Registered Nurse (RN) After Hours

apartment Blue Ridge Care location_onWinchester, VA 22601, US

Easy Apply

Registered Nurse (RN) – After Hours Hospice Care

Full-Time Opportunity

$10,000 Sign-On Bonus – Join Blue Ridge Care Today!

Your neighbors need you. Your nursing skills can change lives.

Join Blue Ridge Care and become a Future Maker, where your compassion and expertise bring comfort and dignity to every moment.

Our mission is simple and meaningful: “Delivering extraordinary care to improve life’s journey.” We provide high-quality, compassionate hospice care for those navigating life’s most profound transitions, supporting patients, families, and the community with heart, hope, and respect.

About the Role

We are looking for a dedicated Registered Nurse (RN) – After Hours to join our hospice team full-time.

In this role, you’ll provide evening and overnight support for patients and families, respond to urgent needs, make clinical assessments, and coordinate care with the interdisciplinary team. You’ll be the reassuring voice and presence families rely on during critical moments. This position travels throughout the whole Blue Ridge Care territory

How You’ll Make a Difference

• Answer emergent calls from patients and families.

• Provide after-hours visits to address immediate concerns or changes in condition.

• Deliver skilled nursing care based on patient goals and the physician’s plan of care.

• Assess and evaluate patient status; give guidance and oversight when LPN support is involved.

• Develop and update care plans based on nursing assessments.

• Administer medications and treatments as prescribed.

• Support preventive, restorative, and rehabilitative care needs.

• Educate patients and families on symptom management and care techniques.

• Offer support and reassurance during challenging and emotional moments.

• Complete timely, accurate clinical documentation.

• Notify physicians of changes in condition and obtain/document orders.

• Ensure the home environment is safe and appropriate for care.

• Coordinate needed equipment and services.

• Conduct initial assessments and support smooth transitions across the care team.

• Collaborate with families and the interdisciplinary team to align care with the patient’s goals.

• Participate in continuing education and quality activities.

• Support programs such as peer chart reviews, medication reconciliation, and tuck-in calls.

What You’ll Bring

• Current RN license in Virginia

• Graduate of an accredited nursing program; BSN preferred

• Two or more years of hospice, home health, or ICU/CCU experience preferred

• CHPN certification preferred

• Current CPR certification

• Strong communication and interpersonal skills

• Knowledge of Medicare/Medicaid hospice regulations

• Proficiency with electronic medical records

• Ability to travel throughout the Blue Ridge Care territory

• A calm, confident presence during urgent and emotional situations

Why You’ll Love Working Here

At Blue Ridge Care, caring for others begins with caring for you.

We offer a supportive environment where your dedication is recognized, valued, and rewarded.

• $10,000 sign-on bonus*

• 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

*Sign-on bonus paid in installments over two years.

Blue Ridge Hospice is a non-profit, equal opportunity employer. We value diversity and are committed to fostering an inclusive environment for all employees and the patients and families we serve.

