PRN Palliative Care RN

Palliative Care PrN Nurse (RN)

Reports To: Regional Director

Status: Exempt Hourly (Non-Exempt)

FT/PT/PRN: PRN

Shift: Days

Location: Western Region

Position Summary

The Palliative Care Primary Nurse (RN) – PRN supports the Community-Based Palliative Care team by providing targeted clinical and operational coverage during planned and unplanned absences of regularly assigned Palliative Care RNs. This is a true PRN position utilized on an as-needed basis to help maintain timely referral processing, patient care coordination, and completion of essential RN responsibilities. The position does not carry a regularly scheduled caseload or guarantee a set number of hours.

The RN provides telephonic and, when assigned and appropriate, face-to-face support to patients, families, and the clinical team. The RN assesses patient needs, identifies changes in condition, communicates findings to the appropriate provider, and implements authorized orders within the scope of nursing practice. The PRN RN also assists with referral reviews, intake screening, medication-related tasks, prior authorizations, DME coordination, and other routine RN workflows to help maintain continuity of care, support quality metrics, and preserve provider and leadership time for their primary responsibilities.

Key roles include

• Assessing the patient's physical and mental health including the patient's reaction to illnesses and treatment regimens
• Directly providing telephonic and face to face support to patients, families, and palliative care team
• Identifying and coordinating the needs of chronically ill patients and families as well as supporting the clinicians to help them operate as efficiently as possible.

Essential Duties & Responsibilities:

Practices within the scope of license, certification or registration, where applicable, and as required by law and regulation (See Attached Components of Nursing Practice for the Registered Nurse)

• Assessing the patient's physical and mental health either telephonically or in person, including the patient's reaction to illnesses and treatment regimens
• Provide care co-ordination with Patient Care Team for Palliative Care patients and their families to include appropriate triaging of incoming calls, and making pro-active calls as part of the plan of care.
• Completing appropriate documentation of assessment, plan of care and response to interventions.
• Planning, initiating, delivering, and evaluating appropriate nursing acts
• Teaching, assigning, or delegating to other personnel in implementing the treatment regimen, including medication management; identifying potential medication issues, answering patient questions and coordinating refills and prior authorizations.
• Collaborating with other health care providers to develop an appropriate patient and family-centered plan of care for the patient and the family
• Implementing the treatment and pharmaceutical regimen prescribed by any person authorized by State law to prescribe the regimen
• Providing teaching and counseling about the patient's health, disease progression, symptom management to patients, families and other caregivers.
• Providing for the maintenance of safe and effective nursing care, whether rendered directly or indirectly (by unlicensed staff, patients and families)

PRN ROLE AND SCHEDULING EXPECTATIONS

• This is a true PRN position used primarily to provide coverage during planned or unplanned absences of regularly assigned Community-Based Palliative Care RNs.
• The PRN RN may be assigned referral reviews, intake screening, prior authorizations, medication coordination, DME ordering support, telephonic follow-up, and other routine RN responsibilities based on the coverage need.
• The position is intended to supplement existing staffing only. This person would not have a dedicated regional caseload assignment.
• Assignments and hours depend on departmental coverage needs and mutual availability. The position does not guarantee a set number of hours.
• The PRN RN is expected to collaborate with Palliative Care leadership, providers, and RN colleagues to prioritize work, communicate outstanding needs, and complete assigned tasks within established timeframes

Knowledge, Skills & Abilities

• Knowledge of Federal, State and Local regulations, HIPAA privacy rules and regulations
• Knowledge of electronic medical records systems and demonstrate basic data entry skills
• Demonstrate excellent organization skills, interpersonal skills and communication skills both written and verbal.
• Ability to work under pressure to meet deadlines
• Ability to take initiative and utilize innovative techniques and ingenuity
• Ability to interact with various departments throughout the organization
• Ability to work flexible hours, if needed
• Ability to participate as a team player to coordinate projects
• Ability to plan, prioritize and coordinate multiple projects in a fast-growing, rapidly changing environment
• Demonstrate skill/expertise in pain and symptom assessment
• Demonstrate ability to effectively collaborate and facilitate the work of a group
• Self-starter with an entrepreneurial spirit and demonstrates problem solving kills

Minimum Qualifications

Experience

• Two years of clinical experience required, chronically ill patent case management experience preferred
• Bachelor’s Degree in Nursing preferred

Licensures & Certifications: (if applicable)

• Valid NC RN license
• Valid Driver’s License and proof of automobile insurance

Summary of Physical Requirements

• Walking, standing, sitting, bending, reaching, twisting, crouching/squatting, kneeling
• Flexion/Extension of arms/wrist
• Hand dexterity to include gripping, pushing/pulling and writing
• Lifting/carrying of up to 50 lbs. possible

Intent & Function

All descriptions have been reviewed to ensure that only essential functions and basic duties have been included. Peripheral tasks, only incidentally related to each position, have been excluded. Requirements, skills, and abilities included have been determined to be the minimal standards required to successfully perform the duties of the position. In no instance, however, should the duties, responsibilities, and requirements delineated be interpreted as all-inclusive. Additional functions and requirements may be assigned as deemed appropriate.

In accordance with the Americans with Disabilities Act, it is possible that requirements may be modified to reasonably accommodate disabled individuals.

JOB DESCRIPTIONS ARE NOT INTENDED AS AND DO NOT CREATE EMPLOYMENT CONTRACTS. THE ORGANIZATION MAINTAINS ITS STATUS AS AN AT-WILL EMPLOYER.