Registered Nurse

Registered NurseTouching Angels Healthcare, a Residential Service Agency licensed by the Maryland Department of Health, is hiring a per diem Registered Nurse Case Manager to perform in-home client assessments across Maryland. You will assess clients in their homes, maintain care plans, supervise direct care staff, and ensure quality and safety standards are met, with full clinical independence in the field and administrative support from our office team. This role fits an experienced RN who wants schedule control, per-visit compensation, and genuinely independent field work. It does not involve OASIS assessments, Medicare or Medicaid billing platforms, or office-based case management.Duties and ResponsibilitiesClient Assessment and Reassessment (40%)Perform initial and periodic in-home assessments and update care plans on the required cycleSchedule assessments directly with clients and complete them within established timeframesAssess home safety, cleanliness, and infection control and document recommendationsCaregiver Supervision and Delegation Oversight (20%)Conduct required supervisory visits and evaluate direct care staff performance with skills validationDelegate nursing tasks only per COMAR 10.27.11 and remain available for clinical consultationCare Planning and Coordination (15%)Involve clients and families in care planning and communicate findings to physicians timelyIn-Home Visit Standards and Client Relations (15%)Address complaints with documented investigation and verify medications, orders, equipment, and emergency protocolsDocumentation and Administrative (10%)Complete accurate progress notes, upload assessments to the EMR, and maintain assessment trackersPosition RequirementsTravel RequirementCRITICAL POSITION REQUIREMENT, READ FIRST: This is a field-based role requiring extensive daily travel. You will drive between client homes across the assigned Maryland service area, typically 30 to 45 minutes between clients, for approximately 90 percent of your working time. One recurring engagement requires an approximately 2.5-hour drive each way. A valid driver's license, reliable personal vehicle, and current auto insurance are required. Do not apply if you are seeking an office-based or hybrid nursing role.Formal nursing education from a college, university, or hospital program (Bachelor's or Associate's degree)Active and unrestricted Maryland RN license (or Compact state licensure valid in Maryland), verified by the HR Manager via the MBON licensee lookupMinimum one (1) year of pediatric, home care, or hospital experienceCurrent CPR/BLS and First Aid certificationCurrent professional malpractice insuranceHealth clearance: annual physical, TB screening per COMAR 10.07.05.10.B(1)(c), and Hepatitis B vaccination or documented declinationValid driver's license, reliable personal vehicle, current auto insurance, and willingness to travel extensively between client locations (typically 30 to 45 minutes between clients; approximately 90 percent field time)Ability to type and maintain a minimum of 45 words per minuteSuccessful completion of a Maryland criminal background check prior to hirePreferred: Prior Residential Service Agency or private duty home care experience; Experience supervising or delegating to CNAs and other direct care staff; Familiarity with AxisCare or a comparable home care EMR platform; Bilingual (Spanish/English)Physical RequirementsStooping, turning, bending, squatting, kneeling, and the ability to lift up to 50 pounds during client assessmentsFrequent driving between client locations across the assigned service area, including one extended engagement of approximately 2.5 hours each wayAbility to navigate stairs and varied home environmentsVisual, auditory, and tactile acuity sufficient to perform clinical assessment functionsPotential exposure to communicable disease, bodily fluids, and household environments; standard precautions applyCompensation$80.00 per completed field assessment. $30.00 if a visit is cancelled upon your arrival at the client residence. $0.70 per mile between client locations. One recurring extended engagement pays $40.00 per hour for an approximately 7-hour assessment plus mileage, occurring roughly every 120 days.EnvironmentClient homes across the assigned service area with daily driving between locations. Exposure to varied household environments; standard precautions apply.Other DutiesThis posting describes the general nature and level of work performed and is not an exhaustive list of all duties. The employee will perform other clinical duties as assigned by the Operations Manager consistent with licensure and the scope of the position. Reasonable accommodations may be made consistent with the essential clinical nature of the role.BenefitsMileage reimbursement at $0.70 per mile between client locations. Per diem employees are eligible for benefits as provided in the Employee Handbook.Equal OpportunityTouching Angels Healthcare is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other characteristic protected by applicable law.