RN Field Nurse Advanced Care at Home Command Center

UNC Health•Chapel Hill, NC

7d•Hybrid

About The Position

Provides in-home clinical nursing care consistent with professional standards for patients in the UNC Health Advanced Care at Home Program. Reporting and accountable to the Nurse Manager/Director, the Clinical Field Nurse coordinates and delivers acute hospital-level care to patients in a home setting using established nursing processes. The role includes patient education, assessment, care planning, implementation, evaluation, collaboration with the Command Center Nursing Team and other care providers, and participation in professional learning and improvement activities. The nurse performs in-home bedside lab draws and point-of-care testing as required, assesses Social Determinants of Health needs, anticipates discharge needs, and coordinates resources such as courier services for labs, supplies, and medications. This is a full-time position with 36 standard hours per week, a variable work schedule, and a hybrid work assignment. The position is based in Chapel Hill, North Carolina. The salary range is $34.22–$48.38 per hour; pay offers are determined by experience and internal equity.

Requirements

Graduation from a school of professional nursing.
Licensed to practice as a Registered Nurse in the state of North Carolina.
Basic Life Support (BLS) for Healthcare Provider certification.
Two years of nursing experience.

Responsibilities

Participate in identifying and meeting personal learning needs, attend relevant education programs, use appropriate patient education materials with assistance, and assess patient and caregiver readiness and ability to learn.
Identify expected patient outcomes, seek guidance when revising plans of care, participate in interdisciplinary evaluation of care, and communicate relevant information to promote continuity.
Deliver care to patients with complex needs, including physical, psychosocial, educational, and safety considerations.
Perform in-home bedside lab draws and point-of-care testing as required by the patient care plan.
Use organizational and nursing standards, policies, and procedures; organize and prioritize care according to patient and family needs; and consult appropriate resources regarding complex care issues, teaching needs, and discharge planning risks.
Develop professional growth goals with assistance, achieve or renegotiate goals with a supervisor, collaborate across departments, participate in unit goals and performance improvement, use communication systems effectively, promote cost-effective care, give coworkers feedback, and promote a safe, clean, and secure hospital-at-home environment.
Recognize and prioritize data from complex situations; assess physical, psychosocial, educational, and safety needs, including Social Determinants of Health; synthesize findings for communication; anticipate discharge needs; and support families in advocating for patient and family needs.
Collaborate with patients and family or home caregivers to prepare or update care plans, use multidisciplinary resources, address cultural and ethnic considerations, and prioritize tasks for patients with complex problems.
Collaborate with the Command Center Nursing Team regarding order or scheduling changes, provider needs, and additional resources; partner with the team and Care Managers to arrange support for patients and families; communicate with providers or pharmacy while in the home as needed; and coordinate courier services for labs, supplies, medications, and other needs.
Read relevant journals and bring applicable ideas and questions to staff for discussion.