Hands-On Chronic Patient RNs

1 week ago

Sacramento, CA, United States ExcelliSearch, Inc. Full time

Hospital, Outpatient Clinic, Home Health, or Chronic Care Facility Setting

Position Title: Registered Nurse - Chronic Patient Care (IV Therapy Specialist) Common Local Titles: Chronic Care Infusion RN, Home Infusion Nurse, Oncology/Dialysis IV RN, Palliative Care IV Specialist

Primary Focus

Deliver direct, hands-on nursing care to patients managing chronic conditions requiring ongoing IV therapy, such as:

  • Total Parenteral Nutrition (TPN) for malabsorption or GI disorders
  • Long-term IV antibiotics for recurrent infections (e.g., cystic fibrosis, Lyme disease)
  • Chemotherapy, immunotherapy, and targeted therapies for cancer patients
  • IV immunoglobulin (IVIG) for autoimmune or immunodeficiency disorders
  • Inotropic support for advanced heart failure
  • Hydration and electrolyte management for chronic kidney disease or dialysis patients
  • Palliative infusions for pain control in end-stage illnesses
This role emphasizes patient-centered care in Sacramento's diverse healthcare landscape, including urban hospitals like UC Davis Medical Center and Sutter Health, outpatient infusion centers, and home health agencies serving the Central Valley.

Key Responsibilities (Hands-On & Patient-Facing)
  • Execute venipuncture, PICC/midline/central line insertions, and port accesses for patients with compromised veins due to chronic illness; utilize ultrasound guidance as needed.
  • Administer complex IV therapies (e.g., vesicants, biologics, TPN, blood products) per physician orders, with vigilant monitoring for complications like infiltration, sepsis, or hypersensitivity.
  • Perform site assessments, dressing changes with chlorhexidine protocols, and line flushes to minimize central line-associated bloodstream infections (CLABSIs).
  • Titrate infusions (e.g., vasopressors, opioids) based on real-time vital signs and lab results; respond to emergencies like anaphylaxis or fluid overload.
  • Conduct thorough patient assessments, including pain scales, nutritional status, and psychosocial needs; collaborate on care plans with multidisciplinary teams (e.g., nephrologists, oncologists).
  • Provide education to patients and caregivers on home IV management, pump usage, infection prevention, and recognizing complications; facilitate transitions from hospital to home care.
  • Document in electronic health records (e.g., Epic at UC Davis or Cerner at Sutter) with detailed notes on infusions, responses, and follow-ups; ensure compliance with HIPAA and Joint Commission standards.
  • In home health roles (common with agencies like Kaiser Permanente or Alignment Health), perform field visits, coordinate supplies, and manage on-call emergencies in Sacramento metro areas.
  • Support triage via phone or secure messaging for chronic patients; assist in clinic flow for high-volume days.
Required Qualifications & Credentials (California Context)

Category Requirements License Active California Board of Registered Nursing (BRN) RN license; no restrictions. Education Associate Degree in Nursing (ADN) or Bachelor of Science in Nursing (BSN) from an accredited program; BSN preferred for Magnet hospitals like UC Davis. Training/Certification • Competency in IV therapy via nursing education or employer-verified experience (BRN does not require separate IV certification for RNs, but specialized training needed for high-risk therapies). • Basic Life Support (BLS) required; Advanced Cardiac Life Support (ACLS) mandatory for critical care/chronic settings. • ONS/ONCC Chemotherapy Immunotherapy Certificate for oncology roles; CRNI (Certified Registered Nurse Infusion) highly recommended for infusion expertise. • Wound care or dialysis certification preferred for relevant chronic conditions. Experience Minimum 1-2 years acute/chronic care experience, with 6+ months in IV therapy (e.g., oncology, ICU, home infusion); 2-3 years preferred for independent roles. Skills Proficiency in venipuncture, central access management, pharmacology of chronic meds; strong cultural competency for Sacramento's diverse population (e.g., Spanish/Asian language skills valued); EMR fluency (Epic/Cerner). Other Valid CA driver's license and insurable record for home health; ability to lift 50 lbs and stand for extended periods; TB test, flu vaccine, and background check.

Common Work Settings in Sacramento, CA
  • Major hospitals: UC Davis Health (oncology infusion), Sutter Medical Center (chronic disease clinics), Kaiser Permanente (integrated chronic care).
  • Outpatient/infusion centers: Dignity Health or freestanding clinics like those affiliated with CommonSpirit Health.
  • Home health/hospice: Alignment Health, VITAS Healthcare, or Dialysis Clinic, Inc. for CKD patients.
  • Specialty units: Nephrology/dialysis at Sacramento County facilities or wound care clinics serving chronic ulcers.

