Alternate Nurse Supervisor; RN Market , clea

Overview

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

Organization:
Collage Home & Community

Location:

Houston, Texas (within licensed service area)

Position Overview:

Collage Home & Community is seeking an experienced Registered Nurse (RN) to serve as an Alternate Nurse Supervisor supporting our Texas Licensed Home Health Services (LHHS) operations. This role is designed to initially begin as PRN and is expected to ramp quickly to a full-time position as new clients are onboarded and patient census grows. The Alternate Nurse Supervisor plays a critical role in ensuring continuity of RN supervision, clinical quality, and regulatory compliance.

This position provides backup coverage to the Nurse Supervisor and supports day-to-day clinical operations in a growing, compliance-driven home and community-based care program.

• 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.