Registered Nurse (RN)-Ambulatory-PACE, Part Time, Days

Prisma Health•Richland, WA

11d

About The Position

The RN PACE is an autonomous nursing role providing advanced, time-sensitive clinical care to frail, medically complex PACE participants in clinic and home-care settings. The nurse serves as a frontline responder for urgent and emergent needs, assessing participants, triaging concerns, initiating treatment, and escalating care as appropriate, often without direct, real-time provider supervision. The role supports stabilization, acute-care diversion, patient safety, and continuity of care across the PACE continuum. The RN manages acute changes in condition, chronic-illness exacerbations, post-discharge complications, medication-related events, functional decline, and complex wounds. The nurse develops and updates care plans, coordinates with providers and interdisciplinary partners, documents clinical encounters, monitors for deterioration, delegates and oversees care tasks, and contributes to safety and quality initiatives. The role also supports staff development, onboarding, and refinement of urgent-care protocols and workflows. This is a non-management position reporting to a supervisor, manager, director, or executive.

Requirements

Graduate of an accredited nursing program and approval by the State Board of Nursing.
At least one year of experience with the frail or elderly population.
Current RN compact/multistate license recognized by the NCSBN Compact State, or a license to practice as an RN in the state where the team member works.
Proficient in managing acute changes in condition without immediate provider presence.
Comfort practicing independently in dynamic and unpredictable settings.
Phlebotomy and medication administration and management skills.

Nice To Haves

Bachelor’s degree in Nursing.
Experience in urgent, emergent, or high-acuity clinical environments, such as urgent care, an emergency department, hospital-at-home, community paramedicine, or complex home health.
Experience with advanced IV, CVAD, and subcutaneous administration.
Experience in advanced and complex wound care, including wound-vac therapy, complex packing, and management of high-risk wounds in community-based settings.

Responsibilities

Perform comprehensive, real-time assessments of participants with acute or unstable conditions.
Triage medical concerns, determine urgency and level of care, and prioritize interventions based on acuity.
Identify life-threatening or rapidly evolving conditions and initiate immediate interventions according to protocol.
Serve as the first clinical responder for urgent participant needs in clinic or home settings.
Initiate nursing interventions, treatments, and therapies for urgent and emergent conditions; reassess and adjust care based on participant response.
Manage acute exacerbations of chronic illness, post-discharge complications, medication-related events, and functional decline.
Stabilize participants and determine whether care should be escalated to a provider, EMS, or hospital-level setting.
Develop and update care plans addressing acute risk mitigation, urgent-care strategies, and transitions.
Communicate time-sensitive clinical changes and recommendations to providers and interdisciplinary team members.
Participate in six-month and change-in-condition assessments, focusing on clinical risk and hospitalization prevention.
Document urgent and emergent encounters, clinical rationale, treatment, and outcomes accurately.
Identify early warning signs of deterioration, implement proactive interventions, and track urgent-care patterns for quality improvement and risk reduction.
Delegate urgent-care tasks, ensure safe execution, identify unsafe conditions or care gaps, and take corrective action.
Participate in quality, safety, and utilization initiatives intended to reduce avoidable emergency department visits and hospitalizations.
Adjust staffing and workflows in response to changes in volume and acuity.
Provide applicable leadership and oversight for clinical and non-clinical team members, including CNAs, LPNs, CMAs, and administrative staff; support supervision, delegation, competency validation, training, and performance management in accordance with scope, policy, and regulatory standards.
Collaborate with clinical and operational leaders on staff development, scheduling, workflow optimization, and quality outcomes.
Assess and manage complex acute and chronic wounds in clinic and home settings, including surgical wounds, pressure injuries, arterial or venous ulcers, diabetic foot wounds, traumatic wounds, and infected or non-healing wounds.
Perform advanced wound-care interventions, including wound-vac management, complex packing, tunneling and undermining management, debridement coordination, and selection and application of advanced dressings.
Evaluate wound progression, identify signs of infection, ischemia, or deterioration, and initiate timely interventions.
Coordinate wound care with providers, podiatry, vascular surgery, wound specialists, home health, and DME vendors.
Educate participants, caregivers, and team members on wound care, pressure injury prevention, offloading, infection control, and device management.
Document wound assessments, measurements, treatments, response to therapy, and clinical decisions in the medical record.
Coordinate urgent care with providers, EMS, and community partners; facilitate rapid transitions and follow-up after acute events or hospital encounters.
Represent nursing expertise in interdisciplinary discussions about urgent-care management and clinical risk.
Support onboarding and skill development of nurses and students in urgent and emergent response.
Contribute to the development and refinement of urgent-care protocols and clinical workflows.
Perform other duties as assigned.