High Acuity Spinal Cord Injury & Ventilator Care
Independent Contractor (1099)
Expected Availability: Approximately 24 to 48 hours per week
About This Opportunity
TLC Nurse Solutions is seeking experienced independent Registered Nurses (RNs) to join an established private care team supporting an independent, active professional living with a high cervical spinal cord injury (C2 to C3, ASIA A) and ventilator dependence.
This is a unique opportunity to provide highly specialized, one-on-one nursing care in a stable, long-term private care setting while supporting an active professional who maintains a busy personal and professional lifestyle.
This is a well-established private care environment requiring strong clinical judgment, consistency, and a calm, professional presence. The setting is structured and supportive, with a focus on delivering thoughtful, high-quality care while maintaining a well-coordinated environment that supports the client's comfort, dignity, and overall daily experience.
TLC Nurse Solutions is a California nurse registry. We coordinate scheduling, communication, and continuity of care by connecting clients with experienced independent nurses who provide services directly to private clients.
Independent nurses who thrive in this setting are organized, dependable, adaptable, and committed to delivering exceptional clinical care while contributing to a calm, respectful, well-coordinated care environment. Successful nurses in this role appreciate structure, value long term relationships, communicate proactively, and take pride in providing exceptional one-on-one care.
Because this role includes personal care in a private setting, candidate selection will be thoughtfully considered to ensure the best overall fit for the client's individual care needs and preferences.
This assignment offers a level of continuity and relationship-centered care that is rarely found in traditional healthcare settings. Rather than caring for dozens of patients over the course of a shift, you'll have the opportunity to focus your clinical expertise on one individual, providing highly personalized care while becoming an important part of a long-term, collaborative care team.
Why Nurses Choose This Opportunity
- Long-term, consistent assignment
- Opportunity to build a meaningful therapeutic relationship with one client
- Opportunity to develop a deep understanding of one client's unique healthcare needs and preferences
- Continuity of care that allows meaningful long-term nursing relationships and measurable impact
- Stable, well-coordinated care environment
- Opportunity to practice advanced clinical skills in a private setting
- Professional scheduling and communication support through TLC Nurse Solutions
- Optional travel assignments for nurses who enjoy traveling
- Opportunity to become a trusted member of a highly collaborative long-term care team
Schedule
Primary staffing needs include:
- Day Shift: 7:00 AM to 7:00 PM
- Night Shift: 7:00 PM to 7:00 AM
- Consistent long-term scheduling opportunities
- Typical availability ranges from approximately 24 to 48 hours per week based on client needs and nurse availability
- Optional travel assignments may become available and require independent travel arrangements
Clinical Responsibilities
- Ventilator and tracheostomy management, including airway clearance and emergency response
- Continuous assessment of respiratory status, skin integrity, positioning, and pressure injury prevention
- Proactive management of spinal cord injury related conditions including autonomic dysreflexia, orthostatic hypotension, and infection prevention
- Medication administration
- Bowel and bladder management
- Safely assist with transfers, positioning, mobility, and use of an electric lift
- Recognize changes in condition and communicate concerns promptly to support timely clinical decision-making
- Collaborate with physicians and other healthcare professionals regarding changes in the client’s condition as appropriate
Care Environment & Coordination
- Maintain a calm, respectful, and professional presence within a private home environment
- Support a structured, organized daily routine
- Maintain awareness of the client's care schedule and communicate scheduling updates or concerns that support continuity of care
- Collaborate professionally with the client, family, fellow independent nurses, and TLC Nurse Solutions to promote continuity of care
- Complete timely, accurate clinical documentation for each shift
- Help promote consistency and continuity across the care team
- Maintain a polished, professional appearance and demeanor that reflects the client's preference for a refined, client-facing environment
- Present professionally while accompanying the client to work, appointments, meetings, travel, or community activities
Opportunities for Additional Care Team Coordination
As the care team becomes more established, nurses who are interested may have opportunities to assist with additional coordination activities, including:
- Communicating schedule updates
- Supporting onboarding of new team members when appropriate
- Sharing clinical insights and best practices that strengthen continuity of care
- Helping maintain continuity across the care team
- Supporting clear communication between the client, fellow nurses, and TLC Nurse Solutions
Ideal Candidate
We're looking for nurses who are:
- Experienced caring for ventilator-dependent patients
- Clinically confident with excellent critical thinking skills
- Organized, dependable, and consistent
- Excellent communicators
- Comfortable working independently while collaborating professionally with the client, family, fellow independent nurses, and TLC Nurse Solutions
- Adaptable and responsive to client preferences
- Respectful of privacy and confidentiality
- Professional in appearance and demeanor
- Calm under pressure and solution oriented
- Committed to delivering exceptional one-on-one nursing care
Required Qualifications
- Active California Registered Nurse license in good standing
- Tracheostomy experience required
- Minimum of 3 to 5 years of acute care or complex clinical experience (ICU, respiratory, neurology, trauma, or similar)
- Strong assessment and critical thinking skills
- Physically able to assist with transfers, repositioning, lift equipment, and emergency response
Preferred Experience
- Extensive experience caring for ventilator-dependent patients in an ICU, LTACH, or other high-acuity setting
- Private duty nursing
- Home healthcare
- Spinal cord injury care
- Ventilator management
- Wound care and pressure injury prevention
Compensation
- Competitive hourly compensation commensurate with experience, clinical expertise, and assignment responsibilities.
- Long-term assignment with consistent scheduling opportunities
- Optional travel assignments may include reimbursement for approved travel-related expenses, when applicable
Independent Contractor Opportunity
This opportunity is offered through TLC Nurse Solutions, a California nurse registry, and is intended for independent contractor Registered Nurses.
Independent nurses choose the assignments they wish to accept and provide nursing services independently while coordinating scheduling, communication, and continuity of care through TLC Nurse Solutions.
Join Our Team
This opportunity is ideal for experienced Registered Nurses who enjoy developing long-term client relationships, thrive in highly organized care environments, and take pride in delivering exceptional one-on-one nursing care with professionalism, consistency, and clinical excellence.
More than a nursing assignment, this is an opportunity to become an integral member of a highly skilled, collaborative care team dedicated to helping one individual live an active, independent, and fulfilling life. If you're looking for a rewarding long-term opportunity where your clinical expertise, communication, and professionalism truly make a difference, we'd love to hear from you.
Pay: $90.00 - $125.00 per hour
Experience:
- Critical care: 3 years (Preferred)
- Tracheostomy: 2 years (Preferred)
Work Location: In person
