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Self Employed Rn Jobs in Lexington, VA (NOW HIRING)

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Stuarts Draft, VA · On-site

$21.95 - $34.02/hr

Provide ongoing education and reinforcement of care plans developed by the Provider/RN based on ... Assumes responsibility for professional development of self and contributes to and assists with the ...

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Nurse Care Manager

Forest, VA · On-site

$64K - $72K/yr

Ensure all assessments and care planning tasks are completed by an RN or LPN under RN supervision ... self to work. We understand that healthcare is local and we are better when our people are a ...

Ensure all assessments and care planning tasks are completed by an RN or LPN under RN supervision ... self to work. We understand that healthcare is local and we are better when our people are a ...

Showing results 21-40

Self Employed Rn information

What is a self employed RN?

Self-employed Registered Nurses (RNs) are licensed nursing professionals who work independently, rather than being directly employed by hospitals, clinics, or other healthcare facilities. They may offer services such as home health care, consulting, case management, or wellness education. Self-employed RNs set their own schedules, negotiate contracts, and are responsible for managing their own business operations, including billing and compliance. This career path offers flexibility and autonomy, but also requires strong organizational and business skills.

What are the key skills and qualifications needed to thrive as a self employed RN?

To succeed as a Self Employed RN, you need a valid RN license, clinical expertise, and strong knowledge of healthcare regulations and best practices. Familiarity with electronic health record (EHR) systems, billing software, and potentially telehealth platforms is important for managing independent practice. Exceptional communication, self-motivation, and business management skills help distinguish outstanding self-employed nurses. These competencies are crucial to provide quality patient care, maintain regulatory compliance, and effectively manage the business aspects of independent nursing practice.

What are some common challenges faced by self employed RNs, and how can they be managed?

Self-employed RNs often encounter challenges such as managing inconsistent client workloads, handling administrative tasks like billing and scheduling, and ensuring compliance with healthcare regulations independently. To manage these challenges, many self-employed RNs use specialized software for scheduling and invoicing, stay updated on licensure and insurance requirements, and build strong professional networks for referrals. Additionally, maintaining clear communication with clients and setting boundaries can help create a more sustainable work-life balance.

What is the difference between Self Employed Rn vs Staff Nurse?

AspectSelf Employed RnStaff Nurse
CredentialsRegistered Nurse (RN) licenseRegistered Nurse (RN) license
Work EnvironmentIndependent, often freelance or contract-based, providing services in various settingsEmployed by healthcare facilities, working on-site in hospitals or clinics
Employer & Industry UsageSelf-employed, contracts with multiple clients or agenciesHospitals, clinics, healthcare facilities
Work ScheduleFlexible, self-determined hoursSet shifts as per employer schedule

Self Employed Rns operate independently, managing their own schedules and clients, while Staff Nurses are employed by healthcare facilities with fixed shifts. Both roles require RN licensure, but their work environments and employment structures differ significantly.

How can a self-employed RN be self-employed?

A self-employed registered nurse (RN) can be self-employed by offering services independently, such as through freelance nursing, consulting, or telehealth. They typically need to obtain necessary licenses, set up a business structure, and manage their own scheduling and billing. This allows for flexible work arrangements outside traditional employment settings.

What are the most commonly searched types of Rn jobs in Lexington, VA?

The most popular types of Rn jobs in Lexington, VA are:

What job categories do people searching Self Employed Rn jobs in Lexington, VA look for?

The top searched job categories for Self Employed Rn jobs in Lexington, VA are:

What cities near Lexington, VA are hiring for Self Employed Rn jobs?

Cities near Lexington, VA with the most Self Employed Rn job openings:

Infographic showing various Self Employed Rn job openings in Lexington, VA as of July 2026, with employment types broken down into 1% As Needed, 72% Full Time, 21% Part Time, 1% Temporary, 3% Contract, and 2% Nights. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution.

Public Health Nurse -Wage (VDHRNX45)

State of Virginia

Alleghany, VA • On-site

$34.57 - $40.06/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 14 days ago


Key responsibilities

  • Independently provides professional nursing care to patients in clinics, homes, schools, and community settings.

  • Performs nursing assessments, administers immunizations, develops and implements care plans, and may perform lab tests and take measurements.

  • Uses the nursing process and community health competencies to assess health status, evaluate outcomes, and assist individuals and families in accessing community resources.


