FirstHR

Home Health Nurse Job Description Templates

Free home health nurse job description templates: RN, LPN/LVN, private duty, pediatric, and small agency. With license, OASIS, and HIPAA fields. DOCX.

Nick Anisimov

Nick Anisimov

FirstHR Founder

Hiring
16 min

Home Health Nurse Job Description Templates

6 free templates: general, RN, LPN/LVN, private duty, pediatric, and small agency, with the license, OASIS, HIPAA, and driving fields the generic templates skip. Download as DOCX.

A home health nurse provides skilled nursing care to patients in their homes, following a physician-ordered plan of care. It is independent, travel-based nursing built around assessment, treatment, and heavy documentation, and the role carries licensure and compliance obligations that hospital nursing handles through whole departments. For a small home health or private-duty agency, hiring one well starts with a job description that names the role, the license, and the home-health-specific requirements the generic templates leave out.

At FirstHR, we build templates for agencies making this hire without a credentialing department, where the owner or director of nursing writes the posting between patient visits. The six templates below cover the role across settings: general home health nurse, home health RN, home health LPN/LVN, private duty nurse, pediatric home health nurse, and a small agency version. Each is ready to use, with the license, OASIS, HIPAA, and driving fields built in. For the fundamentals behind any posting, the guide to writing a job description is a useful companion.

TL;DR
A home health nurse delivers skilled care in patients' homes per a physician-ordered plan of care. The role is licensed (RN or LPN/LVN), travel-based, and built around documentation, with an RN completing OASIS assessments for Medicare-certified care. Pay is often hourly or per visit; BLS reports a median of $93,600 for RNs and $62,340 for LPNs/LVNs (May 2024). Download six templates as DOCX, by role, with license, OASIS, HIPAA, and driving fields built in.

What a Home Health Nurse Does

A home health nurse provides skilled nursing care to patients in their homes, following a physician-ordered plan of care. The work is hands-on and independent: assessing the patient and the home, administering medications and IV therapy, performing wound and catheter care, educating caregivers, and documenting each visit.

What makes home health distinct from hospital nursing is the autonomy and the documentation. The nurse travels between homes without an on-site team, assesses home safety, and for Medicare-certified care completes OASIS assessments tied directly to reimbursement. A registered nurse manages the plan of care and supervises LPNs and aides, while an LPN/LVN delivers ongoing care under that supervision. For scoping the role to your agency, the guide to defining job responsibilities walks through the process.

Home Health Nurse Duties and Responsibilities

Home health nurse duties cluster into four areas: clinical care, documentation, visits and travel, and coordination and education. A strong job description picks the specific responsibilities from each area that match the role and setting, rather than listing every possible task.

Clinical care
Assess patients and home safety
Administer medications and IV therapy
Wound, catheter, and ostomy care
Documentation
Complete OASIS assessments (RN)
Document each visit on time
Follow CMS and agency standards
Visits and travel
Travel between patient homes
Manage a daily visit caseload
Work independently between visits
Coordination and education
Coordinate with physicians and therapists
Educate patients and caregivers
Supervise LPNs and aides (RN)

For an LPN the duties run under RN supervision; for an RN they extend to OASIS assessment, the plan of care, and supervising the case. A pediatric or private-duty role adds high-acuity skills like vent or trach care. Scale the responsibilities to the specific role, and for related care positions the same pattern holds, which is why hiring a personal care aide or a nurse shares the same structure.

Which Template Should You Use?

Pick the template by role and setting. The core structure is the same across all six, but each one emphasizes the duties, license, and compliance that fit a specific kind of home health nursing role. Use this guide to choose the closest fit, then adjust.

