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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