Nurse Manager (RN) - Health at Home Inpatient - Days

VCU Health is seeking an authentic, passionate and inspiring nurse Manager to help lead our virtually enabled Hospital-at-Home (HaH) program. Housed in the health system’s Continuum Integration Center (CIC) in north Richmond, this exciting opportunity offers innovation, professional growth, and opportunity to be a part of an already incredible team. HaH care is delivered via a mix of in-person nursing and paramedic visits, virtual nursing and vital sign monitoring, and telehealth physician visits. The nurse Manager supervises staff whose roles are in the home (visiting RNs), in VCU Medical Center (patient acquisition RNs), and in the CIC command center environment (monitoring RNs). The nurse Manager position supports the continued growth and development of a robust VCU Health at Home strategy, and reports directly to the Nursing Director, VCU Health at Home | Continuum Integration | Senior Services. Hospital-at-Home programs are gaining momentum nationwide, because of the benefits for patients and health systems, including increased patient satisfaction, improved patient outcomes, better performance on value-based metrics and relieving facility capacity constraints.

The focus of the position:

VCU Health at Home – Inpatient nurse Manager oversees the 24/7 Hospital at Home “virtual unit” - which includes hiring, training, managing multi-disciplinary team members, creating and implementing business strategies, and implementing nursing practice tools and digital health resources to support a care delivery system that produces quality care including decanting VCUMC low acuity patients to create high acuity capacity as well as readmission avoidance. The role collaborates closely with Nursing Director to align clinical operations with organizational goals, optimize operations and workflows, drive quality and safety initiatives, and enhance both patient experience and team member engagement to achieve high-performance programs delivering quality outcomes in this specialized patient population. The nurse Manager oversees all daily operations, staffing, technology, and regulatory compliance across assigned inpatient programs and serves as a primary liaison and information resource for the service unit while overseeing the provision of therapeutic care in a holistic and evidence-based environment which consistently supports VCU Health System's mission and strategic plans.

Highly motivated self-starters should apply today!

The Manager VCU Health at Home provides oversight and management to inpatient and/or outpatient programs within the Continuum Integration Center (CIC), including hiring, training, daily operations, staffing, technology, and regulatory compliance to support high‑quality care, readmission avoidance, ED decompression, and hospital throughput. The role partners closely with department leadership to align operations with organizational goals, optimize workflows, and drive quality, safety, patient experience, and team engagement. This leader serves as the primary liaison for assigned programs and ensures holistic, evidence‑based care consistent with VCU Health’s mission.

Essential Job Statements

Leadership - Functions as the primary clinical administrative leader for assigned CIC units or programs serving as a shared service supporting all VCUHS hospitals (including CHoR), and functions as a key CIC leadership team member to accomplish goals and objectives of the CIC and the organization, upholding quality management, patient care, and departmental standards; assists in developing policies, procedures, and standards that reflect evidence‑based practice. 

Management – Leads team(s) with superior interpersonal and communication skills sufficient to effectively create relationships to support a healing environment with patients, families, staff, providers, and administrative personnel including senior management in both written and verbal communication; continually demonstrates and supports a Professional Practice model that allows nurses to work in collaboration with interdisciplinary partners to achieve high quality patient outcomes. 

Human Resources – Holds responsibility for the recruitment and retention of qualified staff and to ensure appropriate orientation, education, and continuing professional development of personnel through mutual goal setting and performance evaluation; coaches and counsels to correct identified performance deficiencies. 

Operations - Responsible for the coordination, organization and delegation of operational aspects of the CIC’s practices/programs to ensure effective, efficient delivery of services; provides oversight and supervision to the overall practice environment assisting all other disciplines and directing clinical/administrative activity and serves as part of nursing on-call coverage. 

Budget and Finance - Responsible for budgetary oversight, and along with staff involvement, accountable to the organization for maintaining a cost-effective unit/program; monitors utilization of equipment and supplies and prioritizes budget requests to ensure safe patient care and optimal utilization of resources. 

Performance Improvement – Leads and participates in performance improvement activities to improve quality of nursing care, promote patient outcomes and provide a cost-effective environment for patient care; works closely with staff and peers to identify opportunities to improve patient care and resolves patient care issues as identified. 

Care Experience - Creates a caring and compassionate patient focused experience by building healing relationships with patients, families, and colleagues, and serves as the departmental role model in all aspects of patient and home/post-acute/continuum/digital care; demonstrates and promotes a high regard for the dignity, respect and safety of all patients, family members, providers and personnel. 

Change Management - Orchestrates complex change and acknowledges the psychological transition on self and others; involves stakeholders and experts in planning, designing and redesigning change and uses appropriate interpersonal styles and techniques to gain acceptance of ideas or plans; supports staff during times of difficult transitions. 