General Home Health Nurse
Any agency, RN or LPN
The universal baseline covering skilled visits, the plan of care, documentation, and travel. The right base to adapt when the role is not RN- or LPN-specific.
Home Health RN
Registered nurse, OASIS
For the registered nurse who completes OASIS assessments, manages the plan of care, and supervises LPNs and aides on the case.
Home Health LPN / LVN
Practical nurse, RN-supervised
For the practical nurse delivering hands-on care under RN supervision: treatments, monitoring, and reporting within LPN/LVN scope.
Private Duty Nurse
One-on-one, shift-based
For continuous, shift-based care of a single patient, often medically complex, rather than intermittent visits. RN or LPN.
Pediatric Home Health Nurse
Infants and children
For skilled care of pediatric patients, often vent, trach, or G-tube, with a focus on family coaching and child-specific skill.
Small Agency / Owner-Led
Close team, structured onboarding
Written for the owner-led agency: manageable caseload, direct line to leadership, and built-in onboarding and credential support.
Match the Template to the Role
Registered nurse completing OASIS: Home Health RN. Practical nurse under RN supervision: Home Health LPN/LVN. One-on-one shift care: Private Duty. Infants and children: Pediatric. Owner-led agency hiring its first or next field nurse: Small Agency. When the role is not RN- or LPN-specific, the General version is the baseline to adapt.

6 Free Home Health Nurse Job Description Templates

Download all six as a single Word document or copy individual templates. Each follows the same structure: agency and job summary, key responsibilities, qualifications, compliance fields, schedule and pay, and how to apply, with an EEO statement. Fill in the brackets and post.

Download All 6 Job Description Templates
General, RN, LPN/LVN, private duty, pediatric, and small agency. All in one DOCX.

Template 1: General Home Health Nurse

The universal baseline covering skilled visits, the plan of care, documentation, and travel. Use this when the role is not specific to RN or LPN, or as the base to adapt.

Home Health Nurse Job Description (General)
HOME HEALTH NURSE JOB DESCRIPTION
Agency / Company: __
Location / Service area: __ ([City, State])
Reports to: __ (Director of Nursing / Clinical Manager)
Employment type: [ ] Full-time [ ] Part-time [ ] PRN / Per diem [ ] Per visit
Schedule: __ (days, weekends, on-call rotation)
Pay: $_____ per [hour / visit] [include a range where required]

ABOUT [AGENCY NAME]

[Two or three sentences about your home health or private-duty agency:
the patients you serve, your service area, and the field nursing team
this role joins. Note travel, weekend, and on-call expectations.]

JOB SUMMARY

[Agency Name] is hiring a Home Health Nurse to provide skilled nursing care
to patients in their homes across [service area]. You will assess patients,
follow the physician-ordered plan of care, administer treatments and
medications, document visits, and coordinate with the care team. This is a
travel-based, independent role for a nurse who is organized, compassionate,
and comfortable working without an on-site team.

KEY RESPONSIBILITIES

Provide skilled nursing care in patients' homes per the plan of care
Assess patient condition, vital signs, wounds, and home safety
Administer medications, injections, IV therapy, and treatments
Perform wound care, catheter, ostomy, and other skilled procedures
Educate patients and family caregivers on care and medications
Document each visit accurately and on time in the EHR
Coordinate care with physicians, therapists, and aides
Follow infection control, HIPAA, and agency policies

REQUIRED QUALIFICATIONS

Active, unrestricted RN or LPN/LVN license in [state]
[Nurse Licensure Compact (NLC) multi-state license a plus]
Current BLS / CPR certification
Valid driver's license, reliable vehicle, and auto insurance
[1-2] years of clinical or home health experience preferred
Comfortable with EHR documentation and independent visits

COMPENSATION AND BENEFITS

Pay: $_____ per [hour / visit]
Benefits: __ (mileage reimbursement, phone stipend,
PTO, health, flexible scheduling)

HOW TO APPLY

To apply, send your resume to __ by _.
[Agency Name] is an equal opportunity employer.

Template 2: Home Health RN

For the registered nurse who completes OASIS assessments, manages the plan of care, and supervises LPNs and aides on the case. The most documentation-heavy version.

Home Health RN Job Description
HOME HEALTH REGISTERED NURSE (RN) JOB DESCRIPTION
Agency / Company: __
Location / Service area: __ ([City, State])
Reports to: Director of Nursing / Clinical Manager
Employment type: [ ] Full-time [ ] Part-time [ ] PRN / Per diem [ ] Per visit
Schedule: __ (incl. on-call rotation)
Pay: $_____ per [hour / visit] [+ mileage]

JOB SUMMARY

[Agency Name] is hiring a Home Health RN to deliver skilled nursing care,
complete patient assessments, and manage the plan of care for patients in
their homes. The RN performs OASIS assessments at start of care, resumption,
recertification, and discharge, and supervises LPNs and aides on the case.
This is a key clinical role on a small, close field team.

