Lead Registered Nurse

Lead Registered Nurse – Honor Healthcare LLC

Organization: Honor Healthcare LLC (DBA Butterfly Home Care)

Location: Manassas, VA (Prince William County and surrounding areas)

Reports To: Co-Owner / CEO & Administrator

Supervises: Caregivers/Direct Support Professionals; Nursing and Care Coordination Staff

Position Summary

The Lead Nurse is the senior clinical and care coordination leader for Honor Healthcare LLC. This role is responsible for overseeing the quality, safety, and consistency of all in-home services provided to individuals with disabilities and seniors.

Working closely with the CEO, CFO, co-owners/ members, other internal staff as appropriate, the Director of Care provides hands-on clinical oversight, supports person-centered planning, and ensures that services are delivered in alignment with Honor Healthcare’s policies, values, and applicable Virginia regulations. The Lead Nurse serves as a key resource for caregivers, clients, staff, and families on all matters related to care needs, best practices, and risk management. In addition, the Lead Nurse ensures that Honor Healthcare LLC business practices and operations align with the values and uphold the brand standards of Butterfly Home Care.

Key Responsibilities

• Clinical Leadership & Care Coordination

a. Provide overall clinical leadership for Honor Healthcare’s in-home care services, ensuring safe, person-centered, and goal-directed support.

b. Serve as the primary clinical resource for caregivers, staff, clients, and families regarding health-related concerns, care strategies, and best practices.

c. Coordinate care with physicians, therapists, case managers/support coordinators, and other providers to support integrated, holistic services for each individual.

d. Participate in or lead multidisciplinary case reviews and care conferences as needed.

• Assessment & Service Planning

a. Conduct or oversee initial and ongoing assessments of individuals’ care needs, functional abilities, health status, and risks within the scope of Honor Healthcare’s services.

b. Collaborate with clients, families, authorized representatives, and support coordinators to develop individualized service plans that reflect preferences, strengths, and goals.

c. Ensure that service plans clearly outline caregiver tasks, routines, and instructions consistent with the individual’s needs and any relevant medical orders or professional recommendations.

d. Review and update service plans regularly and when there is a change in condition, environment, or risk profile.

• Oversight of Care Delivery & Quality

a. Monitor the quality and consistency of care provided in clients’ homes through regular check-ins, home visits (as applicable), and review of caregiver documentation and collaborate with CEO, CFO, co-owners/ members for continued quality improvement purposes.

b. Ensure that care is delivered in a manner that promotes dignity, safety, independence, and choice.

c. Track and analyze care quality indicators (e.g., missed visits, complaints, incidents, falls, changes in condition) and implement improvements as needed.

d. Provide clinical guidance on complex care situations, challenging behaviors, or changes in conditions that impact service delivery.

• Training, Supervision & Support of Caregivers

a. Collaborate with CEO, co-owners/ members to support service delivery by providing clinical guidance and increasing staff competency of caregivers/direct support professionals.

b. Participate as appropriate in provision of training on topics such as personal care, infection prevention, safe transfers, communication, documentation, boundaries, and respecting individuals’ rights.

c. Provide coaching, feedback, and performance input where caregivers feel valued, heard, and equipped to provide high-quality care.

• Regulatory Compliance, Documentation & Risk Management

a. Collaborate with CEO, co-owners/ members to ensure that care practices and documentation align with Honor Healthcare’s policies and applicable Virginia regulations for home care organizations.

b. Oversee clinical and care-related documentation, including assessments, service plans, progress notes, incident reports, and follow-up actions.

c. Collaborate with leadership on risk management activities, including identification of high-risk situations, development of mitigation strategies, and monitoring of trends.

d. Participate in quality improvement (QI) projects by providing clinical input, reviewing data, and implementing changes to improve safety and outcomes.

• Collaboration with Internal Team, Families & Clients

a. Build strong, respectful relationships with the internal team, clients (individuals served), families, and authorized representatives, maintaining regular communication about care needs, changes, and concerns.

• Leadership, Culture & Teamwork

a. Model Honor Healthcare’s values of integrity, respect, reliability, and excellence in care in all interactions.

b. Contribute to a positive, solutions-focused culture by promoting teamwork, open communication, and continuous learning.

c. Work collaboratively with the CEO, CFO, co-owners/ members, and other leaders to align clinical and operational priorities.

Qualifications Required

• Current, active Registered Nurse (RN) or Licensed Practical Nurse (LPN) license in the Commonwealth of Virginia, in good standing.
• Demonstrated clinical experience in home care, disability services, long-term care, or a related healthcare setting.
• Experience supporting individuals with disabilities and/or seniors, with a strong commitment to person-centered, community-based services.
• Strong knowledge of basic nursing practices, safe caregiving techniques, and health/wellness promotion in the home environment.
• Ability to assess risk, recognize changes in condition, and respond appropriately within the organization’s scope of services.
• Excellent communication, teaching, and interpersonal skills with the ability to support, motivate, and coach caregivers and staff.

Preferred Qualifications

• Experience in a supervisory or leadership role (e.g., charge nurse, nurse manager, clinical supervisor) in home and community-based services.
• Experience in a eldercare.
• Familiarity with Virginia home care regulations and requirements impacting documentation, service delivery, and quality.
• Experience collaborating with Medicaid Waiver programs, support coordinators/case managers, or managed care organizations.
• Bilingual skills (e.g., English/Spanish) and/or prior experience working with diverse communities are a plus.

Skills & Competencies

• Strong clinical judgment and critical thinking skills.
• Ability to organize, prioritize, and manage multiple clients, staff, and tasks effectively.
• Comfort with electronic documentation systems, basic computer skills, and secure communication tools.
• Ability to set own schedule and manage workload independently, a self-starter and demonstrate time management skills.
• High level of professionalism, integrity, and respect for client confidentiality and rights.
• Calm, solution-oriented approach to problem-solving in dynamic or stressful situations.
• Commitment to Honor Healthcare’s mission of providing high-quality in-home care to individuals with disabilities and seniors in the community.

Work Environment

• Work is primarily field/ community-based with a mix of office work and travel to clients’ homes within Prince William County and potentially surrounding areas.
• May include occasional evening or weekend hours to respond to urgent issues, conduct visits, or provide staff support.
• Requires the ability to drive, sit, stand, and perform light to moderate physical tasks related to home visits and demonstrations of safe caregiving techniques.