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On the floor
Many clinical roles are 1099 contracting without traditional benefits; isolated mentions of quarterly bonuses and monthly birthday lunches. No standard benefits package detailed in available facts.
Who they are
At Giving Home Health Care in Alton, Missouri, you are not walking into a hospital unit. You drive to the patient's door with your own reliable car and insurance, ready for anything from a short visit to a 12-hour shift or full 24-hour care.
The work is in-home only—low acuity through higher-acuity medical management—and a core part of the caseload is DOE and nuclear-worker patients covered under RECA and EEOICPA. Scheduling is built around flexibility. Many roles are 1099 and visit-based with part-time monthly hours rather than a fixed staffed floor. Nearby RN postings have listed base pay around $45–$50 an hour (some markets $48–$55), and at least one market has advertised a $5,000 sign-on. You will need a current license, CPR, TB/physical, and the ability to lift 50 lbs; a year or more of clinical or home-health experience is preferred. Nurses often point to supportive coworkers and the meaning of one-on-one care at home. The tradeoffs show up clearly in reviews: 1099 work usually means no benefits, new-hire training can feel thin, and mid-level management draws steady criticism. Leadership changed in 2026 when Ben Hanson became CEO and Lew Little moved to Executive Chair.
Patient-first in-home care with a long-running focus on DOE site workers, uranium miners, millers, and haulers under RECA and EEOICPA; affiliated Giving Back 501(c)(3) employee benevolent fund.
Why nurses stay
Indeed overall about 3.5/5 from roughly 186 reviews, with management near 3.0 and job security/advancement near 2.9; Glassdoor category scores sit roughly in the mid-3s with senior management lower. Nurses praise coworker camaraderie and meaningful home care for nuclear-worker patients; common frustrations include the 1099/no-benefits model, inconsistent training, weak raises, and mid-level management problems.
“I came for the sign-on bonus. I stayed because on my hardest night, my whole team stayed with me.”
The reality check
The first year has a shape: exam, license, first job, base year, then the move. Residency windows and commitments carry fine print worth reading before you sign.
This page is built from public postings and employer research. Help us get it right: corrections, photos, and the story of the floor itself.
Improve this page →Where the openings are
Grouped from the live roles below, as the postings state them.
Open roles
Refreshed throughout the day.
Giving Home Health Care
Los Alamos, New Mexico
Ratio 1:1 · 8 Hour shift
Giving Home Health Care
Chimayo, New Mexico
Giving Home Health Care
Espanola, New Mexico
Giving Home Health Care
Alcalde, New Mexico
Ratio 1:1 · Day shift
Giving Home Health Care
Ohkay Owingeh, New Mexico
Ratio 1:1
Giving Home Health Care
Registered Nurse (RN)
Denver, Colorado
Local Contract contract
Giving Home Health Care
El Valle de Arroyo Seco, New Mexico
Ratio 1:1 · Day shift
Giving Home Health Care
Youngsville, New Mexico
Ratio 1:1 · 8 Hour shift
Giving Home Health Care
Santa Cruz, New Mexico
Ratio 1:1 · Local Contract contract
Giving Home Health Care
Abiquiu, New Mexico
Ratio 1:1 · Agency contract
Giving Home Health Care
Alton, Missouri
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