Software for nurse-owned agencies, built by a nurse who has run one.
You became an owner to deliver care your way, not to run an office out of spreadsheets, group texts and a filing cabinet. Paloma Clinical gives a new or small nursing agency one record for referrals, orders, scheduling, charting, staff files, billing and survey preparation, at a price you can read before you call anyone.
Built from real agency operations by Nicodemus (Nick) Obuya, RN, BSN, who owned and operated healthcare agencies from 2008 to 2026: Paloma Home Health (Medicare-certified, CHAP-accredited in 2008; Medicare, Medicaid, VA, home infusions, private pay and private duty), a Dallas-based home health agency, a Dallas private duty agency, and a healthcare staffing agency.
What Paloma is, and who it is for.
Paloma Clinical is operations software for nursing agencies, sized and priced so that an owner-operator can start on it. It is one price per agency with every capability included and no per-user charges, so the cost does not climb as you add nurses.
It is for the nurse who is opening an agency, the owner who is still the DON, the scheduler and the biller, and the small agency that has outgrown paper. It is used most deeply today by home infusion and healthcare staffing agencies.
You do not need a sales call. Open the demo agency, read the price, and create your agency when you are ready.
Paloma’s current commercial focus is home infusion and specialty pharmacy nursing. Paloma Cares is a broader healthcare operations platform, with Medicare-certified home health coming next and Paloma Talent providing workforce capabilities for eligible subscribers.
On day one, you are every department.
A new agency has the same obligations as a large one, and one person to meet them.
The office work arrives before the revenue
Referral logs, schedules, staff files, visit notes and invoices all have to exist from the first patient, long before there is an office team to keep them.
Software priced for someone bigger
Many agency systems are sold by quotation, per user or with an implementation project. That is hard to commit to before the agency has patients.
A surveyor will ask for the file
Licences, competencies, signed orders and reviewed notes have to be findable the day someone asks, not reconstructed the week before.
Your first hires need a process
The nurse you bring on needs to know today’s visits, the current order and what the note must contain, without calling you each time.
Completed work that never bills
When the owner is also the biller, invoices go out late, and cash is what a young agency has least of.
Growth breaks the spreadsheet
What worked for five patients and two nurses stops working at twenty and eight, usually in the middle of a busy month.
Free tools first, then a painful move.
Most nurse-owned agencies begin with what is free and familiar: a spreadsheet for referrals, a phone calendar for visits, a folder of PDFs for staff files, paper notes, and invoices typed in a word processor. It is the sensible choice when there is one patient.
The cost comes later. Each of those tools holds a piece of the truth, none of them knows about the others, and the owner becomes the only link between them. By the time the agency can afford a system, moving into one means re-entering everything during the busiest period the agency has had.
Starting on one record from the first patient avoids that move. Paloma is priced so that this is a realistic choice for an agency with one nurse.
One operational record, from referral to paid invoice.
Each step hands the next one what it needs.
Referral → patient
AI reads the referral packet and proposes the patient, orders and prescriber. You confirm what becomes the record.
Order → visit
Orders become scheduled visits. See licence and competency status before assigning a nurse.
Visit → invoice
The nurse charts the visit on a phone, the DON reviews it, and the reviewed visit flows into the invoice and statement.
Staff file → readiness
Every nurse has one workforce file. Paloma shows who is cleared to work and what expires next, so survey readiness is built every day.
Start on your own, in one sitting.
Look first
The demo agency is a working Paloma with synthetic patients, nurses, orders, visits and billing. No sign-up and no card.
Create your agency
Your account and your agency’s legal profile: the name it is registered under and who signs for it.
Sign your agreements
A Business Associate Agreement and the order form for the plan you chose, signed online. Signing itself charges nothing.
Pay and set up
Before you pay, Paloma shows exactly what is charged today, the period it covers and the next charge date. Then guided setup: staff, pharmacies, patients, first visit.
Everything an owner needs, with no feature tiers.
Patient chart
One chart per patient with orders, visits, documents and history.
