Design a Private Pay, Concierge Practice Around the Parts of Nursing You Love Most

Using the RN skills you already have, you’ll build an independent practice rooted in your values, your vision for holistic care, and the specialty you’re called to serve.

A self-paced program with biweekly live support, giving you the complete blueprint to launch a profitable concierge practice.

The Cycle Most Nurses Get Stuck In


Every shift you feel the gap between the nursing you want to practice and the nursing the system allows. It’s depleting. It’s demoralizing. And no matter how much you try to convince yourself, the money never quite covers what you’re giving up.

So you search for something “better.” Something that will give you more freedom and purpose. Maybe it’s a new hospital. New specialty. A side hustle. Maybe more schooling. Each one brings temporary hope and relief. Then the same feeling creeps back in.

Until you realize: the problem is everywhere. So you consider leaving nursing entirely…

What if the answer isn’t to leave nursing but to redesign it?

Most nurses don’t even know this path exists. But nurses who find it discover something the others don’t: a path back to sovereignty where your creative intuition guides your practice, restores your time, and allows you to build wealth doing what you love.

This Is Nursing, By Design


You can take your clinical judgment, your intuition, the way you naturally nurse when you’re allowed to, and build something outside the hospital that actually feels good. In doing so, you reclaim your time, your health, and your autonomy.

This is what your sacred calling to nursing was always meant to look like.

Imagine a practice where:

  • you choose your clients
  • you set your rates
  • you offer holistic, unrushed care that truly supports healing
  • you’re paid directly by clients for the real value you bring

Picture days filled with
clients who truly appreciate you:

  • post-op clients needing attentive, hands-on recovery
  • new moms craving guidance and reassurance
  • wellness-focused clients seeking holistic care
  • families wanting consistent education and advocacy
  • hospice clients and loved ones needing presence and dignity

This is concierge nursing.

A rapidly growing model of care that puts autonomy, purpose, and prosperity back into the hands of the nurse.

And yes, you can do this independently.

You already have the skills.

You just need the proven method and structured guidance to bring it to life.

meet your guide

Founder of Heart & Soul Nursing —

Kearstyn Fox, BSN, RN — Founder of Heart & Soul Nursing

I’m Kearstyn Fox, BSN, RN. I quit bedside nursing in 2019. My soul couldn’t take the moral injustice anymore, and my body was crying for help. I refused to go back so I built something different.

$20K+paid by clients, per contract
★major Colorado award nomination within the first year of business

The kind of practice I always envisioned: relational, holistic, and supportive of my life as a world traveler. I turned what I wished existed into Heart & Soul Nursing and the business took off! The demand for this care was undeniable.

$125/hrcurrent rate at Heart & Soul Nursing
6 yrsmentoring freedom-focused nurses

What I discovered through that process became my North Star: helping nurses reignite their spark and, collectively, transform nursing back into the sacred healing art the world desperately needs.

$20K+paid by clients, per contract
★major Colorado award nomination within the first year of business
$125/hrcurrent rate at Heart & Soul Nursing
6 yrsmentoring freedom-focused nurses

I believe nurses are the healers of the new earth, and it’s my greatest joy to walk beside those who are ready to answer that calling. 🔥

Save My Free Seat

Nurse by Design is rooted in this one belief:


The most impactful practices are built on both strategy and soul. It’s about creating mission-led work — a practice built on your authentic gifts as a healer and your deep desire to serve. When you weave strategy and soul together, your work becomes an expression of who you are, not just another job or quick fix.

Business strategy alone builds a business. Strategy rooted in soul builds a calling. Nurse by Design teaches both, on purpose.

Concierge Nursing Is Taking Off


Independent nursing is one of the fastest-growing sectors in healthcare, projected to reach $608 billion by 2033.

Read that again and really let it sink in.

As traditional systems increasingly fragment and focus on profit over people, patients are seeking personalized care. And nurses across every specialty are stepping in to fill that gap.

Post-Op Recovery Mother-Baby Care Birth Doula Women’s Health Support End-of-Life Care Wellness Coaching Wound Care Case Management Aging Life Care Oncology Support Diabetic Education Palliative Care Pediatrics

Don’t see your specialty? That gap is your creative playground!

