Home Health RN)

Augusta Health•Fishersville, VA

5d•$38 - $57

About The Position

The Registered Nurse Care Manager manages and coordinates hospice patients’ plans of care in their places of residence, coordinating with the Interdisciplinary Team, patients, families, referring agencies or facilities, and caregivers. The RN administers nursing care according to the medical plan and nursing standards, guides patient and family education, and directs the activities of other personnel while maintaining professional nursing standards. The role assesses patient status and develops care plans based on age-specific needs and departmental policies and procedures. The position supports Augusta Health’s mission and departmental goals through measurable performance indicators and service excellence. It contributes to a collaborative, patient-centered environment and advances outcomes aligned with organizational priorities. The RN assesses, plans, implements, documents, and evaluates individualized hospice care; coordinates referrals and services; supports patient comfort and outcomes at end of life; supervises and mentors supportive nursing staff; participates in quality improvement; and follows clinical, medication, infection-control, patient-safety, and personal-safety policies. The position requires a flexible schedule and safe driving to patients’ residences.

Requirements

Nursing Diploma and/or Associate Degree in Nursing.
Current, valid Registered Nurse license in the Commonwealth of Virginia or a state that participates in a compact agreement with Virginia.
CPR-Basic Life Support Healthcare Provider (BLS-HCP) certification.
At least one year of recent RN experience.
Valid driver’s license. To drive an Augusta Health vehicle, the employee must also be at least 21 years old and have a Motor Vehicle Record approved by Risk Management.
Eligibility to work in the United States and compliance with Virginia state employment requirements.
Knowledge and skills in IV therapy, wound care, and general medical/surgical assessment.
Clinical competence in hospice care and completion of annual education requirements and department competencies.
Good leadership and communication skills.
Job-related computer competence, including patient documentation and information retrieval, with timely submission of documentation.
Practice within the scope of the Nurse Practice Act and familiarity with current standards of nursing practice.
Familiarity with CMS hospice regulations and ACHC standards applicable to daily work practices.
Ability to work a flexible schedule.

Nice To Haves

BSN or MSN.
CHPN certification.
Hospice experience.
Prior experience in a hospital, healthcare system, or related service-oriented environment.
Familiarity with Augusta Health systems, workflows, or organizational culture.

Responsibilities

Manage and coordinate hospice patients’ plans of care in their residences in collaboration with the interdisciplinary team, patients, families, referring agencies or facilities, and caregivers.
Administer nursing care according to the medical plan, professional nursing standards, and department policies and procedures.
Complete medication administration and reconciliation, including compliance with medication safety requirements and communication of medication changes to the physician or provider.
Develop, implement, document, and revise individualized plans of care; assess patient needs, eligibility, acuity, caregiver capacity, and responses to care.
Prepare timely clinical and progress notes documenting interventions, patient responses, outcomes, goals, and patient or family education.
Educate patients and families about disease processes, self-care, end-of-life care, nutrition, and other age- and knowledge-appropriate topics; assess and document learning and understanding.
Coordinate services and referrals, communicate changes and outcomes to physicians and team members, and ensure continuity and quality of care.
Promote patient comfort and improve outcomes at end of life while using services and supplies responsibly.
Maintain clinical competency, complete required education and in-services, attend staff meetings as required, and cooperate with interdisciplinary colleagues.
Participate in quality improvement and staff satisfaction projects, support QAPI and ACHC readiness, and suggest cost-containment improvements.
Provide clinical direction to Hospice Aides and LPNs, complete supervisory visits, lead supportive nursing staff, mentor colleagues, and orient new nurses, students, and aides as assigned.
Implement clinical and technical care, anticipate complications, perform pain management and systems assessments, start IVs, conduct phlebotomy, and maintain patient safety and confidentiality.
Document at least 75% of care at the point of care and use required computer applications and equipment appropriately.
Follow infection-control, personal-protective-equipment, body-mechanics, sharps and waste-disposal, emergency-preparedness, safe-driving, and other personal-safety requirements.
Follow patient-safety policies, including use of two patient identifiers, SBAR handoffs, medication procedures, standard precautions, hand hygiene, fall prevention, isolation procedures, and specimen labeling.
Communicate effectively with physicians and providers using the SBAR approach and respond calmly and promptly to emergencies.
Maintain a positive, flexible, dependable, and professional approach consistent with Augusta Health service standards and the Hospice philosophy.

Benefits

Medical, dental, and vision coverage.
Retirement savings plans and financial wellness support programs.
Paid time off and flexible scheduling.
Career development programs, including clinical ladders, shared governance, and advancement opportunities.
Personalized onboarding with dedicated preceptors and ongoing educational support.
Tuition reimbursement.
Onsite childcare.
Free onsite parking.
24/7 armed security.
Health Fitness Reimbursement Program.
Onsite credit union and pharmacy.
Competitive pay with shift and weekend differentials.
Employee discounts at the cafeteria, gift shop, pharmacy, and local entertainment venues.