CMA Outpatient Full-time
VCU Health

Certified Medical Assistant - Security Care Clinic

VCU Health Richmond, VA
**$2,500 Sign On Bonus for offers accepted by March 31, 2026. Terms and Conditions apply** The Certified Medical Assistant provides direct, age-specific care to a patient or group of patients based on medical orders and the plan of care under the direction of the physician. Licensure, Certification, or Registration Requirements for Hire: Current Medical Assistant Certification through a recognized national professional association such as, the American Association of Medical Assistants, the American Medical Technologists, The National Association of Healthcare Professions, the American Registry of Medical Assistants, or the National Healthcare Association. Licensure, Certification, or Registration Requirements for continued employment: Current Medical Assistant Certification through a recognized national professional association such as, the American Association of Medical Assistants, the American Medical Technologists, The National Association of Healthcare Professions, the American Registry of Medical Assistants, or the National Healthcare Association. AHA BLS HCP Certification or equivalent Experience REQUIRED: One (1) year of medical assistant work experience within the last three (3) years if individual is not a graduate of a medical assistant program No work experience if individual is a graduate of a medical assistant program Previous experience using a personal computer and various software applications, including Microsoft, e-mail, etc. Demonstrated experience utilizing strong organizational, problem solving, communication and interpersonal skills Experience PREFERRED: Two (2) to three (3) years of previous experience as a Certified Medical Assistant Previous experience in an academic health care environment Education/training REQUIRED: High School Diploma or equivalent Education/training PREFERRED: Graduation from a Medical Assisting training program from an accredited program of study such as the Commission on Accreditation of Allied Health Education Programs (CAAHEP) or the Accrediting Bureau of Health Education Schools (ABHES). Independent action(s) required: Functions under direction of a licensed independent practitioner, manager and/or RN in providing patient care, emotional support, and problem solving; all in accordance with hospital, nursing and unit policy/procedure. Requires prior approval or guidance from supervisor: time/schedule changes; legal issues; directed care which deviates from standard; and identify educational resources to meet developmental needs. Job duties may include the handling, transportation, access to and/or contact with medications and related supplies. Supervisory responsibilities (if applicable): N/A Additional position requirements: Certified Medical Assistants work all three shifts, weekends and holidays. Individual shift rotation and schedules will be established with your specific Nurse Manager/Practice Manager. Schedules, including requirements of shift rotations and hours of work may be adjusted as necessary to meet clinic requirements and/or as needed. Age Specific groups served: All Physical Requirements (includes use of assistance devices as appropriate): Physical: Lifting 20-50 lbs. Activities: Prolonged standing, Prolonged sitting, Frequent bending, Walking (distance), Climbing (steps, ladder, other), Reaching (overhead, extensive, repetitive) Mental/Sensory: Strong recall, Reasoning, Problem solving, Hearing, Speak clearly, Write legibly, Reading, Logical thinking Emotional: Fast pace environment, Able to handle multiple priorities, Able to adapt to frequent, change EEO Employer/Disabled/Protected Veteran/41 CFR 60-1.4.
RN Pediatric Full-time
VCU Health

Pediatric CIT Nurse Navigator

VCU Health Richmond, VA
**$10,000 Sign On Bonus for offers accepted by March 31, 2026. Terms and Conditions apply** The Nurse Patient Navigator functions as a Nurse Patient Navigator and serves as an advocate, interpreter, educator and counselor for a group of patients. The Nurse Patient Navigator manages the care of assigned patients in collaboration with a multidisciplinary team to ensure high quality and comprehensive healthcare and ancillary services. The Nurse Patient Navigator serves as the single point of contact to assigned patients and caregivers. The Nurse Patient Navigator remains a support system to patients and caregivers throughout the patient’s treatment. The Nurse Patient Navigator uses clinical/nursing knowledge and skills in the performance of job responsibilities. Licensure, Certification, or Registration Requirements for Hire: Current RN licensure in Virginia or eligible or compact state Licensure, Certification, or Registration Requirements for continued employment: Current RN licensure in Virginia AHA BLS Certification Specialty Nursing Certification in either Nurse Navigation or area of specialty within one year of hire in position Experience REQUIRED: Minimum of three (3) years of relevant clinical experience in nursing, patient education; case management and/or navigation Previous experience in specialty area Experience PREFERRED: Previous nurse navigation or leadership experience Experience within an academic, teaching hospital Education/training REQUIRED: Baccalaureate Degree in Nursing from an accredited School of Nursing Education/training PREFERRED: Master’ Degree in Nursing from an accredited School of Nursing Independent action(s) required: Follows documented physician/licensed independent provider medical/treatment orders. Practices within the boundaries of the regulations governing the practice of nursing in the Commonwealth of Virginia. Practice is guided by the ANA Code of Ethics for Nursing and established national nursing practice standards. All practice is guided by and follows the VCUHS policies and procedures and established practice guidelines. Organizes and plans work with input from the patient/family with specific outcomes identified. Demonstrates use of sound clinical judgment based on nursing knowledge/experience. Supervisory responsibilities (if applicable): N/A Additional position requirements: Positions are primarily weekday work but may be expected to work into the evening or on the weekend, depending on assignment. May be required to go to all VCUHS locations. Age Specific groups served: As appropriate based on unit assignment Physical Requirements (includes use of assistance devices as appropriate): Physical - Lifting less than 20 lbs. Activities: Prolonged standing, Prolonged sitting, Frequent bending, Walking (distance), Climbing (steps, ladder, other), Reaching (overhead, extensive, repetitive): Repetitive motion Mental/Sensory: Strong recall, Reasoning, Problem solving, Hearing, Speak clearly, Write legibly, Reading, Logical thinking Emotional: Fast pace environment, Steady pace, Able to handle multiple priorities, Frequent and intense customer interactions, Noisy environment, Able to adapt to frequent change EEO Employer/Disabled/Protected Veteran/41 CFR 60-1.4.
CMA Full-time
VCU Health

Certified Medical Assistant CMA- Center for Advanced Health Management- Days

VCU Health Richmond, VA
**$2,500 Sign-On Bonus for offers accepted by March 31, 2025. Terms and Conditions apply** The VCU Center for Advanced Health Management (CAHM) is a home base for an advanced comprehensive care model for qualifying patients with complex care needs, including older adults. We are a specialized adult primary care clinic that is made up of two clinics: complex care and geriatric care. Our complex clinic cares for adults with multiple comorbidities and our geriatric clinic has geriatricians who specialize in dementia, mobility issues and caregiver burden. Our team supports a very diverse patient population so our nurses are always learning and growing. We are a wonderful team of nurses, social workers, pharmacy, x-ray, outreach and lab excited to welcome a new team member! The Certified Medical Assistant provides direct, age-specific care to a patient or group of patients based on medical orders and the plan of care under the direction of the physician. Licensure, Certification, or Registration Requirements for Hire: Current Medical Assistant Certification through a recognized national professional association such as, the American Association of Medical Assistants, the American Medical Technologists, The National Association of Healthcare Professions, the American Registry of Medical Assistants, or the National Healthcare Association. Licensure, Certification, or Registration Requirements for continued employment: Current Medical Assistant Certification through a recognized national professional association such as, the American Association of Medical Assistants, the American Medical Technologists, The National Association of Healthcare Professions, the American Registry of Medical Assistants, or the National Healthcare Association. AHA BLS HCP Certification or equivalent Experience REQUIRED: One (1) year of medical assistant work experience within the last three (3) years if individual is not a graduate of a medical assistant program No work experience if individual is a graduate of a medical assistant program Previous experience using a personal computer and various software applications, including Microsoft, e-mail, etc. Demonstrated experience utilizing strong organizational, problem solving, communication and interpersonal skills Experience PREFERRED: Two (2) to three (3) years of previous experience as a Certified Medical Assistant Previous experience in an academic health care environment Education/training REQUIRED: High School Diploma or equivalent Education/training PREFERRED: Graduation from a Medical Assisting training program from an accredited program of study such as the Commission on Accreditation of Allied Health Education Programs (CAAHEP) or the Accrediting Bureau of Health Education Schools (ABHES). Independent action(s) required: Functions under direction of a licensed independent practitioner, manager and/or RN in providing patient care, emotional support, and problem solving; all in accordance with hospital, nursing and unit policy/procedure. Requires prior approval or guidance from supervisor: time/schedule changes; legal issues; directed care which deviates from standard; and identify educational resources to meet developmental needs. Job duties may include the handling, transportation, access to and/or contact with medications and related supplies. Supervisory responsibilities (if applicable): N/A Additional position requirements: Certified Medical Assistants work all three shifts, weekends and holidays. Individual shift rotation and schedules will be established with your specific Nurse Manager/Practice Manager. Schedules, including requirements of shift rotations and hours of work may be adjusted as necessary to meet clinic requirements and/or as needed. Age Specific groups served: All Physical Requirements (includes use of assistance devices as appropriate): Physical: Lifting 20-50 lbs. Activities: Prolonged standing, Prolonged sitting, Frequent bending, Walking (distance), Climbing (steps, ladder, other), Reaching (overhead, extensive, repetitive) Mental/Sensory: Strong recall, Reasoning, Problem solving, Hearing, Speak clearly, Write legibly, Reading, Logical thinking Emotional: Fast pace environment, Able to handle multiple priorities, Able to adapt to frequent, change Days EEO Employer/Disabled/Protected Veteran/41 CFR 60-1.4.
RN Full-time
VCU Health

Registered Nurse (RN) – Diagnostic Radiology - CHoR & Gateway - Days

VCU Health Richmond, VA
**$15,000 Sign On Bonus for offers accepted by March 31, 2026. Terms and Conditions apply** The position will: - Rotate between Gateway & CHoR (goal is 50:50 and will be adjusted based on the needs of each location) - 4 10s- Primarily Monday - Friday (can be scheduled on the weekend within the six (6) week schedule to cover, PTO, LOA etc.) - Start time is between 7a-11a during the six (6) week schedule- this to ensure evening coverage (all the nurses are rotated to cover the evenings) The Clinical Nurse I job Integrates technical skills and theoretical knowledge to meet the needs of the patient and family. This job assists the health care team with the prevention of illness and injury, maintenance of wellness, and provision of comfort. This job provides direction, education, and begins to acquire leadership skills at the unit level. This job delivers and accurately documents direct, age-specific care to a patient or group of patients based on medical orders and an integrated, multidisciplinary plan of care. This job also safely administers prescribed medications, identifying incompatibilities and/or interactions. The Clinical Nurse II job demonstrates a mastery of clinical skills and begins to apply this knowledge to a specific patient population. This job assists the health care team with the prevention of illness and injury, maintenance of wellness, and provision of comfort. This job recognizes changes in patient situations and intervenes appropriately. This job mobilizes resources to meet the individualized needs of patient/families. This job provides direction, education, and assumes leadership responsibilities at the unit level. This job delivers and accurately documents direct, age-specific care to a patient or group of patients based on medical orders and an integrated, multidisciplinary plan of care. This job safely administers prescribed medications, identifying incompatibilities and/or interactions. The Clinical Nurse III job demonstrates clinical knowledge at the unit level and begins to apply this knowledge to a specific patient population. This job assists the health care team with the prevention of illness and injury, maintenance of wellness, and provision of comfort. This job anticipates changes in patient situations and intervenes appropriately. This job provides direction, education, and serves as a role model in a clinical setting. This job delivers and accurately documents direct, age-specific care to a patient or group of patients based on medical orders and an integrated, multidisciplinary plan of care. This job safely administers prescribed medications, identifying incompatibilities and/or interactions. Licensure, Certification, or Registration Requirements for Hire: Clin I, Clin II, Clin III: Current RN licensure in Virginia or eligible or compact state Licensure, Certification, or Registration Requirements for continued employment: Clin I, Clin II, Clin III: Current RN licensure in Virginia, AHA BLS HCP Certification or equivalent Experience REQUIRED: Clin I: N/A Clin II: 12 to 24 months RN experience Clin III: 3 years of clinical experience Experience PREFERRED: Clin I: Experience as an LPN, nursing assistant or care partner in either an acute care setting or as applicable to area of practice Clin II, Clin III: Academic Health Care Experience; Experience with similar patient population in either an acute care setting or as applicable to area of practice Education/training REQUIRED: Clin I, Clin II, Clin III: Diploma or Associates Degree from a professional nursing program recognized and/or approved by the corresponding state’s Board of Nursing. All registered nurses without a Bachelor's degree in Nursing (or higher) will be required to enroll in an approved RN to BSN program within two years of their start date and to complete the program within five years of their start date unless grandfathered under previous requirements. Education/training PREFERRED: Clin I, Clin II, Clin III: Completion of a Bachelor’s Degree in Nursing (or higher) from an accredited program Clin III: Certification in specialty area Independent action(s) required: Follows documented physician/licensed independent provider orders. Practices within the boundaries of the regulations governing the practice of nursing in the Commonwealth of Virginia. Practice is guided by the ANA Code of Ethics for Nursing and established national nursing practice standards. All practice is guided by and follows the VCUHS policies and procedures and established practice. Supervisory responsibilities (if applicable): Clin I, Clin II, Clin III: Organizes work and delegates and supervises others (RN's, LPN's, Care Partners, Unit Secretaries, etc.) in carrying out assignments. Additional position requirements: Clin I, Clin II, Clin III: Clinicians work all three shifts, weekends and holidays. Individual shift rotation and schedules will be established with your specific Nurse Manager/Practice Manager. Schedules, including requirements of shift rotations and hours of work may be adjusted as necessary to meet unit requirements and/or as needed. Age Specific groups served: As appropriate based on unit assignment. Physical Requirements (includes use of assistance devices as appropriate): Physical: Lifting 20-50 lbs. Other: Exposure to potentially hazardous and infectious substances Activities: Prolonged standing, Prolonged sitting, Frequent bending, Walking (distance), Climbing (steps, ladder, other), Reaching (overhead, extensive, repetitive) Mental/Sensory: Strong recall, Reasoning, Problem solving, Hearing, Speak clearly, Write legibly, Reading, Logical thinking Emotional: Fast pace environment, Steady pace, Able to handle multiple priorities, Frequent and intense customer interactions, Noisy environment EEO Employer/Disabled/Protected Veteran/41 CFR 60-1.4.
CMA Part-time
VCU Health