KEY RESPONSIBILITIES

CLINICAL CARE
Conduct comprehensive patient assessments in the home
Complete OASIS documentation at start of care, recert, and discharge
Develop and update the physician-ordered plan of care
Administer medications, IV therapy, wound care, and treatments
CARE COORDINATION
Supervise LPNs and home health aides on assigned cases
Coordinate with physicians, therapists, and case managers
Educate patients and caregivers and confirm understanding
Document visits accurately and meet documentation deadlines

REQUIRED QUALIFICATIONS

Active, unrestricted RN license in [state] [BSN preferred]
[Nurse Licensure Compact (NLC) multi-state license a plus]
Current BLS / CPR certification
Valid driver's license, reliable vehicle, and auto insurance
[1-2] years of clinical experience; home health a plus
OASIS and home health EHR experience a plus

COMPENSATION AND HOW TO APPLY

Pay: $_____ per [hour / visit] [+ mileage reimbursement]
Benefits: __ (phone stipend, PTO, health)
To apply, email __ with your resume by _.
[Agency Name] is an equal opportunity employer.
Still Using Spreadsheets for Onboarding?
Automate documents, training assignments, task management, and track onboarding progress in real time.
See How It Works

Template 3: Home Health LPN / LVN

For the practical nurse delivering hands-on care under RN supervision: treatments, monitoring, and reporting within the LPN/LVN scope. A travel-based visit role.

Home Health LPN / LVN Job Description
HOME HEALTH LPN / LVN JOB DESCRIPTION
Agency / Company: __
Location / Service area: __ ([City, State])
Reports to: Registered Nurse (RN) / Clinical Manager
Employment type: [ ] Full-time [ ] Part-time [ ] PRN / Per diem [ ] Per visit
Schedule: __
Pay: $_____ per [hour / visit] [+ mileage]

JOB SUMMARY

[Agency Name] is hiring a Home Health LPN / LVN to provide hands-on nursing
care to patients in their homes under the direction of an RN and the
physician-ordered plan of care. You will deliver treatments, monitor patient
status, and report changes to the supervising nurse. This is a travel-based
role for a dependable, detail-focused practical nurse.

KEY RESPONSIBILITIES

Provide skilled nursing care under RN supervision and the plan of care
Monitor and record vital signs, symptoms, and patient progress
Administer medications and treatments within LPN/LVN scope
Perform wound care, catheter care, and ordered procedures
Report changes in patient condition to the supervising RN
Educate patients and caregivers on care and medications
Document each visit accurately and on time
Follow infection control, HIPAA, and agency policies

REQUIRED QUALIFICATIONS

Active, unrestricted LPN / LVN license in [state]
[Nurse Licensure Compact (NLC) multi-state license a plus]
Current BLS / CPR certification
Valid driver's license, reliable vehicle, and auto insurance
[1+] year of nursing experience preferred; home health a plus
Comfortable working independently between home visits

COMPENSATION AND HOW TO APPLY

Pay: $_____ per [hour / visit] [+ mileage reimbursement]
Benefits: __ (phone stipend, PTO, flexible schedule)
To apply, email __ with your resume by _.
[Agency Name] is an equal opportunity employer.

Template 4: Private Duty Nurse

For continuous, shift-based, one-on-one care of a single patient, often medically complex, rather than intermittent visits. RN or LPN, with shift and live-in options.

Private Duty Nurse Job Description
PRIVATE DUTY NURSE JOB DESCRIPTION
Agency / Company: __
Location: __ ([City, State])
Reports to: __ (Clinical Manager / Owner)
Employment type: [ ] Full-time [ ] Part-time [ ] PRN / Per diem
Shift: [ ] Day [ ] Night [ ] Weekend [ ] Live-in
Pay: $_____ per [hour / shift]

JOB SUMMARY

[Agency Name] is hiring a Private Duty Nurse to provide one-on-one, extended
nursing care to a single patient in their home. Unlike intermittent home
health visits, private duty is continuous, shift-based care, often for
medically complex or high-acuity patients. This role suits a nurse who builds
strong relationships and is comfortable with sustained, focused care.

