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

Prisma Health•Columbia, SC

10d

About The Position

The RN PACE is an autonomous nursing position providing advanced, time-sensitive clinical care to frail, medically complex PACE participants in clinic and home-care settings. The role serves as a frontline urgent and emergent clinical responder, assessing and triaging participants, initiating evidence-based interventions under approved protocols, and determining when to escalate care. The nurse uses advanced clinical judgment, often without direct real-time provider supervision, to stabilize participants, prevent avoidable emergency department visits or hospital admissions, and support safe, timely care across the PACE continuum. The RN manages acute changes in condition and complex acute and chronic wounds; develops and updates care plans; coordinates with providers, interdisciplinary teams, EMS, community partners, and wound-care resources; and documents assessments, interventions, and outcomes. The role also supports staff through delegation, supervision as applicable, training, precepting, and participation in quality, safety, and workflow improvement. This is a non-management position reporting to a supervisor, manager, director, or executive.

Requirements

Graduate of an accredited nursing program and approved by the State Board of Nursing.
At least one year of experience with frail or elderly populations.
Current RN compact/multistate license recognized by the NCSBN Compact State, or an RN license to practice in the state where the team member works.
Proficient in managing acute changes in condition without immediate provider presence.
Comfortable practicing independently in dynamic and unpredictable settings.
Phlebotomy skills 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 and independently triage concerns by acuity and care needs.
Identify life-threatening or rapidly evolving conditions and initiate immediate interventions according to protocol; serve as the first clinical responder in clinic and home settings.
Initiate and manage nursing interventions, treatments, and therapies for urgent and emergent conditions, including acute exacerbations, post-discharge complications, medication-related events, and functional decline.
Evaluate treatment effectiveness, adjust care based on participant response, stabilize participants, and determine whether to escalate care to a provider, EMS, or a hospital.
Develop and update care plans focused on acute risk mitigation, urgent-care strategies, and transitions; communicate time-sensitive changes and recommendations to providers and interdisciplinary team members.
Participate in six-month and change-in-condition assessments, emphasizing clinical risk and hospitalization prevention.
Document urgent and emergent encounters, clinical rationale, outcomes, wound assessments, measurements, treatments, and responses accurately in the medical record.
Identify early warning signs of deterioration, intervene proactively, and track urgent-care patterns to support quality improvement and risk reduction.
Delegate urgent-care tasks, oversee safe execution, identify and correct unsafe conditions or care gaps, and participate in quality, safety, and utilization initiatives.
Adjust staffing and workflows in response to volume and acuity; provide applicable leadership and oversight for clinical and non-clinical staff, including supervision, delegation, competency validation, training, and performance management.
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.
Provide advanced wound care, including wound-vac management, complex packing, management of tunneling and undermining, coordination of debridement, and selection and application of advanced dressings in accordance with evidence-based practice and approved protocols.
Evaluate wound progression, identify infection, ischemia, or deterioration, and initiate timely interventions to prevent complications, hospitalization, or limb loss.
Coordinate wound care with providers, podiatry, vascular surgery, wound specialists, home health, and DME vendors; educate participants, caregivers, and team members on wound care, prevention, infection control, and device management.
Coordinate urgent care with providers, EMS, and community partners; facilitate rapid care transitions and follow-up after acute events or hospital encounters; and represent nursing expertise in interdisciplinary discussions.
Support onboarding and skill development for nurses and students, contribute to urgent-care protocols and workflows, and perform other duties as assigned.