Explore 100+ Examples of Concierge Nurses →

What Nurses Are Saying


Client message Client message Client message Client message Client message Client message Client message

Your Journey to a Complete Business Blueprint


1

The Identity Shift

Reconnect with why you became a nurse, and use that clarity to anchor the practice you’re about to build. You’ll shift from an employee mindset to an owner mindset. And you’ll lay the financial foundation this entire program is built on — pricing your work and getting paid what your expertise is actually worth.

2

Niche & Client Clarity

Define your specialty, your ideal client, and the exact problem you solve. Get specific about what’s driving them to seek support and what they’re willing to invest in. Map the transformation your care creates, and validate that real demand exists before you build a single offer.

3

Your Signature Offer

Package your clinical expertise into an offer built on outcomes, not tasks, structured entirely within your nursing scope. You’ll turn your skill set into one clear core service, decide where holistic elements earn their place inside it, and choose the delivery model that matches your capacity and your goals.

4

Pricing & Financial Planning

Know the two numbers that actually run your business, your financial floor and your income goal, and build pricing that holds both. Along the way, you’ll explore the psychology of pricing, so the number you land on is one you can hold with confidence. Choose the sales model built for your practice, and structure your numbers around profitability, not just revenue.

5

Legal & Risk Protection

Choose the practice model that fits how you want to operate, and learn how your Nurse Practice Act defines your legal ground to stand on. You’ll know exactly what belongs in a client agreement, and what it actually takes to stay protected.

6

Branding & Messaging

Establish your market position and translate it into a cohesive brand identity — name, presence, and message, all built to reinforce the same value proposition. You’ll craft the one-line positioning statement that gets remembered, and gets referred. Set up the visibility infrastructure that puts you in front of the right clients.

7

Systems & Client Experience

Build the operational backbone that runs your practice: workflows, documentation, payments, and client records. You’ll map the full client journey from first contact through ongoing care, and set up the business tracking system that shows you exactly where your growth is coming from.

8

Marketing & Visibility

Map every opportunity where your ideal client already exists, and prioritize the visibility channels that put you directly in front of them. You’ll master qualifying, referral partnerships, and client acquisition strategy, along with the scripts and conversations that turn interest into clients.

9

Consultations & Launch

This is where everything comes together. Map the full client journey from first contact through ongoing care, structure your discovery calls to qualify fit fast, and price and run your paid consultation. You’ll build the premium client experience that turns care into retention and referrals, a complete, working system ready for your first client.

★

Bonus — Biweekly Live Mentorship

Join a live Q&A with Kearstyn every other week, and a community of nurses walking the same path, to stay accountable and get your questions answered.

WHAT’S INCLUDED


Step-By-Step Implementation Roadmap

Each module has clear next steps and everything you need to execute them. Structured so each step supports the next, eliminating confusion and the costly mistakes that come from building out of order.

Value $2,000

Done-For-You Templates & Contracts

Your complete toolkit: client agreements, legal frameworks, intake forms, marketing sequences, pricing worksheets, operational workflows, consultation scripts, tech setup, and organizational systems. Dozens of resources ready to customize.

Value $2,000

Proven Client Acquisition Strategy

Know exactly where your ideal clients are and how to reach them. Includes opportunity mapping, referral frameworks, consultation scripts, and the psychology behind marketing that converts.

Value $1,000

Accelerated Setup Frameworks

Build your website and craft your core offer using the exact systems and prompts I use myself — turning “I’m not technical” into “that was easier than I thought.”

Value $500

Biweekly Live Mentorship + Community

Biweekly live Q&A’s with Kearstyn for ongoing guidance. Plus a community of mission-driven nurses building alongside you.

Value $1,000

Complete Access for
Six Months (With Optional Renewal)

Access to the entire program for six months, including every live Q&A, so you can build this at your own pace. When you’re ready for ongoing support, you can continue into the membership community.

