RN Per Diem

After Hours Registered Nurse (RN)

Seeking Part-time and PRN RN's


Serving the full Blue Ridge Care territory.

At Blue Ridge Care, we deliver extraordinary care to improve life’s journey. As a mission-driven, not-for-profit healthcare system, we are dedicated to meeting patients and families with the compassion, expertise, and respect they deserve. Our services span hospice, serious illness care, Program of All-Inclusive Care for the Elderly (PACE), community thrift shops, and grief support.

We are seeking a After Hours Registered Nurse (RN) to provide critical support to patients and families across the Blue Ridge Care territory during evenings, nights, weekends, and holidays. This role is ideal for a compassionate nurse who thrives in independent decision-making and is dedicated to delivering quality hospice care outside of traditional hours.

Position Summary

The Registered Nurse After Hours (RN), in accordance with public health nursing standards, practices, and policies, will provide and arrange for hospice care for patients and families in collaboration with other members of the interdisciplinary team. The RN makes initial assessments, judgments, and treatment decisions based on patient and family needs and wishes, in alignment with professional skills and hospice philosophy.

Compensation

  • Competitive base pay

  • Shift differentials for evenings, nights, weekends, and holidays


Essential Duties & Responsibilities

Emergency Response and Patient Visits

  • Answer emergent patient calls and conduct visits as needed to address immediate concerns.

Nursing Care

  • Provide professional nursing care consistent with patient care goals and the physician’s plan of care.

  • Assess and evaluate patient status; if working with LPN support, provide guidance and oversight.

Care Planning and Implementation

  • Develop and update care plans with goals based on nursing diagnoses.

  • Administer medications and treatments as prescribed, including preventive and rehabilitative care.

Patient and Family Counseling

  • Counsel patients and families on health care needs, offering education and guidance.

  • Teach self-care techniques, including medication administration, diet, and symptom management.

Documentation and Communication

  • Maintain accurate and timely clinical documentation of patient condition and care.

  • Communicate with physicians regarding patient changes and obtain/document orders.

Environment & Equipment Management

  • Ensure safe patient environments and arrange necessary equipment/services.

Continuity of Care

  • Conduct initial assessments and collaborate with patients, families, and the care team to ensure seamless care transitions.

Professional Development & Quality Improvement

  • Engage in continuing education and quality improvement activities.

  • Support initiatives like peer chart reviews, medication reconciliation, and tuck-in programs.

Education & Experience

  • Current RN license in the Commonwealth of Virginia

  • Graduate of an accredited nursing program; BSN preferred

  • 2+ years of experience in hospice, home health, or ICU/CCU (preferred)

  • CHPN certification (preferred)

  • Knowledge of Medicare/Medicaid reimbursement regulations

  • Current CPR certification

  • Strong communication and interpersonal skills

  • Proficiency in electronic medical records and computer skills

  • Ability to travel throughout the Blue Ridge Care territory

  • Weekend availability only will be considered.

Why Blue Ridge Care?

  • Opportunity to provide meaningful care at life’s most important moments

  • A supportive, interdisciplinary team culture grounded in compassion and excellence

  • Mileage reimbursement and comprehensive orientation

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