Alternate Nurse Supervisor PRN

First Day Homecare is seeking an experienced Registered Nurse to serve as our Alternate Nurse Supervisor/Clinical Manager.

Our Director of Clinical Services manages daily clinical operations and accreditation preparation. The initial role involves agency orientation and qualified backup coverage during agreed periods when the Director is unavailable.

Following ACHC accreditation and Medicare certification, there may be opportunities to expand into clinical oversight, Medicare and Medicaid program support, and agency growth. Expanded duties and compensation will be discussed separately.

• Active, unrestricted Indiana RN license or valid multistate privilege to practice in Indiana.
• At least two years of nursing experience, including at least two years of home health/home care nursing experience.
• At least one year of supervisory experience.
• Ability to meet applicable Indiana and ACHC qualifications for the alternate clinical leadership position.
• Strong working knowledge of Medicare home health requirements and Indiana Medicaid.
• Reliable availability during agreed backup coverage periods.
• Completion of agency orientation, credential verification, and required background screening.

• Become familiar with agency policies, current patients, clinical systems, and emergency procedures.
• Provide alternate clinical leadership when the Director is unavailable.
• Respond to clinical questions and coordinate care as needed during assigned coverage.
• Maintain required personnel documentation and participate in survey activities if needed.

• Medicare documentation, assessments, OASIS, and plan-of-care oversight.
• Indiana Medicaid authorizations, managed care coordination, and EVV support.
• Clinical record reviews, staff supervision, quality improvement, and compliance support.

• Limited-hours PRN role with no regular weekly schedule initially.
• Proposed $300 monthly retainer for specifically agreed backup availability.
• $60/hour for all work performed, including orientation and actual coverage.
• Additional hours and expanded responsibilities based on agency needs and mutual agreement.
• Continued alternate coverage is expected after accreditation.

Flexible work from home options available.