Registered Nurse (RN)-Ambulatory-PACE, Part Time, Days at Prisma Health in Columbia, SC

Job description

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 Health's purpose: Inspire health. Serve with compassion. Be the difference. Advanced Urgent and Emergent Clinical Assessment & Triage Performs comprehensive, real‑time 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 life‑threatening 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, post‑discharge 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 time‑sensitive clinical changes and recommendations to providers and interdisciplinary team members. Participates in six‑month and change‑in‑condition 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 care‑related 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