Infusion Registered Nurse (RN)

The Infusion Nurse is a mobile registered nurse who delivers on-site IV infusion therapy, blood transfusions, and type and screen draws directly at skilled nursing facilities (SNFs) and other designated client sites across an assigned regional pod. You will drive to client locations daily, set up and administer treatments, monitor patients during and after procedures, document care, and move to the next facility. This is a fully field-based role.

Mobile Clinical Delivery

• Provide infusion services at assigned facilities within your region daily
• Coordinate with facility staff (DON, charge nurse, or designee) upon arrival
• Review patient orders and set up infusion workspace
• Cover multiple facilities per day based on caseload and geography

• Perform peripheral IV infusions per patient orders and RN scope of practice
• Assess patients pre-infusion; monitor vitals throughout
• Manage infusion pumps and supplies
• Document all clinical observations in real time

The following responsibilities apply only to nurses who have completed Vellum's required transfusion training, demonstrated competency, and been formally assigned to the transfusion team by the Company.

• Administer blood product transfusions on-site at SNFs
• Complete pre-transfusion two-nurse verification where required
• Monitor for adverse reactions throughout; intervene per Vellum transfusion reaction protocol
• Complete all post-transfusion documentation per Vellum protocol

• Perform venipuncture for type and screen specimens
• Label, handle, and coordinate specimen transport per Vellum and facility protocols

• Conduct nursing assessments before, during, and after all procedures
• Monitor for adverse reactions, infiltration, and other complications
• Activate emergency response when indicated; manage patient continuously until EMS assumes care and a full verbal handoff has been completed

• Complete all clinical documentation in Vellum's app during or immediately after each encounter
• Meet Vellum's internal standards and payer-specific requirements to support accurate billing
• Complete all charts same day; all documentation must be finalized within 24 hours of service delivery

• Communicate with SNF staff on patient status, scheduling, and supply needs
• Build positive working relationships to support client retention

• Maintain mobile supply kit per Vellum's supply management policy
• Stock IV supplies, blood administration sets, specimen tubes, dressings, and emergency equipment
• Submit resupply requests proactively — before a shortage occurs

Experienced nurses may be designated Pod Lead, performing all standard duties plus:

• Schedule clinic days and coordinate logistics across pod territory
• Coordinate PRN nurse scheduling to ensure full coverage
• Orient and train new hires, including ride-alongs and competency validation
• Report regularly to Regional Clinical Manager on performance and staffing
• Conduct site visits for newly onboarded client facilities
• Partner with Account Manager on client engagement and clinical inquiries

Required

• Active RN license in the state of practice; compact license accepted where applicable
• 2+ years of clinical nursing experience with direct IV therapy and/or infusion administration
• Competency in peripheral IV insertion, central line access and maintenance, blood product administration, and venipuncture
• Current Basic Life Support (BLS) certification
• Strong independent clinical judgment
• Excellent documentation skills with ability to complete thorough, accurate charts in a mobile environment
• Valid driver's license, clean driving record, and reliable personal vehicle suitable for daily regional travel
• Current auto insurance meeting Vellum's minimum coverage requirements
• Physical ability to lift and carry supply bags (up to 30 lbs), stand for extended periods, and perform clinical procedures in varied facility environments

• CRNI (Certified Registered Nurse Infusion) or VA-BC (Vascular Access Board Certified) certification
• Experience with blood product transfusion in non-hospital settings (SNF, home health, ambulatory)
• Prior experience in home infusion, mobile health, or SNF-based clinical services
• Experience with electronic scheduling/dispatch systems and mobile clinical documentation
• Knowledge of Medicare/Medicaid documentation requirements for infusion services

Competency | Description

Clinical Independence | Works autonomously at facilities without on-site Vellum support; confident in assessments, decisive in interventions, and clear on when to escalate

Efficiency Under Pressure | Manages time across multiple facilities daily; delivers safe, thorough care without sacrificing speed or documentation quality

Adaptability | Adjusts workflow to each facility's environment while consistently upholding Vellum clinical standards

Relationship Builder | Serves as the face of Vellum at every site; earns trust from DONs and charge nurses through reliability, professionalism, and clinical excellence — directly supporting caseload growth and client retention

Documentation Discipline | Completes every chart, same day, every time; understands that incomplete or inaccurate documentation results in delayed or denied reimbursement

Self-Management | Independently manages schedule execution, supply inventory, vehicle upkeep, and daily workflow without close supervision

Acknowledgment

I have read and understand the duties, responsibilities, and expectations of the Infusion Registered Nurse position at Vellum Health. I understand that this job description is not an exhaustive list of all duties and that additional responsibilities may be assigned as needed.