Registered Nurse (RN) - PACE

• Conduct comprehensive in-home nursing assessments and ongoing evaluations of participant status
• Perform skilled nursing visits including medication management, wound care, injections, phlebotomy, and chronic disease monitoring
• Assess changes in condition and communicate promptly with providers and the interdisciplinary team (IDT)
• Develop, implement, and monitor individualized care plans in collaboration with the IDT
• Provide participant and caregiver education on disease management, medications, safety, and prevention strategies
• Coordinate care transitions following hospitalizations, ER visits, or facility stays
• Support participants residing in ALF or other community settings as needed
• Identify safety concerns in the home and collaborate with PT/OT and social work to address environmental risks
• Participate in interdisciplinary team meetings and contribute to holistic care planning
• Document all nursing care accurately and timely in the electronic medical record
• Respond to urgent clinical needs and participate in on-call rotation as assigned
• Monitor medication adherence and assist with medication setup or reconciliation
• Collaborate with external providers, pharmacies, home health agencies, and specialty services
• Perform other related duties as assigned.

• Current Registered Nurse (RN) licensure in the Commonwealth of Virginia
• Current BLS/CPR certification
• Minimum of one year of experience working with the frail or elderly population
• Strong clinical assessment and critical thinking skills
• Medical clearance for communicable diseases and up-to-date immunizations prior to participant contact
• Valid driver’s license, proof of insurance, and reliable transportation (required due to field-based nature of the role)
• Ability to work independently while maintaining strong communication with a collaborative team.

Experience with home health, geriatrics, hospice, or community-based care preferred.

• Competitive pay with performance rewards
• Full-time after-hours schedule with shift differentials
• PTO and paid volunteer time
• Comprehensive health benefits
• Tuition reimbursement and scholarships
• Peer support, mentorship, and clinical development
• 30% Thrift Shop discount
• Career growth through the Blue Ridge Care 2030 Strategic Plan.