Vellum Health·Midland, Texas
Deliver on-site IV infusion therapy, blood transfusions, and type and screen draws at skilled nursing facilities. Manage patient assessments, monitor for adverse reactions, and maintain accurate real-time clinical documentation via a mobile app.
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
IV Infusion Administration: 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
Blood Transfusions (If Assigned and Training Requirements Completed)
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
Type & Screen Collection
Perform venipuncture for type and screen specimens
Label, handle, and coordinate specimen transport per Vellum and facility protocols
Patient Assessment & Monitoring
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
Documentation: 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
Facility Coordination: Communicate with SNF staff on patient status, scheduling, and supply needs
Build positive working relationships to support client retention
Supply & Equipment Management
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
Pod Lead Responsibilities (When Assigned): 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
Preferred: 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
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.
Requires an active RN license, BLS certification, and at least 2 years of clinical experience with direct IV therapy. Must possess a valid driver's license, a reliable vehicle, and the physical ability to carry supply bags up to 30 lbs.
Market context
In Texas, nursing roles like this often draw steady demand in dialysis and other patient-care settings because employers need licensed LVN/LPN candidates who can start safely and learn specialized workflows. These positions can be competitive when they require a current license, preferred dialysis experience, and completion of a training program soon after hire. Review the AI-summarized requirements and benefits here to save time, then confirm you meet the license, color-recognition, and training expectations before applying.
