Home Health RN – Per Diem

Looking for flexibility without sacrificing meaningful patient care? Join Guthrie Home Health as a Per Diem RN and build a schedule that works for you.
Guthrie Home Health New York is seeking a Per Diem Home Health RN based out of Waverly, NY, supporting patients across the Southern Tier region near Elmira and Binghamton. This role is a strong fit for an RN who values flexibility, independent clinical judgment, meaningful one-on-one patient relationships, and the support of an experienced Home Health team.

In this per diem role, you’ll have the opportunity to organize your day around your patient load, provide skilled nursing care in the home setting, and help patients regain confidence, safety, and independence.

If you’re looking for a local per diem RN opportunity that combines home health autonomy, purposeful patient connection, and Guthrie’s mission-driven culture, this is an opportunity to make a meaningful impact close to home in the Waverly/Elmira/Binghamton area. Guthrie’s regional talking points describe Northeast Pennsylvania and the Southern Tier of New York as offering natural beauty, a quieter lifestyle, neighborhoods, cultural and recreation options, and access to larger cities.
Who This Role Is Perfect For
This per diem Home Health RN role may be a great fit if you are:
- An experienced RN who enjoys independent clinical decision-making, patient education, and coordinating care in the home setting.
- A nurse seeking per diem flexibility while staying connected to a supportive, mission-driven clinical team.
- A local RN in the Waverly, Elmira, Binghamton, or surrounding Southern Tier area who wants meaningful work close to home.
- A nurse who values one-on-one patient relationships and the opportunity to help patients remain safe, confident, and independent at home.
- A clinician who enjoys variety, time management, documentation, communication with providers, and working as part of an interdisciplinary care team.
- A hospital, clinic, long-term care, or home health RN interested in applying strong assessment skills in a more autonomous community-based setting.

Why Join Guthrie Home Health NY
- Per diem flexibility with premium pay potential
- Autonomy with support — Work independently in patients’ homes while staying connected to a collaborative Home Health team that values communication, partnership, and professional growth.
- Daily schedule variety — The current Guthrie Waverly posting highlights flexibility to create your own schedule daily based on patient load, along with rotating weekend/on-call responsibility.
- Comprehensive orientation and training — Guthrie’s current posting calls out comprehensive orientation/training and a friendly, supportive, diverse work family.
- Meaningful one-on-one care — Help patients recover, remain safe, and regain independence in the place they know best: home; this mirrors the strongest national and regional home health messaging around patient independence, 1:1 care, and home-based impact.
- A local lifestyle with regional reach — Serve communities around Waverly, Elmira, and Binghamton while enjoying the Southern Tier’s suburban/small-city lifestyle, outdoor access, and community feel.

Position Summary:
The Registered Nurse (RN) provides professional, comprehensive nursing care for patients in an acute care environment. Accountable for the delivery of coordinated, safe, compassionate, therapeutic, evidence‐based quality care to patients and families, based on individual physical, emotional, and spiritual needs, and appropriate care strategies throughout the lifespan. Practices in accordance with the Nurse Practice Act in the state of employment, the American Nurses Association (ANA) Code of Ethics for Nurses, and the ANA scope and standards of practice. Essential functions and specific skills for the job are found in the unit specific onboarding checklist and in standards that are applicable to the specialty.
Education, License & Cert:
- Registered Nurse in the State of Practice.
- BSN in Nursing preferred.
- Any previously agreed upon effective date for obtaining a Bachelor's degree in nursing between individuals and facilities will remain in effect, including those who transition to their position from the NLRN Program.
- Any contract with specific time frames for obtaining a bachelor’s degree in nursing will supersede the above point and will remain in effect.
- Specialty Certification is preferred
- BLS certification.
- ACLS is unit dependent.
Experience:
- The Registered Nurse must be a registered nurse currently licensed in the state of employment with at least one year of experience. Alternately, the Registered Nurse may have less than one year of experience if they have been transitioned to their position from the Newly Licensed Registered Nurse Residency (NLRN) Program.
- The Registered Nurse must meet the individual nursing unit specifications regarding educational requirements during employment.
- Must maintain BLS certification.
- ACLS is unit dependent.
- Specifications regarding educational requirements during employment are determined by the Nursing Department and Nursing Unit.
Essential Functions:
1. Employs Nursing Professional Practice: Assesses, diagnoses, plans, implements, and evaluates patients' care. Develops updates and coordinates the patients' plan of care to achieve patient goals and to optimize outcomes and transitions across the continuum. Monitors, records, and communicates patient condition as appropriate. Performs and maintains the currency of essential competencies as required by a specific area of hire and population served.
2. Advocates: Effectively advocates for ethical and holistic care by partnering in care planning to promote the autonomy, dignity, rights, values, and beliefs of those we serve.
3. Facilitates Learning: Fosters a learning environment for patients/families, nursing, and other members of the healthcare team, including student; Facilities formal and informal learning for patients/families, nursing, other members of the healthcare team, and community.
4. Aligns Practice with Safety and Quality: Accountable for safety, identifies and corrects problems, and integrates evidence and best practice into nursing care; uses data and evidence to improve patient outcomes. Aligns patient safety, self‐safety, and environmental safety as equally important for best outcomes.
5. Engages in Professional Development: Engages in ongoing professional development; practices at the top of license within the legal parameters of the Nurse Practice Act, the ANA Code of Ethics for Nurses, and specialty standards. Promotes a culture of inquiry that explores, integrates, and disseminates research and evidence‐based practice.
6. Leader in Practice Setting & Community: demonstrates leadership as change agents using the collaborative leadership skills of advocacy, influence and innovation. In partnering with colleagues appropriately delegates, coordinates care, and collaborates with others as equal members of the inter‐professional care team to integrate nursing knowledge. Models professional behaviors as a representative of the nursing profession.
7. Participates in the planning and presentation of educational programs. 8. It is understood that this description is not intended to be all‐inclusive and that other duties may be assigned as necessary in the performance of the position.
Other Duties:
1. Proficiency in Information Technology, such as electronic health records, communication systems, computers, and equipment necessary to perform essential functions of the position.
2. Skilled to work with a wide range of staff as part of an interdisciplinary team, including physicians, nurses, and ancillary staff.
3. Ability to use independent, critical judgment in all aspects of patient care delivery.
4. Demonstrated interpersonal skills that convey a positive and supportive attitude.
5. Ability to effectively manage multiple responsibilities, urgent responses, and challenging situations.

The pay rate for this position is $39.00 - $54.12 based on experience. In addition, this role may be eligible for a per diem premium.