State Of Virginia rating

8.0

Company rating: 8.0 out of 10

Based on 33 frontline employees who took The Breakroom Quiz

11th of 50 rated states


Job description

Public Health Nurse -Wage (VDHRNX45)

Apply now Job no: 5109832
Work type: Wage (Hourly)
Location: Alleghany, Virginia
Categories: Health and Human Services

Title: Public Health Nurse -Wage (VDHRNX45)

State Role Title: Registered Nurse I

Hiring Range: $34.57 to $40.06

Pay Band: 4

Agency: Virginia Department of Health

Location: Alleghany HQ

Agency Website: www.vdh.virginia.gov

Recruitment Type: General Public - G

Job Duties

Consider joining the Virginia Department of Health as we foster healthy and resilient communities. This is your opportunity to serve the public in the Nursing Dept. at Roanoke City/Alleghany Health District.
*This is a wage position which will support nursing services across all counties (Botetourt, Salem, Vinton, Covington, Craig, Clifton Forge) within the health district. Focus will be on supporting Long Term Services & Supports Screenings, Immunizations and School Physical clinics, but could also include Family Planning and STI clinic coverage. *
Wage employees are subject to the following conditions of employment:
Wage employees serve at the will and pleasure of the appointing authority.
Continuing employment is based on available funding and business need.
Wage employees are not covered by the provisions of the Virginia Personnel Act. Therefore, they are not eligible for benefits which are provided to salaried employees, such as leave credits, holiday pay, insurance, access to the grievance procedure, etc.
Wage employees are paid only for the hours they actually work.
Virginia state law currently requires that agencies not permit wage employees to work in excess of 29 hours per week on average over the course of a year. Wage employees may not work for VDH beyond 1,500 hours during the period of May 1 - April 30 of the following year (the Standard Measurement Period).
Once a wage employee works the maximum of 1,500 hours during the Standard Measurement Period, the employee may be rehired as a wage employee of VDH only after the next Standard Measurement Period has begun.
Wage employees are eligible to apply for all classified positions for which recruitment has been initiated, including those limited to State Employees Only.
If a wage employee becomes employed in a classified position, he/she will be eligible to purchase retirement credit for the time worked as a wage employee.
Continuing employment is based on available funding and business need
*Requires licensure as an RN in Virginia or compact state. If a new graduate, must obtain RN license within 90 days of the date of hire or subject to termination per the regulations governing the practice of nursing. Requires BLS certification. Requires adherence to all safety policies including a review of immunizations, driver safety policies, and all other state policies. *
Job Description:
Independently provides professional nursing care to patients in clinics, homes and schools and other community or congregate care settings. Performs nursing assessments, may perform lab tests, take measurements, develop and implement care plans, including the administration of medication and case management. Participates in public health emergencies and community health assessments. Actions performed at this level require licensure as a RN by state code. May supervise support staff.
Duties:
Program Support
Uses the nursing process to assess, develop/implement care plans, and evaluate outcomes. Uses the Quad Council's Core Community/Public Health Nursing Competencies as an evidence-based platform for practice.
Recognizes the diversity of individuals/populations and applies the appropriate language and communication tools; this may include but not limited to individuals from different cultural, socio-economic, sexual orientation and gender identity and expression
Adheres to nursing directives, agency protocols and guidelines
Practices within the realm of the Nurse Practice Act and related Acts governing health professionals and health laws
Assesses the health status and health literacy of individuals and families, including determinants of health, using multiple sources of data
May administer routine child and adult immunizations to clients
Demonstrates ethical standards of practice in all aspects of public health and public health nursing as the basis of all interactions with individuals, communities, and organizations
Workload & Case Administration
Sets priorities for completing of program responsibilities and work assignments
Uses data, evidence and information technology to understand the impact of determinants of health on individuals, families, and groups
Uses information on determinants of health effectively when working with diverse individuals, families, and groups
Assists individuals, families, and groups to identify and access necessary community resources or services through the referral and follow-up process
Uses research to inform the practice of public health nursing
Direct Patient Care
Provides competent, high quality and safe nursing/case management in clinic, community, home and other settings in a confidential, customer-oriented manner that is culturally and linguistically appropriate for the client
Uses the nursing process to assess, develop/implement care plans, and evaluate outcomes
Teaches/counsels clients and families regarding health promotion and disease prevention
Select variables that measure health and public health conditions
Identifies opportunities for individuals, families and groups to link with advocacy organizations
May perform duties to include communicable disease investigation, ability to be fit tested for an N95 or other respirator, ability to don/doff PPE, support emergency shelters, and other duties
May be required to perform other duties as assigned. May be required to assist the agency or state government generally in the event of an emergency declaration by the Governor. May be required by VDH to adjust work hours, location, and job duties and participate in training to meet public health business needs, including emergencies. If this position is designated as a mobile worker, this includes both working in the field and teleworking at an alternate location when not in the field or during an emergency closing. You may be required to periodically come into your assigned office to attend meetings or training.
The Virginia Department of Health (VDH) is dedicated to protecting and promoting the health of Virginians. The VDH is made up of a statewide Central Office in Richmond and 35 local health districts.
Who We Are: The Roanoke City and Alleghany Health Districts (RCAHD) are two health districts in the Commonwealth of Virginia under the Virginia Department of Health and employ approximately 140 staff. RCAHD encompasses the cities of Covington, Roanoke, and Salem and the counties of Alleghany, Botetourt, Craig, and Roanoke.
What We Do: RCAHD, which provides services from nine office locations, serves a combined population of over 278,400 people throughout both rural and urban environments and works to promote and encourage healthy behavior, protect the public against environmental hazards, prevent epidemics and the spread of disease, respond to disasters, assist communities in recovery and assure the quality and accessibility of health services for all members of the communities.
The Virginia Department of Health offers 13 paid holidays, medical, dental, vision and life insurance, retirement plans (including 401a Cash Match and 457 Deferred Compensation Plan) as well as sick, family/personal, and annual leave.
VDH requires all Health-Care Personnel (HCP) to provide documentation of immunization or evidence of immunity to the following: hepatitis B, measles, mumps, rubella, and varicella; a one-time dose of tetanus, diphtheria, and pertussis (Tdap) vaccine regardless of the interval since the last dose of tetanus-diphtheria (Td) vaccine was administered (Td or Tdap boosters shall be received every 10 years); and the current year's seasonal influenza vaccination.