Certified Medical Assistant - Hospital at Home - Part-time

VCU Health Richmond, VA
**$1,000 Sign On Bonus for offers accepted by March 31, 2026. Terms and Conditions apply** The Certified Medical Assistant provides direct, age-specific care to a patient or group of patients based on medical orders and the plan of care under the direction of the physician. Licensure, Certification, or Registration Requirements for Hire: Current Medical Assistant Certification through a recognized national professional association such as, the American Association of Medical Assistants, the American Medical Technologists, The National Association of Healthcare Professions, the American Registry of Medical Assistants, or the National Healthcare Association. Licensure, Certification, or Registration Requirements for continued employment: Current Medical Assistant Certification through a recognized national professional association such as, the American Association of Medical Assistants, the American Medical Technologists, The National Association of Healthcare Professions, the American Registry of Medical Assistants, or the National Healthcare Association. AHA BLS HCP Certification or equivalent Experience REQUIRED: One (1) year of medical assistant work experience within the last three (3) years if individual is not a graduate of a medical assistant program No work experience if individual is a graduate of a medical assistant program Previous experience using a personal computer and various software applications, including Microsoft, e-mail, etc. Demonstrated experience utilizing strong organizational, problem solving, communication and interpersonal skills Experience PREFERRED: Two (2) to three (3) years of previous experience as a Certified Medical Assistant Previous experience in an academic health care environment Education/training REQUIRED: High School Diploma or equivalent Education/training PREFERRED: Graduation from a Medical Assisting training program from an accredited program of study such as the Commission on Accreditation of Allied Health Education Programs (CAAHEP) or the Accrediting Bureau of Health Education Schools (ABHES). Independent action(s) required: Functions under direction of a licensed independent practitioner, manager and/or RN in providing patient care, emotional support, and problem solving; all in accordance with hospital, nursing and unit policy/procedure. Requires prior approval or guidance from supervisor: time/schedule changes; legal issues; directed care which deviates from standard; and identify educational resources to meet developmental needs. Job duties may include the handling, transportation, access to and/or contact with medications and related supplies. Supervisory responsibilities (if applicable): N/A Additional position requirements: Certified Medical Assistants work all three shifts, weekends and holidays. Individual shift rotation and schedules will be established with your specific Nurse Manager/Practice Manager. Schedules, including requirements of shift rotations and hours of work may be adjusted as necessary to meet clinic requirements and/or as needed. Age Specific groups served: All Physical Requirements (includes use of assistance devices as appropriate): Physical: Lifting 20-50 lbs. Activities: Prolonged standing, Prolonged sitting, Frequent bending, Walking (distance), Climbing (steps, ladder, other), Reaching (overhead, extensive, repetitive) Mental/Sensory: Strong recall, Reasoning, Problem solving, Hearing, Speak clearly, Write legibly, Reading, Logical thinking Emotional: Fast pace environment, Able to handle multiple priorities, Able to adapt to frequent, change Rotating EEO Employer/Disabled/Protected Veteran/41 CFR 60-1.4.
NP Outpatient Full-time
VCU Health

Advanced Practice Provider - Cardiology - Inpatient/Outpatient - CMH

VCU Health La Crosse, VA
VCU's Pauley Heart Center is expanding access to inpatient and outpatient cardiovascular care at VCU's Community Memorial Hospital. The full time APP will manage acute and chronic cardiovascular conditions of new, transitional, and follow up patients in both the inpatient and ambulatory setting. The Advanced Practice Provider (APP- NP, PA) provides high-quality medical and/or surgical patient care. This position provides care to patients with acute and chronic complaints in collaboration with the Attending Physician. The Advanced Practice Provider provides diagnostic, therapeutic, and/or preventive healthcare service on a Collaborative APP/Physician team. The Advanced Practice Provider may perform any or all of the following: histories and physicals; order and interpret tests; make diagnosis; treat injuries/illness; assist with surgical procedures; counsel patient and/or prescribe medication and those invasive procedures defined by the Virginia Board of Medicine. The Advanced Practice Provider works collaboratively with the medical team to deliver organized, timely, cost effective and quality patient care. The Advanced Practice Provider will provide patient care under a defined departmental and state-approved scope of practice with the collaboration of an Attending Physician(s). Essential Job Statements Performance Expectation: Clinical & Patient Care Responsibilities Demonstrates mastery of treatment and patient care of specialty population served. Demonstrates expert knowledge to coordinate patient care across the continuum of services through the patient’s trajectory of illness. Assesses the health status of individuals through health histories, by performing physical examination, initiating screening, ordering or performing diagnostic tests, providing direct patient care, assisting with surgical procedure, therapeutic intervention, prescribing medication and/or counseling patients to a specified patient population. Initiates emergency procedures as needed. Practices safety, environmental and/or infection control methods. Makes rounds with the attending physicians as necessary. Supervises and/or coordinates the activities of patient care and support staff within assigned area. Documents all pertinent information and data in the patient’s medical record. Interpreting information obtained from history and physical and develops a treatment plan. Formulates and prioritizes appropriate short-term and long-term therapeutic plans when indicated. Incorporates in the plan of care the physical, spiritual, cultural and psychosocial aspects of patients and families to promote optimum levels of health. Explores strategies to decrease length of stay and resource consumption within specialty area. Establishes priorities to meet the health needs of the individual, family or community. Maintains effective communications about patient care with all members of the health care team to assure care is coordinated. Assists with the coordination of care between primary and specialty health care services when needed. Performance Expectation: Consultation Functions as a consultant to other health care professionals in the multi-disciplinary team regarding routine and unusual therapeutic interventions. Serves as a liaison, translator and negotiator for staff, patients and families. Collaborates in the development, implementation, communication and monitoring of the multi-disciplinary plan of care for complex patients. Shares responsibility for patient education which may include the patient, family members or other caregivers. May provide training to residents, fellows and other health care staff in area of specialty. Participates in the continual assessment and revision of practices and procedures in specialty area. Promotes teamwork through effective communication, feedback to team members. Recognizes team as integral to individual effectiveness and quality patient outcomes. Performance Expectation: Research Utilizes current research to develop, implement and evaluate critical paths and standards of care for identified patient population. Contributes to the profession through participation in research, publications, consultation and/or educational activities. Demonstrates knowledge and support for clinical trials within specialty area. Performance Expectation: Ethical Decision Making Skills Incorporates the use of clinical judgment in ethical decision making. Practices the principles of ethics in decision making for patients. Promotes the use of interdisciplinary collaborative processes to resolve ethical dilemmas. Demonstrates appropriate use of skills of negotiation, mediation, collaboration, compromise and accommodation to assist families struggling with ethical decisions. Displays the ability to examine patient’s values that impact treatment decision-making preferences. Recognizes patient rights as a foundation for ethical decisions. Performance Expectation: Professional Development Seeks out opportunities for professional growth through organizational affiliations. Functions in collaborative relationships with physicians, allied health professionals and administration. Assesses own learning needs and develops and implements a plan for professional growth. Enhances professional growth and development through participation in educational programs, current literature, in-service and workshops. Participates in teaching program as needed. Participates in continuing education activities to maintain competencies and to meet re-certification requirements. Maintain appropriate certification requirements to continue VCUHS privileges. Performance Expectation: Miscellaneous Responsibilities Performs other duties as assigned and/or participates in special projects in order to support the mission of VCU Health. Provides assistance to team members. Accepts alternate assignments, as required, graciously. Patient Population Age Specific groups served: As appropriate based on unit assignment. Employment Qualifications Required Education: Graduation from an accredited Nurse Practitioner, Nurse Midwife or Physician Assistant Program Preferred Education: Service-specific education Licensure/Certification Required: Current Virginia licensure from the appropriate Board as a Nurse Practitioner, or Physician Assistant Current national certification as appropriate for the role Credentialing in accordance with medical staff by-laws for specific job titles Current CPR and Basic Life Support (BLS) certifications; Additional certifications, including Advanced Cardiac Life Support (ACLS) certifications, Pediatric Advanced Life Support (PALS) for Pediatric services, may be determined at the department level Licensure/Certification Preferred: Service-specific certification Minimum Qualifications Years and Type of Required Experience Previous clinical experience with the population served Other Knowledge, Skills and Abilities Required: Cultural Responsiveness Other Knowledge, Skills and Abilities Preferred: Three (3) years of previous clinical experience with the population served Previous experience in an academic healthcare system Working Conditions Physical Requirements Physical Demands: Lifting/ Carrying (0-50 lbs.), Lifting/ Carrying (50-100 lbs.), Lifting/ Carrying (100+ lbs.), Push/ Pull (0-50 lbs.), Push/ Pull (50-100 lbs.), Stoop, Kneel, Squat, Crawling, Climbing, Balance, Bending Work Position: Sitting, Walking, Standing Additional Physical Requirements/ Hazards Physical Requirements: Manual dexterity (eye/hand coordination), Perform Shift Work, Maneuver weight of patients, Hear alarms/telephone/tape recorder, Reach above shoulder, Repetitive arm/hand movements, Finger Dexterity, Color Vision, Acuity – near, Acuity – far Hazards: Depth perception, Use of Latex Gloves, Exposure to toxic/caustic/chemicals/detergents, Exposure to moving mechanical parts, Exposure to dust/fumes, Exposure to potential electrical shock, Exposure to x ray/electromagnetic energy, Exposure to high pitched noises, Gaseous risk exposure Mental/Sensory – Emotional Mental / Sensory: Strong Recall, Reasoning, Problem Solving, Hearing, Speak Clearly, Write Legibly, Reading, Logical Thinking Emotional: Fast pace environment, Steady Pace, Able to Handle Multiple Priorities, Frequent and Intense Customer Interactions, Noisy Environment, Able to Adapt to Frequent Change EEO Employer/Disabled/Protected Veteran/41 CFR 60-1.4.
RN Full-time
VCU Health

Registered Nurse (RN) - Hospital at Home - Days/ Evenings

VCU Health Richmond, VA
**$15,000 Sign On Bonus for offers accepted by March 31, 2026. Terms and Conditions apply** The Home Hospital Registered Nurse is responsible for providing the essential elements of the inpatient care delivery model into the patient’s defined living space using leveraged technology and remote clinical care coordination. The Home Hospital RN provides quality care to patients through the implementation of the nursing process applied through a team nursing model. The Home Hospital RN will access and document the care of patients and will work collaboratively with a multi-disciplinary healthcare team to deliver therapeutic interventions within the patient’s home while maintaining high quality and safety standards. Essential Job functions: Performs and documents nursing process – assessment, diagnosis, planning, implementation, and evaluation of patients receiving care remotely or in-person at their defined home. Reviews and follows-up on patient education, implemented patient care plans, and coordinated services. Triages, identifies, and acts on changes in patient condition. Ensures quality care during daily in-person visits to patients receiving acute care at home through Home Hospital. This includes the ability to identify patient’s needs through acute care and in-home assessments then implementing and monitoring the medical treatment plan in collaboration with the 24/7 virtual nursing team and providers. Ensures quality patient care across the continuum, reduces avoidable readmissions, and improves outcomes for patients enrolled in the Home Hospital program. Provides quality care and timely response during urgent in-person assessments when requested by the Home Hospital virtual nursing and provider team. Diagnostics and treatments within the scope of nursing may be requested by the team and communication back to the team regarding the assessment, results of diagnostics, and response to treatment will be crucial. Provides and/or helps coordinate appropriate hospital resources for acute inpatient individuals who are receiving Home Hospital services during their stay including but not limited to therapy, food, consultative, mobile imaging, labs, transportation, medication administration, and medical equipment. Provides high level nursing care through the ability to perform phone triage and intervene or escalate appropriately using critical thinking skills. Utilizes and instruct patient and family on the use of technology resources used for biometric data capture, patient symptom reporting, and telehealth visits. Ensures appropriate screening of patients in need of continuum integration services prior to hospital discharge including but not limited to transitional remote patient monitoring and telehealth virtual visits. Provides direct bedside patient education and consultation on continuum integration services as needed. Provides community resources appropriately to prevent un-necessary hospital admissions by collaborating with the interdisciplinary care team such as social work, virtual nursing team, care coordination assistants, and/or providers. Ensures responsibility and visible commitment of diversity equity and inclusion strategy, programs, and initiatives through collaboration and implementation of initiatives across the health system. Demonstrates personal ownership and accountability for safety across the area of responsibility by role modeling daily key concepts of a high reliability organization as personal work habits. Performs other duties as assigned and/or participates in special projects to support the mission of VCUHS and the team. Accepts alternate responsibilities as required. Patient Population: Demonstrates the knowledge and skills necessary to provide equitable care appropriate to the age of the patients served on their assigned unit. Demonstrates knowledge and related competencies of the principles of growth and development of the life span and possesses the ability to assess data reflective of the patient's status and interprets the appropriate information needed to identify each patient's requirements relative to their age, specific needs and to provide the equitable care needed as described in departmental policies and procedures. Adults (18-64 years), Geriatrics (65 years and older) Employment Qualifications: Required Education: Diploma or Associates Degree from a professional nursing program recognized and/or approved by the corresponding state’s Board of Nursing. All registered nurses without a Bachelor's degree in Nursing (or higher) will be required to enroll in an approved RN to BSN program within two years of their start date and to complete the program within five years of their start date unless grandfathered under previous requirements. Preferred Education: Completion of a Bachelor’s Degree in Nursing (or higher) from an accredited program Licensure/Certification Required: Current RN licensure in Virginia or eligible or compact state AHA BLS HCP Certification or equivalent Licensure/Certification Preferred: Nursing Specialty certification Minimum Qualifications: Required Qualifications: Minimum of three (3) years of critical care, acute care or medical/surgical RN experience, or equivalent clinical experience (as determined by VCUHS) in critical care, acute or medical/surgical with at least one (1) year of RN experience. Other Knowledge, Skills and Abilities Required: Follows documented physician/licensed independent provider orders. Practices within the boundaries of the regulations governing the practice of nursing in the Commonwealth of Virginia. Practice is guided by the ANA Code of Ethics for Nursing and established national nursing practice standards. All practice is guided by and follows the VCUHS policies and procedures and established practice. Cultural Responsiveness: Demonstrates a commitment to diversity, equity, and inclusion through continuous development, modeling inclusive behaviors, and proactively managing bias. Other Knowledge, Skills and Abilities Preferred: Working Conditions: Required to car travel to off-site locations, occasionally in adverse weather conditions. May be exposed to limited hazardous substances or body fluids. * May be exposed to human blood and other potentially infectious materials. * * Individuals in this position are required to exercise universal precautions, use personal protective equipment and devices, and learn the policies concerning infection control. Individual shift rotation and schedules will be established with the Nurse Manager/Director. Schedules, including requirements of shift rotations and hours of work may be adjusted as necessary to meet unit requirements and/or as needed. Physical Requirements: Physical Demands: Lifting/ Carrying (0-50 lbs); Push/Pull (0-50 lbs.); Stoop, Kneel, Squat, Balance, Bending Work Position: Sitting, Walking, Standing Additional Physical Requirements/ Hazards: Physical Requirements: Perform shift work Maneuver weight of patients Hear alarms/telephone/tape recorder Reach above shoulder Repetitive arm/hand movements Finger Dexterity Use of Latex Gloves Exposure to high pitched noises Mental/Sensory - Emotional: Mental/Sensory: Reasoning, Problem solving, Hearing, Speak clearly, Write legibly, Reading, Logical Thinking Emotional: Steady-paced environment, Able to handle multiple priorities, Able to adapt to frequent change Rotating EEO Employer/Disabled/Protected Veteran/41 CFR 60-1.4.
RN OR Pediatric Full-time
VCU Health

Registered Nurse (RN) - CHoR Pediatric Operating Room - Weekend Incentive Program - Nights

