Clinic RN

Kintegra Health•Gastonia, NC

About The Position

The Clinic RN provides direct and indirect nursing care to assigned Senior Total Life Care (TLC) participants in clinic, home, and community-based settings within the STLC service area. The RN works under the direct and indirect supervision of the Center Manager while independently applying advanced nursing knowledge and skills and managing complex clinical situations. Working within an interdisciplinary team (IDT), the RN supports participants’ holistic needs, participates in care planning, and provides nursing interventions as appropriate. The position includes rotating on-call phone triage on weekdays, weekends, holidays, and during emergencies, with calls and visits documented in the electronic medical record (EMR). The RN also completes in-home aide reassessments and supervisory visits when requested by the Home Care Agency (HCA) Supervisor. The role requires an active North Carolina RN license or a compact-state license, medical clearance for communicable diseases, current immunizations before direct participant contact, and completion of position-specific competencies approved by CMS before working independently.

Requirements

Graduate of an accredited school of nursing.
Current RN license in North Carolina or a compact state; credentials must demonstrate the ability to meet RN performance criteria.
Knowledge and skills necessary to treat participants; must practice within the scope of authority.
Must meet the standardized competencies for the position established by Senior TLC and approved by CMS before working independently.
Must be medically cleared for communicable diseases and have all immunizations up to date before direct participant contact.
Two years of RN experience preferred, including at least one year working with the frail elderly population.

Nice To Haves

Two years of RN experience, including at least one year working with the frail elderly population.

Responsibilities

Collect participant data and complete required forms; identify needs and priorities, determine when referrals or follow-up are needed, interpret and record diagnostic results, and perform advanced nursing assessments.
Provide wound care, skin care, and other treatments as ordered by the Primary Care Provider (PCP), documenting care, observations, variations, and nursing measures in the EMR and applicable logs.
Schedule clinic visits per the IDT and collaborate with the Clinic Technician, PCP, and IDT to assess participants’ holistic needs.
Provide end-of-life care and home or hospital visits when requested.
Delegate nursing care appropriately, use cost-effective practices, document unit problems, participate in quality improvement, follow safe-work policies, monitor unsafe conditions, address ineffective or inappropriate care management, and complete written reports.
Take rotating on-call shifts and document calls promptly; make home visits for crisis care, assessments, or other nursing care requested by the IDT; conduct participant welfare checks during emergency procedures; and deliver medications when required to support continuity of care.
Complete in-home aide reassessments and supervisory visits requested by the HCA Supervisor, and provide visit results to the IDT and HCA to support plans of care.
Attend staff meetings, participate in participant care planning and quality projects as appropriate, and complete clinic reviews and wound logs promptly.
Direct the Clinic Technician and oversee treatments and procedures; assist Medication Aides with monthly orders and reconciliation when needed.
Complete initial assessments, reassessments at least every six months, and significant-change assessments.
Participate in care planning, implement SMART goals and interventions, enter care-plan information according to organizational timelines, and update and evaluate plans throughout the reassessment period.
Coordinate 24-hour care delivery when participants are at home, in the hospital, or in a nursing facility, including medication reconciliations; communicate participant changes to team members promptly and appropriately.
Support Senior TLC IDTs, promote unity and teamwork, respect professional and cultural differences, support team decisions, and uphold the do-no-harm principle.
Support Senior TLC’s mission, vision, and values, including compassionate, individualized care that helps seniors continue living in the community.
Perform other duties as assigned.