Lead Registered Nurse

Manassas•Manassas, VA
•Onsite

About The Position

The Lead Nurse is the senior clinical and care coordination leader for Honor Healthcare LLC (DBA Butterfly Home Care). The role oversees the quality, safety, and consistency of in-home services for individuals with disabilities and seniors. Working with the CEO, CFO, co-owners, and other staff, the Lead Nurse provides hands-on clinical oversight, supports person-centered planning, and helps ensure services align with company policies, values, brand standards, and applicable Virginia regulations. The Lead Nurse is a key resource for caregivers, clients, staff, and families on care needs, best practices, and risk management. The position is based in Manassas, Virginia, and serves Prince William County and potentially surrounding areas. Work is primarily field- and community-based, combining office work with travel to clients’ homes. The role may require occasional evening or weekend hours for urgent issues, visits, or staff support. It requires the ability to drive and perform light to moderate physical tasks related to home visits and caregiving demonstrations.

Requirements

  • Current, active RN or LPN license in good standing in the Commonwealth of Virginia.
  • Demonstrated clinical experience in home care, disability services, long-term care, or a related healthcare setting.
  • Experience supporting individuals with disabilities and/or seniors, with a commitment to person-centered, community-based services.
  • Strong knowledge of basic nursing practices, safe caregiving techniques, and health and wellness promotion in the home environment.
  • Ability to assess risk, recognize changes in condition, and respond appropriately within the organization’s scope of services.
  • Excellent communication, teaching, and interpersonal skills, including the ability to support, motivate, and coach caregivers and staff.
  • Strong clinical judgment and critical-thinking skills.
  • Ability to organize, prioritize, and manage multiple clients, staff, and tasks effectively.
  • Comfort with electronic documentation systems, basic computer skills, and secure communication tools.
  • Ability to set and manage one’s schedule and workload independently; self-starter with time-management skills.
  • Professionalism, integrity, and respect for client confidentiality and rights.
  • Calm, solution-oriented approach to problem-solving in dynamic or stressful situations.
  • Commitment to providing high-quality in-home care to individuals with disabilities and seniors in the community.
  • Ability to drive and perform light to moderate physical tasks related to home visits and demonstrations of safe caregiving techniques.

Nice To Haves

  • Experience in a supervisory or leadership role, such as charge nurse, nurse manager, or clinical supervisor, in home and community-based services.
  • Experience in eldercare.
  • Familiarity with Virginia home care regulations and requirements affecting documentation, service delivery, and quality.
  • Experience collaborating with Medicaid Waiver programs, support coordinators, case managers, or managed care organizations.
  • Bilingual skills, such as English and Spanish, and/or prior experience working with diverse communities.

Responsibilities

  • Provide clinical leadership for in-home care services and serve as a clinical resource for caregivers, staff, clients, and families.
  • Coordinate care with physicians, therapists, case managers, support coordinators, and other providers; participate in or lead multidisciplinary case reviews and care conferences as needed.
  • Conduct or oversee initial and ongoing assessments of care needs, functional abilities, health status, and risks within the organization’s scope of services.
  • Collaborate with clients, families, authorized representatives, and support coordinators to develop individualized service plans, and review and update plans as needs or circumstances change.
  • Monitor care quality through check-ins, applicable home visits, and review of caregiver documentation; track quality indicators and implement improvements.
  • Provide clinical guidance on complex care situations, challenging behaviors, and changes in condition that affect service delivery.
  • Support caregiver and direct support professional competency through clinical guidance, training, coaching, feedback, and performance input.
  • Help ensure care practices and documentation comply with company policies and applicable Virginia regulations.
  • Oversee clinical and care-related documentation, including assessments, service plans, progress notes, incident reports, and follow-up actions.
  • Collaborate with leadership on risk management and quality improvement activities, including identifying risks, developing mitigation strategies, reviewing data, and implementing changes.
  • Build respectful relationships and maintain communication with the internal team, clients, families, and authorized representatives.
  • Model company values and promote teamwork, open communication, continuous learning, and alignment between clinical and operational priorities.
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