Registered Nurse (RN) Ambulatory-PACE, PRN, Days

Inspire health. Serve with compassion. Be the difference.

Job Summary

The RN PACE is an autonomous position responsible for delivering advanced time sensitive clinical care to frail medically complex PACE participants across clinic and home care settings. This role provides frontline urgent and emergent clinical response functioning as a primary decisionmaker for participant assessment triage treatment initiation and escalation of care.

The RN PACE routinely manages acute changes in condition conducts urgent evaluations and independently initiates evidence based interventions using advanced nursing judgment and approved protocols often without direct real time provider supervision. The role requires rapid clinical decision making to stabilize participants prevent unnecessary emergency department visits or hospital admissions and ensure safe timely care delivery in non traditional clinical environments.

Serving as a clinical leader the RN PACE integrates advanced assessment skills critical thinking and interdisciplinary coordination to manage urgent high risk scenarios involving complex medical psychosocial and environmental factors. This role is essential to acute care diversion patient safety and continuity of care across the PACE continuum.

Essential Functions

• All team members are expected to be knowledgeable and compliant with Prisma Healths purpose: Inspire health. Serve with compassion. Be the difference.

• Advanced Urgent and Emergent Clinical Assessment & Triage

• Performs comprehensive realtime assessments for participants experiencing acute or unstable clinical conditions.

• Independently triages medical concerns determines urgency and level of care and prioritizes interventions based on clinical acuity.

• Identifies lifethreatening or rapidly evolving conditions and initiates immediate interventions per protocol.

• Serves as first clinical responder for urgent participant needs in clinic or home settings.

• Autonomous Clinical Intervention & Acute Care Management

• Independently initiates advanced nursing interventions treatments and therapies for urgent and emergent conditions.

• Manages acute exacerbations of chronic illness postdischarge complications medication-related events and functional decline.

• Continuously evaluates treatment effectiveness and modifies care in real time based on participant response.

• Provides stabilization and determines need for escalation to provider EMS or hospital-level care.

• Care Planning for High-Risk and Acutely Ill Participants

• Develops and updates care plans that integrate acute risk mitigation urgent care strategies and transition planning.

• Communicates timesensitive clinical changes and recommendations to providers and interdisciplinary team members.

• Participates in sixmonth and changeincondition assessments with a strong focus on clinical risk and hospitalization prevention.

• Documentation Clinical Surveillance & Early Detection

• Documents urgent and emergent care encounters accurately including rationale for clinical decisions and outcomes.

• Identifies early warning signs of deterioration and implements proactive interventions to prevent escalation.

• Tracks patterns in urgent care needs to inform quality improvement and risk reduction initiatives.

• Leadership in Acute Care Delegation & Safety Oversight

• Delegates urgent carerelated tasks to appropriate team members and ensures safe execution.

• Identifies unsafe conditions or care gaps contributing to acute events and takes corrective action.

• Participates in quality safety and utilization initiatives aimed at reducing avoidable ED visits and hospitalizations.

• Adjusts staffing and workflows in response to changes in volume and acuity.

• Provides leadership and oversight as applicable for clinical and non-clinical team members which may include Certified Nursing Assistants (CNAs) Licensed Practical Nurses (LPNs) Certified Medical Assistants (CMAs) and administrative staff.

• Ensures appropriate supervision delegation competency validation training and performance management in alignment with scope-of-practice requirements organizational policy and regulatory standards.

• Collaborates with clinical and operational leaders to support staff development scheduling workflow optimization and quality outcomes

• Provides comprehensive assessment and management of complex acute and chronic wounds across clinic and home settings including but not limited to surgical wounds pressure injuries (Stages IIIV) arterial/venous ulcers diabetic foot wounds traumatic wounds and infected or non-healing wounds.

• Performs advanced wound care interventions including negative pressure wound therapy (wound vac management) complex wound packing tunneling and undermining management debridement coordination and selection/application of advanced wound dressings in accordance with evidence-based practice and approved protocols.

• Independently evaluates wound progression identifies signs of infection ischemia or deterioration and initiates timely interventions to prevent complications hospitalization or limb loss.

• Coordinates care with providers podiatry vascular surgery wound specialists home health and DME vendors to ensure continuity timely escalation and access to appropriate supplies and therapies.

• Educates participants caregivers and team members on wound care techniques pressure injury prevention offloading infection control and device management reinforcing adherence to care plans.

• Ensures accurate detailed documentation of wound assessments measurements treatments response to therapy and clinical decision-making within the medical record

• Interdisciplinary Acute Care Coordination

• Acts as a central clinical coordinator during urgent situations collaborating with providers EMS and community partners.

• Facilitates rapid care transitions and followup after acute events or hospital encounters.

• Represents nursing expertise in interdisciplinary discussions related to urgent care management and clinical risk.

• Clinical Expertise Development & Precepting

• Supports onboarding and skill development of nurses and students in urgent and emergent care response.

• Contributes to development and refinement of urgent care protocols and clinical workflows.

• Performs other duties as assigned.

Supervisory/Management Responsibilities

• This is a non-management job that will report to a supervisor manager director or executive.

Minimum Requirements

• Education - Graduate of an accredited school of Nursing program and approved by the State Board of Nursing required. Bachelors degree in Nursing preferred.

• Experience - One (1) year experience with the frail or elderly population.

In Lieu Of

• NA

Required Certifications Registrations Licenses

Knowledge Skills and Abilities

• Proficient in managing acute changes in condition without immediate provider presence.

• Comfort practicing independently in dynamic and unpredictable settings

• Phlebotomy and medication administration/management skills.

• Experience in urgent emergent or highacuity clinical environments (e.g. urgent care emergency department hospitalathome community paramedicine or complex home health) preferred.

• Experience with advanced IV CVAD Subcutaneous administration preferred.

• Experience in advanced and complex wound care including wound vac therapy complex packing and management of high-risk wounds in community-based settings preferred.

Work Shift

Day (United States of America)

Location

Richland Laurel St

Facility

Seniorcare - Midlands

Department

SeniorCare PACE-Laurel

Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.