Manager of Health at Home Inpatient

About the Role

VCU Health is seeking an authentic, passionate, and inspiring Nurse Manager to lead our virtually enabled Hospital-at-Home (HaH) program. Housed in the health system’s Continuum Integration Center (CIC) in north Richmond, this role offers innovation, professional growth, and the opportunity to be part of an exceptional team. The HaH program delivers care through a mix of in-person nursing and paramedic visits, virtual nursing and vital sign monitoring, and telehealth physician visits.

The Nurse Manager supervises staff across multiple settings: visiting RNs in patients' homes, patient acquisition RNs at VCU Medical Center, and monitoring RNs in the CIC command center. This position supports the growth and development of VCU Health at Home’s strategy and reports directly to the Nursing Director of VCU Health at Home, Continuum Integration, and Senior Services.

Hospital-at-Home programs are gaining momentum nationwide due to benefits such as increased patient satisfaction, improved outcomes, better performance on value-based metrics, and relief of facility capacity constraints.

Responsibilities

• Oversee the 24/7 Hospital-at-Home “virtual unit,” including hiring, training, and managing a multidisciplinary team.
• Develop and implement business strategies, nursing practice tools, and digital health resources to support quality care, including decanting low-acuity patients to create high-acuity capacity and reducing readmissions.
• Collaborate closely with the Nursing Director to align clinical operations with organizational goals, optimize workflows, drive quality and safety initiatives, and enhance patient experience and team engagement.
• Manage daily operations, staffing, technology, and regulatory compliance for assigned inpatient programs.
• Serve as the primary liaison and information resource for the service unit, ensuring holistic, evidence-based care aligned with VCU Health’s mission.
• Provide oversight for inpatient and outpatient programs within the Continuum Integration Center (CIC), including hiring, training, daily operations, staffing, technology, and regulatory compliance.
• Partner with department leadership to optimize workflows and drive quality, safety, patient experience, and team engagement.
• Function as the primary clinical administrative leader for assigned CIC units, supporting all VCUHS hospitals, and uphold quality management, patient care, and departmental standards.
• Develop policies, procedures, and standards reflecting evidence-based practice.
• Lead teams with superior interpersonal and communication skills to foster a healing environment for patients, families, staff, and providers.
• Recruit, retain, and develop qualified staff through orientation, education, and performance evaluations; address performance deficiencies through coaching and counseling.
• Coordinate and delegate operational aspects of CIC practices/programs to ensure efficient service delivery.
• Provide budgetary oversight and maintain cost-effective operations while monitoring resource utilization.
• Lead and participate in performance improvement activities to enhance nursing care quality, patient outcomes, and cost-effectiveness.
• Create a compassionate, patient-focused experience by building healing relationships with patients, families, and colleagues.
• Orchestrate complex change, involving stakeholders in planning and redesign, and support staff during transitions.
• Collaborate on developing and implementing innovative operational services to meet evolving health system needs.
• Monitor emerging digital health trends and evaluate new technologies to improve patient care and operational efficiency.
• Leverage Epic EMR tools, including AI-driven features, to streamline documentation and enhance clinical workflows.
• Perform additional duties as assigned, including special projects and alternate assignments.

Requirements

• Five (5) years of relevant clinical experience, with two (2) years of progressive leadership and/or supervisory/management experience.
• Demonstrated knowledge and skills to provide equitable care across all patient age groups: Infant (1-12 months), Pediatrics (1-12 years), Adolescents (13-17 years), Adults (18-64 years), and Geriatrics (65 years and older).

Preferred Qualifications

• Eight (8) years of relevant clinical experience, with five (5) years of progressive leadership in home care.
• Experience in Remote Patient Monitoring (RPM) for post-acute or chronic care in home settings.
• Background in home care, post-acute care, academic medical centers, or health insurance authorization.

Skills

Required:

• Interpersonal & Communication: Mentorship, conflict resolution, active listening, and building collaborative relationships across disciplines.
• Strategic & Operational: Change management, critical thinking, resource management, project planning, and systems thinking.
• Emotional Intelligence (EI): Self-awareness, empathy, and maintaining professional composure under stress.
• Technical & Professional: Proficiency in healthcare technology, clinical decision-making, and regulatory compliance.
• Adaptability: Flexibility to manage rapidly changing healthcare environments.
• Financial Acumen: Managing unit budgets, staffing ratios, and optimizing resources.
• Evidence-Based Practice (EBP): Applying research to improve clinical quality and safety.
• Continuous Learning: Willingness to learn new tools and adapt to evolving technology.

Preferred:

• Digital Literacy and Platforms: Mastery of telehealth platforms, RPM platforms, mobile health apps, and collaboration tools like Microsoft 365 and Teams.
• Project Implementation: Experience implementing new digital technologies in clinical settings.
• Process Optimization: Experience streamlining digital health workflows and increasing clinical efficiency.

Working Conditions

• Periods of high stress and fluctuating workloads in a general office environment.
• Required to travel by car to off-site locations, occasionally in adverse weather conditions.
• Long-distance or air travel may be required, not to exceed 10% of the time.
• May experience constant interruptions and prolonged periods of working alone.

Physical Requirements

• Physical Demands: Lifting/carrying (0-50 lbs.), pushing/pulling (0-100 lbs.), stooping, kneeling, squatting, bending.
• Work Position: Sitting, walking, standing.
• Mental/Sensory: Strong recall, reasoning, problem-solving, hearing, clear speech, legible writing, reading, and logical thinking.
• Emotional: Ability to handle a fast-paced environment, multiple priorities, frequent customer interactions, noisy conditions, and adapt to change.

Pay

Compensation range: $92,290.00 - $152,277.00. Actual salary offers will be based on relevant work experience, credentials, and qualifications.

Schedule

Days (full-time).