Geriatric Skilled Nursing (LPN/ RN)

Job Title: Geriatric Skilled Nursing (LPN/ RN)

Agency: Altra Home Health Location: Indiana Job Type: Full-Time / Part-Time / PRN

Reports To: Clinical Supervisor / Director of Nursing

Position Summary

Altra Home Health is seeking compassionate and skilled Licensed Practical Nurses (LPNs) and Registered Nurses (RNs) to provide high-quality, patient-centered care in the home setting. In this role, you will care for both pediatric and adult patients, many of whom have complex medical needs such as gastrostomy tubes (G-tubes), cerebral palsy, chronic conditions, and, at times, require tracheostomy or ventilator support. You will play a vital role in promoting safety, independence, and quality of life while ensuring all care is delivered in accordance with physician orders, individualized care plans, and Indiana Medicaid requirements.

Key Responsibilities

• Perform comprehensive head-to-toe assessments and implement individualized plans of care.

• Provide skilled nursing services, including:

  • Medication administration.

  • Wound care.

  • G-tube feedings.

  • Tracheostomy and ventilator care (if applicable).

  • Chronic disease management.

• Deliver compassionate, professional care tailored to each patient’s needs.

• Educate patients and caregivers on disease processes, medications, emergency procedures, and self-care techniques.

• Collaborate with physicians, therapists, case managers, and interdisciplinary team members.

• Ensure all services are medically necessary and properly documented to meet Medicaid and agency standards.

• Maintain accurate, timely documentation in the electronic health record (EHR).

• Participate in care conferences, quality assurance activities, and audits as needed.

• Uphold infection control, safety, and patient privacy standards at all times.

• Advocate for patient needs and assist with accessing community resources when appropriate.

Shift Information

• Shift lengths range from 4 to 12 hours based on patient needs.

• Flexible scheduling available, including days, evenings, nights, and weekends.

• Opportunities for consistent, long-term cases or flexible PRN scheduling.

Qualifications

For LPNs

• Active Licensed Practical Nurse (LPN) license in Indiana or a compact state.

For RNs

• Current and unrestricted Registered Nurse (RN) license in Indiana.

For All Candidates

• Minimum of 1 year of nursing experience (home health and/or pediatric experience preferred).

• Experience with G-tube, trach, or ventilator care preferred (training available).

• Knowledge of Indiana Medicaid guidelines and documentation standards preferred (especially for RNs).

• Current CPR certification.

• Strong clinical judgment and critical thinking skills.

• Excellent communication and interpersonal abilities.

• Ability to work independently in a home setting.

• Valid driver’s license and reliable transportation.

• Experience with electronic documentation systems preferred.

Working Conditions

• Travel to patient homes within assigned service areas.

• Exposure to various home environments.

• Flexible schedule based on patient care needs.

Why Join Altra Home Health

• Make a meaningful impact in the lives of medically complex patients.

• Work in a supportive, team-oriented environment.

• Enjoy flexible scheduling options.

• Competitive compensation.

• Ongoing training and professional development.

• Be part of a mission-driven organization focused on compassionate, individualized care.