Registered Nurse (RN) - Continuum Home Health Case Manager - Multiple Locations

***Hiring multiple RNs in various locations***

Bring advanced nursing care into the place where recovery becomes real: the patient's home. As a Continuum Home Health Case Manager, you will combine clinical judgment, compassionate education, and longitudinal care coordination to help patients recover safely, manage complex conditions, and avoid unnecessary hospitalization.

This opportunity is designed for an experienced RN who values clinical autonomy, meaningful patient relationships, and flexibility outside the traditional hospital setting. You will manage each patient's episode of care while remaining connected to a supportive interdisciplinary team and the clinical resources of UVA Health.

The Role

Continuum Home Health nurses provide skilled, hands-on care to patients transitioning from the hospital or managing complex health needs at home. As the primary clinical coordinator for a defined geographic territory, you will assess changes in condition, adapt plans of care, educate patients and caregivers, and coordinate services across disciplines.

An average day typically includes three to five geographically grouped patient visits, with responsibility for a longitudinal caseload of approximately 25 to 30 patients. Nurses generally begin and end their workday from home and coordinate visit times directly with patients, offering meaningful control over daily routes and workflow.

The standard schedule is Monday through Friday, generally 8:00 a.m. to 5:00 p.m., with substantial flexibility in arranging daily visits. The rotation also includes weekday call approximately every three weeks, every fourth Saturday with pay per completed visit, and approximately four to five weekends of call coverage each year.

You will:

• Perform comprehensive in-home nursing assessments and ongoing symptom monitoring.

• Manage wounds, IV therapy, PICC lines, drains, pumps, infusion equipment, and other complex clinical needs.

• Develop, implement, and adjust individualized plans of care.

• Educate patients and caregivers so they can manage treatment plans safely and confidently.

• Recognize changes in condition and intervene early to help prevent avoidable readmissions.

• Coordinate care with physicians, physical therapists, occupational therapists, speech therapists, social workers, and home health aides.

• Complete accurate, timely clinical documentation while independently organizing your schedule and caseload.

• Build lasting therapeutic relationships by supporting patients throughout their full home health episode.

This is an independent field-based position serving communities across Central Virginia. The territory spans 11 counties, and driving is a significant part of the role. Patient visits are grouped geographically whenever possible to support efficient routing.

Why UVA Health

At Continuum Home Health, independence does not mean practicing alone. Nurses work remotely in the field while maintaining strong connections with peers and leaders through phone, text, and virtual communication. The result is a tight-knit, collaborative culture built around clinical support, employee wellbeing, and sustainable practice.

You will benefit from:

• A structured orientation lasting at least six weeks, including office-based onboarding, home health fundamentals, documentation, and clinical systems training.

• A field preceptorship with an experienced nurse for at least one to two months, with additional support available based on individual learning needs.

• Hands-on education in IV therapy, PICC care, dressing changes, pumps, infusion equipment, and procedures commonly encountered in home health.

• Access to MedBridge Home Health Education Modules and specialized learning resources.

• Broad clinical exposure across adult populations, diagnoses, and specialties, helping you maintain and expand a diverse nursing skill set.

• A team with approximately 30 years of community-based home health experience.

• The interdisciplinary expertise and clinical resources of a leading public academic health system.

• Schedule autonomy, flexible routing, and the ability to begin and end most workdays from home.

• The opportunity to take meaningful ownership of patient outcomes while delivering relationship-based care across the full episode of treatment.

Relocation assistance may be available for qualified candidates.

For nurses with a strong medical-surgical or broad adult-care foundation, this role offers the chance to apply pattern recognition, critical thinking, and confident clinical decision-making in a highly autonomous environment.

Why People Love Living in Charlottesville

Nestled near the Blue Ridge Mountains, Charlottesville combines outdoor access and natural beauty with the energy of a university community. Healthcare professionals and their families can enjoy hiking, scenic drives, vineyards, independent restaurants, locally owned shops, galleries, live music, theater, and community events. With housing options ranging from city neighborhoods to quieter communities throughout Central Virginia, the region offers variety, connection, and room to build a life beyond work.

MINIMUM REQUIREMENTS

Education: Graduate of an accredited nursing program required. Bachelor of Science in Nursing required within 5 years of hire.

Experience: 1 year of Relevant Experience

Licensure: Licensed to Practice as a Registered Nurse in the Commonwealth of Virginia required. Valid Virginia Driver's License required. American Heart Association (AHA) Health Care Provider BLS certification required.

PHYSICAL DEMANDS

Job may require sitting for prolonged periods, frequently standing, traveling, bending/stooping. Proficient communicative, auditory and visual skills; Attention to detail and ability to write legibly; Ability to lift/push/pull 20 - 50lbs. May be exposed to chemicals, blood/body fluids and infectious disease.

Benefits

• Comprehensive Benefits Package: Medical, Dental, and Vision Insurance
• Generous Paid Time Off
• Retirement Savings
• Long-term and Short-term Disability
• Health Saving Plans, and Flexible Spending Accounts
• Certification and Education Support

UVA Health is a world-class Magnet Recognized academic medical center and health system with a level 1 trauma center. 2023-2024 U.S. News & World Report "Best Hospitals" guide rates UVA Health University Medical Center as "High Performing" in 5 adult specialties and 14 conditions/procedures. We are one of 70 National Cancer Institute designated cancer centers. UVA Health Children's is named by 2023-2024 U.S. News & World Report as the best children's hospital in Virginia with 9 specialties ranked among the best in the nation. Our footprint also encompasses 3 community hospitals and an integrated network of primary and specialty care clinics throughout Charlottesville, Culpeper, Northern Virginia, and beyond.

The University of Virginia is an equal opportunity employer. All interested persons are encouraged to apply, including veterans and individuals with disabilities. Learn more about UVA's commitment to non-discrimination and equal opportunity employment.