Registered Nurse; RN - Continuum Home Health Case Manager

Hiring multiple RNs in various locations***

UVA Health’s Continuum Home Health team is redefining what high‑level nursing looks like outside the hospital walls. We are an academic home health agency,
providing care in the community for 30 years. This role is designed for experienced RNs who value clinical autonomy, meaningful patient relationships, while working primarily from home and serving the community they know best.

This is not episodic care. It is longitudinal, relationship driven nursing within one of the nation’s most respected academic health systems.

As a Continuum Home Health Case Manager RN, you serve as the clinical anchor for patients transitioning from acute care to home or managing complex conditions in their own environment. You work independently, yet never in isolation, supported by UVA Health’s robust interdisciplinary and academic infrastructure.

• Manage a defined caseload of adult patients receiving skilled home health services across your local service area
• Perform comprehensive in‑home assessments, care planning, and ongoing evaluation
• Coordinate care for patients across physicians, therapists, social workers, pharmacists, and acute care teams
• Deliver evidence‑based nursing care, patient education, and chronic disease management in the home setting
• Use clinical judgment to prioritize visits, respond to changing patient needs, and prevent unnecessary hospitalizations
• Document and communicate effectively using UVA Health’s integrated clinical systems

Your day begins from home, planning visits within your assigned community. You may start with a post‑discharge patient requiring complex medication reconciliation, followed by a chronic disease management visit focused on education and symptom monitoring. Throughout the day, you collaborate with physicians and team members, adjusting care plans in real time. The pace is purposeful, the work is deeply personal, and the impact is immediate.

UVA Health brings academic medicine into the home, allowing nurses to deliver advanced, patient centered care beyond traditional clinical settings.

• Part of UVA Health’s integrated Home & Transitional Care programs, delivering advanced care to patients aging in place or recovering at home
• Supported by a nationally recognized academic health system with a strong culture of nursing excellence and professional governance
• Access to interdisciplinary collaboration and specialty expertise typically found only in large medical centers
• Participation in innovative care models, including telehealth and remote monitoring initiatives expanding access to care in the home
• A role that values clinical judgment, independence, and continuity of care rather than volume driven visits

This position serves patients in Charlottesville and the surrounding communities, including the following counties:

• Albemarle
• Culpeper
• Greene
• Madison
• Orange
• Louisa
• Fluvanna
• Nelson
• Buckingham
• Augusta
• Rockingham

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.

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 20‑50 lbs. May be exposed to chemicals, blood/body fluids and infectious disease.

The starting base rate for this role is $82,992.00 annually. Individual compensation will be determined by the selected candidate's qualifications, previous work experience, and/or education.

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

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.