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Covenant Health

RN HOME HEALTH - WE

Company : Covenant Health

Location : Knoxville, TN, 37909

Job Type : Full Time

Date Posted : 31 December 2025

Overview

RN Home Health/Hospice- Weekends

Additional $1,500 Sign-on Bonus for Candidates with Relevant HomeCare Homebase Experience

Full Time - 72 or 48 hours per pay period

Weekend Position Sat/Sun/Mon or Every Saturday and Sunday 8a-8p

Company Car Available

Covenant HomeCare is East Tennessee’s largest non-profit homecare and hospice provider.  Since 1978, we have provided quality home healthcare to allow patients to live with comfort, dignity, and independence.  We care for more than 6,300 patients in our HomeCare and Hospice program every year. Covenant HomeCare is a proud member of Covenant Health, our region’s top-performing healthcare network.

Position Summary:

Provides professional nursing care to an assigned group of homebound patients; coordinates care planning with other disciplines. The RN-Home Health will work 12 hours each day on the weekend shift, starting Saturday at 8AM and Sunday 8AM. Two twelve-hour on-call shifts are also required starting on Saturday at 8PM and Sunday at 8PM. The RN-Home Health reports to the assigned Nursing Clinical Supervisor.

Recruiter: Madeline Fornadel || apply@covhlth.com

Responsibilities

  • Reviews patients records, determines home care needs including OASIS assessments at appropriate time points, develops care and discharge plans, revising as necessary, coordinates and refers other services and participates in case conferences with other disciplines.
  • Performs and records cardiovascular assessments, pulmonary assessments, neurological assessments, GI assessments, skin assessments, intake and output assessments, and pain assessments.
  • Performs treatment procedures which include but are not limited to insertion of nasogastric/gastrostomy tube, replacement of gastrostomy tube, giving medications by N/G tube, gastrostomy tube and JeJunostomy tubes, providing teaching, training for patient/caregiver on care of feeding tube, insertion of weighted feeding tube, and provides care for patients with bolus tube feeding method and tube feeding per enteral pump.
  • Performs intravenous procedures such as inserting peripheral IV line, calculates and maintains correct rate if IV infusion, labels and changes tubing, and performs venipuncture. Access central lines.
  • Provides colostomy care, tracheostomy care, and suctioning.
  • Administers IM and sub-q medications, administers medications through IV push, and IV piggyback per HomeCare Policy. Clearly documents administration of medications. Checks for allergies and MD orders before administering medications.
  • Properly uses and/or maintains equipment such as infusion pumps, ventilators, manual resuscitators.
  • Received instruction and demonstrates competency in declotting VAD’s in the home.
  • Removes and provides care for PICC lines.
  • Initiates appropriate preventive and rehabilitative nursing procedures and regularly re-evaluates patient needs.
  • Acts as liaison between MD and patient/family. Communicates to MD, orders received and processed and communicated to family. Informing the MD and other staff of changes in the patient’s needs.
  • Completes MD orders and sends to MD for signature in a timely manner.
  • Prepares and submits daily documentation, contacts MD, contact note, mileage, etc.
  • Has working knowledge of Medicare guidelines, and performs in compliance with such guidelines.
  • Provides patient/family education and counseling regarding the disease process, self-care techniques and prevention strategies. Promotes patient/family independence.
  • Makes appropriate referrals.
  • Follows appropriate admission, discharge, on-call, and death procedure as outlined by Covenant HomeCare policy.
  • Performs basic infection control techniques according to Covenant HomeCare policy; examples are proper hand-washing, glove usage, appropriate handling and disposing of wastes, body fluids, contaminated trash, and needles, proper handling of soiled or contaminated linens or garments, cleaning all equipment used in the home properly.
  • Checks schedule and calls patients to provide patients with arrival times.
  • Supervises LPNs and Home Health Aides providing services. Assists in orienting new employees.
  • Demonstrates knowledge and competency in providing for age-specific needs of the population served.
  • Demonstrates ability to perform skills on annual skills check list.
  • Local travel required.
  • Follows policies, procedures, and safety standards. Completes required education assignments annually. Works toward achieving goals and objectives, and participates in quality improvement initiatives as requested.
  • Performs other duties as assigned

Qualifications

Minimum Education:           

Graduation from an accredited school of nursing.

Minimum Experience:         

One (1) year of professional experience in hospital or prior home health experience required.

Licensure Requirement:      

Must have and maintain State of Tennessee RN license. CPR is required. Employee must have a valid Tennessee driver’s license Class D and state mandated minimum insurance coverage. Driving record must meet Covenant Health minimum standards at the date of hire and throughout employment tenure.

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Frequently asked questions

Weekend shifts for RN Home Health roles in Knoxville often offer concentrated work hours like 12-hour days, allowing nurses more weekdays off. This schedule suits professionals seeking focused patient care periods while preserving personal time during the week, balancing demanding clinical duties with personal life.

Expertise in home-based assessments, IV therapy, tube feeding management, and patient education distinguishes RN Home Health nurses. Proficiency in independent clinical judgment and coordinating multidisciplinary care in patients' homes is crucial for delivering compassionate, comprehensive home health services.

In Knoxville, holding an active Tennessee RN license and CPR certification is mandatory. Additionally, familiarity with Medicare home health regulations and valid driver’s license with clean driving record are essential to meet local compliance and safely navigate patient home visits.

Home health nurses in Tennessee can progress to clinical supervisor roles, case management, or specialized care coordination. Gaining certifications like CHFN (Certified Hospice and Palliative Nurse) can further open leadership and specialized nursing opportunities within homecare organizations.

Covenant Health fosters a supportive environment with benefits like company cars and sign-on bonuses, emphasizing quality care through ongoing education and integration within a top regional healthcare network, ensuring nurses have resources for effective home-based patient management.

Unlike hospital settings, Covenant Health’s RN Home Health nurses exercise greater autonomy in patients’ homes, managing diverse clinical needs and family education. They coordinate interdisciplinary care over weekends and on-call shifts, requiring adaptability to varied home environments and patient conditions.

RN Home Health nurses in Knoxville generally earn between $58,000 and $75,000 annually, influenced by experience and certifications. Weekend and on-call shifts may offer additional compensation, reflecting the specialized skills and flexible scheduling required in home health nursing.

Knoxville’s demand for skilled home health nurses remains steady, driven by an aging population and expanding homecare services. Candidates with weekend availability and homecare experience, like those Covenant Health seeks, often find favorable hiring prospects amid moderate local competition.

RNs working in rural East Tennessee might navigate longer travel distances and limited immediate support, requiring strong time management and problem-solving skills. They must independently manage complex clinical tasks while fostering patient-family education in diverse home settings.

Weekend RN Home Health nurses at Covenant Health focus on comprehensive assessments, treatment procedures like IV and tube feeding care, medication administration, and family education. The role demands meticulous documentation and coordination with physicians to ensure seamless home-based patient care.

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