Registered Nurse (RN) - Home Health Baylor Nurse JOB SUMMARY : A Home Health RN Baylor Nurse performs Home Health admissions performing OASIS-D1 start of care assessments and administers skilled nursing care to patients on an intermittent basis in their home. This is performed in accordance with physician orders and plan of care under the direction and supervision of the Director of Clinical Services/Nursing Supervisor. QUALIFICATIONS : 1. Graduate of an approved school of professional nursing and currently licensed in the state(s) in which practicing. 2. Three (3) years of home health nursing experience, preferred. 3. Acceptance of philosophy and goals of this Agency. 4. Ability to exercise initiative and independent judgment. RESPONSIBILITIES : 1. Perform OASIS Start of Care admissions assessments. 2. Makes the initial evaluation visit and regularly reevaluates the patient’s nursing needs. 3. Initiates the plan of care and necessary revisions. 4. Provides those services requiring substantial specialized nursing skills. 5. Initiates appropriate preventive and rehabilitative nursing procedures. 6. Prepares clinical and progress notes for each patient visit and summaries of care conferences on his/her patients in a timely manner as per Agency policy. 7. Coordinates services. 8. Informs personnel of changes in the condition and needs of the patient. 9. Counsels the patient and family/significant others in meeting nursing and related needs. 10. Participates in and presents in-service programs. 11. Understands and adheres to established Agency policies and procedures. 12. Processes orders and notifies physicians of patient needs and changes in condition. Completes certification/recertification orders and discharge summaries. 13. Determines the amount and type of nursing needed by each individual patient. 14. Refers to Physical Therapist, Speech-Language Pathologist, Occupational Therapist and Medical Social Worker those patients requiring their specialized skills. 15. Supervises and teaches other nursing personnel. 16. Conducts patient care conferences on patients assigned to his/her care. 17. Participates in peer review and Quality Assessment and Performance Improvement as assigned. 18. Gives total patient care as needed. 19. Takes on-call duty nights, weekends, and holidays, as assigned. 20. Completes and submits OASIS assessments, reassessments, transfers, resumptions of care, discharges, and significant change in condition in accordance with Agency defined time frames. 22. Appropriately utilizes ICD-10 codes. WORKING ENVIRONMENT : Works indoors in Agency office and patient homes and travels to/from patient homes. JOB RELATIONSHIPS : 1. Supervised by: Director of Clinical Services/Nursing Supervisor 2. Workers Supervised: Licensed Practical Nurse, Home Health Aide RISK EXPOSURE : High risk LIFTING REQUIREMENTS : Ability to perform the following tasks if necessary: Ability to participate in physical activity. Ability to work for an extended period of time while standing and being involved in physical activity. Heavy lifting. Ability to do extensive bending, lifting, and standing on a regular basis. The ProHealth group of companies are equal opportunity employers. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, pregnancy, marital status, national origin, citizenship status, disability, military status, sexual orientation, genetic predisposition or carrier status, or any other legally protected characteristic.
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General overview for this role type — specific duties and requirements vary by employer.
Nursing roles in senior living are fundamentally different from hospital nursing. Most positions involve building long-term relationships with the same residents over months or years rather than cycling through new patients every shift. Facilities in the DFW area typically require an active Texas RN or LVN license, current CPR/BLS certification, and many prefer at least one year of geriatric or long-term care experience.
Shift patterns vary widely — some facilities run traditional 8-hour shifts (day, evening, night), while others use 12-hour rotations. Weekend and holiday coverage is almost always part of the schedule. The nurse-to-resident ratio in assisted living is generally more favorable than in hospitals, but you will likely be the highest-level clinical staff on the floor during your shift, which means more autonomy and more responsibility for clinical judgment calls.
What to Expect in This Role Day-to-Day
Based on typical senior living facilities in the DFW area.
A typical shift starts with medication pass and resident assessments. You will review overnight notes from the previous shift, check vitals for residents on your watch list, and coordinate with CNAs on any changes in condition. Mid-shift usually involves documentation, family communication, and working with physicians on care plan updates — often by phone or telehealth rather than in-person rounds.
Depending on the facility, you may also handle admissions paperwork, manage wound care, supervise medication techs, and respond to emergencies. The documentation load in senior living is significant — state surveys and compliance requirements mean thorough charting is non-negotiable. Many nurses in this setting say the most rewarding part is knowing their residents personally and being able to notice subtle changes that a rotating hospital nurse might miss.
DFW Area Salary Data
According to the Bureau of Labor Statistics, Registered Nurse positions in the DFW metroplex area earn a median wage of
$48.76/hr ($101,421/yr).
The typical range is $39.25 – $53.19/hr
(25th–75th percentile).
Entry Level (10th)$73,403/yr
DFW Median$101,421/yr
Experienced (90th)$129,709/yr
vs. National Median+4.0%
Source: Bureau of Labor Statistics, Occupational Employment & Wage Statistics (Dallas-Fort Worth-Arlington, TX Metro Area).
Salary data provided by DFW Senior Living Guide.