RN – In-Home Assessments & Client Development
- RN license
- Driver's license
How this pay compares
This posting states $55–$65 an hour. Open home health nurse jobs in Virginia post a median of $48 an hour, the middle half $41.41–$50, across 34 jobs that state their pay, so this one is above the middle half of what they post. Home health nurses employed in Virginia earn a median of $45 an hour (source: BLS Occupational Employment and Wage Statistics, opens in a new tab), according to the Bureau of Labor Statistics (May 2025) (source: BLS Occupational Employment and Wage Statistics, opens in a new tab).
Home health nurses in Virginia: pay by town and employer
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About the job
Job Summary
Our rapidly growing in-home senior care agency is seeking a Registered Nurse (RN) to conduct in-home assessments, meet with prospective clients as part of our growth efforts, and manage an assigned caseload following enrollment.
This role blends clinical expertise with relationship-building and is ideal for a self-directed RN who is comfortable meeting with families, managing a caseload, and working in a fast-paced, technology-driven environment.
Compensation & Benefits
- Competitive hourly pay plus 5% commission on signed new client prospects
- Mileage and paid travel time between visits
- Flexible, scalable schedule
- Supportive and collaborative team environment
- Opportunity to make a meaningful impact in the community
Schedule & Workload
- Flexible role with hours ranging from part-time (approximately 20-25 hours/week) to full-time, depending on caseload and availability
- High-performing RNs may manage 50–70 active clients , with caseload size adjusted collaboratively to ensure sustainability
- Routine RN visits are self-scheduled on a 30-day, 90-day, or as clinically indicated basis , or as directed by the Client Service Manager
- Prospective client visits are scheduled by the office team using shared Google Calendar availability ; flexible weekday availability and recurring availability blocks are required
This role is well-suited for an RN who enjoys autonomy and building their own caseload over time.
Training & Collaboration
- One designated in-office day per week is required for onboarding, training, and participation in orientation-related activities
- Additional in-office time may be required periodically based on agency needs
Responsibilities
Clinical Care & Oversight
- Conduct in-home RN assessments throughout Richmond, VA and surrounding areas
- Monitor and document changes in client condition
- Develop and oversee individualized plans of care
- Supervise and evaluate caregiver performance
- Participate in quality assurance activities, including care plan reviews and client conferences
- Educate clients and families on disease processes, treatments, medications, and nutrition
Growth & Client Development
- Conduct in-home visits with prospective clients and families
- Serve as a clinical representative of the agency during prospect visits
- Build and manage a caseload that includes enrolled clients and assigned referrals
- Transition new clients into ongoing RN oversight
Documentation & Systems
- Complete accurate, timely documentation using digital forms and agency software
- Manage cases within defined productivity standards
Qualifications
- Active RN license in the state of Virginia
- Valid driver’s license and reliable vehicle
- Minimum of 5 years of nursing experience (home health, senior care, or related field preferred)
- Strong technology skills; ability to quickly learn new software systems (experience with Google Calendar, Adobe, electronic documentation, and agency platforms preferred)
- Confident communicator comfortable meeting with prospective clients and families
- Excellent organizational, time-management, and multitasking skills
- Ability to maintain confidentiality
- Comfortable working in homes with pets (cats and dogs)
EEOC Statement
Senior Helpers – Greater Richmond is an Equal Opportunity Employer and does not discriminate on the basis of race, color, national origin, ancestry, religion, sex, age, disability, veteran status, sexual orientation, or any other basis protected by applicable law.
From Senior Helpers's job posting, checked Oct 29, 2026. The employer's own page is the final word on requirements and availability.
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About Senior Helpers
Senior Helpers hires caregivers, nursing assistants and nurses in 46 states.
Hires in 46 statesPay on its listings: 78.5% of its open jobs state an hourly rate
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