Primary and Palliative Care Nurse - RN/LPN PRN

VIA Health Partners•Charlotte, NC

23d•Hybrid

About The Position

This position involves providing nursing care in both facility and community settings, focusing on primary and palliative care. The nurse will conduct assessments, monitor patient conditions, assist with symptom management, and coordinate care across various settings. A key aspect of the role is advocating for patient goals and preferences, particularly in advance care planning and transitions to hospice care. The nurse will also participate in quality improvement initiatives and serve as a resource for other staff. Documentation in the electronic health record (EHR) is crucial, ensuring accuracy and compliance with regulatory standards. The role requires adherence to nursing regulations, organizational policies, and HIPAA guidelines.

Requirements

A Diploma or associate degree in nursing is required; bachelor’s degree is preferred for RN.
A current, active, and unrestricted compact (multistate) license as an LPN or RN is required.
Current CPR required.
Minimum 1-year related experience.
Experience in direct care of patients required.
Experience may include palliative care, hospice, home health, geriatrics, oncology, chronic disease management, and primary care.
Computer proficiency is required; electronic health records.
Excellent interpersonal and communication skills (both written and verbal).
Strong problem solving and critical thinking skills.
Well organized, self-directed, and able to manage time.
Flexible, innovative, resourceful, and creative.
Ability to interact with patients and family members in a varying psychosocial circumstance complicated by the presence of serious or chronic illness.
Ability to be diplomatic yet assertive.
Knowledge of nursing principles, practices, and policies, and sound clinical skills.
Excellent ability to work within a team.
Excellent ability to coordinate and foster multi-interdisciplinary care.
Ability to deal with a variety of variables.
Able to interpret various instructions.
Ability to perform basic math skills, use of decimals to compute ratios and percents, and to draw and interpret graphs.
Ability to read a variety of books, journals, magazines, instruction manuals, regulations, interpretive guidelines, and instructions.
Ability to prepare memos, reports, and essays using proper punctuation, spelling, and grammar.
Ability to communicate distinctly with appropriate pauses and emphasis, correct pronunciation (or sign equivalent), and variation in word order using present, perfect, and future tenses.

Nice To Haves

Bachelor’s degree is preferred for RN.

Responsibilities

Conducts nursing assessments within scope of practice.
Monitors patient symptoms, functional status, and disease progression.
Identifies changes in patient condition and communicates findings to the provider.
Initiates transition to hospice with guidance and certification of Medical Director.
Assists with symptom management interventions under provider direction.
Advocates for patient goals, preferences, and advance care planning decisions.
Recognizes changes in patient condition and initiates appropriate interventions or referrals.
Participates in quality improvement initiatives, staff education, and professional development activities.
Serves as a resource and mentor to nursing staff and support personnel as appropriate.
Applies principles of infection control and follows guidelines for universal precautions in accordance with accepted professional practices.
Coordinates care with physicians, nurse practitioners, social workers, specialists, home health agencies, hospice providers, and community resources.
Assists with transitions of care following hospitalization or emergency department visits.
Facilitates communication among members of the healthcare team.
Supports continuity of care across multiple care settings.
Participates in patient outreach and follow-up activities.
Assists with care plan implementation and updates.
Supports medication reconciliation efforts.
Documents care coordination and patient communication activities.
Escalates clinical concerns requiring provider intervention.
Supports compliance with PCM and other care management program requirements.
Maintains accurate and timely documentation in the electronic health record (EHR).
Documents patient encounters, symptom assessments, interventions, and care coordination activities.
Ensures documentation meets regulatory and organizational standards.
Adheres to all state nursing regulations and organizational policies.
Maintains patient confidentiality in accordance with HIPAA regulations.
Participates in quality improvement and patient safety initiatives.
Completes required training and competency assessments.
May perform other duties as required.