Value $1,000

Your Investment


Nurse by Design — Full Program

Total Value: $7,500+

$2,500

Payment plans available at checkout

9 self-paced modules · Complete business toolkit · Biweekly mentorship · Private community

Save Your Seat

Enrollment opens through the free masterclass — space is limited each round.

By the end of Nurse by Design


You’ll have a practice ready to launch in the specialty you chose, the rhythm you set, and the clients you’re passionate about serving. You practice nursing on your terms, in a way that honors both your clients and yourself. This is what it feels like when your intuition, your clinical expertise, and your sacred calling to nursing finally weave together.

The Biggest Mistake I Made
(And I See Nurses Making It Now)

I went the DIY route instead of investing in a mentor because I thought I could figure it out myself. I had an entrepreneurship background and pride myself on my resourcefulness. I was wrong.

I spent months piecing it together alone, making expensive mistakes and rebuilding systems that weren’t right the first time. Even worse, I found myself navigating legal gray areas that could’ve jeopardized my license. The kind of risk I didn’t fully understand until I was already in it. And somewhere in all of it, I recreated the hospital burnout from wearing every hat myself. In hindsight, I lost so much more than money.

Here’s What the DIY Path Actually Costs

Time

Months of research and second-guessing. By the time you “figure it out,” you could have had paying clients.

Money

Thousands from incomplete contracts and underpricing. Redoing systems and offers that weren’t right.

Stress & Burnout

Isolation. Self-doubt. The constant weight of “Am I doing this right?” with no one to ask.

Missed Opportunity

Without a proven strategy, ideal clients never find you. You’re talking, but not converting.

Frequently Asked Questions


What is concierge nursing?

Concierge nursing is private, one-on-one nursing care provided directly to clients — in their homes, recovery spaces, or virtually. Some practices are fully in-person, some are completely online, and many are a hybrid of both.

It’s not agency work or traditional home health. You choose your clients, set your rates, and provide care on your own terms. Most clients are private-pay and proactive about their health, seeking recovery support, holistic care, or the attentive presence the system simply doesn’t have time to offer.

Why is concierge nursing becoming so popular right now?

Because healthcare is changing and people are waking up to what’s missing.

Our current system isn’t built for true healing. It’s fast, reactive, and profit-driven — leaving patients underserved and nurses depleted. Concierge nursing is the antidote. It’s personalized, proactive, and focused on connection.

Clients are craving care that actually cares. They want connection, time, and holistic support from someone they trust, and they’re willing to invest in it. The demand is growing every year as people look for alternatives to the “sick care” model.

This is why I believe concierge care is the future of healthcare. We’re returning to transpersonal care, seeing and honoring the whole human, not just the diagnosis.

What kinds of nursing niches can thrive in a concierge practice?

Any nursing specialty can thrive in a concierge model, from the niches you’ve already seen above, to the hyper-specific problems and populations that need someone like you.

If there’s a gap in care, a population being underserved, or a problem you keep seeing go unsolved, there’s a practice in that. And it doesn’t always look like hands-on clinical care. Education, coaching, and advocacy are just as central to the concierge model as bedside skills.

Is concierge nursing private pay or covered by insurance?

This model is almost always private pay, which is what gives you the freedom to structure your care as you see fit.

Most nurses find that private-pay clients are willing to invest in high-quality, personalized care.

Inside Nurse by Design, you’ll learn exactly how to communicate your value, price your services, and receive payment confidently.

Do I have to go into unclean or unsafe homes?

Not at all. That’s one of the biggest misconceptions.

Your clients are people who are proactive about their care — seeking recovery support, holistic guidance, or the kind of attentive presence the system doesn’t have time to offer. You might support someone recovering from surgery, a new mom navigating postpartum, or a family wanting consistent advocacy and education. You’re not walking into unsafe situations. You’re walking into homes, rentals, and recovery spaces where you are chosen, valued, and compensated accordingly.

You always have the right to choose your clients, your settings, and the terms of your care.

What if I don’t have a clear idea yet?

You don’t need to arrive with a clear idea, just a desire for something different.