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Identifies appropriate resources for ethical dilemmas and advances ethical nursing practice. 21. Required competencies to include demonstration of regularly being a charge nurse and/or precepting new staff or nursing students For facilities with specialty accreditation requirements: 1. Completion of annual required education related to specialty accreditation as defined by accreditation standards. Training may be completed through CBLs, trainings, In-services, and competency validation. PHYSICAL REQUIREMENTS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 1. The National Institute for Occupational Safety and Health recommends minimizing the need for employees to manually lift patients, and limit safe patient handling to 35 pounds. All transfers, lifts and re-positioning will be completed utilizing the lift equipment and/or other patient handling aids as indicated by the patient’s profile and appropriate algorithms. 2. Heavy/Hard work : Work requires strength and/or stamina, lifting, moving, stooping, reaching, standing, walking, and carrying of materials and equipment weighing 40+lbs. 3. Visual acuity must be within normal range. 4. Hearing within normal range is required (i.e. to assess breath sounds, bowel sounds, apical pulse, monitors, etc.) WORKING ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 1. Working protracted or irregular hours. 2. Working around biohazards. 3. Working around infectious diseases. 4. Working with or near the deceased. 5. Working with hands in water. 6. Working with electrical hazards associated with patient care equipment. SKILLS AND ABILITIES: 1. Possesses the interpersonal skills to positively and effectively communicate, negotiate, and resolve conflict. 2. Has the motivation and drive for continuous development of self. 3. Cooperatively interacts with the health care team to support and contribute to the shared group goals. 4. Uses competent clinical practice and critical thinking skills to efficiently deliver patient care with all health care providers while maximizing efficient use of resources. 5. Ability to be flexible in response to changes in work volume, staff and scheduling changes. 6. Ability to work independently with minimal supervision. 7. Ability to work successfully under highly stressful conditions and capable of adapting to varying workloads and work assignments on a constant basis. The CAPE program is a system-wide clinical advancement program (clinical ladder) to enhance professional development, provide a reward system for quality clinical performance, promote quality nursing, and improve job satisfaction for inpatient direct care nurses. To apply for the next level, the CAPE nurse must meet the requirements of their current level. They must also meet the required years of nursing experience, degree, and certification to apply for the next level. In addition, nurses who are approved for levels 3, 4, 5, or 6 must complete and submit five competencies on an annual basis to maintain their current level. Level 1 No experience required All graduate nurses with less than 12 months of experience enter at Level one with a diploma, ADN, BSN, or higher Level 2 Meets requirements for previous level One year of experience. Level 3 Meets requirements for previous levels Two years of experience, plus one specialty certification Certification is Preferred but not required Required competencies to include demonstration of regularly being a charge nurse and/or precepting new staff or nursing students Level 4 Available to those with a BSN or higher or nurses with ADN/diploma with 5 years of experience one specialty certification is required Required competencies to include demonstration of regularly being a charge nurse and/or precepting new staff or nursing students Required competencies to include demonstration of participation in QI and/or shared governance at the unit level Level 5 Available to those with an MSN or higher with 4 years of experience, or nurses with a BSN with 4 years of experience and a health-related Master’s Degree, or nurses with a BSN and 5 years of experience One specialty certification is required Required competencies to include demonstration of regularly being a charge nurse and/or precepting new staff or nursing students Required competencies to include demonstration of participation in QI and shared governance at the organization level Level 6 Available to those with an MSN or higher degree with 7 or more years of experience. Consideration is given to other health-related advanced degrees that would assist with direct patient care at the bedside One specialty certification is required Required competencies to include demonstration of regularly being a charge nurse and/or precepting new staff or nursing students Required competencies to include demonstration of participation in QI and shared governance at the system level Additional Job Description: Scheduled Weekly Hours: 36 Shift: Night (United States of America) Exempt/Non-Exempt: United States of America (Non-Exempt) Company: BMC Berkeley Medical Center Cost Center: 93 BMC Nursing Nurse Resource and Float Pool Address: 2500 Hospital Drive Martinsburg West Virginia Equal Opportunity Employer West Virginia University Health System and its subsidiaries (collectively "WVUHS") is an equal opportunity employer and complies with all applicable federal, state, and local fair employment practices laws. WVUHS strictly prohibits and does not tolerate discrimination against employees, applicants, or any other covered persons because of race, color, religion, creed, national origin or ancestry, ethnicity, sex (including gender, pregnancy, sexual orientation, and gender identity), age, physical or mental disability, citizenship, past, current, or prospective service in the uniformed services, genetic information, or any other characteristic protected under applicable federal, state, or local law. All WVUHS employees, other workers, and representatives are prohibited from engaging in unlawful discrimination. This policy applies to all terms and conditions of employment, including, but not limited to, hiring, training, promotion, discipline, compensation, benefits, and termination of employment.