KEY RESPONSIBILITIES

Provide one-on-one nursing care during assigned shifts
Monitor patient status continuously and respond to changes
Administer medications, treatments, and ordered procedures
Manage complex care needs [vent / trach / feeding tube / IV] as ordered
Maintain detailed shift documentation and care notes
Communicate with family, the supervising RN, and physicians
Support activities of daily living as part of the care plan
Follow infection control, HIPAA, and agency policies

REQUIRED QUALIFICATIONS

Active, unrestricted RN or LPN/LVN license in [state]
Current BLS / CPR certification [ACLS / PALS where required]
Experience with [high-acuity / pediatric / vent] care as applicable
Valid driver's license and reliable transportation
Dependable, patient, and comfortable with extended-shift care
Strong communication with families and the care team

COMPENSATION AND HOW TO APPLY

Pay: $_____ per [hour / shift]
Benefits: __ (PTO, health, shift differential)
To apply, email __ with your resume by _.
[Agency Name] is an equal opportunity employer.

Template 5: Pediatric Home Health Nurse

For skilled care of infants and children, often vent, trach, or G-tube, with a focus on family coaching and child-specific clinical skill. RN or LPN.

Pediatric Home Health Nurse Job Description
PEDIATRIC HOME HEALTH NURSE JOB DESCRIPTION
Agency / Company: __
Location: __ ([City, State])
Reports to: __ (Clinical Manager / Director of Nursing)
Employment type: [ ] Full-time [ ] Part-time [ ] PRN / Per diem
Shift: [ ] Day [ ] Night [ ] Weekend
Pay: $_____ per [hour / shift]

JOB SUMMARY

[Agency Name] is hiring a Pediatric Home Health Nurse to provide skilled
nursing care to infants, children, and adolescents in their homes. Many
pediatric home health patients are medically complex and may require
ventilator, tracheostomy, or feeding-tube care. This role is for a nurse who
is patient, gentle, and skilled with children and their families.

KEY RESPONSIBILITIES

Provide skilled nursing care to pediatric patients in the home
Manage [ventilator / tracheostomy / G-tube / IV] care as ordered
Monitor growth, development, and changes in condition
Administer medications and treatments per the plan of care
Coach and support parents and caregivers
Document visits and communicate with the pediatric care team
Coordinate with physicians, therapists, and case managers
Follow infection control, HIPAA, and agency policies

REQUIRED QUALIFICATIONS

Active, unrestricted RN or LPN/LVN license in [state]
Current BLS / CPR; PALS [required / preferred]
Pediatric or pediatric home health experience [preferred / required]
Experience with [vent / trach / G-tube] care a strong plus
Valid driver's license, reliable vehicle, and auto insurance
Patient, nurturing, and skilled communicating with families

COMPENSATION AND HOW TO APPLY

Pay: $_____ per [hour / shift]
Benefits: __ (PTO, health, mileage, stipend)
To apply, email __ with your resume by _.
[Agency Name] is an equal opportunity employer.
Companies Using FirstHR Onboard 3x Faster
Join hundreds of small businesses who transformed their new hire experience.
See It in Action

Template 6: Small Agency / Owner-Led

Written for the owner-led agency: a manageable caseload, a direct line to leadership, and built-in onboarding and credential support. The version no competitor offers.

Small Agency Home Health Nurse Job Description
SMALL AGENCY HOME HEALTH NURSE JOB DESCRIPTION
Agency: __
Location / Service area: __ ([City, State])
Reports to: Owner / Director of Nursing
Employment type: [ ] Full-time [ ] Part-time [ ] PRN / Per diem [ ] Per visit
Schedule: __ (incl. on-call)
Pay: $_____ per [hour / visit] [+ mileage]

ABOUT US

[Agency Name] is a [growing, owner-led] home health agency serving
[service area]. We are a small, close-knit team where every nurse has a
direct line to leadership and a real say in how we care for patients. If you
want to do hands-on nursing without the bureaucracy of a large system, this
is the place.

JOB SUMMARY

We are hiring a Home Health Nurse (RN or LPN/LVN) to provide skilled nursing
care to patients in their homes. Because we are a small agency, you will work
closely with the owner and care team, carry a manageable caseload, and help
shape how we deliver care. We provide structured onboarding and ongoing
support so you are never on your own clinically.

