PRN REGISTERED NURSE (RN) CLINICAL SUPERVISION and ADMINISTRATION

Position Summary Marquee Home Care is seeking a compassionate and detail-oriented Registered Nurse (RN) to provide clinical supervision, administrative oversight, and nursing support services in accordance with North Carolina DHSR Home Care Licensure Rules (10A NCAC 13J), the North Carolina Nursing Practice Act, Medicaid/NCTracks standards, and agency policies. This PRN position is primarily supervisory and administrative in nature and is responsible for ensuring the delivery of safe, compliant, and high-quality home care services. The RN will support client assessments, care planning, caregiver supervision, documentation review, competency verification, case reviews, and quality assurance activities. This role is ideal for an experienced RN seeking flexible hours while supporting the growth and compliance of a licensed home care agency. ESSENTIAL JOB DUTIES Clinical Oversight and Nursing Supervision Provide nursing services under the requirements of 10A NCAC 13J .1102 and the North Carolina Nursing Practice Act Conduct initial and ongoing nursing assessments of clients in the home environment Develop, implement, review, and revise individualized plans of care in collaboration with the client, responsible party, physician, and agency team Review plans of care at least every 90 days and revise as client needs change Observe, document, and report changes in client condition to the physician and appropriate care team members Provide client and family education regarding medications, treatments, safety, disease management, and home care needs Supervise and train in-home caregivers, CNAs, and other assigned personnel in accordance with DHSR regulations Conduct supervisory visits to client homes as required by agency policy and state regulations Verify caregiver competency for assigned client care tasks and maintain documentation of competency evaluations Provide clinical guidance and consultation to caregiving staff during hours services are provided Administrative and Compliance Responsibilities Ensure nursing documentation complies with DHSR, NCTracks, Medicaid, and agency requirements Assist with maintenance and review of client records, physician orders, verbal orders, and supervisory documentation Review service documentation for accuracy, timeliness, and regulatory compliance Assist with quality assurance, chart audits, corrective action follow-up, and agency evaluations Participate in policy implementation and compliance monitoring activities Maintain confidentiality and security of all client and employee records Support readiness for DHSR surveys, inspections, and audits Maintain current on-call schedules and supervisory records as applicable Collaborate with agency leadership regarding staffing, client safety concerns, and operational compliance Personnel and Training Support Participate in orientation, training, and ongoing education of caregivers and clinical staff Assist with competency validation and skills verification for in-home caregivers Ensure assigned staff perform only duties for which they are trained, competent, and authorized Support infection control and OSHA compliance initiatives Assist in monitoring employee documentation requirements including TB screening, credentials, and annual evaluations QUALIFICATIONS Active, unrestricted Registered Nurse (RN) license in North Carolina Minimum of two (2) years nursing experience preferred Home care, home health, hospice, case management, or supervisory experience preferred Knowledge of North Carolina DHSR Home Care Licensure Rules (10A NCAC13J) preferred Familiarity with Medicaid and NCTracks documentation standards preferred Strong organizational, leadership, communication, and documentation skills Abil ty to work independently and manage flexible scheduling needs Current CPR certification Valid drivers license and reliable transportation PHYSICAL REQUIREMENTS Ability to travel to client homes and agency-related meetings Ability to perform client assessments and supervisory visits Ability to sit, stand, bend, walk, and lift as necessary within RN scope of practice **REGULATORY COMPLIANCE **This position functions in accordance with: North Carolina DHSR Home Care Licensure Rules (10A NCAC 13J) North Carolina Nursing Practice Act NC Medicaid and NCTracks documentation requirements OSHA infection control and bloodborne pathogen standards Agency policies and procedures Under North Carolina home care regulations, nursing services must be provided by or under the supervision of a registered nurse, including assessment, plan of care development, caregiver supervision, and training responsibilities. SCHEDULE and AVAILABILITY PRN / Part-Time Approximately 10-15 hours weekly Flexible scheduling based on client and agency needs Occasional on-call consultation availability may be required