VCU Health Richmond, VA
**$25,000 sign-on bonus for offers accepted by March 31, 2026. Terms and conditions apply** Our state-of-the-art Pediatric Operating Room (OR) is nestled within the heart of the Children’s Hospital of Richmond, which proudly opened its doors in April 2023. Our Pediatric Perioperative Services Team has revolutionized pediatric care in the Richmond Region, offering comprehensive services around the clock. Equipped with six meticulously designed Operating Rooms and two dedicated Procedure Rooms, our facility ensures that pediatric patients receive the highest standard of care in a caring, child-friendly environment. With around-the-clock care, we handle a daily caseload ranging from 12 to 24 cases, catering to a diverse array of specialties including Otolaryngology (ENT), Genitourinary (GU), Orthopedics, General, Neuro, Cardiac, and Trauma procedures. We prioritize excellence in care, drawing on a team of highly skilled professionals committed to the well-being and comfort of every patient. While experience within a Level 1 Pediatric OR is highly valued, we also welcome Operating Room Nurses with a minimum of 1 year of OR experience who possess a passion for pediatric care and a dedication to excellence. Join us in making a difference in the lives of our youngest patients, where every procedure is performed with precision, compassion, and a focus on ensuring the best possible outcomes by applying today! Licensure, Certification, or Registration Requirements for Hire: Clin I, Clin II, Clin III: Current RN licensure in Virginia or eligible or compact state Licensure, Certification, or Registration Requirements for continued employment: Clin I, Clin II, Clin III: Current RN licensure in Virginia, AHA BLS HCP Certification or equivalent Experience REQUIRED: Clin I: N/A Clin II: 12 to 24 months RN experience Clin III: 3 years of clinical experience Experience PREFERRED: Clin I: Experience as an LPN, nursing assistant or care partner in either an acute care setting or as applicable to area of practice Clin II, Clin III: Academic Health Care Experience; Experience with similar patient population in either an acute care setting or as applicable to area of practice Education/training REQUIRED: Clin I, Clin II, Clin III: Diploma or Associates Degree from a professional nursing program recognized and/or approved by the corresponding state’s Board of Nursing. All registered nurses without a Bachelor's degree in Nursing (or higher) will be required to enroll in an approved RN to BSN program within two years of their start date and to complete the program within five years of their start date unless grandfathered under previous requirements. Education/training PREFERRED: Clin I, Clin II, Clin III: Completion of a Bachelor’s Degree in Nursing (or higher) from an accredited program Clin III: Certification in specialty area Independent action(s) required: Follows documented physician/licensed independent provider orders. Practices within the boundaries of the regulations governing the practice of nursing in the Commonwealth of Virginia. Practice is guided by the ANA Code of Ethics for Nursing and established national nursing practice standards. All practice is guided by and follows the VCUHS policies and procedures and established practice. Supervisory responsibilities (if applicable): Clin I, Clin II, Clin III: Organizes work and delegates and supervises others (RN's, LPN's, Care Partners, Unit Secretaries, etc) in carrying out assignments. Additional position requirements: Clin I, Clin II, Clin III: Clinician’s work all three shifts, weekends and holidays. Individual shift rotation and schedules will be established with your specific Nurse Manager/Practice Manager. Schedules, including requirements of shift rotations and hours of work may be adjusted as necessary to meet unit requirements and/or as needed. Age Specific groups served: As appropriate based on unit assignment. Physical Requirements (includes use of assistance devices as appropriate): Physical: Lifting 20 lbs. Other: Exposure to potentially hazardous and infectious substances Activities: Prolonged standing, Prolonged sitting, Frequent bending, Walking (distance), Climbing (steps, ladder, other), Reaching (overhead, extensive, repetitive) Mental/Sensory: Strong recall, Reasoning, Problem solving, Hearing, Speak clearly, Write legibly, Reading, Logical thinking Emotional: Fast pace environment, Steady pace, Able to handle multiple priorities, Frequent and intense customer interactions, Noisy environment Weekend Night EEO Employer/Disabled/Protected Veteran/41 CFR 60-1.4.
CMA Full-time
VCU Health

Certified Medical Assistant (CMA) - Endoscopy Downtown - Days

VCU Health Richmond, VA
**$2,500 sign-on bonus for offers accepted by March 31, 2026. Terms and conditions apply** The Certified Medical Assistant provides direct, age-specific care to a patient or group of patients based on medical orders and the plan of care under the direction of the physician. Licensure, Certification, or Registration Requirements for Hire: Current Medical Assistant Certification through a recognized national professional association such as, the American Association of Medical Assistants, the American Medical Technologists, The National Association of Healthcare Professions, the American Registry of Medical Assistants, or the National Healthcare Association. Licensure, Certification, or Registration Requirements for continued employment: Current Medical Assistant Certification through a recognized national professional association such as, the American Association of Medical Assistants, the American Medical Technologists, The National Association of Healthcare Professions, the American Registry of Medical Assistants, or the National Healthcare Association. AHA BLS HCP Certification or equivalent Experience REQUIRED: One (1) year of medical assistant work experience within the last three (3) years if individual is not a graduate of a medical assistant program No work experience if individual is a graduate of a medical assistant program Previous experience using a personal computer and various software applications, including Microsoft, e-mail, etc. Demonstrated experience utilizing strong organizational, problem solving, communication and interpersonal skills Experience PREFERRED: Two (2) to three (3) years of previous experience as a Certified Medical Assistant Previous experience in an academic health care environment Education/training REQUIRED: High School Diploma or equivalent Education/training PREFERRED: Graduation from a Medical Assisting training program from an accredited program of study such as the Commission on Accreditation of Allied Health Education Programs (CAAHEP) or the Accrediting Bureau of Health Education Schools (ABHES). Independent action(s) required: Functions under direction of a licensed independent practitioner, manager and/or RN in providing patient care, emotional support, and problem solving; all in accordance with hospital, nursing and unit policy/procedure. Requires prior approval or guidance from supervisor: time/schedule changes; legal issues; directed care which deviates from standard; and identify educational resources to meet developmental needs. Job duties may include the handling, transportation, access to and/or contact with medications and related supplies. Supervisory responsibilities (if applicable): N/A Additional position requirements: Certified Medical Assistants work all three shifts, weekends and holidays. Individual shift rotation and schedules will be established with your specific Nurse Manager/Practice Manager. Schedules, including requirements of shift rotations and hours of work may be adjusted as necessary to meet clinic requirements and/or as needed. Age Specific groups served: All Physical Requirements (includes use of assistance devices as appropriate): Physical: Lifting 20-50 lbs. Activities: Prolonged standing, Prolonged sitting, Frequent bending, Walking (distance), Climbing (steps, ladder, other), Reaching (overhead, extensive, repetitive) Mental/Sensory: Strong recall, Reasoning, Problem solving, Hearing, Speak clearly, Write legibly, Reading, Logical thinking Emotional: Fast pace environment, Able to handle multiple priorities, Able to adapt to frequent, change Days EEO Employer/Disabled/Protected Veteran/41 CFR 60-1.4.
RN PCU Full-time
VCU Health

Registered Nurse (RN) - Supplemental Staffing Float Pool - AC/PCU - Nights

VCU Health Richmond, VA
**$20,000 Sign On Bonus for offers accepted by February 28, 2026. Terms and Conditions apply** Tier 1 Supplemental Staffing RNs provide support to the organization by floating to multiple units and/ or areas within the VCU Health System (VCUHS). This flex pool includes Registered Nurses who work within inpatient areas to include adults and/ or pediatrics. The flex pool provides support 24/7 to VCUHS inpatient units, procedural areas, Periop and other specialties within VCUHS. Reassignment may occur in 4-hour blocks. This would also include an opportunity to float to other VCUHS facilities. The Clinical Nurse II job demonstrates a mastery of clinical skills and begins to apply this knowledge to a specific patient population. This job assists the health care team with the prevention of illness and injury, maintenance of wellness, and provision of comfort. This job recognizes changes in patient situations and intervenes appropriately. This job mobilizes resources to meet the individualized needs of patient/families. This job provides direction, education, and assumes leadership responsibilities at the unit level. This job delivers and accurately documents direct, age-specific care to a patient or group of patients based on medical orders and an integrated, multidisciplinary plan of care. This job safely administers prescribed medications, identifying incompatibilities and/or interactions. The Clinical Nurse III job demonstrates clinical knowledge at the unit level and begins to apply this knowledge to a specific patient population. This job assists the health care team with the prevention of illness and injury, maintenance of wellness, and provision of comfort. This job anticipates changes in patient situations and intervenes appropriately. This job provides direction, education, and serves as a role model in a clinical setting. This job delivers and accurately documents direct, age-specific care to a patient or group of patients based on medical orders and an integrated, multidisciplinary plan of care. This job safely administers prescribed medications, identifying incompatibilities and/or interactions. Performance Expectation: Pertains to staff in licensed Nursing positions ONLY Employee must complete 15 contact hours of Continuing Nursing Education during this evaluation cycle. Effective July 2012: CN-III must complete 20 contact hours; Failure to achieve the required number of contact hours will result in the employee being ineligible to receive an overall performance rating above "Fully Meets". Performance Expectation: Nursing Process The Clinical Nurse II demonstrates competent use of the nursing process as a problem-solving model in performance of job duties as evidenced by: Focuses assessment to target areas most productive for a given patient population or situation. Recognizes subtle changes in clinical situations; evaluates and appropriately alters the plan of care. Consistently makes sound clinical decision. Prioritizes and organizes patient care and ensures follow through with planned care. Initiates discharge care planning in assigned patients and actively coordinates utilizing the multidisciplinary/interdisciplinary approach. The Clinical Nurse III demonstrates competent use of the nursing process as a problem-solving model in performance of job duties as evidenced by: Synthesizes knowledge and experience to anticipate and plan to meet patient and family needs. Takes a proactive role in implementing multidisciplinary care planning for specific patient population. Performance Expectation: Nurse–Patient Relationship The Clinical Nurse II demonstrates ability to develop and maintain a therapeutic nurse/patient relationship throughout the health care continuum as evidenced by: Demonstrates effective communication styles based on individual patient/family needs. Identifies factors affecting patient’s physical and/or psychosocial comfort. Individualizes approaches accordingly. Seeks consultation if necessary to achieve patient outcome. Assesses patient/family readiness to be involved in planning. Involves them in planning and implementing care. Incorporates an individualized, holistic and non-judgmental approach to care. Mobilizes appropriate resources in response to situations that have the potential to negatively impact patient/family outcomes. The Clinical Nurse III develops and maintains a therapeutic nurse/patient relationship throughout the health care continuum. Respect for patients’ rights is an integral part of the nurse/patient relationship as reflected in our values statement as evidenced by: Adapts communication styles and techniques based on individual patient/family needs. Anticipates variables affecting patient comfort. Alters physical and/or psychosocial interventions accordingly, using a variety of modalities. Assists patient/family to gain sense of control. Facilitates patient/family’s participation in his/her recovery. Consistently utilizes an individualized, holistic and non-judgmental approach to patient care. Challenges situations and engages in activities to promote positive patient outcomes. Performance Expectation: Education The Clinical Nurse II demonstrates a commitment to meeting the learning needs of patients and families as evidenced by: Accurately assesses patient/family readiness to learn, organize and execute individualized teaching plan. Evaluates patient’s understanding and modifies approach as necessary. Assists individual members of the health care team in developing their clinical skills. The Clinical Nurse III demonstrates a commitment to meeting the learning needs of patients and families as evidenced by: Utilizes a variety of teaching strategies appropriate to the patient’s needs. Seeks out challenging patient/family teaching opportunities. Assumes responsibility for identifying staff learning needs. Develops, implements and evaluates formal and informal patient and/or staff educational plans. Performance Expectation: Leadership/Collaboration and Professional Development The Clinical Nurse II demonstrates respect and understanding for peers and other clinical disciplines and participates as an effective member of the patient care team to formulate an integrated approach based upon current evidence and on the mission of the department as evidenced by: Participates in unit activities which improve patient care or administrative systems. Utilizes available resources to maintain current knowledge base relevant to practice. Asks clinical questions related to nursing care of patients. Demonstrates ability to locate and obtain evidence to answer clinical questions. Seeks out and utilizes resources to identify nursing practice issues, including those that require evidence-based evaluation/research. Shares findings of personal review of evidence (literature/QA/experts, etc.) with peers and generates dialogue. May initiate steps toward problem resolution based on current best evidence. Initiates referrals. Coordinates the health care team to meet patient and family’s individualized needs. Consistently utilizes effective communication, feedback and conflict resolution skills. Demonstrates the ability to critique own nursing practice. Identifies a plan for professional development. The Clinical Nurse III demonstrates respect and understanding for peers and other clinical disciplines and participates as an effective member of the patient care team to formulate an integrated approach based upon current evidence and on the mission of the department as evidenced by: Leads or participates in unit or division activities which improve patient care or administrative systems. Maintains awareness of current practice in specialty area. Assists others in translating and applying this knowledge to the practice setting. Evaluates nursing practice based on current best evidence. Initiates steps towards problem resolution based on current best evidence. Questions clinical practice at the unit and/or department level, and incorporates the use of current best evidence, clinical judgment and patient values/preferences. May implement solutions towards problem resolution based on current best evidence. Shares current best evidence (e.g. critical pathways, practice guidelines, protocols, and standards) with peers and others. Contributes to the revision and development of unit and/or department nursing care guidelines and/or policies and procedures based on current best evidence. Promotes the development of collaborative relationships with other health professionals by focusing on patient outcomes. Takes responsibility for problem-solving and conflict resolution. Describes their professional practice goals and plans for achieving them on the individual and unit level. Demonstrates how they have accomplished some of their professional practice goals in the last two years. Performance Expectation: Performs other Duties and Participates in Special Projects The Clinical Nurse II: Readily volunteers and/or participates in special projects in order to support the mission of VCUHS and department. The Clinical Nurse III: Provides assistance to team members. Accepts alternate assignments, as required. Initiates and/or delegates other duties as assigned and/or participates in special projects in order to support the mission of VCUHS and department. Makes use of diverse talents of team members, promotes team dynamics. Suggests and or supports/alternate assignments, displays emotional stability. Education/training REQUIRED: Clin II, Clin III Diploma or Associates Degree from a professional nursing program recognized and/or approved by the corresponding state’s Board of Nursing. All registered nurses without a Bachelor's degree in Nursing (or higher) will be required to enroll in an approved RN to BSN program within two years of their start date and to complete the program within five years of their start date unless grandfathered under previous requirements. Education/training PREFERRED: Clin II, Clin III Completion of a bachelor’s degree in Nursing (or higher) from an accredited program Clin III: Certification in specialty area Licensure, Certification, or Registration Requirements for Hire: Clin II, Clin III: Current RN licensure in Virginia or eligible or compact state Experience REQUIRED: Clin II: 12 to 24 months RN experience Clin III: 3 years of clinical experience Clin II, Clin III Academic Health Care Experience; Experience with similar patient population in either an acute care setting or as applicable to area of practice Other Knowledge, Skills and Abilities Required: Follows documented physician/licensed independent provider orders. Practices within the boundaries of the regulations governing the practice of nursing in the Commonwealth of Virginia. Practice is guided by the ANA Code of Ethics for Nursing and established national nursing practice standards. All practice is guided by and follows the VCUHS policies and procedures and established practice. Clinicians work all shifts, weekends and holidays. Individual shift rotation and schedules will be established with your specific Nurse Manager/Practice Manager. Schedules, including requirements of shift rotations and hours of work may be adjusted as necessary to meet unit requirements and/or as needed Age Specific groups served: As appropriate based on unit assignment. Physical Requirements (includes use of assistance devices as appropriate): Physical: Lifting 0-50 lbs. Other: Exposure to potentially hazardous and infectious substances Activities: Prolonged standing, Prolonged sitting, Frequent bending, Walking (distance), Climbing (steps, ladder, other), Reaching (overhead, extensive, repetitive) Mental/Sensory: Strong recall, Reasoning, Problem solving, Hearing, Speak clearly, Write legibly, Reading, Logical thinking Emotional: Fast pace environment, Steady pace, Able to handle multiple priorities, Frequent and intense customer interactions, Noisy environment Nights EEO Employer/Disabled/Protected Veteran/41 CFR 60-1.4.
RN Outpatient Pediatric Full-time
VCU Health

Ambulatory Clinical Registered Nurse (RN) - Children's Hospital of Richmond - Pediatric Allergy/Immunology