Nurse’s phone
Today’s visits, guided visit documentation, credentials and pay. Mobile product tour →
DON review
A review queue for every submitted note; notes can be returned to the nurse for correction.
Workforce files
Hiring, onboarding, competencies, licences and expirations in one file per clinician.
Billing
Pharmacy invoices and statements from reviewed visits, payments, receivables and UB-04 claims.
Survey tools
Survey Binder and Survey Simulator, limited to authorized administrative roles, and a Daily Compliance Brief your agency can turn on.
Who Paloma is for, and what it does not do for you.
A good fit
A nurse opening or running a home infusion, infusion nursing, private duty, skilled nursing or healthcare staffing agency, alone or with a small team.
Coming next
Medicare-certified home health is the next service line in Paloma. Those workflows are not available today.
What stays yours
Paloma is software. It does not obtain your state licence or accreditation, and it is not legal, tax or reimbursement advice. It keeps the records those processes ask for.
Simple pricing. No feature tiers. No per-user charges.
One price per agency, monthly or annual. Create your agency yourself; we are here if you want help.
The complete Clinical product. Every Clinical capability included.
- Referral intake with AI document reading
- Orders and pharmacy workflows
- Scheduling
- Nurse charting and DON review
- Workforce readiness
- Billing and survey tools
$499 charged at checkout. Renews monthly.$4,990 charged at checkout. Renews annually.
Prefer help? Book a guided demo
Run the care and find the clinicians to deliver it. When a patient needs staffing, search from the patient chart: your own eligible staff first, then Paloma Talent prospects near the patient.
- Everything in Paloma Clinical
- Find Staff from the patient chart: your own eligible staff first, then Paloma Talent prospects near the patient
- Call, email or invite prospects straight from the staffing search; no patient-identifying details leave your agency
- No placement fee when you hire through Paloma Talent under this plan
$999 charged at checkout. Renews monthly.$9,990 charged at checkout. Renews annually.
Prefer help? Book a guided demo
Paloma Talent on its own has no monthly fee: a placement fee is earned only when a candidate we introduced accepts your offer. No hire, no fee. See Paloma Talent →
Software for nurse-owned agencies: what agencies ask.
Is Paloma affordable for a new agency?
Paloma Clinical is one published price per agency, with every Clinical capability included and no per-user charges, so the price is the same with one nurse or twenty. Monthly and annual prices are in the table on this page.
Can I use Paloma if I am the only nurse?
Yes. One person can hold more than one role, such as administrator, Director of Nursing and nurse, and can do everything those roles allow.
Do I need a demo or a sales call to start?
No. You can explore the demo agency without signing up and create your agency yourself. A guided demo is available if you want one.
Will Paloma help me find nurses as I grow?
Paloma Talent helps agencies find and vet clinicians and staff. On its own it has no monthly fee: a placement fee is earned only when a candidate we introduced accepts your offer. It is also included in Paloma Clinical + Talent, with no placement fee when you hire.
Who built Paloma?
Built from real agency operations by Nicodemus (Nick) Obuya, RN, BSN, who owned and operated healthcare agencies from 2008 to 2026: Paloma Home Health (Medicare-certified, CHAP-accredited in 2008; Medicare, Medicaid, VA, home infusions, private pay and private duty), a Dallas-based home health agency, a Dallas private duty agency, and a healthcare staffing agency. It is published by Paloma Health Technologies in Dallas, Texas.
How do I start?
Explore the demo agency first: it is a working Paloma with synthetic data and needs no sign-up. When you are ready, create your agency and sign your agreements, including a Business Associate Agreement before any patient information is added. Your first billing period is charged when you complete checkout. There is no trial.
Related: Pricing · Home infusion software · Healthcare staffing agency software · Security
See your workflow in Paloma.
Explore the live demo agency now, or book a guided demo around your own referrals, pharmacies and staff.
The demo agency uses synthetic data; no credit card required · create your agency when you are ready (first billing period charged at checkout) · or talk to a person