How to start a nursing agency from home

Written by sam williams
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How to start a nursing agency from home
Only licensed nurses can administer medication. (nurse with syringe image by Alexander Zhiltsov from

When adult children are concerned about their parents staying at home alone, they call a nursing agency. Nursing agencies provide in-home care and physiotherapy. According to the Bureau of Labor Statistics, the retired segment of the United States will account for nearly 25 per cent of the population. Start a nursing agency from home to capitalise on this market.

Skill level:

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Things you need

  • Business license
  • Nursing certification
  • Medical billing software
  • Payroll software

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  1. 1

    Complete a business license application. Download the forms from the county or state municipality website. Verify with a county clerk whether managerial staff of a nursing agency in your state is required to be certified.

  2. 2

    Plan your home-based nursing agency. Determine how you will perform the day-to-day tasks of recruiting certified and trained nursing staff, how you will manage your billing and the rates that you will charge.

  3. 3

    Come up with your compensation plan. Determine if you will take a commission as a referral service or if you will employ the nurses, bill the families directly and pay the employees from your own payroll.

  4. 4

    Create a financial budget for your operations. Your costs will include medical billing software, office equipment and advertising. Continue working your day job until you have saved enough money to start your business. Schedule your work day. Start part-time.

  5. 5

    Design your home office. Fill the space with a desk, file cabinets, a chair and a telephone.

    Use desktop publishing software to create brochures, flyers and newsletters. Open Office and Serif Page Plus are free desktop publishing software. Download one or both.

  6. 6

    Pass out your marketing material to doctor's offices and hospitals. Ask for referrals. Leave a stack of brochures in hospital waiting rooms.

  7. 7

    Upload a listing on a job board like Monster and request help from certified nursing caregivers. Schedule interviews with applicants. Interview applicants. Add the best candidates to your database. Verify their credentials. Call their references.

  8. 8

    Schedule home visits or introductory phone calls so that nurses and patients can meet before you formally assign a nurse to a patient. In the book "Home Care Nursing Practice," Robyn Rice writes, "The phone call allows the home care nurse to begin to assess patient/caregiver needs in developing the plan of care."

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