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