Job Summary Vitalguard Homecare is seeking a North Carolina Licensed Registered Nurse (RN) to oversee and coordinate high-quality in-home care services. The RN will be responsible for clinical oversight, staff supervision, client assessments, care planning, and ongoing quality assurance for Medicaid and private-pay homecare services. This role ensures that all services are delivered safely, compliantly, and in alignment with each client's individualized Plan of Care. Key Responsibilities Clinical Oversight & Client Care Conduct initial, ongoing, and reassessment visits to evaluate clients' physical, emotional, and functional needs. Develop, implement, and update individualized Plans of Care in collaboration with clients, families, physicians, and care teams. Observe, assess, and document signs and symptoms, reporting changes in condition, adverse reactions to medications, or treatment concerns to the physician as required. Ensure care delivery aligns with physician orders, Medicaid guidelines, and agency policies. Staff Supervision & Training Provide clinical supervision, consultation, and support to In-Home Aides, Companions, Sitters, and Respite Care Staff . Verify and document staff competencies through return demonstrations and direct observation. Conduct required 90-day and quarterly supervisory visits in clients' homes, as applicable. Participate in hiring, onboarding, training, performance evaluations, and corrective action of homecare staff. Prepare written care instructions and assign staff appropriately based on client needs and staff qualifications. Communication & Coordination Maintain regular communication with In-Home Aides and non-hands-on care staff regarding updates or changes in services. Serve as a clinical resource for staff during service hours, including availability for consultation and supervision. Participate in interdisciplinary collaboration to promote continuity of care. Scheduling & Case Management Prepare, coordinate, and maintain schedules for client cases to ensure adequate coverage and continuity of care. Maintain accurate records of case assignments, supervisory visits, care plans, and staff documentation. Assist with managing on-call coverage according to agency policy to ensure appropriate clinical availability. Quality Assurance & Program Evaluation Conduct selective program evaluations to identify service gaps, improve care delivery, and ensure goals are being met. Monitor service quality, client satisfaction, and staff performance; recommend improvements when deficiencies are identified. Support agency compliance with state regulations, Medicaid requirements, and internal policies. Leadership & Administrative Support May serve as Supervisor for Companion, Sitter, and Respite Care Staff and may also function in an Agency Director or designee role , as needed. Assist leadership with operational planning, documentation standards, and continuous improvement initiatives. Requirements & Qualifications Active North Carolina Registered Nurse (RN) license in good standing Minimum of two (2) professional references Proof of background check and consent for agency verification Copies of required medical and employee training records Proof of current tuberculosis testing (PPD or Mantoux) with annual updates thereafter Strong knowledge of homecare regulations, Medicaid services, and clinical supervision standards Excellent communication, organizational, and documentation skills

Job Types:

Part-time, Travel nursing,

Contract, PRN Pay:

$50.00 - $80.00 per hour

Benefits:

Referral program

Work Location:

On the road