Registered Nurse Job at Blue Ridge Hospice (Winchester)

Job Description

Registered Nurse (RN) – PACE Program. Your compassion can help older adults live fuller, more independent lives. Join Blue Ridge Care and become a Future Maker—where your expertise supports our mission of “Delivering extraordinary care to improve life’s journey.” Through our Program of All-Inclusive Care for the Elderly (PACE), we help participants remain active, independent, and engaged in their communities while receiving the coordinated care they need. About the Role: We’re seeking a dedicated Registered Nurse (RN) to join our PACE interdisciplinary team in a primarily field-based, in-home nursing role. In this position, you will provide direct clinical care to participants in their homes, assisted living facilities, and community settings, supporting older adults in maintaining safety, independence, and dignity within their preferred living environment. This role is ideal for a nurse who values autonomy, strong clinical assessment skills, and meaningful relationships with participants and families.

Job Responsibility

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

Requirements

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
Ability to work independently while maintaining strong communication with a collaborative team