On the floor
What the day-to-day looks like
Benefits
Generous tuition reimbursement; career ladder programs and Nursing Ladders to Success earn-while-you-learn pathway; union representation.
The city
Living in Toms River, NJ
Toms River sits along New Jersey's Atlantic coast, offering nurses a quieter suburban pace with easy access to beaches and waterfront parks. The community feel is strong, with local shops, seasonal festivals, and a slower pace compared to bigger cities. It's a practical home base for water-loving professionals who prefer calm surroundings over urban bustle.
Browse roles in Toms River- State price level · New Jersey
- 108.8
- 9% above the national average
- Median gross rent
- $1,731/mo
- rent and tenant-paid utilities
U.S. Bureau of Economic Analysis · 2024 Regional Price Parities · Census ACS 2024
Who they are
You would join VNA Health Group out of Tinton Falls, New Jersey—part of the state’s largest not-for-profit visiting nurse association, with roots back to 1912. The work is home- and community-based: as a Homecare RN you assess needs in someone’s living room, build the care plan, teach family members, collaborate with the team, and document progress.
More about VNA Health Group
The organization also runs hospice, palliative, community-based care, and visiting physician services across multiple New Jersey branches. Schedule and location flexibility come up often, and the staff side is union-represented. Tuition reimbursement and career-ladder pathways, including an earn-while-you-learn Nursing Ladders to Success track, are on offer if you want to grow. The tradeoff is real: heavy documentation, travel between visits, and reviews that flag overloaded caseloads and uneven support from upper leadership. Pay in the posting we see sits at $43 an hour. Tinton Falls itself is a quiet Monmouth County suburb—close to Shore beaches and outlets, car-dependent, with the higher taxes and cost of living that come with this part of New Jersey.
Mission-driven, not-for-profit visiting nurse care for at-risk children, elderly people, those with chronic illness, and patients at end of life—one-on-one in homes and communities for more than 100 years.
Why nurses stay
How they describe the culture
What nurses say in reviews
Glassdoor about 3.3 from 102 reviews with 66% recommend and 96% CEO approval; Indeed about 3.7 from 58 reviews, with management scored lowest at 3.3. Nurses praise collaborative teams and mission-driven care; they also cite opaque upper leadership, favoritism, low raises, overloaded caseloads, and documentation plus travel that undercut work-life balance.
The good
- One-on-one home health, hospice, and community-based nursing
- Flexible schedule and time/location flexibility frequently noted
- Generous tuition reimbursement for clinician growth
- Career ladder programs and Nursing Ladders to Success earn-while-you-learn pathway
- Union-represented workforce
- Collaborative, mission-driven teams staff describe as fulfilling
The hard parts
- Heavy documentation and travel demands make work-life balance hard
- Nurses report low raises versus for-profits and burnout from overloaded caseloads
- Reviews cite opaque upper leadership, favoritism, and weak senior-management support
- High local cost of living and property taxes; car required
“I came for the sign-on bonus. I stayed because on my hardest night, my whole team stayed with me.”
The reality check
Before you decide
Weighing a first job here?
The license clock and the job hunt run at once, and new-grad windows do the deciding. Residency commitments carry fine print worth reading before you sign.
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Roles from VNA Health Group
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VNA Health Group
Clinical Director, Hospice Operations
$120,000 - $146,000 a year
Tinton Falls, New Jersey
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