabilitation Hospital in Elgin, South Carolina serves the greater Columbia area with high-quality inpatient rehabilitative care. We provide specialized rehabilitation services for patients recovering from strokes, brain and spinal cord injuries, amputations, orthopedic injuries, and other debilitating conditions. Our passionate team of rehabilitation physicians, nurses, and therapists works together to deliver individualized treatment plans – including intensive physical, occupational, and speech therapy – to help patients rebuild strength and independence. In our nurturing, state-of-the-art facility, patients benefit from the latest rehab technologies and a supportive atmosphere. Joint Commission-accredited and part of an award-winning network, Midlands Regional Rehabilitation Hospital takes pride in helping patients achieve meaningful recovery close to home. Situated in Elgin, South Carolina, you’ll enjoy small-town living with quick access to the city of Columbia, giving you the best of both worlds. Elgin is known for its tight-knit community, scenic countryside, and family-friendly atmosphere. As a participating hospital of Ernest Health, we offer robust recognition, wellness, and retention programs. These programs focus to enhance the employees’ work experience, recognize, and celebrate achievements. We also encourage employees to share their work experience through “My Ernest Journey” and through our Engagement Survey, where our approach is “You Spoke, We Listened”. These platforms provide additional avenues for employees to give feedback about their work experience and share what is important to them. Our hospital offers comprehensive benefits, designed to support your health and financial well-being. Benefits: PPO and High Deductible Medical Plan options Flexible and Health Saving account options available Dental and Vision coverage 401K with employer matching Life insurance Short-and-long term disability Competitive compensation and shift differentials. CRRN/CCRN pay! Wellness & Work Life balance: Employee Assistance Program Wellness Program with quarterly wellness challenges with participation incentives. Earned Time Off - Start accruing vacation time on start date. Professional Growth: Continuing education opportunities Clinical Career Ladder Bonus Program Nursing Preceptor Bonus Program What you bring: A passion for providing patient care, strong clinical skills, and a strong collaborator with Physicians and Therapists. Degree from an accredited Nursing Program. Current State Registered Nurse License. Current CPR Qualifications Required Skills: Successful completion of accredited Registered Nursing program required. Bachelor of Science in Nursing degree preferred. Current state license as a Registered Nurse required. Current CPR Certification required. One (1) year recent experience preferred. Acute care setting preferred. ACLS certification preferred in LTACH and Texas hospitals. Additional Qualifications/Skills: Knowledge of and adherence to current nursing theory and practice, infection control, and wound care standards of practice. Knowledge of accreditation standards to ensure adherence to all standards set forth by state and accrediting agencies of TJC and CMS. Knowledge of clinical operations and procedures, and utilizes proper policies, procedures, and guidelines in caring for patients. Demonstrates critical thinking skills. Demonstrates general computer skills including: data entry, word processing, email, and record management. Effective organizational and time management skills. Effective written and verbal communication skills. Ability to maintain proper levels of confidentiality. Ability to work closely and professionally with others. Ability to maintain quality, safety, and/or infection control standards. Responsibilities The Registered Nurse provides professional nursing care to patients within assigned unit. The role is also responsible for patient assessments, planning, supervising, interventions, and evaluations designed to prevent complications of physical disability, restore optimal functioning, and help the patient adapt to an altered life style. Integrates the hospital’s mission and “Guiding Principles” into daily practice.
RN Full-time
Ernest Health

Registered Nurse - Full-time

Ernest Health Elgin, SC
Overview Registered Nurse - Full-time- Midlands Regional Rehabilitation Hospital Openings on dayshift and nightshift! Midlands Regional Rehabilitation Hospital in Elgin, South Carolina serves the greater Columbia area with high-quality inpatient rehabilitative care. We provide specialized rehabilitation services for patients recovering from strokes, brain and spinal cord injuries, amputations, orthopedic injuries, and other debilitating conditions. Our passionate team of rehabilitation physicians, nurses, and therapists works together to deliver individualized treatment plans – including intensive physical, occupational, and speech therapy – to help patients rebuild strength and independence. In our nurturing, state-of-the-art facility, patients benefit from the latest rehab technologies and a supportive atmosphere. Joint Commission-accredited and part of an award-winning network, Midlands Regional Rehabilitation Hospital takes pride in helping patients achieve meaningful recovery close to home. Situated in Elgin, South Carolina, you’ll enjoy small-town living with quick access to the city of Columbia, giving you the best of both worlds. Elgin is known for its tight-knit community, scenic countryside, and family-friendly atmosphere. As a participating hospital of Ernest Health, we offer robust recognition, wellness, and retention programs. These programs focus to enhance the employees’ work experience, recognize, and celebrate achievements. We also encourage employees to share their work experience through “My Ernest Journey” and through our Engagement Survey, where our approach is “You Spoke, We Listened”. These platforms provide additional avenues for employees to give feedback about their work experience and share what is important to them. Our hospital offers comprehensive benefits, designed to support your health and financial well-being. Benefits: PPO and High Deductible Medical Plan options Flexible and Health Saving account options available Dental and Vision coverage 401K with employer matching Life insurance Short-and-long term disability Competitive compensation and shift differentials. CRRN/CCRN pay! Wellness & Work Life balance: Employee Assistance Program Wellness Program with quarterly wellness challenges with participation incentives. Earned Time Off - Start accruing vacation time on start date. Professional Growth: Continuing education opportunities Clinical Career Ladder Bonus Program Nursing Preceptor Bonus Program What you bring: A passion for providing patient care, strong clinical skills, and a strong collaborator with Physicians and Therapists. Degree from an accredited Nursing Program. Current State Registered Nurse License. Current CPR Qualifications Required Skills: Successful completion of accredited Registered Nursing program required. Bachelor of Science in Nursing degree preferred. Current state license as a Registered Nurse required. Current CPR Certification required. One (1) year recent experience preferred. Acute care setting preferred. ACLS certification preferred in LTACH and Texas hospitals. Additional Qualifications/Skills: Knowledge of and adherence to current nursing theory and practice, infection control, and wound care standards of practice. Knowledge of accreditation standards to ensure adherence to all standards set forth by state and accrediting agencies of TJC and CMS. Knowledge of clinical operations and procedures, and utilizes proper policies, procedures, and guidelines in caring for patients. Demonstrates critical thinking skills. Demonstrates general computer skills including: data entry, word processing, email, and record management. Effective organizational and time management skills. Effective written and verbal communication skills. Ability to maintain proper levels of confidentiality. Ability to work closely and professionally with others. Ability to maintain quality, safety, and/or infection control standards. Responsibilities The Registered Nurse provides professional nursing care to patients within assigned unit. The role is also responsible for patient assessments, planning, supervising, interventions, and evaluations designed to prevent complications of physical disability, restore optimal functioning, and help the patient adapt to an altered life style. Integrates the hospital’s mission and “Guiding Principles” into daily practice.