Run your care. Find your clinicians. Bill with confidence. Stay survey-ready.
Paloma connects clinical operations, staffing, billing and survey readiness for home infusion, healthcare staffing and home-based care agencies: from referral to paid invoice, without the spreadsheets, texts and paper.
Paloma reviews submitted nursing notes, checks visits against governing orders before DON approval, and helps agencies identify eligible staff and nearby recruiting prospects using qualifications, availability and location.
The demo agency is a working Paloma with synthetic data. No credit card required. Questions first? Talk to a person
Why Paloma is different: clinical operations, staffing, billing and survey readiness →
In the demo agency: Referrals · Patients · Orders · Scheduling · Infusion notes · DON review · Workforce · Billing. Explore the demo agency →
The same problems, every week.
When referrals, orders, staff files, visit notes and invoices live in different places, agencies find out too late.
Referrals entered more than once
Every fax and portal download is typed again, and details drift between copies.
Orders disconnected from visits
A changed dose or frequency never reaches the schedule, so visits happen against an order that is no longer current.
Credentials expire unnoticed
A licence, CPR card or competency lapses, and nobody knows until a nurse is already assigned.
Nurses chase forms and instructions
The right note template, the pharmacy’s requirements and the current order are in different places.
Completed visits that never bill
A finished visit with an unsigned or incomplete note never becomes billable work, and the money waits.
Survey problems found too late
Gaps surface when the surveyor asks, not when they could still be fixed.
One record, from referral to paid invoice.
Each step hands the next one what it needs, so nobody re-keys a referral, chases a signature in a spreadsheet, or builds an invoice by hand.
Referral → patient
AI reads the referral packet and proposes the patient, orders and prescriber.
Order → visit
Pharmacy orders become scheduled visits. See licence and competency status before assigning a nurse.
Visit → invoice
The nurse charts the visit, the DON reviews it, and the reviewed visit flows into the pharmacy 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.
A referral in a town where you have no nurse becomes a staffing search.
Open Find Staff from the patient’s chart. Paloma reads the need from the current order and ranks your own ready clinicians first, by readiness, distance and availability. When your roster cannot cover the patient, Paloma Talent searches its network near the patient, without sending patient details.
One file per nurse, and an answer to “who can I send?” before the visit is scheduled.
Hiring, onboarding, competencies, licence and credentials, expirations and clinical work live in one workfile. Paloma shows who is cleared to work and what expires next.
Can Paloma run my agency? Look.
Each of these is working software in use by real agencies today. Each links to where you can see it.
- Run the carePaloma Clinical →
Referral → order → schedule → chart → review → invoice
One record from the fax to the paid invoice. The nurse charts against the order that governs today, the DON signs, and the invoice is built from reviewed visits.
- Find the workforceSee Find Staff →
Patient need → your staff → Talent network → hire
A referral in a town where you have no nurse becomes a geographic search of the Paloma Talent network, from the patient’s chart, without sending patient details.
- Work with pharmaciesPharmacy workflows →
Pharmacy order → documentation → invoice → reconciliation
Per-pharmacy documentation requirements, invoices from reviewed visits at contract rates, corrections that keep the record, factored statements.
- See the evidenceWhat Paloma produces →
Real screens, real documents, real safeguards
Synthetic examples of what Paloma produces: visit notes, care plans, order history, DON review, pharmacy invoices, and the checks that stop a bad visit before it happens.
Evaluating Paloma against other software? See every capability with its availability label →
A Texas-based home infusion agency runs its daily operations on Paloma.
The agency uses Paloma for referrals, orders, scheduling, nursing documentation, clinical review and pharmacy invoicing in one workflow. It replaced paper charting, handwritten notes and orders passed by text.
Judge the output, not the brochure.
Every document below exists in the demo agency, built from synthetic patients and nurses. Open the demo agency and read them as a surveyor, a pharmacy or a DON would.
- Nursing visit note
- Charted against the governing order: dose, route, site, vitals, reactions, supplies, and the nurse’s signature. Rendered as the PDF the pharmacy receives.
- Plan of care
- Built from the admission and the orders, signed by the physician and the RN, with every later certification obligation tracked.
- Order history
- Each order as received, which one governs, what superseded it and when. A revised order is a new order, never an edit.
- DON review
- The queue the Director of Nursing works: what needs a signature, what is incomplete, and what is cleared to bill.
- Pharmacy invoice and statement
- Lines from reviewed visits at contract rates, the pharmacy’s bill-to, and the statement with its payment history and corrections.
- Safeguards you can trigger
- Assign a nurse whose licence has lapsed, chart a dose that does not match the order, or try to bill an unsigned visit, and see what Paloma says.
Run the agency. Find the people.
The operational depth a multi-line agency needs, without needing to be an enterprise to get it. Published pricing, a working demo before you buy, and each service line keeps its own rules on one platform.
Operations software for care delivered beyond the hospital
Referral intake with AI document reading, orders and pharmacy workflows, scheduling, nurse charting and DON review, workforce readiness, billing and survey tools.