Home Health

Full-time

RN-Home Health

apartment WVUH West Virginia University Hospitals location_onMartinsburg, WV

Welcome! We’re excited you’re considering an opportunity with us! To apply to this position and be considered, click the Apply button located above this message and complete the application in full. Below, you’ll find other important information about this position. Responsible for the direct and indirect nursing care of the patients in the home. In collaboration with the patient, family, and health care team (IDT), the registered nurse as case manager will develop, implement, and evaluate nursing care according to agency and system policies. MINIMUM QUALIFICATIONS : EDUCATION, CERTIFICATION, AND/OR LICENSURE: 1. Current Registered Nurse license issued by the state in which services will be provided or current multi-state Registered Nurse license through the enhanced Nurse Licensure Compact (eNLC). 2. Valid driver’s license. 3. CPR certification within 30 days of hire date. PREFERRED QUALIFICATIONS : EXPERIENCE: 1. One year of Home Care Nursing and 2 years of prior nursing experience. CORE DUTIES AND RESPONSIBILITIES: The statements described here are intended to describe the general nature of work being performed by people assigned to this position. They are not intended to be constructed as an all-inclusive list of all responsibilities and duties. Other duties may be assigned. 1. Performs the functions of the home health aide. 2. Performs and monitors basic patient care according to policies and procedures. 3. Provides a safe and comfortable environment in the patient’s home. 4. Ensures privacy and demonstrates concern for the dignity of patient in performing all patient care. 5. Completes assignments in a timely manner. 6. Assumes on-call responsibility per policy and procedures. 7. Communicates patient care problems or potential problems to the Administrative Staff and/or other interdisciplinary team members as identified/occur to assure continuity and coordination of care. 8. Provides care, based on physical, psychosocial, communication, safety, education level, and related criteria for the infant, pediatric, adolescent, adult, geriatric patient per the established age-specific education/standard. 9. States and utilizes admission criteria per agency guidelines. 10. Completes oasis documentation within federal guidelines. 11. Completes and documents full system assessment, including assessment of level of physical and psychosocial aspects and identifies age-specific criteria upon admission and each visit thereafter. 12. Understands pathophysiologic process by taking appropriate nursing action in accordance with changes in patient condition. 13. Reports significant observed changes in patient condition to Administrative Staff and/or physician. 14. Documents patient status and care or services furnished in appropriate areas defined by the documentation policy and procedure. 15. Documents home health aide supervisory visits as per standard. 16. Performs CPR when directed by patient’s appropriate representative’s wishes. 17. Displays safe, efficient, and prudent use and maintenance of D.M.E. and medical supplies and adaptive equipment. Notify admin/doctor if safely issues R/T DME in home. 18. Demonstrates bag technique per policy and procedure. 19. Able to apply and maintain equipment according to the Policy and Procedure Manual. 20. Utilizes supplies effectively and to ensure cost containment. 21. Maintains integrity of the IV site while performing patient care. 22. Performs treatments/procedures according to specific standards (e.g., vital signs, patient weights, specimen collection, ostomy care [ileostomy, colostomy, urostomy/tracheotomy], catheterization [urethral, suprapubic], wound care, dressing changes, suctioning [oral, pharyngeal/nasal/trach], gastric tube [feedings and maintenance]. 23. Performs and monitors patient teaching according to the policy and procedures. 24. Coordinates care so that medications are administered as ordered by a physician and in compliance with the medication administration. 25. Coordinates the care team in order to facilitate a change in the level of care in compliance with the change in level of care standard. 26. Identifies the stages of death and dying. 27. Accurately and timely, completes plan of treatment and recertification as per Medicare guidelines. Completes OASIS SOC/ROC, OASIS Recertification, and Discharge Oasis per guidelines. PHYSICAL REQUIREMENTS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 1. Frequent walking, standing, stooping, kneeling, reaching, pushing, pulling, lifting, grasping, and feeling are necessary body movements utilized in performing nursing duties through the work shift. 2. Must be able to lift, move, and position patients of all weights, with varying amount of assistance in a fair manner on a regular and recurring basis. 3. Must be able to read and write legibly in English. 4. Hearing within normal range is required (e.g., to assess breath sounds, heart sounds, apical pulse, monitors, etc.). 5. Visual acuity must be within normal range. 6. Exerting 20 to 50 pounds of force occasionally, and/or 10 to 25 pounds of force frequently, and/or greater than negligible up to 10 pounds of force constantly to move objects. Physical Demand requirements are in excess of those for Light Work. 7. Must be able to operate motor vehicle with a safe practice. WORKING ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 1. Exposure to bodily fluids, human tissues, contagious diseases, sharps, and explosive gases. 2. Exposure to toxic gases, fumes, and odors. 3. Exposure to high stress and constant interruptions. 4. Exposure to electrical current. 5. Exposure to radiation from x-rays. 6. Exposure to bad road conditions. 7. Exposure to wind, rain, snow, sleet, mud, high and low temperatures, animals and insects, and hazardous roadways. 8. The majority of work is performed in the patient’s home and may require extensive travel. 9. Subject to unpredictable situations. May be exposed to adverse or unpleasant home environments. SKILLS AND ABILITIES: 1. Must have the ability to perform concentrated and complex mental activity with frequent involvement in complex and highly-technical situations. 2. Must have the ability to work successfully under highly-stressful conditions, and must be capable of adapting to varying workloads and work assignments on a constant basis. 3. Must have the ability to make sound, independent judgments based on scientific principles, and also be able to collaborate with other multi-disciplinary team members in an appropriate fashion. 4. Must have the ability to comprehend and perform oral and written instructions and procedures. 5. Must have strong communications skills, written and verbal. 6. Must have math skills to enable calculation of drug dosages and infusion stats. 7. Must be able to work weekends, holidays, and all shifts. 8. Demonstrates knowledge of and compliance with safety policies and procedures. 9. IV skills required. Additional Job Description: Scheduled Weekly Hours: 40 Shift: Exempt/Non-Exempt: United States of America (Non-Exempt) Company: SHC WVUHS Home Care Cost Center: 375 SHC Home Health East Address: 1314 Edwin Miller BlvdMartinsburgWest Virginia Equal Opportunity Employer West Virginia University Health System and its subsidiaries (collectively "WVUHS") is an equal opportunity employer and complies with all applicable federal, state, and local fair employment practices laws. WVUHS strictly prohibits and does not tolerate discrimination against employees, applicants, or any other covered persons because of race, color, religion, creed, national origin or ancestry, ethnicity, sex (including gender, pregnancy, sexual orientation, and gender identity), age, physical or mental disability, citizenship, past, current, or prospective service in the uniformed services, genetic information, or any other characteristic protected under applicable federal, state, or local law. All WVUHS employees, other workers, and representatives are prohibited from engaging in unlawful discrimination. This policy applies to all terms and conditions of employment, including, but not limited to, hiring, training, promotion, discipline, compensation, benefits, and termination of employment.