Hospital-at-Home Registered Nurse
Richmond, VA
GHR Healthcare - PH Division
3x12 hrs

Job Opportunity: Registered Nurse (Travel/Contract)

Location: Richmond, Virginia
Specialty: Registered Nurse (RN)
Employment Type: Travel/Contract
Contract Length: 13 weeks

Job Description

• Provide direct patient care to inpatients at the acute level within the patient’s home environment (Hospital at Home model).
• Follow individualized plans of care for home visits.
• Implement nursing process through a team nursing model using leveraged technology and remote clinical care coordination.
• Collaborate with a multidisciplinary healthcare team to deliver therapeutic interventions while maintaining high quality and safety standards.
• Work rotating 12-hour shifts: 7 AM - 7 PM and 11 AM - 11 PM.

Requirements

• Minimum 3 years of experience in critical care, acute care, or medical-surgical nursing.
• Bachelor of Science in Nursing (BSN) required.
• Valid Virginia or compact nursing license required at time of submission.
• Mileage reimbursement at IRS rate.

Certifications & Licenses

• Permanent RN license (no temporary licenses accepted).
• ACLS (Advanced Cardiac Life Support) - AHA only.
• BLS (Basic Life Support) - AHA only.
• PALS (Pediatric Advanced Life Support) - AHA only (if applicable).
• NRP (Neonatal Resuscitation Program) (if applicable).
• TNCC (Trauma Nursing Core Course) (if applicable).
• NURSYS verification required for all RNs.
• State license verification required.

Background & Compliance Checks

• Criminal background check within 60 days of start, including:

  • All states lived/worked in past 7 years
  • State of permanent residence
  • VA Statewide Repository Search
  • Sex offender registry
  • Education verification
• EPLS/GSA/SAM and HHS/OIG checks required within 30 days of start.
• Fingerprinting required for certain units (Pediatrics, NICU, Psych, etc.) with specific Virginia State Police process.
• Education verification from accredited nursing program (NLN or CCNE).

Health & Safety Requirements

• Physical exam within 1 year attesting ability to meet physical demands.
• Tdap vaccine required (declination accepted with handwritten signature).
• Negative TB test or chest X-ray per guidelines (Q-gold/T-spot or PPD).
• Annual TB questionnaire.
• Titers for Rubeola (Measles), Mumps, Rubella, Varicella; boosters required if low titers.
• Hepatitis B titer, vaccine series, or declination.
• Drug testing within 60 days of start (9-panel minimum, instant screens not accepted).
• Seasonal flu vaccination or approved exemption required for the 2025-26 season.

Competencies & Exams

• Medication Test/Pharmacology Competency Exam (as applicable).
• Color Blind Testing (required).
• Abuse Reporting Competency covering physical/sexual abuse, domestic violence, neglect/exploitation of elderly or incapacitated adults.
• Competency exams specific to specialty (e.g., Sonography).

Orientation & Facility Specifics

• Orientation includes pharmacology exam, point of care testing, airborne precaution mask fitting, and Basic Knowledge Assessment Tool (BKAT) for ICU/step-down units.
• Completion of assigned learning modules (~6 hours) during orientation week.
• Candidates must bring mask (cloth acceptable), non-wireless headphones, and laptop or cell phone (notify if not available).

Documentation & History

• Two professional references required.
• Complete application/resume required.
• Annual skills checklist required.
• Performance evaluations completed at end of assignment (not required prior to start).

Additional Notes

• Candidates must comply with Virginia Central Registry (CPS) search and submission process within 48 hours of contract signing.
• Fingerprinting and CPS documentation must be submitted timely; candidates may start with results pending if proof of submission is on file.
• No onsite certification renewals; renewals must be scheduled prior to contract start.

This position offers a unique opportunity to provide acute inpatient care in a home setting, requiring strong critical care skills, flexibility with rotating shifts, and compliance with comprehensive credentialing and health requirements.