RN - Float Support

Four Seasons, The Care You Trust•Flat Rock, NC

About The Position

The RN – Float Support provides direct nursing care and instructs and supervises LPN and Hospice Aide staff in delivering care to patients. This flexible clinical resource supports organizational needs across service lines, departments, and geographic regions, including staffing vacancies, leaves of absence, onboarding, high census, admissions, after-hours coverage, Elizabeth House, weekends, and special projects. Assignments may vary in duration, location, schedule, and responsibilities, and the RN may be assigned to any clinical program, department, shift, or area within the organization’s 15-county service area. The role is a 40-hour work week with varied days, nights, and weekends. Assignments last 2–12 weeks, and overnight travel may be required; employer-paid hotel accommodations and a $30–$40 per diem are provided for overnight travel assignments. The role reports to the Director of Nursing Support. The position is exempt and includes a $10-per-hour float premium, mileage reimbursement at the organizational rate, eligibility for the high-mileage driver bonus program, and eligibility for the annual operational performance bonus.

Requirements

Graduate of an accredited school of nursing.
Valid North Carolina Registered Nurse license.
Valid driver’s license and proof of automobile insurance.
Willingness and ability to care for patients with infectious disease processes unless approved accommodations apply.
Knowledge of federal, state, and local regulations and Medicare Conditions of Participation.
Knowledge of HIPAA privacy rules and regulations.
Knowledge of electronic medical record systems and basic data-entry skills.
Excellent organizational, interpersonal, written, and oral communication skills.
Ability to work under pressure and meet deadlines; take initiative and use innovative techniques and ingenuity.
Ability to interact across departments, work as a team player, coordinate projects, and plan, prioritize, and coordinate multiple projects.
Adaptability and resilience in changing clinical environments, with the ability to establish effective working relationships quickly across interdisciplinary teams.
Ability to function independently with minimal orientation and to work in multiple clinical settings, departments, service lines, and patient populations.
Ability to work flexible hours, including days, evenings, nights, weekends, holidays, and after-hours, and to travel throughout the organization’s service area.
Skill or expertise in pain and symptom management.
Ability to collaborate effectively and facilitate group work.
Understanding of reimbursement, regulatory requirements, and Medicare Conditions of Participation.
Ability to meet the listed physical demands, including lifting and carrying up to 50 pounds frequently and lifting, carrying, pushing, or pulling up to 100 pounds with another person or equipment occasionally.

Nice To Haves

Two years of clinical experience preferred.
Hospice or home health experience preferred.

Responsibilities

Practice within the scope of the applicable license, certification, or registration and as required by law and regulation.
Assess patients’ physical and mental health, including their reactions to illness and treatment regimens, and record and report assessment results.
Plan, initiate, deliver, and evaluate appropriate nursing care.
Teach, assign, or supervise personnel implementing treatment regimens, and supervise, teach, and evaluate those performing nursing functions.
Collaborate with healthcare providers to determine patient- and family-centered plans of care.
Implement treatment and pharmaceutical regimens prescribed by persons authorized under state law.
Provide patient health teaching and counseling.
Document and report plans of care, nursing care provided, and patient responses.
Maintain safe and effective nursing care, whether rendered directly or indirectly.
Accept assignments of varying lengths and provide clinical coverage for vacancies, leaves, onboarding, increased census, staffing shortages, and other operational needs.
Provide clinical support in assigned departments, regions, service lines, or programs according to organizational need.
Adapt to different teams, workflows, patient populations, leaders, schedules, and care settings while maintaining high-quality patient care.
Maintain productivity and documentation standards appropriate to each assignment.
Participate in ongoing education and training offered by the agency or required by nursing leadership.
Comply with company policies, procedures, guidelines, and mission statement; practice safety and infection control methods.
Assist with 24-hour on-call services, including emergency, weekend, holiday, or other coverage assignments based on organizational need.
Assess the need for other disciplines.
Work toward performance goals, pursue progress on the Individual Development Plan, and demonstrate Four Seasons values and competencies.
Perform other duties as assigned.

Benefits

Competitive salaries reviewed annually.
Annual operational performance bonus opportunities.
$0 employee premiums on medical insurance.
Annual $600 well-care benefit toward self-care, childcare, pet care, or elder care.
Medical and dental insurance benefits beginning the first of the month after hire.
403(b) retirement plan with employer match.
20 or more days of paid time off per year.
Up to six paid holidays.
Employer-paid short-term disability, long-term disability, and life insurance.
Employer-paid teletherapy and telemedicine coverage.
Health and dependent care flexible spending accounts.
Employee wellness program.
Up to $3,000 in tuition reimbursement each year.
$10-per-hour float premium.
Mileage reimbursement at the organizational rate.
Eligibility for the high-mileage driver bonus program.
Employer-paid hotel accommodations and a $30–$40 per diem for overnight travel assignments.