PRN Palliative Care RN

Four Seasons, The Care You Trust•Franklin, NC

About The Position

The PRN Palliative Care Primary Nurse supports the Community-Based Palliative Care team by providing clinical and operational coverage during planned and unplanned absences of regularly assigned Palliative Care RNs. This is an as-needed position with no dedicated regional caseload and no guaranteed number of hours. Assignments and hours depend on departmental coverage needs and mutual availability. The RN provides telephonic and, when assigned and appropriate, face-to-face support to patients, families, and the clinical team. The nurse assesses patient needs and changes in condition, communicates findings to appropriate providers, and implements authorized orders within the scope of nursing practice. Coverage may also include referral reviews, intake screening, medication-related tasks, prior authorizations, durable medical equipment coordination, telephonic follow-up, and other routine RN workflows that support continuity of care and clinical operations. The RN collaborates with Palliative Care leadership, providers, and RN colleagues to prioritize work, communicate outstanding needs, and complete assigned tasks within established timeframes. The role requires compliance with applicable nursing laws and regulations, company policies, safety and infection-control practices, and the organization's mission and values.

Requirements

At least two years of clinical experience.
Valid North Carolina RN license.
Valid driver's license and proof of automobile insurance.
Knowledge of federal, state, and local regulations and HIPAA privacy rules and regulations.
Knowledge of electronic medical record systems and basic data-entry skills.
Strong organization, interpersonal, and written and verbal communication skills.
Ability to work under pressure to meet deadlines and take initiative using problem-solving skills and ingenuity.
Ability to interact with various departments and collaborate effectively with health care providers and groups.
Ability to work flexible hours if needed.
Ability to plan, prioritize, and coordinate multiple projects in a fast-growing, rapidly changing environment.
Demonstrated skill or expertise in pain and symptom assessment.
Ability to perform the physical activities listed for the role, including lifting or carrying up to 50 pounds.

Nice To Haves

Experience in case management for chronically ill patients.
Bachelor's degree in Nursing.

Responsibilities

Assess patients' physical and mental health, including their responses to illness and treatment, by telephone or in person.
Provide telephonic and face-to-face support to patients, families, and the palliative care team, as assigned and appropriate.
Coordinate care with the Patient Care Team, including triaging incoming calls and making proactive calls as part of the plan of care.
Document assessments, plans of care, and responses to interventions.
Plan, initiate, deliver, and evaluate appropriate nursing care.
Teach, assign, or delegate work to other personnel in implementing treatment regimens, as appropriate.
Support medication management by identifying potential medication issues, answering patient questions, and coordinating refills and prior authorizations.
Collaborate with health care providers to develop patient- and family-centered plans of care.
Implement treatment and pharmaceutical regimens prescribed by individuals authorized under state law.
Teach and counsel patients, families, and caregivers about health, disease progression, and symptom management.
Maintain safe and effective nursing care, whether delivered directly or indirectly by unlicensed staff, patients, or families.
Complete referral reviews, intake screening, medication coordination, DME ordering support, and other routine RN workflows as assigned to meet coverage needs.
Collaborate with Palliative Care leadership, providers, and RN colleagues to prioritize work, communicate outstanding needs, and complete assigned tasks within established timeframes.
Work toward performance goals and progress on an individual development plan, and demonstrate organizational values and competencies.
Participate in department and staff meetings as required, and in ongoing education and training offered by the agency or required by a supervisor.
Comply with company policies, procedures, guidelines, and mission statement; practice safety and infection control methods; and perform other similar duties as assigned.