VCU Health Richmond, VA
**$10,000 Sign On Bonus for offers accepted by February 28, 2026. Terms and Conditions apply** The Clinical Nurse I job integrates technical skills and theoretical knowledge to meet the needs of the patient and family. This job assists the health care team with the prevention of illness and injury, maintenance of wellness, and provision of comfort. This job provides direction, education, and begins to acquire leadership skills at the unit level. This job delivers and accurately documents direct, age-specific care to a patient or group of patients based on medical orders and an integrated, multidisciplinary plan of care. This job also safely administers prescribed medications, identifying incompatibilities and/or interactions. The Clinical Nurse II job demonstrates a mastery of clinical skills and begins to apply this knowledge to a specific patient population. This job assists the health care team with the prevention of illness and injury, maintenance of wellness, and provision of comfort. This job recognizes changes in patient situations and intervenes appropriately. This job mobilizes resources to meet the individualized needs of patient/families. This job provides direction, education, and assumes leadership responsibilities at the unit level. This job delivers and accurately documents direct, age-specific care to a patient or group of patients based on medical orders and an integrated, multidisciplinary plan of care. This job safely administers prescribed medications, identifying incompatibilities and/or interactions. The Clinical Nurse III job demonstrates clinical knowledge at the unit level and begins to apply this knowledge to a specific patient population. This job assists the health care team with the prevention of illness and injury, maintenance of wellness, and provision of comfort. This job anticipates changes in patient situations and intervenes appropriately. This job provides direction, education, and serves as a role model in a clinical setting. This job delivers and accurately documents direct, age-specific care to a patient or group of patients based on medical orders and an integrated, multidisciplinary plan of care. This job safely administers prescribed medications, identifying incompatibilities and/or interactions. Licensure, Certification, or Registration Requirements for Hire: Clin I, Clin II, Clin III: Current RN licensure in Virginia or eligible or compact state Licensure, Certification, or Registration Requirements for continued employment: Clin I, Clin II, Clin III: Current RN licensure in Virginia, AHA BLS HCP Certification or equivalent Experience REQUIRED: Clin I: N/A Clin II: 12 to 24 months RN experience Clin III: 3 years of clinical experience Experience PREFERRED: Clin I: Experience as an LPN, nursing assistant or care partner in either an acute care setting or as applicable to area of practice Clin II, Clin III: Academic Health Care Experience; Experience with similar patient population in either an acute care setting or as applicable to area of practice Education/training REQUIRED: Clin I, Clin II, Clin III: Diploma or Associates Degree from a professional nursing program recognized and/or approved by the corresponding state’s Board of Nursing. All registered nurses without a Bachelor's degree in Nursing (or higher) will be required to enroll in an approved RN to BSN program within two years of their start date and to complete the program within five years of their start date unless grandfathered under previous requirements. Education/training PREFERRED: Clin I, Clin II, Clin III: Completion of a Bachelor’s Degree in Nursing (or higher) from an accredited program Clin III: Certification in specialty area Independent action(s) required: Follows documented physician/licensed independent provider orders. Practices within the boundaries of the regulations governing the practice of nursing in the Commonwealth of Virginia. Practice is guided by the ANA Code of Ethics for Nursing and established national nursing practice standards. All practice is guided by and follows the VCUHS policies and procedures and established practice. Supervisory responsibilities (if applicable): Clin I, Clin II, Clin III: Organizes work and delegates and supervises others (RN's, LPN's, Care Partners, Unit Secretaries, etc.) in carrying out assignments. Additional position requirements: Age Specific groups served: As appropriate based on unit assignment. Physical Requirements (includes use of assistance devices as appropriate): Physical: Lifting 20-50 lbs. Other: Exposure to potentially hazardous and infectious substances Activities: Prolonged standing, Prolonged sitting, Frequent bending, Walking (distance), Climbing (steps, ladder, other), Reaching (overhead, extensive, repetitive) Mental/Sensory: Strong recall, Reasoning, Problem solving, Hearing, Speak clearly, Write legibly, Reading, Logical thinking Emotional: Fast pace environment, Steady pace, Able to handle multiple priorities, Frequent and intense customer interactions, Noisy environment Days EEO Employer/Disabled/Protected Veteran/41 CFR 60-1.4.
RN Full-time
VCU Health

RN Care Coordinator - Trauma

VCU Health Richmond, VA
**$10,000 Sign On Bonus for offers accepted by February 28, 2026. Terms and Conditions apply** The RN Care Coordinator functions as a part of a multidisciplinary team, including physicians, social workers, discharge planning assistants and payers. This position ensures that patient’s progress in the acute episode of care through post discharge is quality driven while being efficient, cost effective and safe. This position will also be patient focused and outcome oriented. Licensure, Certification, or Registration Requirements for Hire: Licensed Registered Nurse in the State of Virginia or eligible Licensure, Certification, or Registration Requirements for continued employment: Current RN licensure in Virginia Complete 15 Continuing Education Units per year Experience REQUIRED: Minimum of three (3) years of nursing experience in an acute care setting Experience PREFERRED: Academic healthcare experience One (1) year of UM/Care Coordination experience Clinical experience with specialty patient population Education/training REQUIRED: Baccalaureate Degree in Nursing from an accredited School of Nursing,or a Bachelor’s degree in a biological, health or social sciences field from an accredited school. Education/training PREFERRED: Master's Degree in Nursing or a healthcare related field from an accredited program Independent action(s) required: Works with the attending and consulting physicians to facilitate effective and efficient transition through the process of hospitalization. Works collaboratively with all members of the multi-disciplinary team to ensure patient needs are met and care delivery is coordinated across the continuum, as well as appropriately reimbursed by payers as contracted, and that resources are efficiently and effectively utilized. Seeks the expertise of social workers to resolve psychosocial patient care issues and to develop complex patient transition/discharge plans as needed. Interacts with patients, family members, healthcare professionals, community and state agencies in this effort. Serves as an advanced clinical resource to the team. Serves as a liaison between the hospital and community agencies or facilities for the exchange of clinical and referral information. The role is responsible for maintaining hospital compliance with the Quality Improvement Organization (QIO) series and CMS guidelines. Utilizes medical necessity criteria as a tool to assess appropriateness of level and setting of care, assists in the denial and appeals process, assesses quality and identifies and reports potential risk management issues. Responsible for participation in and completion of all patient safety initiatives appropriate to the position. The incumbent conducts all job responsibilities according to VCUHS’ Mission and Values. Responsible for establishing and maintaining a professional rapport with providers, patients/families, and internal customers. Supervisory responsibilities (if applicable): N/A Additional position requirements: Day and Evening shifts available Age Specific groups served: All Physical Requirements (includes use of assistance devices as appropriate): Physical: Lifting 20-50 lbs. Activities: Prolonged sitting, Walking (distance) Mental/Sensory: Strong recall, Reasoning, Problem solving, Hearing, Speak clearly, Write legibly, Reading, Logical thinking Emotional: Steady pace, Able to handle multiple priorities, Frequent and intense customer interactions, Able to adapt to frequent, change Weekend Day EEO Employer/Disabled/Protected Veteran/41 CFR 60-1.4.
LPN Full-time
VCU Health

Licensed Practical Nurse (LPN) -CMH Surgical Physician Practice - Days

VCU Health La Crosse, VA
Monday - Friday The LPN job commences to integrate technical skills and theoretical knowledge to meet the needs of the patient and family. This role assists the health care team with the prevention of illness and injury, maintenance of wellness, and provision of comfort. This role also provides direction, education, and begins to assume leadership responsibilities at the unit level. The LPN job delivers and accurately documents direct, age-specific care to a patient or group of patients based on medical orders and an integrated, multidisciplinary plan of care. This role safely administers prescribed medications, identifying incompatibilities and/or interactions. Licensure, Certification, or Registration Requirements for Hire: Licensure, certification or registration varies depending on the incumbent`s employment background and transitional assignment; LPN licensure in Virginia or eligible Licensure, Certification, or Registration Requirements for continued employment: Current LPN Licensure in Virginia AHA BLS Certification or equivalent Experience REQUIRED: Varies based on transitional duty assignment. Experience PREFERRED: Experience as a LPN in either an acute care setting or as applicable to area of practice Education/training REQUIRED: Graduate from a Board of Nursing approved School of Practical Nursing Education/training PREFERRED: N/A Independent action(s) required: Follows documented physician/licensed independent provider orders, standards, and practice guidelines such as treatments and organizes work to carry out assignment. Supervisory responsibilities (if applicable): N/A Additional position requirements: Licensed Practical Nurses work all three shifts, weekends and holidays. Individual shift rotation and schedules will be established with your specific Nurse Manager/Practice Manager. Schedules, including requirements of shift rotations and hours of work may be adjusted as necessary to meet unit requirements and/or as needed. Age Specific groups served: As appropriate based on transitional duty assignment. Physical Requirements (includes use of assistance devices as appropriate): Physical: Lifting 50-100 lbs. Other: Exposure to potentially hazardous and infectious substances Activities: Prolonged standing, Prolonged sitting, Frequent bending, Walking (distance), Climbing (steps, ladder, other), Reaching (overhead, extensive, repetitive) Mental/Sensory: Strong recall, Reasoning, Problem solving, Hearing, Speak clearly, Write legibly, Reading, Logical thinking Emotional: Steady pace, Frequent and intense customer interactions, Noisy environment, Able to adapt to frequent, change Days EEO Employer/Disabled/Protected Veteran/41 CFR 60-1.4.
CMA Pediatric Full-time
VCU Health

Medical Assistant (CMA) - Children's Hospital of Richmond - CHoR- Pavilion - Pediatric Neurosciences - Days

VCU Health Richmond, VA
** $2,500 Sign On Bonus for offers accepted by February 28, 20265. Terms and Conditions apply** The Medical Assistant provides direct, age-specific care to a patient or group of patients based on medical orders and the plan of care under the direction of the physician. Licensure, Certification, or Registration Requirements for Hire: Current Medical Assistant Certification through a recognized national professional association such as, the American Association of Medical Assistants, the American Medical Technologists, The National Association of Healthcare Professions, the American Registry of Medical Assistants, or the National Healthcare Association. Licensure, Certification, or Registration Requirements for continued employment: Current Medical Assistant Certification through a recognized national professional association such as, the American Association of Medical Assistants, the American Medical Technologists, The National Association of Healthcare Professions, the American Registry of Medical Assistants, or the National Healthcare Association. AHA BLS HCP Certification or equivalent Experience REQUIRED: One (1) year of medical assistant work experience within the last three (3) years if individual is not a graduate of a medical assistant program No work experience if individual is a graduate of a medical assistant program Previous experience using a personal computer and various software applications, including Microsoft, e-mail, etc. Demonstrated experience utilizing strong organizational, problem solving, communication and interpersonal skills Experience PREFERRED: Two (2) to three (3) years of previous experience as a Certified Medical Assistant Previous experience in an academic health care environment Education/training REQUIRED: High School Diploma or equivalent Education/training PREFERRED: Graduation from a Medical Assisting training program from an accredited program of study such as the Commission on Accreditation of Allied Health Education Programs (CAAHEP) or the Accrediting Bureau of Health Education Schools (ABHES). Independent action(s) required: Functions under direction of a licensed independent practitioner, manager and/or RN in providing patient care, emotional support, and problem solving; all in accordance with hospital, nursing and unit policy/procedure. Requires prior approval or guidance from supervisor: time/schedule changes; legal issues; directed care which deviates from standard; and identify educational resources to meet developmental needs. Job duties may include the handling, transportation, access to and/or contact with medications and related supplies. Supervisory responsibilities (if applicable): N/A Additional position requirements: Certified Medical Assistants work all three shifts, weekends and holidays. Individual shift rotation and schedules will be established with your specific Nurse Manager/Practice Manager. Schedules, including requirements of shift rotations and hours of work may be adjusted as necessary to meet clinic requirements and/or as needed. Age Specific groups served: All Physical Requirements (includes use of assistance devices as appropriate): Physical: Lifting 20-50 lbs. Activities: Prolonged standing, Prolonged sitting, Frequent bending, Walking (distance), Climbing (steps, ladder, other), Reaching (overhead, extensive, repetitive) Mental/Sensory: Strong recall, Reasoning, Problem solving, Hearing, Speak clearly, Write legibly, Reading, Logical thinking Emotional: Fast pace environment, Able to handle multiple priorities, Able to adapt to frequent, change Days EEO Employer/Disabled/Protected Veteran/41 CFR 60-1.4.
RN ER Pediatric Full-time
VCU Health

Nurse Clinician (RN)- Pediatric Emergency Department - Rotating

VCU Health Richmond, VA
The Nurse Clinician demonstrates a high level of expertise in the assessment, diagnosis and treatment of the complex patients and their responses to actual or potential health problems. This role assists the health care team with the prevention of illness and injury, maintenance of wellness, and provision of comfort. The Nurse Clinician provides direction, education, leadership and accountability for program development, implementation and evaluation in area of responsibility. This role includes professional development and empowerment of staff as well as management of resources to promote desired outcomes with attention to quality, efficiency and cost. Licensure, Certification, or Registration Requirements for Hire: Current RN licensure in Virginia or eligible or compact state Licensure, Certification, or Registration Requirements for continued employment: Current RN Licensure in Virginia AHA BLS HCP Certification or equivalent Experience REQUIRED: 5 years nursing experience required Minimum of one year experience in the position's specialty patient population or practice setting Experience PREFERRED: Experience in staff education and professional development (orientation, preceptorship, in-services education, etc.) Academic health care experience Education/training REQUIRED: Bachelor’s degree in nursing. Must be enrolled in a Master’s degree program at the time of application and must be complete within 36 months of hire. Special consideration will be given for applicants enrolled in Baccalaureate to Doctoral programs who will not attain a Master’s degree and may require longer than 36 months to complete the terminal degree. Education/training PREFERRED: Master's Degree in Nursing or a related field. If the master’s degree is not in Nursing, then it is required to have a Baccalaureate Degree in Nursing Independent action(s) required: Has full authority and accountability for direction and leadership of program planning, guideline development, setting of practice standards within the confines of organizations/divisions/units mission, goals and objectives. Manages human, fiscal and other resources to ensure quality programs/processes/services with measurable positive outcomes. Supervisory responsibilities (if applicable): Negotiable with immediate supervisor in collaboration with the Nurse Manager. Additional position requirements: Will generally work day shift, but may require flexibility for special projects or to meet organization and staff needs. Age Specific groups served: As appropriate based on unit assignment. Physical Requirements (includes use of assistance devices as appropriate): Physical: Lifting 20-50 lbs. Lifting 50-100 lbs. Activities: Prolonged standing, Prolonged sitting, Frequent bending, Walking (distance), Climbing (steps, ladder, other), Reaching (overhead, extensive, repetitive) Mental/Sensory: Strong recall, Reasoning, Problem solving, Hearing, Speak clearly, Write legibly, Reading, Logical thinking Emotional: Fast pace environment, Steady pace, Able to handle multiple priorities, Frequent and intense customer interactions, Noisy environment, Able to adapt to frequent change EEO Employer/Disabled/Protected Veteran/41 CFR 60-1.4.
NP Full-time
VCU Health