KEY RESPONSIBILITIES

Provide skilled nursing care in patients' homes per the plan of care
Complete assessments and [OASIS, for RNs] documentation on time
Administer medications, treatments, and skilled procedures
Educate patients and family caregivers
Coordinate care with the owner, physicians, and the team
Maintain accurate, timely visit documentation
Help maintain compliance and quality standards
Follow infection control, HIPAA, and agency policies

REQUIRED QUALIFICATIONS

Active, unrestricted RN or LPN/LVN license in [state]
Current BLS / CPR certification
Valid driver's license, reliable vehicle, and auto insurance
Negative TB test [and other health screening per policy]
[1-2] years of nursing experience preferred
Self-directed, reliable, and a strong team communicator

WHY JOIN A SMALL AGENCY

Manageable caseload and a direct line to leadership
Flexible scheduling and a real voice in patient care
Structured onboarding and credential support
[Mileage reimbursement, phone stipend, PTO, ________________]

HOW TO APPLY

To apply, send your resume to __ by _.
[Agency Name] is an equal opportunity employer.

Licensure, OASIS, and Compliance

This is the part the generic templates skip, and it is the part that matters most for a home health nurse hire: the licensure and certification the role requires, the OASIS and CMS documentation tied to reimbursement, and the driving requirements the travel-based work demands. Get these right and your posting attracts qualified candidates and protects your agency.

Licensure: state license plus the Nurse Licensure Compact
Every home health nurse needs an active, unrestricted RN or LPN/LVN license in the state where care is delivered, and for an RN a BSN is often preferred. The detail generic templates skip is the Nurse Licensure Compact (NLC), a multi-state license that lets a nurse practice across compact states on one license, which matters for agencies near state lines or serving patients across a metro that crosses borders. State your license requirement clearly, note whether a compact license is acceptable, and verify the license is current and unrestricted before the first visit. Track the expiration date so a lapse never sends an unlicensed nurse into a home. This is general information, not legal advice.
BLS/CPR, TB, and immunizations are effectively mandatory
Healthcare employers almost universally require current BLS or CPR certification, which renews every two years, plus a negative TB test and a standard immunization record before a nurse sees patients. Home health adds its own wrinkle: the nurse works alone in a private residence with no on-site clinical backup, so credential currency is not just a formality, it is the safety net. Build the BLS renewal date, the TB test, and any required immunizations into your hiring checklist and your ongoing tracking, because an expired card discovered during a survey or after an incident is a costly miss. This is general information, not legal advice.
OASIS and CMS Conditions of Participation drive reimbursement
For Medicare-certified home health, the registered nurse completes OASIS assessments at start of care, resumption, recertification, and discharge, and these feed both the plan of care and reimbursement under the Patient-Driven Groupings Model. A missed or late OASIS can trigger denied payment, so documentation deadlines are not bureaucratic, they are the revenue. The Medicare Conditions of Participation also set requirements for the plan of care, supervision, and the clinical record. State the OASIS and documentation expectations plainly in the RN posting so candidates understand the role is as much about accurate, timely charting as bedside care. This is general information, not legal advice.
Driver's license, reliable vehicle, and auto insurance
Home health is travel-based, so a valid driver's license, a reliable personal vehicle, and current auto insurance are near-universal requirements that belong in the posting, not buried in fine print. Many agencies reimburse mileage and offer a phone stipend, which is worth naming because it affects real take-home pay for a nurse driving to six to eight visits a day. Decide your mileage and stipend policy up front, confirm the candidate's license and insurance are current, and treat the driving record as part of screening where your policy or insurer requires it. This is general information, not legal advice.
Why Documentation Is the Revenue
For Medicare-certified home health, the registered nurse completes OASIS assessments at start of care, recertification, and discharge, feeding the plan of care and reimbursement under the Patient-Driven Groupings Model. A missed or late OASIS can trigger denied payment, so documentation deadlines are not bureaucratic, they are the revenue, and the personnel and clinical records must hold up under the Medicare Conditions of Participation.

For more on how hourly and per-visit pay interacts with overtime classification, the exempt versus non-exempt guide and the Fair Labor Standards Act overview explain the rules that apply to nursing roles paid by the hour or the visit.

