About the Role My Heart Care Services is a private-pay home care and home health agency providing concierge-style in-home IV infusion and wound care services. We are seeking an experienced Registered Nurse (RN) to deliver skilled nursing care, provide clinical oversight, and supervise LVN-delivered services in the home setting. This role is ideal for RNs who want flexibility, clinical autonomy, per-visit compensation, and leadership responsibility—without Medicare, OASIS, or CMS paperwork. Key ResponsibilitiesClinical Care (IV & Wound Services) • Perform skilled nursing visits including IV infusion therapy and wound care • Initiate and manage peripheral IVs and infusion protocols • Conduct comprehensive wound assessments and treatment planning • Monitor patient response and clinical progress • Identify and manage complications or adverse reactions • Provide patient and family education related to treatment and recovery Clinical Oversight & Supervision • Develop and approve nursing plans of care • Delegate and supervise LVN services in accordance with Texas BON rules • Provide clinical guidance and escalation support to LVNs • Review LVN documentation and visit notes • Serve as clinical escalation point for patient condition changes Care Coordination • Communicate with physicians or ordering providers as needed • Coordinate care transitions (post-hospital or post-procedure) • Collaborate with agency leadership on care delivery and quality • Support continuity of care across multiple visits Documentation & Quality • Complete accurate and timely clinical documentation • Maintain compliance with agency policies and nursing standards • Participate in quality assurance and case reviews • Support infection control, safety, and incident reporting processes Compensation • Per-Visit Pay (rates vary by service type and complexity) • Mileage Reimbursement for travel between patient visits • Additional compensation may apply for: • Same-day / urgent visits • Weekend or after-hours visits • High-complexity or extended visits Schedule & Work Environment • Flexible PRN or part-time scheduling • Field-based role providing care in client homes • No routine on-call requirements unless agreed separately Qualifications • Active, unrestricted Texas RN license • Minimum 2 years of clinical nursing experience preferred • IV infusion and wound care experience strongly preferred • Experience supervising LVNs preferred • Strong clinical judgment and documentation skills • Reliable transportation and valid Texas driver’s license • Current CPR certification • TB screening and background check required Preferred Certifications • IV Therapy Certification • Wound Care Certification (WCC, CWCA, or equivalent) • Experience in home care, infusion therapy, or private-pay nursing What We Offer • Private-pay, concierge-style care model • No Medicare, OASIS, or CMS documentation • Professional autonomy with leadership responsibility • Supportive administrative and clinical environment • Opportunity for consistent referrals and growth Compliance Notice All nursing services are delivered in accordance with the Texas Nursing Practice Act and agency policies. This position includes clinical oversight and supervision of LVNs and does not involve Medicare-certified services. Job Types: Part-time, Contract, PRN, Per diem Pay: $41.56 - $50.05 per hour Expected hours: 20 – 25 per week Work Location: Remote Apply tot his job