Advanced Practice Provider - Hospital Medicine - Tappahannock

VCU Health Tappahannock, VA
The Advanced Practice Provider (APP- NP, PA) provides high-quality medical and/or surgical patient care. This position provides care to patients with acute and chronic complaints in collaboration with the Attending Physician. The Advanced Practice Provider provides diagnostic, therapeutic, and/or preventive healthcare service on a Collaborative APP/Physician team. The Advanced Practice Provider may perform any or all of the following: histories and physicals; order and interpret tests; make diagnosis; treat injuries/illness; assist with surgical procedures; counsel patient and/or prescribe medication and those invasive procedures defined by the Virginia Board of Medicine. The Advanced Practice Provider works collaboratively with the medical team to deliver organized, timely, cost effective and quality patient care. The Advanced Practice Provider will provide patient care under a defined departmental and state-approved scope of practice with the collaboration of an Attending Physician(s). This position is Monday - Friday 7a-3:30p. Essential Job Statements Performance Expectation: Clinical & Patient Care Responsibilities Demonstrates mastery of treatment and patient care of specialty population served. Demonstrates expert knowledge to coordinate patient care across the continuum of services through the patient’s trajectory of illness. Assesses the health status of individuals through health histories, by performing physical examination, initiating screening, ordering or performing diagnostic tests, providing direct patient care, assisting with surgical procedure, therapeutic intervention, prescribing medication and/or counseling patients to a specified patient population. Initiates emergency procedures as needed. Practices safety, environmental and/or infection control methods. Makes rounds with the attending physicians as necessary. Supervises and/or coordinates the activities of patient care and support staff within assigned area. Documents all pertinent information and data in the patient’s medical record. Interpreting information obtained from history and physical and develops a treatment plan. Formulates and prioritizes appropriate short-term and long-term therapeutic plans when indicated. Incorporates in the plan of care the physical, spiritual, cultural and psychosocial aspects of patients and families to promote optimum levels of health. Explores strategies to decrease length of stay and resource consumption within specialty area. Establishes priorities to meet the health needs of the individual, family or community. Maintains effective communications about patient care with all members of the health care team to assure care is coordinated. Assists with the coordination of care between primary and specialty health care services when needed. Performance Expectation: Consultation Functions as a consultant to other health care professionals in the multi-disciplinary team regarding routine and unusual therapeutic interventions. Serves as a liaison, translator and negotiator for staff, patients and families. Collaborates in the development, implementation, communication and monitoring of the multi-disciplinary plan of care for complex patients. Shares responsibility for patient education which may include the patient, family members or other caregivers. May provide training to residents, fellows and other health care staff in area of specialty. Participates in the continual assessment and revision of practices and procedures in specialty area. Promotes teamwork through effective communication, feedback to team members. Recognizes team as integral to individual effectiveness and quality patient outcomes. Performance Expectation: Research Utilizes current research to develop, implement and evaluate critical paths and standards of care for identified patient population. Contributes to the profession through participation in research, publications, consultation and/or educational activities. Demonstrates knowledge and support for clinical trials within specialty area. Performance Expectation: Ethical Decision Making Skills Incorporates the use of clinical judgment in ethical decision making. Practices the principles of ethics in decision making for patients. Promotes the use of interdisciplinary collaborative processes to resolve ethical dilemmas. Demonstrates appropriate use of skills of negotiation, mediation, collaboration, compromise and accommodation to assist families struggling with ethical decisions. Displays the ability to examine patient’s values that impact treatment decision-making preferences. Recognizes patient rights as a foundation for ethical decisions. Performance Expectation: Professional Development Seeks out opportunities for professional growth through organizational affiliations. Functions in collaborative relationships with physicians, allied health professionals and administration. Assesses own learning needs and develops and implements a plan for professional growth. Enhances professional growth and development through participation in educational programs, current literature, in-service and workshops. Participates in teaching program as needed. Participates in continuing education activities to maintain competencies and to meet re-certification requirements. Maintain appropriate certification requirements to continue VCUHS privileges. Performance Expectation: Miscellaneous Responsibilities Performs other duties as assigned and/or participates in special projects in order to support the mission of VCU Health. Provides assistance to team members. Accepts alternate assignments, as required, graciously. Patient Population Age Specific groups served: As appropriate based on unit assignment. Employment Qualifications Required Education: Graduation from an accredited Nurse Practitioner or Physician Assistant Program Preferred Education: Service-specific education Licensure/Certification Required: Current Virginia licensure from the appropriate Board as a Nurse Practitioner, Nurse Midwife, or Physician Assistant Current national certification as appropriate for the role Credentialing in accordance with medical staff by-laws for specific job titles Current CPR and Basic Life Support (BLS) certifications; Additional certifications, including Advanced Cardiac Life Support (ACLS) certifications, Pediatric Advanced Life Support (PALS) for Pediatric services, may be determined at the department level Licensure/Certification Preferred: Service-specific certification Minimum Qualifications Years and Type of Required Experience Previous clinical experience with the population served Other Knowledge, Skills and Abilities Required: Cultural Responsiveness Other Knowledge, Skills and Abilities Preferred: Three (3) years of previous clinical experience with the population served Previous experience in an academic healthcare system Working Conditions Physical Requirements Physical Demands: Lifting/ Carrying (0-50 lbs.), Lifting/ Carrying (50-100 lbs.), Lifting/ Carrying (100+ lbs.), Push/ Pull (0-50 lbs.), Push/ Pull (50-100 lbs.), Stoop, Kneel, Squat, Crawling, Climbing, Balance, Bending Work Position: Sitting, Walking, Standing Additional Physical Requirements/ Hazards Physical Requirements: Manual dexterity (eye/hand coordination), Perform Shift Work, Maneuver weight of patients, Hear alarms/telephone/tape recorder, Reach above shoulder, Repetitive arm/hand movements, Finger Dexterity, Color Vision, Acuity – near, Acuity – far Hazards: Depth perception, Use of Latex Gloves, Exposure to toxic/caustic/chemicals/detergents, Exposure to moving mechanical parts, Exposure to dust/fumes, Exposure to potential electrical shock, Exposure to x ray/electromagnetic energy, Exposure to high pitched noises, Gaseous risk exposure Mental/Sensory – Emotional Mental / Sensory: Strong Recall, Reasoning, Problem Solving, Hearing, Speak Clearly, Write Legibly, Reading, Logical Thinking Emotional: Fast pace environment, Steady Pace, Able to Handle Multiple Priorities, Frequent and Intense Customer Interactions, Noisy Environment, Able to Adapt to Frequent Change EEO Employer/Disabled/Protected Veteran/41 CFR 60-1.4.
RN Pediatric Part-time
VCU Health

Registered Nurse (RN) - Children's Pavilion Pediatric Neurosciences - Part Time

VCU Health Richmond, VA
** $5,000 Sign On Bonus for offers accepted by February 28, 20265. Terms and Conditions apply** Children’s Hospital of Richmond at VCU combines award-winning research, education and clinical care with an uncanny understanding of what makes kids tick. Our team is a family. We work together to give every child in our growing community a chance to heal, recover and celebrate their super powers. The Clinical Nurse I job Integrates technical skills and theoretical knowledge to meet the needs of the patient and family. This job assists the health care team with the prevention of illness and injury, maintenance of wellness, and provision of comfort. This job provides direction, education, and begins to acquire leadership skills at the unit level. This job delivers and accurately documents direct, age-specific care to a patient or group of patients based on medical orders and an integrated, multidisciplinary plan of care. This job also safely administers prescribed medications, identifying incompatibilities and/or interactions. The Clinical Nurse II job demonstrates a mastery of clinical skills and begins to apply this knowledge to a specific patient population. This job assists the health care team with the prevention of illness and injury, maintenance of wellness, and provision of comfort. This job recognizes changes in patient situations and intervenes appropriately. This job mobilizes resources to meet the individualized needs of patient/families. This job provides direction, education, and assumes leadership responsibilities at the unit level. This job delivers and accurately documents direct, age-specific care to a patient or group of patients based on medical orders and an integrated, multidisciplinary plan of care. This job safely administers prescribed medications, identifying incompatibilities and/or interactions. The Clinical Nurse III job demonstrates clinical knowledge at the unit level and begins to apply this knowledge to a specific patient population. This job assists the health care team with the prevention of illness and injury, maintenance of wellness, and provision of comfort. This job anticipates changes in patient situations and intervenes appropriately. This job provides direction, education, and serves as a role model in a clinical setting. This job delivers and accurately documents direct, age-specific care to a patient or group of patients based on medical orders and an integrated, multidisciplinary plan of care. This job safely administers prescribed medications, identifying incompatibilities and/or interactions. Licensure, Certification, or Registration Requirements for Hire: Clin I, Clin II, Clin III: Current RN licensure in Virginia or eligible or compact state Licensure, Certification, or Registration Requirements for continued employment: Clin I, Clin II, Clin III: Current RN licensure in Virginia, AHA BLS HCP Certification or equivalent Experience REQUIRED: Clin I: N/A Clin II: 12 to 24 months RN experience Clin III: 3 years of clinical experience Experience PREFERRED: Clin I: Experience as an LPN, nursing assistant or care partner in either an acute care setting or as applicable to area of practice Clin II, Clin III: Academic Health Care Experience; Experience with similar patient population in either an acute care setting or as applicable to area of practice Education/training REQUIRED: Clin I, Clin II, Clin III: Diploma or Associates Degree from a professional nursing program recognized and/or approved by the corresponding state’s Board of Nursing. All registered nurses without a Bachelor's degree in Nursing (or higher) will be required to enroll in an approved RN to BSN program within two years of their start date and to complete the program within five years of their start date unless grandfathered under previous requirements. Education/training PREFERRED: Clin I, Clin II, Clin III: Completion of a Bachelor’s Degree in Nursing (or higher) from an accredited program Clin III: Certification in specialty area Independent action(s) required: Follows documented physician/licensed independent provider orders. Practices within the boundaries of the regulations governing the practice of nursing in the Commonwealth of Virginia. Practice is guided by the ANA Code of Ethics for Nursing and established national nursing practice standards. All practice is guided by and follows the VCUHS policies and procedures and established practice. Supervisory responsibilities (if applicable): Clin I, Clin II, Clin III: Organizes work and delegates and supervises others (RN's, LPN's, Care Partners, Unit Secretaries, etc.) in carrying out assignments. Additional position requirements: Clin I, Clin II, Clin III: Clinicians work all three shifts, weekends and holidays. Individual shift rotation and schedules will be established with your specific Nurse Manager/Practice Manager. Schedules, including requirements of shift rotations and hours of work may be adjusted as necessary to meet unit requirements and/or as needed. Age Specific groups served: As appropriate based on unit assignment. Physical Requirements (includes use of assistance devices as appropriate): Physical: Lifting 20-50 lbs. Other: Exposure to potentially hazardous and infectious substances Activities: Prolonged standing, Prolonged sitting, Frequent bending, Walking (distance), Climbing (steps, ladder, other), Reaching (overhead, extensive, repetitive) Mental/Sensory: Strong recall, Reasoning, Problem solving, Hearing, Speak clearly, Write legibly, Reading, Logical thinking Emotional: Fast pace environment, Steady pace, Able to handle multiple priorities, Frequent and intense customer interactions, Noisy environment Days EEO Employer/Disabled/Protected Veteran/41 CFR 60-1.4.
RN Pediatric Part-time
VCU Health

Registered Nurse (RN) Supplemental Staffing Float Pool--Pediatrics--Nights

VCU Health Richmond, VA
Tier 1 Supplemental Staffing RNs provide support to the organization by floating to multiple units and/ or areas within the VCU Health System (VCUHS). This flex pool includes Registered Nurses who work within inpatient areas to include adults and/ or pediatrics. The flex pool provides support 24/7 to VCUHS inpatient units, procedural areas, Periop and other specialties within VCUHS. Reassignment may occur in 4-hour blocks. This would also include an opportunity to float to other VCUHS facilities. The Clinical Nurse II job demonstrates a mastery of clinical skills and begins to apply this knowledge to a specific patient population. This job assists the health care team with the prevention of illness and injury, maintenance of wellness, and provision of comfort. This job recognizes changes in patient situations and intervenes appropriately. This job mobilizes resources to meet the individualized needs of patient/families. This job provides direction, education, and assumes leadership responsibilities at the unit level. This job delivers and accurately documents direct, age-specific care to a patient or group of patients based on medical orders and an integrated, multidisciplinary plan of care. This job safely administers prescribed medications, identifying incompatibilities and/or interactions. The Clinical Nurse III job demonstrates clinical knowledge at the unit level and begins to apply this knowledge to a specific patient population. This job assists the health care team with the prevention of illness and injury, maintenance of wellness, and provision of comfort. This job anticipates changes in patient situations and intervenes appropriately. This job provides direction, education, and serves as a role model in a clinical setting. This job delivers and accurately documents direct, age-specific care to a patient or group of patients based on medical orders and an integrated, multidisciplinary plan of care. This job safely administers prescribed medications, identifying incompatibilities and/or interactions The Clinical Nurse II job demonstrates a mastery of clinical skills and begins to apply this knowledge to a specific patient population. This job assists the health care team with the prevention of illness and injury, maintenance of wellness, and provision of comfort. This job recognizes changes in patient situations and intervenes appropriately. This job mobilizes resources to meet the individualized needs of patient/families. This job provides direction, education, and assumes leadership responsibilities at the unit level. This job delivers and accurately documents direct, age-specific care to a patient or group of patients based on medical orders and an integrated, multidisciplinary plan of care. This job safely administers prescribed medications, identifying incompatibilities and/or interactions. The Clinical Nurse III job demonstrates clinical knowledge at the unit level and begins to apply this knowledge to a specific patient population. This job assists the health care team with the prevention of illness and injury, maintenance of wellness, and provision of comfort. This job anticipates changes in patient situations and intervenes appropriately. This job provides direction, education, and serves as a role model in a clinical setting. This job delivers and accurately documents direct, age-specific care to a patient or group of patients based on medical orders and an integrated, multidisciplinary plan of care. This job safely administers prescribed medications, identifying incompatibilities and/or interactions. Performance Expectation: Pertains to staff in licensed Nursing positions ONLY Employee must complete 15 contact hours of Continuing Nursing Education during this evaluation cycle. Effective July 2012: CN-III must complete 20 contact hours; Failure to achieve the required number of contact hours will result in the employee being ineligible to receive an overall performance rating above "Fully Meets". Performance Expectation: Nursing Process The Clinical Nurse II demonstrates competent use of the nursing process as a problem-solving model in performance of job duties as evidenced by: Focuses assessment to target areas most productive for a given patient population or situation. Recognizes subtle changes in clinical situations; evaluates and appropriately alters the plan of care. Consistently makes sound clinical decision. Prioritizes and organizes patient care and ensures follow through with planned care. Initiates discharge care planning in assigned patients and actively coordinates utilizing the multidisciplinary/interdisciplinary approach. The Clinical Nurse III demonstrates competent use of the nursing process as a problem-solving model in performance of job duties as evidenced by: Synthesizes knowledge and experience to anticipate and plan to meet patient and family needs. Takes a proactive role in implementing multidisciplinary care planning for specific patient population. Performance Expectation: Nurse–Patient Relationship The Clinical Nurse II demonstrates ability to develop and maintain a therapeutic nurse/patient relationship throughout the health care continuum as evidenced by: Demonstrates effective communication styles based on individual patient/family needs. Identifies factors affecting patient’s physical and/or psychosocial comfort. Individualizes approaches accordingly. Seeks consultation if necessary to achieve patient outcome. Assesses patient/family readiness to be involved in planning. Involves them in planning and implementing care. Incorporates an individualized, holistic and non-judgmental approach to care. Mobilizes appropriate resources in response to situations that have the potential to negatively impact patient/family outcomes. The Clinical Nurse III develops and maintains a therapeutic nurse/patient relationship throughout the health care continuum. Respect for patients’ rights is an integral part of the nurse/patient relationship as reflected in our values statement as evidenced by: Adapts communication styles and techniques based on individual patient/family needs. Anticipates variables affecting patient comfort. Alters physical and/or psychosocial interventions accordingly, using a variety of modalities. Assists patient/family to gain sense of control. Facilitates patient/family’s participation in his/her recovery. Consistently utilizes an individualized, holistic and non-judgmental approach to patient care. Challenges situations and engages in activities to promote positive patient outcomes. Performance Expectation: Education The Clinical Nurse II demonstrates a commitment to meeting the learning needs of patients and families as evidenced by: Accurately assesses patient/family readiness to learn, organize and execute individualized teaching plan. Evaluates patient’s understanding and modifies approach as necessary. Assists individual members of the health care team in developing their clinical skills. The Clinical Nurse III demonstrates a commitment to meeting the learning needs of patients and families as evidenced by: Utilizes a variety of teaching strategies appropriate to the patient’s needs. Seeks out challenging patient/family teaching opportunities. Assumes responsibility for identifying staff learning needs. Develops, implements and evaluates formal and informal patient and/or staff educational plans. Performance Expectation: Leadership/Collaboration and Professional Development The Clinical Nurse II demonstrates respect and understanding for peers and other clinical disciplines and participates as an effective member of the patient care team to formulate an integrated approach based upon current evidence and on the mission of the department as evidenced by: Participates in unit activities which improve patient care or administrative systems. Utilizes available resources to maintain current knowledge base relevant to practice. Asks clinical questions related to nursing care of patients. Demonstrates ability to locate and obtain evidence to answer clinical questions. Seeks out and utilizes resources to identify nursing practice issues, including those that require evidence-based evaluation/research. Shares findings of personal review of evidence (literature/QA/experts, etc.) with peers and generates dialogue. May initiate steps toward problem resolution based on current best evidence. Initiates referrals. Coordinates the health care team to meet patient and family’s individualized needs. Consistently utilizes effective communication, feedback and conflict resolution skills. Demonstrates the ability to critique own nursing practice. Identifies a plan for professional development. The Clinical Nurse III demonstrates respect and understanding for peers and other clinical disciplines and participates as an effective member of the patient care team to formulate an integrated approach based upon current evidence and on the mission of the department as evidenced by: Leads or participates in unit or division activities which improve patient care or administrative systems. Maintains awareness of current practice in specialty area. Assists others in translating and applying this knowledge to the practice setting. Evaluates nursing practice based on current best evidence. Initiates steps towards problem resolution based on current best evidence. Questions clinical practice at the unit and/or department level, and incorporates the use of current best evidence, clinical judgment and patient values/preferences. May implement solutions towards problem resolution based on current best evidence. Shares current best evidence (e.g. critical pathways, practice guidelines, protocols, and standards) with peers and others. Contributes to the revision and development of unit and/or department nursing care guidelines and/or policies and procedures based on current best evidence. Promotes the development of collaborative relationships with other health professionals by focusing on patient outcomes. Takes responsibility for problem-solving and conflict resolution. Describes their professional practice goals and plans for achieving them on the individual and unit level. Demonstrates how they have accomplished some of their professional practice goals in the last two years. Performance Expectation: Performs other Duties and Participates in Special Projects The Clinical Nurse II: Readily volunteers and/or participates in special projects in order to support the mission of VCUHS and department. The Clinical Nurse III: Provides assistance to team members. Accepts alternate assignments, as required. Initiates and/or delegates other duties as assigned and/or participates in special projects in order to support the mission of VCUHS and department. Makes use of diverse talents of team members, promotes team dynamics. Suggests and or supports/alternate assignments, displays emotional stability. Education/training REQUIRED: Clin II, Clin III Diploma or Associates Degree from a professional nursing program recognized and/or approved by the corresponding state’s Board of Nursing. All registered nurses without a Bachelor's degree in Nursing (or higher) will be required to enroll in an approved RN to BSN program within two years of their start date and to complete the program within five years of their start date unless grandfathered under previous requirements. Education/training PREFERRED: Clin II, Clin III Completion of a bachelor’s degree in Nursing (or higher) from an accredited program Clin III: Certification in specialty area Licensure, Certification, or Registration Requirements for Hire: Clin II, Clin III: Current RN licensure in Virginia or eligible or compact state Experience REQUIRED: Clin II: 12 to 24 months RN experience Clin III: 3 years of clinical experience Clin II, Clin III Academic Health Care Experience; Experience with similar patient population in either an acute care setting or as applicable to area of practice Other Knowledge, Skills and Abilities Required: Follows documented physician/licensed independent provider orders. Practices within the boundaries of the regulations governing the practice of nursing in the Commonwealth of Virginia. Practice is guided by the ANA Code of Ethics for Nursing and established national nursing practice standards. All practice is guided by and follows the VCUHS policies and procedures and established practice. Clinicians work all shifts, weekends and holidays. Individual shift rotation and schedules will be established with your specific Nurse Manager/Practice Manager. Schedules, including requirements of shift rotations and hours of work may be adjusted as necessary to meet unit requirements and/or as needed Age Specific groups served: As appropriate based on unit assignment. Physical Requirements (includes use of assistance devices as appropriate): Physical: Lifting 0-50 lbs. Other: Exposure to potentially hazardous and infectious substances Activities: Prolonged standing, Prolonged sitting, Frequent bending, Walking (distance), Climbing (steps, ladder, other), Reaching (overhead, extensive, repetitive) Mental/Sensory: Strong recall, Reasoning, Problem solving, Hearing, Speak clearly, Write legibly, Reading, Logical thinking Emotional: Fast pace environment, Steady pace, Able to handle multiple priorities, Frequent and intense customer interactions, Noisy environment Rotating EEO Employer/Disabled/Protected Veteran/41 CFR 60-1.4.
RN Full-time
VCU Health

