Private Duty Nursing
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Overview
Private duty nursing agencies provide licensed nurses (RNs, LPNs) delivering medical care at home for seniors with health conditions.
With complex medical needs and hospital early discharge, nursing generates revenue of $200,000-$700,000 with 30-45% margins.
The business requires state home health licensing, nurse recruitment, medical liability insurance, billing systems, and clinical oversight.
Services include medication management and IV therapy, wound care and dressing changes, catheter and feeding tube care, post-surgical care, chronic disease management, and skilled assessments.
Pricing typically $45-$85 per hour for nursing.
Success factors include home health licensing and Medicare certification, recruiting and retaining skilled nurses, Medicare and insurance billing expertise, working with hospitals on discharge planning, and clinical quality oversight.
Marketing focuses on hospital discharge planners, physicians, and insurance case managers.
With medical complexity increasing and home-based care growing in 2025, private duty nursing offers skilled opportunities requiring healthcare licensing and expertise.
Required Skills
- Home health licensing
- Nurse recruitment and management
- Clinical oversight
- Medicare/insurance billing
- Hospital relationships
- Quality and compliance
Pros and Cons
Pros
- Higher nursing hourly rates
- Medicare reimbursement
- Medical necessity demand
- Hospital discharge market
- Skilled service barriers
Cons
- Complex licensing requirements
- Nurse shortage and recruitment
- Medicare billing complexity
- Thin margins despite high rates
- Clinical liability
How to Get Started
- Get home health license
- Obtain Medicare certification
- Recruit licensed nurses
- Get medical liability insurance
- Set up billing systems
- Build hospital relationships
- Ensure clinical compliance
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