Nurse by Design is built for nurses who know they want something different but aren’t sure what that looks like yet. In the earlier modules, you’re guided through clear workflows and proven frameworks that help you identify where your gifts meet real demand, weave in your passions and strengths, and shape a practice that is both meaningful and sustainable.

Instead of forcing you into a one-size-fits-all model, the program helps you design a practice around your lifestyle, values, and your long-term vision so it can evolve and grow with you over time.

What if I have no business experience?

Most of us didn’t when we started!

That’s why Nurse by Design was built to walk you through every step with clarity and ease.

You’ll get plug-and-play templates, contracts, forms, and scripts, plus guidance on systems that keep things simple and affordable.

All you need is a willingness to do the work. The rest is teachable.

Is this right for me if I still work full-time?

Absolutely.

Many nurses start their concierge practice part-time and transition gradually as they gain confidence and clients.

This program helps you build at your own pace — whether you’re easing in alongside a full-time schedule or ready to go all-in.

Is this program for LPNs?

Yes, LPNs can absolutely build a concierge practice. Many of the services at the heart of this model fall well within LPN scope of practice.

The key distinction is that LPN scope varies by state, and some clinical tasks may require RN oversight depending on where you practice. Before launching, you’ll want to review your state’s Nurse Practice Act to understand exactly what your license allows in an independent or private-pay setting.

I’m not in the US. Does this still apply to me?

Yes, the business-building framework inside Nurse by Design translates across borders. Private pay, concierge-style nursing is growing in Canada, the UK, Australia, and beyond as patients everywhere seek personalized care outside of overwhelmed public systems.

The core of what you’ll build here: your niche, your offer, your pricing, your client relationships and acquisition strategy is universal. Where you’ll need to do your own due diligence is on the legal and regulatory side, as scope of practice and independent practice rules vary by country and region.

What makes this different from other nursing business programs?

This isn’t a cookie-cutter business course.

It blends proven business foundations and strategies with deep self-inquiry, so the practice you build is an authentic expression of who you are as a healer.

You’ll walk away not just with a business, but with a renewed sense of who you are and a practice that reflects that truth.

How much does it cost to get my practice started?

Most nurses assume it takes thousands but it’s actually far more accessible.

Launching an independent concierge practice costs under $500 for the average RN when you follow a lean, simplified model.

You don’t need a clinic space, fancy software, or a huge upfront investment. The beauty of this type of practice is that it’s low overhead, low risk, and fully doable while keeping your current job.

Inside Nurse by Design, I show you exactly what’s necessary, what’s not, and how to start without wasting time or money.

How much support and structure will I actually get? Are you really handing over your full blueprint?

Yes — everything I’ve built and refined inside my own practice over the past five years is yours.

Contracts, client forms, sales scripts, marketing materials, pricing templates, workflow systems. What took me years of trial and error to create, you get from day one.

You’ll also have access to monthly live Q&As where you can bring your real questions, get direct feedback, and keep moving forward with confidence.

My goal is to save you months — if not years — of frustration, so you can focus on what actually matters: serving your clients, expressing your gifts, and building something you’re genuinely proud of.

You don’t have to figure this out alone. When you’re not white-knuckling it, you get to feel tap into the real magic of this path where you feel empowered, creative, and in your zone of genius.

Is this legal where I live?

Nurse by Design is not written for one specific state. Independent and private practice nursing exists in all 50 states, with some variation in how scope, supervision, and business structure are defined. The core principles of nursing practice are consistent nationwide, but each nurse is responsible for understanding their own state’s Nurse Practice Act and Board of Nursing rules.

This program teaches you how to design a practice that can be adapted safely and compliantly wherever you are licensed.

What’s your refund policy?

Due to the self-paced nature of the program, instant lifetime access to all modules, templates, and resources, all sales are final. No refunds.

Are You Ready to Answer the Call?

You know the path you’re on doesn’t lead where you actually want to go. This is your invitation to change that.

Enrollment opens through the free monthly masterclass — register now, and you’ll receive your invitation to join Nurse by Design before the window closes.

Save your spot to be notified the moment the next masterclass is announced.

Register for the Free Masterclass →

Can’t make it live? Register anyway — you’ll get the replay.