PRN RN

PRN Registered Nurse (RN)

Reports to - Nurse Coordinator

Status - PRN / As Needed | Non-Exempt (Hourly $34.00 - $45.00)

Job Purpose

The PRN Registered Nurse (RN) provides safe, effective, and compassionate patient centered care to support patient access, continuity of care, and efficient clinic operations. This position provides flexible clinical coverage based on patient care demands, staffing needs, and operational priorities. The PRN RN performs nursing assessments, clinical triage, care coordination, patient education, and nursing interventions within the RN's scope of practice. The RN collaborates with providers, licensed practical nurses (LPNs), certified medical assistants (CMAs), and other members of the interdisciplinary care team to promote positive patient outcomes, patient safety, quality improvement, and value-based care. The PRN RN is expected to demonstrate sound clinical judgment, flexibility, accountability, and a commitment to Heartland's mission of welcoming all who need care.

Duties & Responsibilities

Nursing Care and Clinical Responsibilities

• Perform nursing assessments, collect and interpret relevant patient information, recognize changes in condition, and determine when provider evaluation or emergency intervention is needed.
• Conduct telephone and in-person clinical triage within RN scope of practice, using established protocols to prioritize patient needs and determine appropriate next steps.
• Implement and coordinate established plans of care, perform nursing interventions, evaluate patient responses, and communicate findings and recommendations to providers.
• Administer authorized medications, immunizations, treatments, and other nursing procedures in accordance with applicable law, provider orders, organizational policies, and demonstrated competencies.
• Provide patient and family education, reinforce treatment plans, support chronic disease management, and identify barriers requiring additional assessment, intervention, or referral.
• Recognize and respond to emergencies, changes in patient condition, medication errors, near misses, and other patient safety concerns in accordance with established protocols.
• Provide clinical guidance and support to LPNs and CMAs within applicable scope-of-practice, delegation, and supervision requirements.
• Collaborate with providers and care-team members to promote safe, timely, and coordinated patient care.

Clinic Operations

• Support patient intake, rooming, clinical procedures, patient messages, care coordination, and follow-up activities as assigned.
• Prioritize clinical responsibilities to promote safe patient flow, timely access, and efficient use of clinical resources.
• Provide flexible coverage based on operational needs, appropriate orientation, and demonstrated competencies.
• Support examination room readiness, medication and vaccine management, clinical supplies, equipment, emergency preparedness, and other clinic operations.
• Identify workflow concerns, staffing or resource barriers, and opportunities to improve care delivery, communicating them to the appropriate supervisor.
• Support clinical team development, orientation, and workflow consistency as assigned.

Quality Improvement and Value-Based Care

• Support Heartland's quality improvement, population health, and value-based care initiatives by identifying care gaps and coordinating preventive services, screenings, immunizations, and chronic disease follow-up.
• Use clinical judgment and evidence-based protocols to support appropriate care decisions, patient safety, and timely escalation of clinical concerns.
• Coordinate patient outreach, follow-up, and care transitions to promote continuity of care and reduce avoidable gaps in treatment.
• Identify barriers to care, including medication access, transportation, health literacy, and social needs, and facilitate appropriate referrals or care-team follow-up.
• Ensure accurate clinical documentation supporting quality measures, care coordination, payer reporting, and value-based care programs.
• Participate in quality audits, chart reviews, performance improvement activities, and workflow initiatives to improve patient outcomes, patient experience, and responsible resource utilization.
• Participate in pre-visit planning and daily huddles.

Documentation, Compliance, and Professional Practice

• Maintain accurate, complete, and timely documentation in the electronic health record.
• Follow established clinical protocols, standing orders, medication safety procedures, and applicable supervision and delegation requirements.
• Maintain compliance with Kansas nursing requirements, HIPAA, OSHA, CLIA, infection prevention standards, and Heartland policies.
• Promptly escalate clinical concerns requiring provider evaluation or additional resources and report incidents through established processes.
• Maintain required licensure, certifications, training, and clinical competencies.
• Demonstrate professionalism, accountability, sound clinical judgment, and respectful communication with patients, families, and colleagues.

PRN Employment and Scheduling Expectations

• Provide clinical coverage on an as-needed basis according to patient care demands, staffing needs, and organizational priorities.
• Maintain and communicate availability, respond to shift offers, and follow established scheduling, attendance, call-out, and cancellation procedures in accordance with Heartland's PRN Employment Policy.
• Complete required orientation, training, and competency validation before performing assigned duties and accept assignments only in areas for which appropriately trained.
• Meet established performance, availability, and employment expectations. PRN status does not guarantee minimum hours, a regular schedule, or continued availability of shifts.

Qualifications

• Current, unencumbered Kansas RN license or valid multistate privilege authorizing practice in Kansas.
• Current Basic Life Support (BLS) certification.
• Knowledge of the Kansas Nurse Practice Act, ambulatory nursing standards, clinical assessment, triage, and documentation.
• Ability to serve pediatric, adolescent, and adult populations as appropriate to assignment.
• Ambulatory care experience preferred; demonstrated competence in required clinical procedures and EHR use.

Working Conditions & Physical Requirements

• Work is primarily performed indoors in an environmentally controlled healthcare setting, with close contact with patients, coworkers, and visitors.
• Requires sitting, standing, walking, reaching, bending, and frequent use of hands to operate clinical equipment and electronic systems.
• May involve prolonged standing, repetitive tasks, interruptions, competing priorities, and emotionally challenging or urgent situations.
• May involve exposure to infectious diseases, bloodborne pathogens, hazardous materials, and other risks typical of an ambulatory healthcare setting.
• Must be able to respond appropriately to emergencies and carry out the essential functions safely, with or without reasonable accommodation.
• Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential functions of the position in accordance with the Americans with Disabilities Act (ADA), as amended, and applicable law.

Details

• PRN (as needed), non-exempt, hourly.
• Variable schedule of 0–29 hours per week, based on staffing and operational needs. Hours are not guaranteed and may fluctuate from week to week.
• PRN employees are expected to work a minimum of 24 hours per calendar month (equivalent to three 8-hour shifts), provided sufficient shifts are made available by Heartland.
• Employees must communicate their availability to their supervisor in advance and maintain sufficient availability to meet the minimum monthly work requirement.
• Shifts may be scheduled Monday through Friday, including evenings, and Saturdays as needed. Once a shift is accepted or assigned, employees are expected to fulfill their scheduled hours and comply with Heartland's attendance and call-off policies.
• Employees may be assigned to any Heartland Community Health Center location, department, or care team based on operational needs.
• Work schedules, hours, and assignments may be modified by the supervisor to accommodate staffing and patient care needs.
• Failure to meet the minimum monthly work requirement for two consecutive calendar months due to insufficient availability, declined shifts, or other unapproved circumstances may result in a review of continued PRN eligibility, up to and including separation from employment. Exceptions will be considered for insufficient shifts offered, legally protected leave, approved accommodations, and other approved circumstances.
• Not eligible for work from home, except as otherwise authorized under Heartland policy.