Paid Daily RN

Registered Nurse
Touching 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 Responsibilities
Client Assessment and Reassessment (40%)
Perform initial and periodic in-home assessments and update care plans on the required cycle
Schedule assessments directly with clients and complete them within established timeframes
Assess home safety, cleanliness, and infection control and document recommendations
Caregiver Supervision and Delegation Oversight (20%)
Conduct required supervisory visits and evaluate direct care staff performance with skills validation
Delegate nursing tasks only per COMAR 10.27.11 and remain available for clinical consultation
Care Planning and Coordination (15%)
~ Involve clients and families in care planning and communicate findings to physicians timely

In-Home Visit Standards and Client Relations (15%)
~ Address complaints with documented investigation and verify medications, orders, equipment, and emergency protocols

Documentation and Administrative (10%)
~ Complete accurate progress notes, upload assessments to the EMR, and maintain assessment trackers

Position Requirements
Travel Requirement
CRITICAL 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 lookup
Minimum one (1) year of pediatric, home care, or hospital experience
Current CPR/BLS and First Aid certification
Current professional malpractice insurance
Health clearance: annual physical, TB screening per COMAR 10.07.05.10.B(1)(c), and Hepatitis B vaccination or documented declination
Valid 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 minute
Successful completion of a Maryland criminal background check prior to hire
Preferred: 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 Requirements
Stooping, turning, bending, squatting, kneeling, and the ability to lift up to 50 pounds during client assessments
Frequent driving between client locations across the assigned service area, including one extended engagement of approximately 2.5 hours each way
Ability to navigate stairs and varied home environments
Visual, auditory, and tactile acuity sufficient to perform clinical assessment functions
Potential exposure to communicable disease, bodily fluids, and household environments; standard precautions apply
Compensation
$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.
Environment
Client homes across the assigned service area with daily driving between locations. Exposure to varied household environments; standard precautions apply.
Other Duties
This 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.
Benefits
Mileage reimbursement at $0.70 per mile between client locations. Per diem employees are eligible for benefits as provided in the Employee Handbook.
Equal Opportunity
Touching 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.
Touching Angels Healthcare, Inc