Private duty nursing software for agencies that send nurses, not paperwork.
Schedule nurses, chart visits, get DON review, and keep every nurse’s file current. Paloma Clinical gives a private duty or skilled nursing agency one record for its patients, its visits and its people.
The same Clinical platform home infusion and healthcare staffing agencies run on today.
What Paloma is, and who it is for.
Paloma Clinical is operations software for nursing agencies, including private duty and skilled nursing. It schedules nurses against current orders, lets the nurse chart the visit on a phone, puts every note in front of the Director of Nursing for review, and keeps one current file for every nurse.
It is for agencies whose care is delivered by licensed nurses in the home or the community. One price per agency covers every Clinical capability, with no per-user charges.
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.
The care is skilled. The office tools are not.
The schedule and the orders disagree
A change in the plan reaches the family and the nurse, but not the calendar.
Notes arrive late, or not at all
Paper notes come back at the end of the week. Nobody reviews them until someone asks.
A lapsed credential on a live case
A licence or CPR card expires while the nurse is still on the schedule.
The nurse has to call the office
Today’s visits, the current order and what the note needs are not in the nurse’s hand.
Review is a formality
Without a queue, clinical review happens when there is time, which means it does not happen.
Survey problems found too late
Gaps surface when the surveyor asks, not when they could still be fixed.
A calendar, a binder per patient and a binder per nurse.
Private duty agencies often run on a scheduling calendar, paper or PDF visit notes, and binders: one for each patient in the home and the office, and one for each nurse’s personnel file. The system depends on a coordinator who remembers which binder is missing what.
Paloma replaces the binders with one chart per patient and one file per nurse, and connects both to the schedule, so the question “is this visit covered by a nurse who is cleared to make it?” is answered before the visit.
Four parts of the work, one record.
Schedule nurses
Turn current orders into single visits or multi-day courses. Find nearby eligible nurses and check staff readiness before assignment.
Chart visits
The nurse’s phone shows today’s visits and a guided note that saves as the nurse works. A visit in progress stays on top until the nurse clocks out.
DON review
A review queue for every submitted note. Notes can be returned to the nurse for correction, and the nurse sees exactly which notes still need attention.
Every nurse’s file current
Licences, certifications and competencies in one file, with expirations surfaced before they block a visit. Nurses can upload replacements from a phone.
What the nurse sees in the field: Mobile product tour →
Who Paloma is for, and where to look closely first.
A good fit
Private duty and skilled nursing agencies whose nurses make visits under a physician’s orders, and agencies that combine that work with infusion nursing or staffing.
Look closely first
Paloma’s guided visit note is built around skilled nursing visits and is deepest for infusion. If your work is long hourly shifts with flowsheet charting, open the demo agency and judge the documentation against your own before deciding.
Not what Paloma is
Paloma does not offer non-medical personal care or Medicaid personal-care billing today. Paloma supports visit clock-in and clock-out today. State EVV submission is not yet a completed Paloma workflow.
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 →
Private duty nursing software: what agencies ask.
What does private duty nursing software do?
It schedules nurses, records the care they give, supports clinical review and keeps personnel files current. Paloma Clinical does those four things in one record, with the nurse’s part on a phone.
Can nurses chart from a phone?
Yes. The nurse’s phone shows today’s visits, the guided visit note, notes returned for correction, credentials and pay. Agency administration is a desktop workflow.
Does Paloma handle electronic visit verification (EVV) for Medicaid?
Not yet. Paloma supports visit clock-in and clock-out today. State EVV submission is not yet a completed Paloma workflow.
What does Paloma cost?
Paloma Clinical is one price per agency, with every Clinical capability included and no per-user charges. You can pay monthly or annually; annual saves two months. The current prices are in the table on this page and on the pricing page.
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: Carecenta alternative · Software for nurse-owned agencies · Healthcare staffing agency software · Home infusion software · All of Paloma Clinical
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