Skills and Requirements

Home health nurse roles start from an active license, current certification, and reliable transportation, with experience and EHR familiarity as strong pluses. Scale the requirements to the role and acuity.

RequirementWhat to look for
LicenseActive, unrestricted RN or LPN/LVN in the state; NLC compact a plus
CertificationCurrent BLS/CPR; PALS or ACLS for pediatric or high-acuity
Experience1-2 years clinical preferred; home health or OASIS a plus
DrivingValid driver's license, reliable vehicle, current auto insurance
Health screeningNegative TB test and standard immunizations per policy
Pay modelHourly, per visit, or per shift; often non-exempt with overtime

Keep the posting neutral and inclusive, since the EEOC prohibits job advertisements that show a preference based on a protected characteristic, and the SHRM guide covers the standard sections of a job description.

Home Health Nurse Pay

Home health nurse pay varies by role, region, and pay model, and is often hourly or per visit rather than a fixed salary. Set your range using government data as a baseline, then adjust for your local market and pay structure.

The Federal Benchmark (BLS, May 2024)
The U.S. Bureau of Labor Statistics reported a median annual wage of $93,600 for registered nurses (lowest 10 percent under $66,030, highest 10 percent over $135,320) and $62,340 for licensed practical and licensed vocational nurses in May 2024 (U.S. Bureau of Labor Statistics). RN employment is projected to grow 5 percent through 2034, with about 189,100 openings a year.

Home health pay typically runs near or somewhat below the national median depending on the market, and many field nurses are paid per visit, often quoted as a rate per completed visit, plus mileage reimbursement and sometimes a phone stipend. Private-duty nurses are usually paid an hourly shift rate. Pay runs higher in metro areas and states like California and New York. Because the field is high-turnover and demand is steady, a competitive, transparent pay range and a clear mileage policy help a small agency attract reliable nurses. National compensation surveys can help you benchmark per-visit and shift rates in your market.

Hiring for a Small Agency

A large home health system hires nurses through a credentialing department with HR and compliance support. A small owner-led agency does not. The owner or director of nursing writes the posting, verifies the license, screens applicants, and onboards the field nurse, often between patient visits. Here is how to write the posting and handle the hire for that reality.

Big systems have a credentialing department; you have a binder and a deadline
Most published home health nurse templates are written for large agencies and hospital systems with credentialing staff who track every license, BLS card, and TB test. A small owner-led agency hires nurses with none of that. The owner or director of nursing writes the posting, screens applicants, verifies the license, and onboards the nurse between patient visits and payroll. The templates here are written for that reality: pick the version that matches the role, fill in the brackets, and post, without translating a large system's job description down to your size. The compliance is the same, but the person handling it is you.
The compliance is real even when the agency is small
A small home health agency does not get a pass on licensure, OASIS, the Medicare Conditions of Participation, or credential tracking. If a nurse delivers skilled care, the agency owes accurate OASIS and plan-of-care documentation, current licensure verification, BLS and TB currency, and personnel records that survive a CMS or accreditation survey, the same as a large system. A missed OASIS deadline can mean denied payment; an expired license discovered too late is a serious exposure. The advantage a small agency has is that the program is simpler to set up once and keep current with a structured onboarding and document-tracking process, which is exactly what a tight hiring workflow is for.
Field nurses never sit in your office, so onboarding has to travel with them
Home health nurses work in patients' homes and on the road, not at a desk down the hall, which makes traditional onboarding hard. The signed offer and employment agreement, the license and certification copies, the signed HIPAA and bloodborne pathogen acknowledgments, the TB result, and the policy sign-offs all have to be collected from people who are rarely in one place. A paper process loses documents; a structured digital one does not. The fix is to make onboarding remote-friendly from day one: e-signature for the offer and acknowledgments, and a single place to store every credential with an expiration date attached.
Onboarding a field nurse is where the credentials and compliance get handled
Whichever template you use, the work after hiring is ordinary people operations made specific by home health: a signed offer letter and employment agreement, the new hire paperwork, copies of the active license and BLS card with expiration dates tracked, signed HIPAA and bloodborne pathogen training acknowledgments, the TB result, and confirmation of driver's license and auto insurance. FirstHR fits this people side for a small home health or private-duty agency: e-signature for the offer and training acknowledgments, training modules for HIPAA and bloodborne pathogens, task workflows for the pre-visit credential checklist, and document management for licenses, certifications, and expiration alerts that hold up in a CMS or accreditation survey. To be clear about scope, FirstHR is an onboarding and HR platform, not an OASIS, EVV, or clinical-charting system, and it does not run payroll or administer benefits, so pair it with those providers. Applicant tracking is coming soon.

