Registered Nurse

Job description

Registered Nurse for Giles and Pulaski


General Description:
Under the direct supervision of the CHIP Nurse Supervisor the CHIP Nurse works with a target population of pregnant women, children, aged 0 - 6 years and their families, providing care coordination and health education services through in-home assessments. The Nurse works closely with area medical doctors, dentists, and other healthcare providers to ensure seamless quality care for all enrolled families.

Duties and Responsibilities:
1. Maintains assigned caseloads, conducts home visits with families and coordinates case management of families with the Family Support Specialist, using a team approach. Serves as team leader for families with health needs as a priority.
2. Assesses the current health, nutritional, psychosocial, emotional, environmental, economic, and demographic status of the caseload. Addresses any needed areas of concern and makes appropriate referrals.
3. Educates patients and families about actual or potential health problems, and enhances patient/family understanding of specific health care needs.
4. Completes oral health assessments, and administers fluoride varnishes on all children as teeth appear up to the age of 3, following the VA Dept. of Health Protocol under the prescriptive authority of a local dentist.
5. Provides anticipatory guidance to parents concerning child growth and development and intense anticipatory guidance to pregnant women concerning having a healthy pregnancy, and fetal growth and development.
6. Works closely with health care providers and human services agencies to ensure seamless quality services for all enrolled children and their families.
7. Interprets medical reports and recommendations to facilitate coordination of care.
8. Utilizes a strength-based approach with all families while encouraging them to find solutions for their challenges. Assists parents in developing and fostering healthy self-concepts, self-help skills, and independence.
9. Provides families with information about available community resources and services; providing transportation when necessary.
10. Works within required state and federal guidelines; follows agency policies/procedures in all areas.
11. Responsible for supervision (training, assigning, directing, and evaluating) of interns and other volunteers as assigned.

Knowledge, skills, and abilities:
Must:
• Know basic nursing principles and practices, and public health assessment concepts and community resources.
• Be willing and able to work independently, primarily in the homes of families residing in high-risk communities while being task-oriented and having a clear sense of boundaries.
• Be able to make decisions which may have moderate to major impact on the operation of program and agency (general operations to funding).
• Possess organizational skills with the ability to manage multiple priorities simultaneously; must be detailed oriented.
• Be capable of problem solving, handling crises, and working with families and children of various cultures from low-income backgrounds.
• Possess an approach to working with families that is empathic, nonjudgmental, respectful, and professional.
• Be capable of lifting up to 50 pounds, walking, bending, and standing, occasionally lifting up to 80 pounds.
• Be able to assist disabled family members in/out of automobiles and in/out of doctor offices or arrange for appropriate transport.
• Be willing and able to utilize a computer in managing family data to meet essential job requirements.
• Be able to fluently use or learn to us and online database.

Before employment, the applicant must sign authorizations for NRCA to perform DMV and Criminal Record Checks. These will be used to demonstrate that a satisfactory driving record and no pending or found charges or convictions related to abuse, neglect, or exploitation of children or adults are present.


Driving is an essential function of the job. Must possess valid driver's license and safe driving record. Must be able to drive up to 4 hours per day but may be required to drive more than 4 hours in a given day. Some night/overnight driving may be required for a night or out of town trainings or meetings.
If an agency vehicle is unavailable, must have a vehicle with valid inspection and insurance meeting minimum state requirements available for transporting individuals and families within the New River Valley, and in pre-approved cases outside the New River Valley. Mileage reimbursed by NRCA.


Education and Experience:
Must be a Virginia Licensed Registered Nurse and have an Associate degree in nursing.

NRCA conducts pre-employment criminal background checks, including fingerprints, child abuse and neglect, and driving record. Possession of a valid driver's license and a good driving record is required. Pre-employment drug testing, TB test/screening, and employment physical are also required.

Application Deadline: September 15, 2026, or until the position is filled. USDA is an equal opportunity provider, employer, and lender. EEO/AA