Home Health Registered Nurse (RN)

Registered Nurse — HCSSA Pre-Launch Licensing Consultant

Fully Remote / Part-Time / 1099 / Flexible Hours — Avatara Care Solutions

Company: Avatara Care Solutions

Location: Fully remote (anywhere in Texas)

Engagement: 1099 Independent Contractor

Hours: Approximately 4–6 hours per week, scheduled entirely at your convenience

Duration: Pre-launch licensing phase (estimated 3–5 months)

Start Date: Immediate — we are ready to begin this week

About the Role

Avatara Care Solutions is preparing to file our Texas HCSSA license application with HHSC to launch a home health and personal care agency in Texas. We are seeking an experienced, Texas-licensed RN to guide us through the pre-launch licensing process and serve as our designated Supervising Nurse on the application. We are ready to begin immediately.

This is a fully remote, focused, pre-launch consulting engagement. The scope is intentionally narrow: get us licensed. Work is 100% remote, flexible, and designed to fit alongside an existing full-time role.

What Makes This Engagement Lighter Than Most

We already have a complete suite of policies, procedures, and operational templates provided by our affiliated franchise partner. Your role is not to write P&Ps from scratch. Your role is to:

• Review the provided franchise templates

• Customize and complete the Texas-specific clinical, QAPI, infection control, and emergency preparedness sections

• Confirm everything aligns with 26 TAC Chapter 558 and current HHSC provider letters

• Make sure the documents will pass an initial HHSC survey

This typically reduces the workload to a fraction of a from-scratch licensure project.

Scope of Work — Pre-Launch Licensing Phase

• Serve as our designated Supervising Nurse on the HHSC Form 2021 / TULIP application

• Review and customize the franchise-provided policies and procedures manual to meet Texas HCSSA requirements

• Complete the Texas-specific clinical sections, QAPI / Quality Management plan, Infection Control plan, Emergency Preparedness plan, and Orderly Transfer of Care plan

• Review HR policies, clinical job descriptions, and competency evaluation forms

• Guide the administrator on the 8-hour Pre-Licensure CBT and 24-hour initial training requirement

• Respond to any HHSC deficiency notices within the 30-day window

• Prepare us for the initial on-site survey following our first patient admission

Required Qualifications

• Active Texas RN license (or NLC compact state) in good standing — no board actions

• Minimum 1 year of RN experience within the last 36 months (per 26 TAC §558.244)

• Prior Texas HCSSA experience as Supervising Nurse, DON, or Administrator

• Working knowledge of 26 TAC Chapter 558 and recent HHSC provider letters (including PL 24-05)

• Strong written communication — you will be tailoring documents that HHSC reviewers will read

Strongly Preferred

• Direct experience supporting at least one HHSC Form 2021 / TULIP application within the last 3 years

Path Forward After Licensure

If the engagement works well for both sides, we are open to extending the relationship after the license is issued — but there is no expectation either way. Possible paths include:

• Wrap the engagement cleanly at license issuance (default)

• Continue on a low-volume retainer as Supervising Nurse / Quality Consultant

• Step up to a part-time Director of Nursing on an on-call basis

• Convert to a full-time Director of Nursing as our patient census grows

We do not want this to influence your decision to apply — the scope of this listing is the licensing phase only.

Compensation

Compensation is open and we welcome your proposal. Given that the franchise templates significantly reduce the drafting workload, we expect this is a low-hour, focused engagement. Tell us:

• Your preferred structure — monthly retainer, hourly, or flat project fee

• Your rate at that structure

• What is included and what would be considered out-of-scope add-ons

We will evaluate proposals against the scope and timeline above. Quality of experience matters more to us than the lowest bid.

Why This Role Is a Good Fit For You

• Genuinely flexible — work when it suits you; no fixed schedule

• 100% remote — no travel, no office visits required

• Narrow, defined scope — you know exactly what you're signing up for

• Lower-than-typical workload because the franchise templates do most of the heavy lifting

• Clean 1099 structure with 30-day termination clause for both sides

• You'll be the named clinical lead on the founding documents of a new agency