Job Description
Position Title: Registered Nurse (RN) – Clinical Assessments & Care Oversight
Location: Dallas–Fort Worth Metroplex (Plano, Frisco, McKinney, Allen, Richardson, Garland, Irving, Arlington, and surrounding areas)
Company: Harmony at Home Senior Care
About Harmony at Home Senior Care
Harmony at Home Senior Care provides one-on-one, in-home support services to seniors and adults throughout the Dallas–Fort Worth Metroplex. Our nursing team plays a critical clinical and oversight role, ensuring care quality, caregiver compliance, and accurate health assessments — not bedside nursing.
Position Overview
We are seeking an experienced Registered Nurse (RN) with an active, unencumbered Texas license to join our clinical oversight team.
This is a non-bedside role. RNs do not provide direct hands-on care to clients. Instead, they serve in a supervisory and clinical assessment capacity, supporting caregivers and ensuring client care needs are accurately evaluated and documented.
- Primary Responsibilities
- Complete standard nursing assessments, including health status reviews, vitals, functional observations, and care plan evaluations.
- Conduct assigned insurance-related assessments for clients receiving home health services through insurance providers, including evaluating and documenting medical necessity and health validity for services.
- Review and validate client conditions to support continued eligibility for services when required by insurers or care programs.
- Provide clinical oversight and supervision of caregivers, including care guidance, observation, and documentation review.
- Communicate assessment findings to care coordinators, families, and internal leadership as needed.
- Ensure compliance with agency policies, documentation standards, and applicable regulatory requirements.
- Maintain accurate, timely clinical documentation in agency systems.
- What This Role Is NOT
- No direct patient care or bedside nursing
- No wound care, injections, medication administration, or hands-on ADLs
- No shift-based bedside assignments
This role is focused on clinical evaluation, oversight, and documentation.
- Qualifications
- Active, unencumbered Registered Nurse (RN) license in the state of Texas (required).
- Previous experience in home health, care assessments, utilization review, or clinical oversight preferred.
- Strong assessment, documentation, and clinical judgment skills.
- Comfortable working independently across multiple client cases.
- Familiarity with insurance-based care criteria and medical necessity evaluations is strongly preferred.
- Reliable transportation and ability to travel locally within the DFW area.
- What We Offer
- Flexible scheduling (full-time, part-time, or PRN options available).
- Competitive compensation based on experience.
- Mileage reimbursement for client visits.
- Paid onboarding and training.
- Supportive administrative and care coordination team.
- A structured, professional role that values clinical expertise without bedside burnout.
Why This Role Works
This position is ideal for RNs seeking a clinical, non-bedside role that still utilizes assessment skills, professional judgment, and autonomy — without the physical demands of direct care.
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