From Hiring to Onboarding

The job description is step one. Once a candidate accepts, the same document becomes the basis for the offer and a home-health-specific onboarding. Because the role is licensed, travel-based, and high-turnover, a smooth, repeatable process pays off every time you hire.

Send the offer and agreement
Confirm the role, pay per hour or visit, schedule, and on-call terms in writing. An offer letter and employment agreement make this fast for a field nurse.
Verify and track credentials
Collect the active license, BLS card, and TB result, and track every expiration date so a lapse never sends an unlicensed nurse into a home.
Train before the first visit
HIPAA and bloodborne pathogen training at hire, with a signed acknowledgment kept on file, plus any agency-specific policy sign-offs.
Store survey-ready records
Keep licenses, certifications, training acknowledgments, and signed forms organized so personnel files hold up in a CMS or accreditation survey.

Once your offer is ready, the offer letter template handles the next step, and an onboarding template gives the new nurse a structured start, alongside the usual new hire paperwork. FirstHR connects the offer, paperwork, e-signatures, training acknowledgments, and credential tracking in one place so a small home health or private-duty agency can manage the full process, including license and certification expirations, from one system. FirstHR is an onboarding and HR platform, not an OASIS, EVV, or clinical-charting tool, and it does not run payroll or administer benefits, so connect those separately. Applicant tracking is coming soon to FirstHR.

Key Takeaways
A home health nurse provides skilled care in patients' homes per a physician-ordered plan of care, travel-based and independent.
Use the template that matches the role: general, RN, LPN/LVN, private duty, pediatric, or small agency.
State the license (RN or LPN/LVN, plus any NLC compact note), BLS/CPR, and TB requirements explicitly; generic templates skip them.
Home health is travel-based, so require a valid driver's license, reliable vehicle, and auto insurance, and name any mileage and stipend.
For Medicare-certified care, the RN completes OASIS tied to reimbursement; a missed deadline can mean denied payment.
Pay is often hourly or per visit; BLS reports a median of $93,600 for RNs and $62,340 for LPNs/LVNs (May 2024).

Frequently Asked Questions

What does a home health nurse do?

A home health nurse provides skilled nursing care to patients in their homes, following a physician-ordered plan of care. Day to day, that means assessing the patient and the home environment, taking vital signs, administering medications and IV therapy, performing wound, catheter, and ostomy care, educating patients and family caregivers, documenting each visit, and coordinating with physicians, therapists, and aides. A registered nurse also completes OASIS assessments and supervises LPNs and aides on the case. The work is travel-based and largely independent, since the nurse moves between patient homes without an on-site clinical team. It differs from hospital nursing in its autonomy, the home-safety focus, and the heavy documentation tied to Medicare reimbursement.

What is the difference between a home health nurse and a home health aide?

A home health nurse is a licensed RN or LPN/LVN who provides skilled medical care, while a home health aide provides non-medical personal care and support. The nurse administers medications and IV therapy, performs wound and catheter care, assesses patients, and manages the clinical plan of care, all of which require a nursing license. The aide helps with activities of daily living such as bathing, dressing, mobility, and light housekeeping, and may take basic vital signs, but does not perform skilled nursing tasks. Pay and requirements differ accordingly: the federal occupation for home health and personal care aides reported a median wage of $34,900 in May 2024, well below nurse pay. Many agencies hire both, with the nurse supervising aide care. Match the title and template to the actual scope of the role.

What is the difference between a home health RN and an LPN?

A home health RN has a broader scope than an LPN/LVN and carries supervisory and assessment responsibilities the LPN does not. The registered nurse completes comprehensive assessments, including OASIS for Medicare-certified care, develops and updates the plan of care, performs higher-acuity procedures, and supervises LPNs and aides on the case. The LPN or LVN delivers hands-on care under RN supervision: monitoring patients, administering medications and treatments within the LPN scope, performing wound and catheter care, and reporting changes to the supervising nurse. Pay reflects the difference: registered nurses had a median wage of $93,600 and LPNs/LVNs $62,340 in May 2024. Many agencies staff cases with both, using the RN for assessment and oversight and the LPN for ongoing visit care. Use the matching template for each role.

