Nurse Supervisor; RN Market , clear advancem

Overview

Nurse Supervisor (RN) PRN with Rapid Ramp to Full-Time

Location:

Houston, Texas (within licensed service area)

Collage Home & Community is seeking an experienced Registered Nurse (RN) to serve as a Nurse Supervisor supporting our Texas Licensed Home Health Services (LHHS) operations. This role will initially begin as PRN and is expected to ramp quickly to a full-time position as new clients are onboarded and service volume grows. This is an excellent opportunity for a clinically strong RN who wants to help build and scale a high-quality, compliance-driven home health program focused on medically complex patients.

• Initial Status: PRN (flexible scheduling)
• Expected Transition: Full-time as patient census increases
• Ramp Trigger: Growth in skilled nursing and CNA-supervised cases
• Supervision Model: RN-led clinical oversight under Texas LHHS regulations
• This position is intentionally structured to allow the right candidate to grow into a long-term leadership role as the program expands.

• Clinical Supervision
• Serve as the supervising RN for nursing and aide services provided under the agency’s Texas LHHS license
• Provide clinical supervision of RNs, LVNs, and Certified Nurse Assistants (CNAs)
• Ensure CNA services are appropriately assigned, delegated, and supervised by nursing
• Assessment & Care Planning
• Conduct or oversee initial and ongoing patient assessments
• Develop, review, and update physician-ordered plans of care
• Monitor patient progress and respond to changes in condition
• Compliance & Quality
• Ensure services are delivered in compliance with Texas Health & Safety Code Chapter 142 and 26 TAC Chapter 558
• Maintain accurate, timely, and complete clinical documentation
• Participate in audits, surveys, and quality improvement activities
• Collaboration & Growth
• Support Partner with intake, operations, and leadership to support safe onboarding of new clients
• Help establish scalable clinical workflows as census grows
• Serve as a clinical resource to staff and leadership

• Current, unrestricted Registered Nurse (RN) license in the State of Texas
• Minimum of 2 years of nursing experience
• Home health, community-based, rehab, or complex care experience preferred
• Strong knowledge of clinical supervision and care planning
• Familiarity with Texas home health regulations preferred
• Current CPR certification
• Valid Texas driver’s license and reliable transportation

• PRN flexibility with a clear path to full-time employment
• Opportunity to help build and shape a growing Texas home health program
• Leadership exposure and professional growth
• Supportive, mission-driven organization focused on high-acuity care

This role is ideal for an RN who:

• Enjoys clinical leadership and supervision
• Is comfortable starting PRN with rapid growth potential
• Wants to be part of a scaling organization
• Values regulatory compliance and high-quality care

Qualified candidates are encouraged to apply by submitting a resume and brief introduction outlining relevant experience and interest in a PRN-to-full-time leadership role.

Collage Home & Community is an equal opportunity employer.