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The only way I can think of right now is to reach out directly to local home health agencies or case management organizations in your area. Inquire about their payment structure and express your preference for hourly compensation.
You can call local home health agencies directly and ask if they offer hourly pay for home health agency or case management positions.
Have you ever considered doing case management work or UAS for insurance companies? Many of those roles are hybrid roles and almost all are either hourly or salary with over time.
I’m with Maxim and it hasn’t been bad