RN Clinical Research Coordinator III

VCU Health Richmond, VA
The Clinical Research Coordinator III is responsible for full project management of clinical research projects for children, adult, and/or geriatric patients within internationally accepted standards of knowledge and understanding of the clinical research process and related regulations. The position will focus on investigator-initiated studies and NIH grant funded studies for which specialized clinical research coordination is required. This may include, but is not limited to, administrative and clinical processes, project initiation and maintenance, enrollment of patients, designing of case report forms, data collection, managing study patient follow-up, coordination of monitoring visits, collaborative writing of protocols and reports, and other administrative duties as determined for the successful conduct of innovative clinical research projects. The CRC III is also expected to fully participate in the training of, and be a resource for, junior clinical research staff and University and health system staff. Job Description Essential Job functions Performance Expectation: Exhibit proficient and expert competencies required to conduct clinical research Develops an internationally accepted standard of knowledge and understanding of the research process and related regulations; Maintains CCRC certification; Maintains membership in a minimum of 2 (or combination of 2) professional organizations, hospital committees or high-profile activities; Maintains an advanced level of knowledge including anatomy, disease process, medical terminology, tests and procedures relating to area of responsibility; Receives a minimum of 36 contact hours per year related to clinical research or job-related discipline documented by certificates of continuing education credits; Exhibits a high skill level of Microsoft Office and enrolls in classes as needed to achieve this level; Exhibits a high level of proficiency in the Clinical Trial Management System or other electronic database/management system per VCU Health/VCU requirements; Develops a system for organizing, planning and controlling workflow as related to specific activities with meticulous attention to detail and ordering of priorities; and Functions independently and proficiently as defined in the position essential functions with minimal supervision. Performance Expectation: Initiates studies Oversees operationalizing of investigator-initiated and/or NIH clinical trials; Managers and/or fully participates in design of study-specific research processes; Coordinates and facilitates site visits; Assists in evaluation of all potential clinical research studies; Exhibits a expert knowledge of protocols, including background, rationale and description of investigational drug/device; Understands and conveys knowledge of inclusion/exclusion criteria, visits, tests, procedures and concomitant medications per protocol; Knowledgeable and confident to perform informed consent process including multiple consenting when appropriate; Maintains communication with sponsor representatives, including acquisition of case report forms, device and/or drug stock, study tools and related documents; Maintains current inventory logs; Identifies study specific tests and procedure protocols, contacts appropriate departments and facilitates required training, certification and validation; Coordinates and facilitates site initiation visits; Assesses protocol requirements for patient care and provides necessary instruction; Collaborates with principal investigator to identify standard of care vs. nonstandard of care visits, hospitalizations, tests and procedures; Assembles, updates and maintains study packets, including consent, inclusion/exclusion check list, sponsor contact information and other related information; Prepares and distributes study specific flyers for ancillary staff and departments; Coordinates in-service/training/proctoring for physicians, departments and appropriate staff with supervision; and Ensures accurate progress of the protocol from planning to closure. Performance Expectation: Enrolls patients Oversees project enrollment patterns and goals in conjunction with Principal Investigator; Diligently screens for patients in appropriate departments and participating physician offices; Completes and submits screening forms as directed; Enters screen failures in the Clinical Trial Management System or other electronic database/management system per VCU Health/VCU requirements; Maintains contact with principal investigators and sub-investigators to promote study and encourage patient enrollment; Available and prepared for patient enrollment; Promotes protocol compliance by being in clinic/physician’s office/lab/OR when the subject is seen or leaves guidelines for investigator or sub-investigator to follow; Notifies and schedules sponsor clinicians, engineers and/or proctors for cases as necessary; Orders and/or manages orders of all protocol required labs, tests, procedures and medications accurately and according to area of responsibility SOPs; Manages studies prospectively to prevent protocol deviations; Enters patient enrollments and completes check list in the Clinical Trial Management System or other electronic database/management system per VCU Health/VCU requirements; Maintains screening and enrollment logs and provides to sponsor within established timeframe; and Communicates regularly with PI, research nurse, and RCII team to ensure smooth and accurate enrollments. Performance Expectation: Collects data Designs project-specific case report forms; Oversees timeliness and quality of project-specific data collection; Designs and/or assists in the design of protocols and reports; Knowledgeable of both electronic and paper case report forms and procedures for completion and correction; Ensures all study documentation is accurately maintained, utilizing sponsor source documents or develops source documents as necessary; Responds to data clarification requests adequately and in a timely manner; Maintains a log of outstanding queries; Maintains confidentiality of Protected Health Information (PHI) and keeps all records secure; Requests charts and office notes from referring physicians and investigators to retrieve/capture data; and Obtains all required signatures in a timely manner; and Processes, stores, and ships biospecimens according to local and study specific requirements. Performance Expectation: Manages study patient follow-up Follows study patient both in-patient and out-patient throughout course of study; Meets the timetable for protocol procedures and follow-up schedule; Ensures patient is scheduled for follow-up appointments; Orders and/or manages orders of all protocol required follow-up labs, tests, procedures and medications accurately and according to area of responsibility SOPs; Is present for all follow-up appointments when possible; Collects appropriate data during follow-up visit utilizing acceptable source documentation; Enters patient follow-up visits and completes check list in the Clinical Trial Management System or other electronic database/management system per VCU Health/VCU requirements; Monitors for adverse events, including daily review of study patient hospitalizations; Informs patients of changes in protocol and adverse events; re-consents patients as required; Makes every attempt to locate patient for follow-up and documents activity appropriately; and Collaborates with attending physician and principal investigator to report serious adverse events to study sponsor and regulatory personnel within mandated timeframe. Performance Expectation: Manages monitoring visits Coordinates and schedules monitoring and study close-out visits; Ensures all data is entered on case report forms; Provides source documentation for all data; Ensures organized, complete study charts, including legible, accurate research notes; and Is available to monitor for clarification and corrections as needed. Performance Expectation: Communication and Problem-Solving Anticipates obstacles and proactively developing solutions to achieve identified goals; Is effective as primary source for troubleshooting study-specific obstacles and barriers; Effectively collaborates with Principal Investigator to address barriers to project success; Effectively shares and educates university and health system staff regarding the process for management of the segregation and routing of charges related to the treatment of patients enrolled in clinical trials; Independently identifies barriers to the segregation process and utilizes appropriate resources to resolve problems and remove barriers; Communicates in a timely professional manner with investigators, research staff, colleagues, and university and health system departments; Answers pages, phone messages and e-mails in a timely manner documenting communication as necessary; Takes the necessary initiative and collaborates with the interdisciplinary team members; Coordinates with research study staff and health system departments to identify and interact efficiently to maximize use of health system resources; and Capable of anticipating obstacles and proactively developing solutions to achieve identified goals. Performance Expectation: Miscellaneous Responsibilities Attends research meetings (e.g., staff, Scientific Review, Protocol Review. etc.); Prepares agenda(s) and/or manages research meetings; Participates in continual learning, Performance Improvement (PI) projects and JCAHO Readiness; Functions within the guidelines of VCU Health, VCU, HIPAA, OSHA, JCAHO, federal, state and other regulatory agencies including OPRR, GCP and FDA guidelines; Participates in VCU Health/VCU quality assurance programs; Acts as liaison and "Good Will Ambassador" between research department, physician practices, hospital and staff; Trains and mentors new CRCs; Oversees day-to-day clinical operations in absence of a Team Lead; Ensures all regulatory documents and correspondence are submitted to regulatory personnel in a timely manner; Meets department screening and accrual goals; Assists in recruiting and interviewing potential candidates for research positions; Plans and designs new forms/flowsheets to be used in research activities; Performs other duties as assigned and/or participates in special projects in order to support the mission of clinical research at VCU Health; Provides assistance to team members as needed/requested; Accepts alternate assignments, as required, graciously; Completes one (1) special project or presentation per year that impact clinical research at VCU Health/VCU; and Conducts independent research project(s) with goal of publication or conference presentation. Patient Population: N/A Employment Qualifications Required Education: Bachelor’s degree in Health-related Field Licensure/Certification Required: None Licensure/Certification Preferred: Certified CRC (CCRC) certification Experience Required: Minimum of five (5) years of clinical research experience Experience Preferred: Over eight (8) years of work experience in clinical research; Eight (8) years of work experience in disease/discipline; Extensive patient records review and abstraction experience; Over eight (8) years of work experience in a team environment; Publication experience; Protocol development experience; and Management of clinical research staff. Cultural Responsiveness: Demonstrate a commitment to diversity, equity, and inclusion through continuous development, modeling inclusive behaviors, and proactively managing bias. Working Conditions Periods of high stress and fluctuating workloads may occur. General office environment. Prolonged periods of working alone. Physical Requirements Lifting/ Carrying (0-50 lbs.), Push/ Pull (0-50 lbs.), Stoop, Kneel, Squat, Balance, Bending Work Position: Sitting, Walking, Standing Additional Physical Requirements/ Hazards Physical Requirements: Manual dexterity (eye/hand coordination), Finger Dexterity Hazards: none Mental/Sensory: Reasoning, Problem solving, Speak clearly, Reading, Logical Thinking Emotional: Steady pace, Able to handle multiple priorities EEO Employer/Disabled/Protected Veteran/41 CFR 60-1.4.
RN Full-time
VCU Health

