For 10 years, Life’s At Home Care has helped clients remain safe and independent at home through compassionate, dependable, personalized care. We are a growing home care agency that values clinical judgment, responsive communication, strong caregiver support, and lasting relationships with clients and families.

The Opportunity

We are seeking a Virginia-licensed RN who wants to lead clinical care in a home care setting—not simply complete visits. As our RN Clinical Manager / Director of Nursing, you will complete initial client assessments and required reassessments, develop and update individualized care plans, monitor clinical risks, coach caregivers, and partner with branch leadership to strengthen quality, safe client starts, and continuity of care. This position combines independent field visits with collaborative clinical leadership.

What You Will Lead

· Clinical assessment and care planning: Complete initial assessments and required reassessments in clients’ homes; create, review, and update individualized plans of care and clear caregiver instructions.

· Care management and risk response: Monitor significant changes in condition, falls, hospitalization-related changes, mobility and transfer concerns, and other reported clinical risks; determine appropriate reassessment, escalation, or referral within the agency’s scope.

· Care coordination: Communicate clinically relevant needs and changes with clients, families, physicians, VA contacts, home health, hospice, and other authorized care partners, as appropriate.

· Caregiver clinical support: Educate and coach caregivers, identify competency gaps, validate relevant skills, and help lead quarterly clinical training.

· Quality assurance and improvement: Partner with the Branch Manager to lead quarterly QA/QI reviews, examine clinical trends and documentation findings, assign corrective actions, and verify follow-through.

· New-client starts and retention: Work with the Client Care Coordinator and Branch Manager to support timely, safe admissions and resolve care-related concerns that may affect client satisfaction or service continuity.

· Clinical documentation and collaboration: Maintain timely records in the agency’s electronic systems; participate in a structured weekly RN/Branch Manager coordination meeting and communicate urgent risks promptly.

· Admission backup: When assigned, assist with admission paperwork in addition to clinical assessments and plans of care.

Qualifications

· Current, unrestricted Virginia Registered Nurse license required.

· At least one year of relevant RN experience preferred; home care, home health, hospice, private duty, hospital, or related experience considered.

· Clinical leadership, care management, caregiver training, or supervisory experience strongly preferred; prior DON title not required.

· Sound assessment and care-planning judgment; confident communication, organization, documentation, and collaborative problem-solving skills.

· Valid driver’s license, automobile insurance, reliable transportation, and ability to travel to clients’ homes required.

Compensation & Benefits

· $88,000–$91,000 annual salary, based on qualifications and experience.

· Performance-based bonus opportunity, subject to the agency’s bonus plan.

· Medical, dental, and vision benefits; paid time off, subject to applicable eligibility and plan terms.

· 3% employer retirement match, subject to plan eligibility and terms.

Work Arrangement

Full-time role supporting the Chesapeake branch, with regular travel to client homes and collaboration with office leadership. Routine after-hours on-call coverage is handled by a separate team member. The RN may be contacted occasionally to provide clinical guidance or escalation support for urgent clinical concerns outside normal business hours. These situations are expected to be infrequent; the RN is not responsible for routine scheduling or staffing calls.

If you are an RN who enjoys leading quality care, supporting caregivers, and making a meaningful difference for clients and families, we welcome your application.

Life’s At Home Care is an equal opportunity employer.

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