Per Diem LTC Registered Nurse

Lancaster, PAContractOct 21, 2026

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A Long-Term Care Registered Nurse (LTC RN) provides nursing care for residents with chronic illnesses, functional limitations, rehabilitation needs, and age-related conditions in long-term care, skilled nursing, and residential care settings. The role focuses on maintaining resident safety, supporting quality of life, and monitoring changes in physical, cognitive, and psychosocial status.

The LTC RN develops and implements individualized care plans, administers medications and treatments, supports wound and chronic disease management, and coordinates care with physicians, advanced practice providers, therapists, nursing assistants, and interdisciplinary healthcare teams.

Per diem LTC Registered Nurses work flexible schedules to provide as-needed coverage in long-term care, skilled nursing, rehabilitation, or residential care settings. Shifts may vary and can include days, evenings, nights, weekends, and holidays based on staffing needs. The role requires timely adaptation to resident assignments, facility routines, documentation systems, and interdisciplinary communication expectations while maintaining safe and consistent resident care.

Responsibilities

Assess resident health status, identify changes in condition, and initiate appropriate nursing interventions within scope of practice.
Administer medications, treatments, enteral feedings, injections, and other prescribed therapies in accordance with clinical standards.
Develop, update, and implement individualized resident care plans in collaboration with the interdisciplinary care team.
Monitor residents with chronic conditions, post-acute needs, mobility limitations, cognitive impairment, or behavioral health concerns.
Perform wound care, skin assessments, infection prevention activities, and pressure injury prevention measures.
Supervise and support licensed practical nurses, certified nursing assistants, and other care team members as appropriate.
Communicate resident changes, clinical concerns, and care needs to providers, families, and interdisciplinary team members.
Document assessments, interventions, medication administration, resident responses, and care plan updates in the medical record.
Support safe transitions of care, admissions, discharges, transfers, and coordination with outside healthcare providers.
Promote resident dignity, safety, infection control, fall prevention, and compliance with applicable long-term care standards.

Qualifications

Education: Graduate of an accredited nursing program.
Licensure: Active, unrestricted Registered Nurse (RN) license if required by state regulations.
Certifications
BLS
Skills: Strong clinical assessment, medication administration, care planning, documentation, and resident safety skills are required. The LTC RN should demonstrate sound clinical judgment, effective communication, infection prevention knowledge, time management, and the ability to collaborate with nursing assistants, providers, families, and interdisciplinary care teams. Familiarity with EHR or EMR systems used in long-term care settings is beneficial.

Experience

Relevant long-term care, skilled nursing, rehabilitation, geriatric, or medical-surgical nursing experience preferred. Per diem requirements may vary by employer, but prior experience in resident care, medication administration, and care coordination is commonly expected. The role requires the ability to work independently during assigned shifts and adapt quickly to facility routines.

Preferences

Prior experience in long-term care, skilled nursing, rehabilitation, or geriatric nursing.
Gerontological nursing certification or other relevant specialty certification.
Experience with wound care, dementia care, fall prevention, or chronic disease management.
EHR or EMR experience in a long-term care or skilled nursing environment.
Charge nurse, preceptor, or supervisory experience.
Bilingual communication skills when appropriate for the resident population.