Registered Nurse (RN) - Diagnostic Radiology - Gateway MRI - Days

VCU Health Richmond, VA
**$20,000 Sign On Bonus for offers accepted by February 28, 2026. Terms and Conditions apply** Shift: -- 4x10s - The position will be 4 10s primarily weekdays. -- Shift start time can be 7AM or 9AM. -- Can be scheduled to other shifts/days during the six-week schedule based on the needs of the unit. The Clinical Nurse II job demonstrates a mastery of clinical skills and begins to apply this knowledge to a specific patient population. This job assists the health care team with the prevention of illness and injury, maintenance of wellness, and provision of comfort. This job recognizes changes in patient situations and intervenes appropriately. This job mobilizes resources to meet the individualized needs of patient/families. This job provides direction, education, and assumes leadership responsibilities at the unit level. This job delivers and accurately documents direct, age-specific care to a patient or group of patients based on medical orders and an integrated, multidisciplinary plan of care. This job safely administers prescribed medications, identifying incompatibilities and/or interactions. The Clinical Nurse III job demonstrates clinical knowledge at the unit level and begins to apply this knowledge to a specific patient population. This job assists the health care team with the prevention of illness and injury, maintenance of wellness, and provision of comfort. This job anticipates changes in patient situations and intervenes appropriately. This job provides direction, education, and serves as a role model in a clinical setting. This job delivers and accurately documents direct, age-specific care to a patient or group of patients based on medical orders and an integrated, multidisciplinary plan of care. This job safely administers prescribed medications, identifying incompatibilities and/or interactions. Licensure, Certification, or Registration Requirements for Hire: Clin I, Clin II, Clin III: Current RN licensure in Virginia or eligible or compact state Licensure, Certification, or Registration Requirements for continued employment: Clin I, Clin II, Clin III: Current RN licensure in Virginia, AHA BLS HCP Certification or equivalent Experience REQUIRED: Clin I: N/A Clin II: 12 to 24 months RN experience Clin III: 3 years of clinical experience Experience PREFERRED: Clin I: Experience as an LPN, nursing assistant or care partner in either an acute care setting or as applicable to area of practice Clin II, Clin III: Academic Health Care Experience; Experience with similar patient population in either an acute care setting or as applicable to area of practice Education/training REQUIRED: Clin I, Clin II, Clin III: Diploma or Associates Degree from a professional nursing program recognized and/or approved by the corresponding state’s Board of Nursing. All registered nurses without a Bachelor's degree in Nursing (or higher) will be required to enroll in an approved RN to BSN program within two years of their start date and to complete the program within five years of their start date unless grandfathered under previous requirements. Education/training PREFERRED: Clin I, Clin II, Clin III: Completion of a Bachelor’s Degree in Nursing (or higher) from an accredited program Clin III: Certification in specialty area Independent action(s) required: Follows documented physician/licensed independent provider orders. Practices within the boundaries of the regulations governing the practice of nursing in the Commonwealth of Virginia. Practice is guided by the ANA Code of Ethics for Nursing and established national nursing practice standards. All practice is guided by and follows the VCUHS policies and procedures and established practice. Supervisory responsibilities (if applicable): Clin I, Clin II, Clin III: Organizes work and delegates and supervises others (RN's, LPN's, Care Partners, Unit Secretaries, etc.) in carrying out assignments. Additional position requirements: Clin I, Clin II, Clin III: Clinicians work all three shifts, weekends and holidays. Individual shift rotation and schedules will be established with your specific Nurse Manager/Practice Manager. Schedules, including requirements of shift rotations and hours of work may be adjusted as necessary to meet unit requirements and/or as needed. Age Specific groups served: As appropriate based on unit assignment. Physical Requirements (includes use of assistance devices as appropriate): Physical: Lifting 20-50 lbs. Other: Exposure to potentially hazardous and infectious substances Activities: Prolonged standing, Prolonged sitting, Frequent bending, Walking (distance), Climbing (steps, ladder, other), Reaching (overhead, extensive, repetitive) Mental/Sensory: Strong recall, Reasoning, Problem solving, Hearing, Speak clearly, Write legibly, Reading, Logical thinking Emotional: Fast pace environment, Steady pace, Able to handle multiple priorities, Frequent and intense customer interactions, Noisy environment Days EEO Employer/Disabled/Protected Veteran/41 CFR 60-1.4.
RN Pediatric Full-time
VCU Health

Registered Nurse (RN) - Pediatrics Cardiac Cath Lab - Days

VCU Health Richmond, VA
**$25,000 Sign On Bonus for offers accepted by February 28, 2026. Terms and Conditions apply** The Clinical Nurse I job Integrates technical skills and theoretical knowledge to meet the needs of the patient and family. This job assists the health care team with the prevention of illness and injury, maintenance of wellness, and provision of comfort. This job provides direction, education, and begins to acquire leadership skills at the unit level. This job delivers and accurately documents direct, age-specific care to a patient or group of patients based on medical orders and an integrated, multidisciplinary plan of care. This job also safely administers prescribed medications, identifying incompatibilities and/or interactions. The Clinical Nurse II job demonstrates a mastery of clinical skills and begins to apply this knowledge to a specific patient population. This job assists the health care team with the prevention of illness and injury, maintenance of wellness, and provision of comfort. This job recognizes changes in patient situations and intervenes appropriately. This job mobilizes resources to meet the individualized needs of patient/families. This job provides direction, education, and assumes leadership responsibilities at the unit level. This job delivers and accurately documents direct, age-specific care to a patient or group of patients based on medical orders and an integrated, multidisciplinary plan of care. This job safely administers prescribed medications, identifying incompatibilities and/or interactions. The Clinical Nurse III job demonstrates clinical knowledge at the unit level and begins to apply this knowledge to a specific patient population. This job assists the health care team with the prevention of illness and injury, maintenance of wellness, and provision of comfort. This job anticipates changes in patient situations and intervenes appropriately. This job provides direction, education, and serves as a role model in a clinical setting. This job delivers and accurately documents direct, age-specific care to a patient or group of patients based on medical orders and an integrated, multidisciplinary plan of care. This job safely administers prescribed medications, identifying incompatibilities and/or interactions. Licensure, Certification, or Registration Requirements for Hire: Clin I, Clin II, Clin III: Current RN licensure in Virginia or eligible or compact state Licensure, Certification, or Registration Requirements for continued employment: Clin I, Clin II, Clin III: Current RN licensure in Virginia, AHA BLS HCP Certification or equivalent Experience REQUIRED: Clin I: N/A Clin II: 12 to 24 months RN experience Clin III: 3 years of clinical experience Experience PREFERRED: Clin I: Experience as an LPN, nursing assistant or care partner in either an acute care setting or as applicable to area of practice Clin II, Clin III: Academic Health Care Experience; Experience with similar patient population in either an acute care setting or as applicable to area of practice Education/training REQUIRED: Clin I, Clin II, Clin III: Diploma or Associates Degree from a professional nursing program recognized and/or approved by the corresponding state’s Board of Nursing. All registered nurses without a Bachelor's degree in Nursing (or higher) will be required to enroll in an approved RN to BSN program within two years of their start date and to complete the program within five years of their start date unless grandfathered under previous requirements. Education/training PREFERRED: Clin I, Clin II, Clin III: Completion of a Bachelor’s Degree in Nursing (or higher) from an accredited program Clin III: Certification in specialty area Independent action(s) required: Follows documented physician/licensed independent provider orders. Practices within the boundaries of the regulations governing the practice of nursing in the Commonwealth of Virginia. Practice is guided by the ANA Code of Ethics for Nursing and established national nursing practice standards. All practice is guided by and follows the VCUHS policies and procedures and established practice. Supervisory responsibilities (if applicable): Clin I, Clin II, Clin III: Organizes work and delegates and supervises others (RN's, LPN's, Care Partners, Unit Secretaries, etc.) in carrying out assignments. Additional position requirements: Clin I, Clin II, Clin III: Clinicians work all three shifts, weekends and holidays. Individual shift rotation and schedules will be established with your specific Nurse Manager/Practice Manager. Schedules, including requirements of shift rotations and hours of work may be adjusted as necessary to meet unit requirements and/or as needed. Age Specific groups served: As appropriate based on unit assignment. Physical Requirements (includes use of assistance devices as appropriate): Physical: Lifting 20-50 lbs. Other: Exposure to potentially hazardous and infectious substances Activities: Prolonged standing, Prolonged sitting, Frequent bending, Walking (distance), Climbing (steps, ladder, other), Reaching (overhead, extensive, repetitive) Mental/Sensory: Strong recall, Reasoning, Problem solving, Hearing, Speak clearly, Write legibly, Reading, Logical thinking Emotional: Fast pace environment, Steady pace, Able to handle multiple priorities, Frequent and intense customer interactions, Noisy environment EEO Employer/Disabled/Protected Veteran/41 CFR 60-1.4.
NP Full-time
VCU Health

Advanced Practice Provider - Transplant - Main 7 - Nights

VCU Health Richmond, VA
The Nurse Practitioner job demonstrates a high level of expertise in the assessment, diagnosis, and treatment of the complex responses of individuals, families, or communities to actual or potential health problems, prevention of illness and injury, maintenance of wellness, and provision of comfort. This role assists the health care team with the prevention of illness and injury, maintenance of wellness, and provision of comfort. The Nurse Practitioner job continues to perform many of the same interventions used in basic nursing practice. The difference in this practice relates to a greater depth and breadth of knowledge, a greater degree of synthesis of data, and complexity of skills and intervention. ANA’s Scope and Standards of Advanced Practice Registered Nursing (1996). Essential Job Functions Performance Expectation: Pertains to Staff in Licensed Nursing Positions ONLY Employee must complete 15 contact hours of Continuing Nursing Education during this evaluation cycle. Failure to achieve the required number of contact hours will result in the employee ineligible to receive an overall performance rating above "Fully Meets". Performance Expectation: Expert Coaching & Guidance The APN-Practitioner is a strong proponent of coaching and guidance as evidenced by: Planning and implementing steps to resolve problems affecting patient care quality and evaluates results. Role modeling patient advocacy. Challenging and adapting systems to maximize the benefits of patient care. Demonstrates advanced assessment skills in assessment, management of disease, and treatment-related side effects. Recommending goals and interventions for medical and nursing plan of care plans based on current literature. Promoting individual involvement and development of others. Demonstrating expert knowledge to coordinate patient care across the continuum of services: inpatient, ambulatory, and home health through the patient’s trajectory of illness. Developing and evaluating educational materials and teaching interventions for staff, patients/caregivers, and the community. Fostering skill development of others Assessment, diagnosis, and monitoring to improve the skills of students and staff. Mentoring the APN’s role in the health system to promote quality patient outcomes. Performance Expectation: Consultation The APN-Practitioner maintains a therapeutic relationship with the patients, caregivers, and staff throughout the health care continuum. Consultation and support is evidenced by: The ability to organize and facilitate patient support groups as needed. Serving as a liaison, translator and negotiator for staff, patients and families. Utilizing experiences and resources to staff regarding routine and unusual therapeutic interventions. Promoting teamwork through effective communication and feedback to team members. Recognizes team as integral to individual effectiveness and quality patient outcomes. Identifying unit, departmental/regional and hospital issues. Suggests changes in an effort to connect system problems. Functions as a consultant in the multi-disciplinary team. Performance Expectation: Research Skills The APN-Practitioner participates in clinical practices for a population of patients based on the application of clinical research findings and evidence-based practices as evidenced by: Identifying areas of need for nursing or medical research. Actively seeks/participates in and/or monitors this research. Utilizing current research to develop, implement and evaluate critical paths and standards of care for identified patient populations. Incorporating research findings into practice. Contributing to the profession through participation in research, publications, consultation and/or educational activities. Performance Expectation: Clinical & Professional Leadership The APN-Practitioner works with colleagues and or professional organizations in the advancement of clinical practice and fosters professional leadership behaviors as evidenced by: Consistently using nurse/patient relationship to positively affect the health care experience and promote adaptation to changing health status. Utilizing the Performance Improvement Process to address clinical practice and system changes within the organization. Seeking out opportunities for professional growth through organizational affiliations and certification in specialty area. Demonstrating mastery of nursing care of specialty populations. Expert documentation reflecting holistic and interdisciplinary patient care. Initiating and participating in departmental/specialty educational endeavors. Case managing identified target populations and diseases. Valuing the patient/family right to receive quality cost effective care and facilitates this process. Looked upon as a Role model self-leadership in own professional development: setting outcomes, seeking needed resources or learning, seeking and accepting feedback. Serving as a preceptor for advanced practitioners/students/medical staff/nursing staff and others. Performance Expectation: Collaboration The APN Practitioner initiates referrals and coordinates the health care team to meet the patient/family needs by utilizing collaborative relationships between nursing and other disciplines as evidenced by: Collaborating in development, implementation, communication, and monitoring of the multidisciplinary/interdisciplinary plan of care for complex patients. Structuring multidisciplinary systems to facilitate these processes. Working with others to promote health and present illness in patients, families, staff, and community. Networking with payers and community resources to ensure quality outcomes. Participating as a team leader/member in the provision of health care. Interacting with professional colleagues (within/outside the facility) to provide comprehensive continuity of care. Performance Expectation: Nurse Practitioner The APN- Practitioner’s instinctive grasp of clinical situations reflects comprehensive knowledge and experience as evidence by: Assessing the health status of individuals through health histories, by performing physical examination, initiating screening, ordering or performing a diagnostic, and therapeutic intervention requiring skill and education beyond that of a registered nurse. Interpreting information obtained from history and physical and developing a treatment plan. Formulating and prioritizing appropriate short-term and long-term therapeutic plans when indicated. Plan of care incorporates the physical, spiritual, cultural, and psychosocial aspects of patients and families to promote optimum levels of health. Management of patients in clinical specialty and other related disorders in individuals. Focusing on health maintenance in clinical management of chronically ill patients. Initiating emergency procedures as indicated. Exploring strategies to decrease length of stay and resource consumption within specialty. Utilizing clinical pathways to coordinate patient care across the full continuum of services: inpatient, ambulatory and home health, or through the patient’s trajectory of illness. Establishing priorities to meet the health needs of the individual, family or community. Developing a treatment plan, establishing a mutually acceptable evidence based, cost effective plan of care to maximize health potential Performance Expectation: Ethical Decision-making Skills The APN-Practitioner adheres to ethical principles that reflect the standards of the organization and individual behaviors as evidenced by: Incorporating the use of the nursing process and clinical judgment in ethical decision making. Practicing the principles of ethics in decision making for patients. Promoting the use of interdisciplinary collaborative processes to resolve ethical dilemmas. Demonstrating appropriate use of skills of negotiation, mediation, collaboration, compromise, and accommodation to assist families struggling with ethical decisions. Displaying the ability to examine patient’s values that impact treatment decision-making preferences. Recognition of patient rights as a foundation for ethical decisions. Performance Expectation: Miscellaneous Responsibilities Performs other duties as assigned and/or participates in special projects in order to support the mission of VCUHS and department. Provides assistance to team members. Accepts alternate assignments, as required, graciously. Licensure, Certification, or Registration Requirements for Hire: Current RN licensure in Virginia or eligible License to practice as NP in the specialty area in the Commonwealth of Virginia Prescriptive Authority when required Licensure, Certification, or Registration Requirements for continued employment: Current RN Licensure in Virginia Credentialing in accordance with medical staff by-laws for specific job title License to practice as NP in the specialty area in the Commonwealth of Virginia Prescriptive authority when required Experience REQUIRED: Minimum of two (2) years experience as a RN Experience PREFERRED: Academic health care experience Two (2) years within the specialty practice area Advanced Practice Nursing Role or Clinical Leadership Role experience Education/training REQUIRED: Master's Degree in Nursing from an accredited program specific to area of practice *Applicants with current advanced practice licensure may be within one semester of graduation from obtaining a MSN degree or higher, which must be completed within six months of hire to continue employment. Education/training PREFERRED: N/A Independent action(s) required: Clinical decision-making in collaboration with physicians and daily prioritization of activities. The allocation of time spent in patient care and elsewhere is largely self-determined. Supervisory responsibilities (if applicable): N/A Additional position requirements: N/A Age Specific groups served: As appropriate based on unit assignment. Physical Requirements (includes use of assistance devices as appropriate): Physical: Lifting 50-100 lbs. Other: Exposure to potentially hazardous and infectious substances Activities: Prolonged standing, Frequent bending, Walking (distance), Climbing (steps, ladder, other), Reaching (overhead, extensive, repetitive), Repetitive motion Mental/Sensory: Strong recall, Reasoning, Problem solving, Hearing, Speak clearly, Write legibly, Reading, Logical thinking Emotional: Fast pace environment, Steady pace, Able to handle multiple priorities, Frequent and intense customer interactions, Noisy environment, Able to adapt to frequent change EEO Employer/Disabled/Protected Veteran/41 CFR 60-1.4.
NP Full-time
VCU Health