What qualifications does a home health nurse need?

A home health nurse needs an active, unrestricted RN or LPN/LVN license in the state of practice, current BLS or CPR certification, and reliable transportation. Because the work is travel-based, a valid driver's license, a personal vehicle, and current auto insurance are near-universal requirements. Many agencies prefer one to two years of clinical experience before home health, since the role is independent with no on-site backup, and a BSN is often preferred for RNs. The Nurse Licensure Compact, a multi-state license, is a plus for agencies near state lines. A negative TB test and standard immunizations are typically required, along with HIPAA and OSHA bloodborne pathogen training. Higher-end RN roles also value OASIS and EHR experience. For your posting, lead with the license, certification, and driving requirements, then add experience and EHR preferences.

Is a home health nurse exempt or non-exempt, and how is pay structured?

Home health nurse pay is commonly hourly or per-visit rather than a fixed salary, and classification depends on the actual duties and pay, not the title. Many field nurses are paid per visit or hourly, which generally aligns with non-exempt status entitled to overtime, though some salaried clinical roles may qualify as exempt under the professional exemption. Per-visit pay is widespread in home health, often quoted as a rate per completed visit, alongside mileage reimbursement and sometimes a phone stipend. Private duty is typically shift-based hourly pay. Because pay models vary and overtime rules interact with per-visit and hourly structures, classify carefully and confirm with an employment professional. For your posting, state whether pay is hourly, per visit, or per shift, name any mileage and stipend, and include a good-faith range where your state requires it. This is general information, not legal advice.

What is OASIS and does a small agency have to do it?

OASIS is the Outcome and Assessment Information Set, a standardized assessment that Medicare-certified home health agencies must complete for skilled patients at start of care, resumption, recertification, and discharge. The registered nurse typically performs it, and it feeds both the plan of care and reimbursement under the Patient-Driven Groupings Model. Yes, a small Medicare-certified agency must complete OASIS the same as a large one; the requirement is tied to Medicare certification, not agency size. A missed or late OASIS can trigger denied payment, so documentation deadlines directly affect revenue. Non-Medicare private-duty or private-pay care may not require OASIS, so the obligation depends on your certification and payer mix. State the OASIS and documentation expectations clearly in your RN posting. This is general information, not legal advice; confirm your specific obligations with CMS resources or a qualified advisor.

How much does a home health nurse make?

Home health nurse pay varies by role, region, and pay model, and is often hourly or per visit. As a benchmark, the U.S. Bureau of Labor Statistics reported a median annual wage of $93,600 for registered nurses and $62,340 for licensed practical and licensed vocational nurses in May 2024, with home health pay typically near or somewhat below the national median depending on the market. Per-visit RN compensation is commonly quoted as a rate per completed visit, and private-duty nurses are usually paid an hourly shift rate. Pay tends to run higher in metro areas and states like California, and many agencies add mileage reimbursement and a phone stipend that affect real take-home pay. For a posting, benchmark to your role, region, and pay model, and publish a good-faith range where required. This is general information, not legal advice.

What should a home health nurse job description include?

A strong home health nurse job description names the role and setting up front, whether general, RN, LPN/LVN, private duty, pediatric, or small agency, and includes a short agency summary, a job summary that makes the travel-based, independent nature clear, and responsibilities grouped into clinical care, documentation, visits and travel, and coordination. It should state the license requirement (RN or LPN/LVN, plus any compact note), the certifications (BLS/CPR, TB), and the driving requirements (license, vehicle, insurance) explicitly, since generic templates often skip these. Name the schedule, including PRN, per diem, or per-visit options, and the pay model. The most valuable additions competitors miss are the home-health-specific compliance fields: OASIS and CMS documentation for RNs, HIPAA, and bloodborne pathogen training. Close with an equal opportunity statement and clear apply instructions. This is general information, not legal advice.

Ready to transform your onboarding?

7-day free trial No credit card required
Start Your Free Trial