  • Hands-On Chronic Patient RNs

    6 days ago

    Sacramento, CA, United States Sabio Systems Full time

    Hospital, Outpatient Clinic, Home Health, or Chronic Care Facility Setting Position Title: Registered Nurse - Chronic Patient Care (IV Therapy Specialist) Common Local Titles: Chronic Care Infusion RN, Home Infusion Nurse, Oncology/Dialysis IV RN, Palliative Care IV Specialist Primary Focus Deliver direct, hands-on nursing care to patients managing chronic...

  • Pediatric Hand Surgeon

    2 weeks ago

    Sacramento, CA, United States Shriners Children's Full time

    Company Overview Shriners Children's is an organization that respects, supports, and values each other. Named as the 2025 best mid-sized employer by Forbes, we are engaged in providing excellence in patient care, embracing multi-disciplinary education, and research with global impact. We foster a learning environment that values evidenced based practice,...

  • Pediatric Hand Surgeon

    1 week ago

    Sacramento, CA, United States Shriners Children's Full time

    Company Overview Shriners Children's is an organization that respects, supports, and values each other. Named as the 2025 best mid-sized employer by Forbes, we are engaged in providing excellence in patient care, embracing multi-disciplinary education, and research with global impact. We foster a learning environment that values evidenced based practice,...

  • Pediatric Hand Surgeon

    7 days ago

    Sacramento, CA, United States Shriners Children's Full time

    Company Overview Shriners Children's is an organization that respects, supports, and values each other. Named as the 2025 best mid-sized employer by Forbes, we are engaged in providing excellence in patient care, embracing multi-disciplinary education, and research with global impact. We foster a learning environment that values evidenced based practice,...

  • Hand Surgeon Independent

    6 days ago

    Sacramento, CA, United States Concentra Full time

    Hand Surgeon Independent 1099Location US-CA-SacramentoJob ID 348935Pos. Category Medical - Concentra Advanced SpecialistPos. Type ContractRecruiter : Full Name: First Last Jennifer AndersonOverviewPlease be advised, if you are viewing this position on Indeed, that the salary rate/range set forth herein was provided by Indeed. Concentra's market specific...

  • Hand Surgeon Independent

    1 week ago

    Sacramento, CA, United States Concentra Full time

    Hand Surgeon Independent 1099Location US-CA-SacramentoJob ID 348935Pos. Category Medical - Concentra Advanced SpecialistPos. Type ContractRecruiter : Full Name: First Last Jennifer AndersonOverviewPlease be advised, if you are viewing this position on Indeed, that the salary rate/range set forth herein was provided by Indeed. Concentra's market specific...

  • Hand Surgeon Independent

    6 days ago

    Sacramento, CA, United States Concentra Careers Full time

    Overview Please be advised, if you are viewing this position on Indeed, that the salary rate/range set forth herein was provided by Indeed. Concentra's market specific rate/range will be provided during the interview process. Concentra, one of the largest health care companies in the nation, is looking for a hand surgeon to come on site to our location as a...

  • Hand Surgeon Independent

    4 days ago

    Sacramento, CA, United States Concentra Careers Full time

    Overview Please be advised, if you are viewing this position on Indeed, that the salary rate/range set forth herein was provided by Indeed. Concentra's market specific rate/range will be provided during the interview process. Concentra, one of the largest health care companies in the nation, is looking for a hand surgeon to come on site to our location as a...

  • Hand Surgery/ED Surgical Services Physician Assistant

    2 weeks ago

    Sacramento, CA, United States UC Davis Health System Full time

    #CA-MM To provide independent advanced practice provider clinical expertise to patients and their families on an on-going basis. This includes the management of chronic stable medical conditions, routine care, acute or critical care, and medical and specialty protocols (e.g. chemotherapy) as defined by standardized procedures for your specific department....

  • Hand Surgery/ED Surgical Services Physician Assistant

    2 weeks ago

    Sacramento, CA, United States UC Davis Health System Full time

    #CA-MM To provide independent advanced practice provider clinical expertise to patients and their families on an on-going basis. This includes the management of chronic stable medical conditions, routine care, acute or critical care, and medical and specialty protocols (e.g. chemotherapy) as defined by standardized procedures for your specific department....