The office managers are your supervisors and relay information to the nurses if you are a homemaker/PCA so don't expect to talk to any of the nurses unless it is an emergency, or at a home visit of the client, after the initial hire training you will never talk to any of the nurses on behalf of the clients. You do not get paid for travelling or mileage reimbursement. Lots of down time so bring something to do to keep yourself busy- they expect you to find additional chores to do but there is no additional work and the client's do not want you poking around looking for extra chores. If you have any concerns or complaints, they will not listen to you but will accommodate you a little bit if needed.