Location & Practice Overview

This PRN home health nursing position serves patients in Fort Worth, Texas, through community-based care delivered in residential settings. The role combines clinical visits with coordination of services for patients who need skilled nursing outside a hospital or outpatient facility. Nurses work within an established home health care framework, connecting individual patient needs with the services outlined in the care plan.

Practice Type Home health agency
Care Setting Patient residences
Service Area Fort Worth and surrounding communities
Practice Model Community-based intermittent skilled nursing

Responsibilities

  • Conduct patient admissions, resumptions of care, and discharge visits.
  • Perform skilled nursing visits in patients’ homes.
  • Assess patient needs and contribute to individualized home care planning.
  • Coordinate nursing services with patients, families, and relevant community healthcare resources.
  • Maintain clinical notes and communicate significant changes in patient condition to the appropriate healthcare professionals.

The nurse is responsible for carrying out assigned clinical services, maintaining continuity across care transitions, and ensuring that assessments and care activities are documented accurately.

Qualifications & Requirements

Candidates must hold an active, unrestricted Registered Nurse license valid for practice in Texas. One year of home health experience is preferred; medical-surgical and ICU backgrounds are also relevant preferred experience. Familiarity with OASIS documentation and Home Care Home Base is beneficial for managing home health assessments and clinical records.

License
Active, unrestricted RN license valid in Texas
Experience
1 year of home health, medical-surgical, or ICU experience preferred
Clinical Documentation
OASIS competency preferred
Software
Home Care Home Base familiarity beneficial
Vaccination
COVID-19 vaccination required; disability and religious accommodations considered

Compensation & Benefits

The advertised compensation range for this PRN home health RN position is $45–$60 per hour. The role uses an as-needed employment arrangement rather than a guaranteed full-time schedule. The available vacancy details do not establish additional monetary incentives or a separate benefits package for this position.

  • Advertised pay: $45–$60 per hour
  • Employment arrangement: PRN
  • Additional benefits: not specified in the available vacancy details

Schedule & Work Environment

Employment Type PRN / As needed
Work Setting Patients’ residences
Work Organization Field-based nursing assignments
Scheduling Structure Intermittent visits based on care needs

The position involves providing care outside a centralized clinical facility. Nurses should be prepared to organize field assignments and complete the documentation associated with each encounter. Specific working hours, geographic mileage limits, travel reimbursement, and minimum visit commitments are not established in the supplied vacancy details.

Patient Population & Clinical Setting

Custom Care’s home health services support adults and seniors who need skilled clinical care in their own residences. Patients may be recovering from illness or surgery, managing ongoing health conditions, or working toward greater independence after a change in health status. Care takes place in the context of each patient’s living environment and may involve communication with family members or other caregivers.

Patient Population Adults and seniors
Care Environment Private residences
Common Care Context Recovery, rehabilitation, and chronic condition management
Care Partners Patients, caregivers, and healthcare professionals

Clinical Focus & Key Services

The clinical focus is skilled nursing delivered in the home health setting, where assessment and treatment must reflect the patient’s condition and individualized plan of care. The broader home health service model includes preventive and rehabilitative nursing interventions, patient and caregiver education, clinical monitoring, and communication with the professionals overseeing treatment.

Clinical Assessment Evaluation of patient needs and condition changes
Nursing Interventions Preventive and rehabilitative care as prescribed
Patient Education Guidance for patients and caregivers
Clinical Coordination Communication with the healthcare team

Role Highlights

This position offers a community-based nursing pathway for RNs interested in working beyond traditional inpatient settings. Its defining feature is the combination of direct patient contact and responsibility for maintaining continuity across home health episodes of care.

  • Work directly with patients in their residential environments.
  • Contribute to continuity during admissions, resumptions, and discharges.
  • Apply nursing judgment in settings that differ from centralized hospital units.
  • Coordinate care with patients, caregivers, and other healthcare professionals.

About Custom Care Home Health & Hospice

Custom Care Home Health & Hospice provides home health and hospice services in the Dallas–Fort Worth area. Its home health program supports adults and seniors through skilled nursing, rehabilitation, and related services delivered in patients’ residences. The organization states that it has served the North Texas community since 1995. Learn more on the official website: https://customcare.org/

Organization Custom Care Home Health & Hospice
Service Area Fort Worth and Dallas, Texas
Established Serving North Texas since 1995
Office Address 4811 Merlot Ave. Suite 110, Grapevine, TX 76051
Phone (972) 242-5959
Services Home health, skilled nursing, rehabilitation, and hospice

Frequently Asked Questions

Is pay structured per visit or hourly?
The vacancy lists an hourly range of $45–$60. Whether visits are paid hourly or on a per-visit basis should be confirmed directly with the employer, as the posting does not specify the exact payment method beyond the stated range.
Is prior OASIS experience required or preferred?
OASIS competency is listed as preferred. Nurses who can accurately complete OASIS assessments will be better prepared for admissions, resumptions of care, and related documentation.
What documentation system does the agency use?
Familiarity with Home Care Home Base is noted as beneficial. Candidates should expect to complete clinical records within the agency’s documentation system for visits and care transitions.
Are minimum hours or visit quotas required for PRN staff?
The posting does not establish minimum hours or visit commitments. Scheduling is driven by the need for admissions, resumptions, discharges, and skilled nursing visits.
Is COVID-19 vaccination mandatory?
COVID-19 vaccination is required. The agency will consider accommodations for disability and religious reasons.
Does this PRN role include hospice patients as well as home health?
The position is posted for Custom Care Home Health and centers on admissions, resumptions of care, discharges, and skilled nursing visits. The organization also provides hospice services; the specific patient mix for this PRN assignment should be confirmed with the hiring team.

Home Health RN Job Overview in Fort Worth, TX

The PRN Home Health Registered Nurse position in Fort Worth, Texas, focuses on delivering skilled nursing care within patients’ everyday living environments. Unlike facility-based nursing, home health requires clinicians to consider the patient’s home circumstances when evaluating needs and supporting the established plan of care. The role contributes to continuity between clinical encounters and helps connect patients and caregivers with appropriate healthcare resources. For nurses interested in community-based practice, this position provides experience with the coordination and documentation processes that support safe care outside a hospital. The advertised hourly range is $45–$60.

Is a PRN Home Health RN Role Right for You in Fort Worth, TX?

This opportunity may suit registered nurses who value direct patient interaction and can adapt their clinical approach to individual home environments. Experience in home health, medical-surgical nursing, or intensive care can provide a useful foundation for recognizing changes in patient condition and prioritizing care needs. Candidates should consider whether field-based practice, independent organization, and accurate clinical documentation match their working style. The PRN structure may appeal to nurses seeking assignments outside a conventional full-time schedule, although actual availability and minimum workload should be confirmed before accepting the position.

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