Minimum Qualifications

Communicates verbally and in writing, to analyze problems, situations and suggest solutions, leadership, follow directions and establish priorities
Skills in physical examination, health assessment, and interviewing and counseling technique
Ability to function independently, prioritize and organize work, solve problems, adapt to change, function as a team member and relate to the public
Knowledge of public health concepts, principles of public health nursing, principles of epidemiology; immunizations; basic nursing science, medical terminology, case management
May travel and some weekend and/or evening hours may be required
Must be certified in Basic Life Support (BLS)/CPR

Additional Considerations

Additional study in health promotion/or public health is preferred
BSN preferred
Experience in a public health setting or one related to disease prevention and health promotion

Special Instructions

You will be provided a confirmation of receipt when your application and/or resume is submitted successfully. Please refer to "Your Application" in your account to check the status of your application for this position.

VDH accepts only on-line applications. Faxed, mailed, or e-mailed applications will not be considered. Applications are accepted until 11:55 p.m. on the job closing date. Applications and/or resumes should include relevant work history which indicates your qualications for this position. Supplemental questions are encouraged to be answered in a comprehensive manner and reference any pertinent knowledge, skills, and abilities as well as any previous experience that relates to the position.
Employment is contingent upon satisfactory results of a state and federal criminal history background check and the Department of Social Service's Child Abuse and Neglect Central Registry check, U.S. HHSIG Exclusion List check, employment reference check and E-Verify. Other nancial, credit, driving, background checks or completion of Statement of Economic Interests may be required for certain positions.
It is the policy of the Commonwealth and VDH that all aspects of human resource management be conducted without regard to race (or traits historically associated with race including hair texture, hair type, and protective hairstyles such as braids, locks, and twists); sex; color; national origin; religion; sexual orientation; gender identity or expression; age; veteran status; political affiliation; disability; genetic information; and pregnancy, childbirth, or related medical conditions. VDH employees have a shared Code of Ethics, which can be found in the bottom banner of our website: www.vdh.virginia.gov.
If you have been affected by DHRM Policy 1.30 layoff and possess a valid Interagency Placement Screening Form (Yellow Card) or a Preferential Hiring Form (Blue Card), you must submit the card before the closing date for this position. The Card may be submitted with the state application as an attachment.
As a V3 (Virginia Values Veterans) employer VDH Welcomes Veterans to apply!

Contact Information

Name: Darlene Smith

Phone: N/A

Email: darlene.smith@vdh.virginia.gov

In support of the Commonwealth's commitment to inclusion, we are encouraging individuals with disabilities to apply through the Commonwealth Alternative Hiring Process. To be considered for this opportunity, applicants will need to provide their AHP Letter (formerly COD) provided by the Department for Aging & Rehabilitative Services (DARS), or the Department for the Blind & Vision Impaired (DBVI). Service-Connected Veterans are encouraged to answer Veteran status questions and submit their disability documentation, if applicable, to DARS/DBVI to get their AHP Letter. Requesting an AHP Letter can be found at AHP Letter or by calling DARS at 800-552-5019.

Note: Applicants who received a Certificate of Disability from DARS or DBVI dated between April 1, 2022- February 29, 2024, can still use that COD as applicable documentation for the Alternative Hiring Process.

Advertised: 21 Aug 2026 Eastern Daylight Time
Applications close: 04 Sep 2026 Eastern Daylight Time

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