Advanced Practice Provider - Transplant - Main 7 - Rotating

VCU Health Richmond, VA
The Nurse Practitioner job demonstrates a high level of expertise in the assessment, diagnosis, and treatment of the complex responses of individuals, families, or communities to actual or potential health problems, prevention of illness and injury, maintenance of wellness, and provision of comfort. This role assists the health care team with the prevention of illness and injury, maintenance of wellness, and provision of comfort. The Nurse Practitioner job continues to perform many of the same interventions used in basic nursing practice. The difference in this practice relates to a greater depth and breadth of knowledge, a greater degree of synthesis of data, and complexity of skills and intervention. ANA’s Scope and Standards of Advanced Practice Registered Nursing (1996). Essential Job Functions Performance Expectation: Pertains to Staff in Licensed Nursing Positions ONLY Employee must complete 15 contact hours of Continuing Nursing Education during this evaluation cycle. Failure to achieve the required number of contact hours will result in the employee ineligible to receive an overall performance rating above "Fully Meets". Performance Expectation: Expert Coaching & Guidance The APN-Practitioner is a strong proponent of coaching and guidance as evidenced by: Planning and implementing steps to resolve problems affecting patient care quality and evaluates results. Role modeling patient advocacy. Challenging and adapting systems to maximize the benefits of patient care. Demonstrates advanced assessment skills in assessment, management of disease, and treatment-related side effects. Recommending goals and interventions for medical and nursing plan of care plans based on current literature. Promoting individual involvement and development of others. Demonstrating expert knowledge to coordinate patient care across the continuum of services: inpatient, ambulatory, and home health through the patient’s trajectory of illness. Developing and evaluating educational materials and teaching interventions for staff, patients/caregivers, and the community. Fostering skill development of others Assessment, diagnosis, and monitoring to improve the skills of students and staff. Mentoring the APN’s role in the health system to promote quality patient outcomes. Performance Expectation: Consultation The APN-Practitioner maintains a therapeutic relationship with the patients, caregivers, and staff throughout the health care continuum. Consultation and support is evidenced by: The ability to organize and facilitate patient support groups as needed. Serving as a liaison, translator and negotiator for staff, patients and families. Utilizing experiences and resources to staff regarding routine and unusual therapeutic interventions. Promoting teamwork through effective communication and feedback to team members. Recognizes team as integral to individual effectiveness and quality patient outcomes. Identifying unit, departmental/regional and hospital issues. Suggests changes in an effort to connect system problems. Functions as a consultant in the multi-disciplinary team. Performance Expectation: Research Skills The APN-Practitioner participates in clinical practices for a population of patients based on the application of clinical research findings and evidence-based practices as evidenced by: Identifying areas of need for nursing or medical research. Actively seeks/participates in and/or monitors this research. Utilizing current research to develop, implement and evaluate critical paths and standards of care for identified patient populations. Incorporating research findings into practice. Contributing to the profession through participation in research, publications, consultation and/or educational activities. Performance Expectation: Clinical & Professional Leadership The APN-Practitioner works with colleagues and or professional organizations in the advancement of clinical practice and fosters professional leadership behaviors as evidenced by: Consistently using nurse/patient relationship to positively affect the health care experience and promote adaptation to changing health status. Utilizing the Performance Improvement Process to address clinical practice and system changes within the organization. Seeking out opportunities for professional growth through organizational affiliations and certification in specialty area. Demonstrating mastery of nursing care of specialty populations. Expert documentation reflecting holistic and interdisciplinary patient care. Initiating and participating in departmental/specialty educational endeavors. Case managing identified target populations and diseases. Valuing the patient/family right to receive quality cost effective care and facilitates this process. Looked upon as a Role model self-leadership in own professional development: setting outcomes, seeking needed resources or learning, seeking and accepting feedback. Serving as a preceptor for advanced practitioners/students/medical staff/nursing staff and others. Performance Expectation: Collaboration The APN Practitioner initiates referrals and coordinates the health care team to meet the patient/family needs by utilizing collaborative relationships between nursing and other disciplines as evidenced by: Collaborating in development, implementation, communication, and monitoring of the multidisciplinary/interdisciplinary plan of care for complex patients. Structuring multidisciplinary systems to facilitate these processes. Working with others to promote health and present illness in patients, families, staff, and community. Networking with payers and community resources to ensure quality outcomes. Participating as a team leader/member in the provision of health care. Interacting with professional colleagues (within/outside the facility) to provide comprehensive continuity of care. Performance Expectation: Nurse Practitioner The APN- Practitioner’s instinctive grasp of clinical situations reflects comprehensive knowledge and experience as evidence by: Assessing the health status of individuals through health histories, by performing physical examination, initiating screening, ordering or performing a diagnostic, and therapeutic intervention requiring skill and education beyond that of a registered nurse. Interpreting information obtained from history and physical and developing a treatment plan. Formulating and prioritizing appropriate short-term and long-term therapeutic plans when indicated. Plan of care incorporates the physical, spiritual, cultural, and psychosocial aspects of patients and families to promote optimum levels of health. Management of patients in clinical specialty and other related disorders in individuals. Focusing on health maintenance in clinical management of chronically ill patients. Initiating emergency procedures as indicated. Exploring strategies to decrease length of stay and resource consumption within specialty. Utilizing clinical pathways to coordinate patient care across the full continuum of services: inpatient, ambulatory and home health, or through the patient’s trajectory of illness. Establishing priorities to meet the health needs of the individual, family or community. Developing a treatment plan, establishing a mutually acceptable evidence based, cost effective plan of care to maximize health potential Performance Expectation: Ethical Decision-making Skills The APN-Practitioner adheres to ethical principles that reflect the standards of the organization and individual behaviors as evidenced by: Incorporating the use of the nursing process and clinical judgment in ethical decision making. Practicing the principles of ethics in decision making for patients. Promoting the use of interdisciplinary collaborative processes to resolve ethical dilemmas. Demonstrating appropriate use of skills of negotiation, mediation, collaboration, compromise, and accommodation to assist families struggling with ethical decisions. Displaying the ability to examine patient’s values that impact treatment decision-making preferences. Recognition of patient rights as a foundation for ethical decisions. Performance Expectation: Miscellaneous Responsibilities Performs other duties as assigned and/or participates in special projects in order to support the mission of VCUHS and department. Provides assistance to team members. Accepts alternate assignments, as required, graciously. Licensure, Certification, or Registration Requirements for Hire: Current RN licensure in Virginia or eligible License to practice as NP in the specialty area in the Commonwealth of Virginia Prescriptive Authority when required Licensure, Certification, or Registration Requirements for continued employment: Current RN Licensure in Virginia Credentialing in accordance with medical staff by-laws for specific job title License to practice as NP in the specialty area in the Commonwealth of Virginia Prescriptive authority when required Experience REQUIRED: Minimum of two (2) years experience as a RN Experience PREFERRED: Academic health care experience Two (2) years within the specialty practice area Advanced Practice Nursing Role or Clinical Leadership Role experience Education/training REQUIRED: Master's Degree in Nursing from an accredited program specific to area of practice *Applicants with current advanced practice licensure may be within one semester of graduation from obtaining a MSN degree or higher, which must be completed within six months of hire to continue employment. Education/training PREFERRED: N/A Independent action(s) required: Clinical decision-making in collaboration with physicians and daily prioritization of activities. The allocation of time spent in patient care and elsewhere is largely self-determined. Supervisory responsibilities (if applicable): N/A Additional position requirements: N/A Age Specific groups served: As appropriate based on unit assignment. Physical Requirements (includes use of assistance devices as appropriate): Physical: Lifting 50-100 lbs. Other: Exposure to potentially hazardous and infectious substances Activities: Prolonged standing, Frequent bending, Walking (distance), Climbing (steps, ladder, other), Reaching (overhead, extensive, repetitive), Repetitive motion Mental/Sensory: Strong recall, Reasoning, Problem solving, Hearing, Speak clearly, Write legibly, Reading, Logical thinking Emotional: Fast pace environment, Steady pace, Able to handle multiple priorities, Frequent and intense customer interactions, Noisy environment, Able to adapt to frequent change EEO Employer/Disabled/Protected Veteran/41 CFR 60-1.4.
RN Pediatric Full-time
VCU Health

Registered Nurse (RN) - Acute Care Pediatrics 11 - Rotating

VCU Health Richmond, VA
**$20,000 Sign On Bonus for offers accepted by February 28, 2026. Terms and Conditions apply** Join us as we launch Acute Care Pediatrics 11, a brand-new 24-bed pediatric unit opening in January 2027! This state-of-the-art unit will care for surgical patients across trauma, burn, and general surgery, with telemetry monitoring in both general care and step-down settings. The unit will also feature accredited epilepsy monitoring services, delivering advanced seizure management through continuous video and EEG monitoring. Be part of a pioneering team shaping the future of pediatric care from day one—where your skills, compassion, and expertise will make a real impact on children and families. The Clinical Nurse I job Integrates technical skills and theoretical knowledge to meet the needs of the patient and family. This job assists the health care team with the prevention of illness and injury, maintenance of wellness, and provision of comfort. This job provides direction, education, and begins to acquire leadership skills at the unit level. This job delivers and accurately documents direct, age-specific care to a patient or group of patients based on medical orders and an integrated, multidisciplinary plan of care. This job also safely administers prescribed medications, identifying incompatibilities and/or interactions. The Clinical Nurse II job demonstrates a mastery of clinical skills and begins to apply this knowledge to a specific patient population. This job assists the health care team with the prevention of illness and injury, maintenance of wellness, and provision of comfort. This job recognizes changes in patient situations and intervenes appropriately. This job mobilizes resources to meet the individualized needs of patient/families. This job provides direction, education, and assumes leadership responsibilities at the unit level. This job delivers and accurately documents direct, age-specific care to a patient or group of patients based on medical orders and an integrated, multidisciplinary plan of care. This job safely administers prescribed medications, identifying incompatibilities and/or interactions. The Clinical Nurse III job demonstrates clinical knowledge at the unit level and begins to apply this knowledge to a specific patient population. This job assists the health care team with the prevention of illness and injury, maintenance of wellness, and provision of comfort. This job anticipates changes in patient situations and intervenes appropriately. This job provides direction, education, and serves as a role model in a clinical setting. This job delivers and accurately documents direct, age-specific care to a patient or group of patients based on medical orders and an integrated, multidisciplinary plan of care. This job safely administers prescribed medications, identifying incompatibilities and/or interactions. Licensure, Certification, or Registration Requirements for Hire: Clin I, Clin II, Clin III: Current RN licensure in Virginia or eligible or compact state Licensure, Certification, or Registration Requirements for continued employment: Clin I, Clin II, Clin III: Current RN licensure in Virginia, AHA BLS HCP Certification or equivalent Experience REQUIRED: Clin I: N/A Clin II: 12 to 24 months RN experience Clin III: 3 years of clinical experience Experience PREFERRED: Clin I: Experience as an LPN, nursing assistant or care partner in either an acute care setting or as applicable to area of practice Clin II, Clin III: Academic Health Care Experience; Experience with similar patient population in either an acute care setting or as applicable to area of practice Education/training REQUIRED: Clin I, Clin II, Clin III: Diploma or Associates Degree from a professional nursing program recognized and/or approved by the corresponding state’s Board of Nursing. All registered nurses without a Bachelor's degree in Nursing (or higher) will be required to enroll in an approved RN to BSN program within two years of their start date and to complete the program within five years of their start date unless grandfathered under previous requirements. Education/training PREFERRED: Clin I, Clin II, Clin III: Completion of a Bachelor’s Degree in Nursing (or higher) from an accredited program Clin III: Certification in specialty area Independent action(s) required: Follows documented physician/licensed independent provider orders. Practices within the boundaries of the regulations governing the practice of nursing in the Commonwealth of Virginia. Practice is guided by the ANA Code of Ethics for Nursing and established national nursing practice standards. All practice is guided by and follows the VCUHS policies and procedures and established practice. Supervisory responsibilities (if applicable): Clin I, Clin II, Clin III: Organizes work and delegates and supervises others (RN's, LPN's, Care Partners, Unit Secretaries, etc.) in carrying out assignments. Additional position requirements: Clin I, Clin II, Clin III: Clinicians work all three shifts, weekends and holidays. Individual shift rotation and schedules will be established with your specific Nurse Manager/Practice Manager. Schedules, including requirements of shift rotations and hours of work may be adjusted as necessary to meet unit requirements and/or as needed. Age Specific groups served: As appropriate based on unit assignment. Physical Requirements (includes use of assistance devices as appropriate): Physical: Lifting 20-50 lbs. Other: Exposure to potentially hazardous and infectious substances Activities: Prolonged standing, Prolonged sitting, Frequent bending, Walking (distance), Climbing (steps, ladder, other), Reaching (overhead, extensive, repetitive) Mental/Sensory: Strong recall, Reasoning, Problem solving, Hearing, Speak clearly, Write legibly, Reading, Logical thinking Emotional: Fast pace environment, Steady pace, Able to handle multiple priorities, Frequent and intense customer interactions, Noisy environment EEO Employer/Disabled/Protected Veteran/41 CFR 60-1.4.
CMA Pediatric Full-time
VCU Health

Certified Medical Assistant - Virginia Treatment Center for Children - Days

VCU Health Richmond, VA
**$2,500 sign-on bonus for offers accepted by February 28, 2026. Terms and conditions apply** The Certified Medical Assistant provides direct, age-specific care to a patient or group of patients based on medical orders and the plan of care under the direction of the physician. Licensure, Certification, or Registration Requirements for Hire: Current Medical Assistant Certification through a recognized national professional association such as, the American Association of Medical Assistants, the American Medical Technologists, The National Association of Healthcare Professions, the American Registry of Medical Assistants, or the National Healthcare Association. Licensure, Certification, or Registration Requirements for continued employment: Current Medical Assistant Certification through a recognized national professional association such as, the American Association of Medical Assistants, the American Medical Technologists, The National Association of Healthcare Professions, the American Registry of Medical Assistants, or the National Healthcare Association. AHA BLS HCP Certification or equivalent Experience REQUIRED: One (1) year of medical assistant work experience within the last three (3) years if individual is not a graduate of a medical assistant program No work experience if individual is a graduate of a medical assistant program Previous experience using a personal computer and various software applications, including Microsoft, e-mail, etc. Demonstrated experience utilizing strong organizational, problem solving, communication and interpersonal skills Experience PREFERRED: Two (2) to three (3) years of previous experience as a Certified Medical Assistant Previous experience in an academic health care environment Education/training REQUIRED: High School Diploma or equivalent Education/training PREFERRED: Graduation from a Medical Assisting training program from an accredited program of study such as the Commission on Accreditation of Allied Health Education Programs (CAAHEP) or the Accrediting Bureau of Health Education Schools (ABHES). Independent action(s) required: Functions under direction of a licensed independent practitioner, manager and/or RN in providing patient care, emotional support, and problem solving; all in accordance with hospital, nursing and unit policy/procedure. Requires prior approval or guidance from supervisor: time/schedule changes; legal issues; directed care which deviates from standard; and identify educational resources to meet developmental needs. Job duties may include the handling, transportation, access to and/or contact with medications and related supplies. Supervisory responsibilities (if applicable): N/A Additional position requirements: Certified Medical Assistants work all three shifts, weekends and holidays. Individual shift rotation and schedules will be established with your specific Nurse Manager/Practice Manager. Schedules, including requirements of shift rotations and hours of work may be adjusted as necessary to meet clinic requirements and/or as needed. Age Specific groups served: All Physical Requirements (includes use of assistance devices as appropriate): Physical: Lifting 20-50 lbs. Activities: Prolonged standing, Prolonged sitting, Frequent bending, Walking (distance), Climbing (steps, ladder, other), Reaching (overhead, extensive, repetitive) Mental/Sensory: Strong recall, Reasoning, Problem solving, Hearing, Speak clearly, Write legibly, Reading, Logical thinking Emotional: Fast pace environment, Able to handle multiple priorities, Able to adapt to frequent, change Days EEO Employer/Disabled/Protected Veteran/41 CFR 60-1.4.