Innovation - Collaborates with Associate Director in developing and implementing new and/or innovative operational services that meet the evolving needs of the health system and its patients; aids in development of materials to provide education and marketing to enhance referrals as well as clinician/patient/provider awareness. 

Technology Advancement - Actively monitors emerging digital health trends, new technologies, and market developments with a focus on identifying, evaluating, and implementing emerging tools as applicable to improve patient care and operational efficiency; leverages comprehensive suite of Epic EMR tools designed to streamline documentation, integrate digital health roles, and enhance clinical workflows including AI-driven features. 

Miscellaneous - Performs other duties as assigned and/or participates in special projects to support the mission of VCUHS and department. Provides assistance to team members. Accepts alternate assignments as required.  

Patient Population: Demonstrates the knowledge and skills necessary to provide equitable care appropriate to the age of the patients served on their assigned unit. Demonstrates knowledge and related competencies of the principles of growth and development of the life span and possesses the ability to assess data reflective of the patient's status and interprets the appropriate information needed to identify each patient's requirements relative to their age, specific needs and to provide the equitable care needed as described in departmental policies and procedures. Infant (1-12 months), Pediatrics (1-12 years), Adolescents (13-17 years), Adults (18-64 years), Geriatrics (65 years and older) 

Employment Qualifications 

Years and Type of Required Experience: Five (5) years of relevant clinical experience with two (2) of those years of progressive leadership and/or supervisory/management experience 

Years and Type of Preferred Experience: Eight (8) years of relevant clinical experience with five (5) of those years of progressive leadership and/or supervisory/management experience in home care, preferred. Experience in operations of Remote Patient Monitoring providing post-acute care or caring for chronic conditions in the home setting, preferred. Experience in home care, post-acute care, academic medical center, and/or health insurance authorization, preferred 

Licensure Requirement: Licensed Registered Nurse in Virginia or eligible

Certification Required: AHA BLS Certification or equivalent

Certification Preferred: Certifications in functional area

Education Required:

Bachelor’s degree in nursing. Must be enrolled in a master’s degree program at the time of application and must be complete within 36 months of hire. 

Special consideration will be given for applicants enrolled in baccalaureate to doctoral programs who will not attain a master’s degree and may require longer than 36 months to complete the terminal degree. 

If the Master’s degree is not in nursing then it is required to have a BSN from an accredited school. 

Education Preferred:

Master’s Degree in Nursing or other related field from an accredited program

Other Knowledge, Skills and Abilities Required: Interpersonal & Communication: Mentorship, conflict resolution, active listening, and building collaborative relationships across disciplines. Strategic & Operational: Change management, critical thinking, resource management, project planning, and systems thinking. Emotional Intelligence (EI): Self-awareness, empathy, and maintaining professional composure under stress. Technical & Professional: Proficiency in healthcare technology, clinical decision-making, and regulatory compliance. Adaptability: Acting with flexibility to manage rapidly changing health care environments. Financial Acumen: Managing unit budgets, staffing ratios, and optimizing resources. Evidence-Based Practice (EBP): Applying research to improve clinical quality and safety. Adaptability and Continuous Learning: Willingness to learn new tools and adapt to rapidly changing technology. 

Other Knowledge, Skills and Abilities Preferred: Digital Literacy and Platforms: Mastery of telehealth platforms, RPM platforms, mobile health apps, and collaboration tools like Microsoft 365, Teams, etc. Project Implementation: Experience in implementing new digital technologies in clinical settings. Process Optimization: Experience streamlining digital health workflows and increasing clinical efficiency. 

Working Conditions: Periods of high stress and fluctuating workloads may occur. General office environment. Required to car travel to off-site locations, occasionally in adverse weather conditions. Long-distance or air travel as needed- not to exceed 10% travel. May have periods of constant interruptions. 

Prolonged periods of working alone.  

Physical Requirements 

Physical Demands: Lifting/ Carrying (0-50 lbs.), Push/ Pull (0-50 lbs.), Push/ Pull (50-100 lbs.), Stoop, Kneel, Squat, Bending

Work Positition: Sitting, Walking, Standing 

Additional Physical Requirements/ Hazards  

Physical Requirements: N/A

Hazards: Use of Latex Gloves, Exposure to toxic/caustic/chemicals/detergents 

Mental/Sensory – Emotional

Mental/Sensory: Strong Recall, Reasoning, Problem Solving, Hearing, Speak Clearly, Write Legibly, Reading, Logical Thinking

Emotional: Fast pace environment, Steady Pace, Able to Handle Multiple Priorities, Frequent and Intense Customer Interactions, Noisy Environment, Able to Adapt to Frequent Change 

Compensation Range

$92,290.00 - $152,277.00

Actual salary offers will be based on several key factors to include relevant work experience, credentials, and qualifications.

Days

EEO Employer/Disabled/Protected Veteran