$499/month per agency. Every Clinical capability included.
Find and vet clinicians and staff for your agency
Paloma Talent helps agencies find and vet clinicians and staff: nurses, CNAs, home health aides, social workers (MSWs), directors, and other clinical and agency professionals. Candidate evidence stays together for review through the hiring process.
On its own, no hire, no fee. Or included in Clinical + Talent.
Built for care delivered beyond the hospital.
Proven today in home infusion and healthcare staffing. Built as a platform for broader home-based care: the same Clinical platform supports other care models where nurses deliver care at home or in the community.
Home infusion and infusion nursing
Take specialty pharmacy referrals, schedule nurses against current orders, chart infusion visits, get DON sign-off, and invoice the pharmacy from reviewed visits.
Healthcare staffing
Keep one file per nurse and see staff readiness before every assignment. Schedule staff and keep the work they perform tied to the assignment.
Home health
Referral intake, scheduling, visit documentation, DON review and staff readiness for home-based care.
Infusion suites
Referral intake, orders, scheduling, nurse charting, staff readiness and billing for infusion-suite operations.
VA Community Care
Document VA Community Care visits and produce UB-04 claims for them.
Specialty pharmacy nursing
Manage pharmacy-referred patients, keep nurse competencies current, return visit documentation to the referring pharmacy, and invoice the pharmacy.
Private duty and skilled nursing
Schedule nurses, chart visits, get DON review, and keep every nurse's file current.
IV hydration and mobile IV nursing
Schedule mobile nurses, find nearby eligible nurses, and chart each IV visit: access, product, supplies, reactions and signatures.
Concierge and private-pay nursing
Client records, nurse scheduling, staff readiness, recurring visits, visit documentation and clinical review in one record.
Multi-location and multistate agencies
Run every office in one Paloma, across states: each office in its own state and time zone, licences and authorizations per state and per office, office-scoped access for branch teams, owner groups for separately licensed agencies, and state-aware guidance that shows its source.
Medicare Home Health
Next in Paloma’s Clinical expansion. Paloma is expanding Clinical for Medicare-certified home health workflows. We are building the additional certification, plan-of-care, assessment, billing and compliance workflows that Medicare home health agencies require.
Not sure your care model fits? Book a demo and we will show you what Paloma supports today.
Care delivered beyond the hospital does not fit one workflow.
Home infusion, home health, staffing, private duty and community-based care each operate differently. Paloma brings the operational work together without forcing every agency into the same model.
Your records stay yours. Your staff stay in charge.
BAA before patient data
Your agency signs a Business Associate Agreement with Paloma before any patient information can be added.
Role-based access
Staff see and do what their role allows. Survey tools are limited to authorized administrative roles.
Audit trail
Changes are recorded with who made them and when. Corrections preserve the original record instead of overwriting it.
Built by an RN
Paloma was built by a registered nurse and agency operator, from the work of running an agency.
Why Paloma was built: an operator’s account →
HIPAA-focused architecture
Designed around the privacy and security expectations of healthcare.
How Paloma protects your records →
Simple pricing. No feature tiers.
Clinical is $499/month per agency. Add Talent with Clinical for $999/month, with no placement fee when you hire.
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 →
What agencies ask first.
How does Paloma use AI?
AI reads referral documents, orders and résumés and proposes what it found.
What is Paloma?
Paloma (palomacares.com) is healthcare operations software for home infusion, home health, specialty-pharmacy nursing, and healthcare staffing agencies. It serves care delivered beyond the hospital, including home infusion and infusion nursing, healthcare staffing, home health, infusion suites, specialty pharmacy nursing, private duty nursing and VA Community Care. Paloma Clinical runs referrals, orders, scheduling, charting, staff readiness, billing and survey preparation. Paloma Talent helps agencies find and vet clinicians and staff: nurses, CNAs, home health aides, social workers (MSWs), directors, and other clinical and agency professionals. Candidate evidence stays together for review through the hiring process.
How do I start?
Explore the demo agency first: it is a working Paloma with synthetic data, and no credit card is required. When you are ready, create your agency and sign your agreements. Your first billing period, a month or a year, is charged when you complete checkout, and billing renews from that date. There is no trial.
What is included in the $499 price?
Every Clinical capability. Paloma Clinical is $499 per month per agency. There are no feature tiers.
What does Paloma Talent add?
Paloma Talent helps agencies find and vet clinicians and staff: nurses, CNAs, home health aides, social workers (MSWs), directors, and other clinical and agency professionals. Candidate evidence stays together for review through the hiring process. It is included in Paloma Clinical + Talent at $999 per month per agency, with no placement fee when you hire. Paloma Talent on its own has no monthly fee: a placement fee is earned only when a candidate we introduced accepts your offer. More about Talent →
How is Paloma different from other agency software?
Care delivered beyond the hospital does not fit one workflow. Home infusion, home health, staffing, private duty and community-based care each operate differently. Paloma brings the operational work together without forcing every agency into the same model.
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