Alternate Nurse Supervisor; RN Market , clea

Overview

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

Organization:
Collage Home & Community

Location:

Houston, Texas (within licensed service area)

• Initial Status: PRN (flexible scheduling)
• Expected Transition:
  Full-time as census and service volume increase
• Ramp Trigger:
  Growth in skilled nursing and CNA-supervised cases
• Coverage Role:
  Backup and support to the Nurse Supervisor to ensure uninterrupted RN oversight
• This role is ideal for an RN seeking flexibility initially with a clear path into a long-term leadership position.

• Clinical Supervision & Coverage:
  Serve as the Alternate Nurse Supervisor, ensuring RN supervision continuity when the Nurse Supervisor is unavailable
• Provide clinical supervision of RNs, LVNs, and Certified Nurse Assistants (CNAs) as assigned
• Ensure CNA services are appropriately assigned, delegated, and supervised by nursing under Texas LHHS requirements
• Assessment & Care Planning:
  Conduct or oversee patient assessments as delegated
• Assist with the development, review, and revision of physician-ordered plans of care
• Monitor patient progress and identify changes in condition requiring skilled intervention
• Compliance & Quality Assurance:
  Support 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
• Report incidents, adverse events, and clinical concerns according to agency policy
• Collaboration & Growth:
  Support Partner with intake, operations, and leadership to support safe onboarding of new clients
• Assist in scaling clinical workflows as census grows
• Serve as a clinical resource to field staff and leadership

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

• PRN flexibility with a defined and realistic path to full-time employment
• Opportunity to step into a growing clinical leadership role
• Exposure to medically complex and meaningful patient care
• Supportive, mission-driven organization focused on quality and compliance

This role is well suited for an RN who:

• Enjoys clinical leadership and supervision
• Wants flexibility initially with rapid growth potential
• Is comfortable serving as backup leadership during scale-up
• Values regulatory compliance and high-quality patient 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 clinical leadership role.

Collage Home & Community is an equal opportunity employer.