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Alternate Director of Nursing (ADON) – Hybrid/Remote PRN Backup

Charity Comfort Care Services•Dallas, TX
•Hybrid

About The Position

Charity Comfort Care Services, LLC is seeking an experienced Registered Nurse to serve as an Alternate Director of Nursing (ADON) in a primarily remote, PRN backup role supporting its home health team. The ADON provides clinical leadership and nursing supervision when the Director of Nursing is unavailable or additional coverage is needed. The position offers a flexible schedule with mutually agreed backup coverage periods and may suit an experienced home health RN, clinical manager, or former Director of Nursing seeking a supplemental leadership opportunity without full-time operational responsibilities. Most administrative and clinical oversight work is performed remotely, with occasional on-site coverage in the Dallas–Fort Worth area. Remote clinical work starts at $45 per hour; compensation depends on experience, qualifications, and responsibilities. Potential compensation for on-call availability is also mentioned.

Requirements

  • Active, unrestricted Texas RN license.
  • Strong clinical judgment and communication skills.
  • Home health nursing experience.
  • Ability to work independently and respond promptly during assigned backup periods.
  • Ability to provide occasional on-site coverage in the Dallas–Fort Worth area.
  • Must meet applicable qualifications for designated alternate clinical leadership.

Nice To Haves

  • Previous DON, ADON, or Clinical Manager experience.
  • Experience using Axxess Home Health software.
  • Knowledge of OASIS, Medicare Conditions of Participation, and Texas HHSC regulations.
  • Experience with ACHC surveys, clinical audits, and compliance.

Responsibilities

  • Provide backup clinical leadership and nursing supervision as assigned.
  • Review OASIS assessments, Plans of Care (CMS-485), and clinical documentation.
  • Monitor patient records and physician orders through Axxess Home Health.
  • Assist with Medicare, ACHC, and Texas HHSC regulatory compliance.
  • Participate in virtual meetings, case conferences, and occasional conference calls.
  • Support quality assurance, chart audits, and QAPI activities.
  • Provide clinical guidance to nursing staff.
  • Assist with survey readiness and occasional on-site clinical oversight.

Benefits

  • Flexible schedule.
  • Primarily remote work arrangement with occasional on-site coverage.
  • Remote clinical work starting at $45 per hour.
  • Potential on-call availability compensation.

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