Licensed Practoical Nurse - Multi-State Float

• Job Title: Licensed Practical Nurse – Multi-State Float
• Work Location: Remote – Multi-State (travel across Spiras Health markets)
• Department: Clinical
• Reports To: Nurse Manager
• FLSA: Exempt
• Who We Are: Purposeful, Progressive, Dynamic

Spiras Health is an in-home healthcare provider taking an innovative approach in the delivery of personalized clinical care to patients with complex needs. We collaborate with patient’s physicians, health plan, discharge planners, and other ancillary providers to help improve quality of life, improve compliance, and reduce avoidable emergency room and hospital visits. We are privileged to serve patients who are living with several chronic and complex conditions.

Our vision is to deliver patient care in the comfort of their homes while reducing their fear, uncertainty, and anxiety about their health. We use technology to connect clinicians in the home with additional expertise and have developed a team structure to ensure we do so consistently. Our culture is anchored on a promise of full accountability and integrity in everything we do.

How We Serve

This position calls for a high performing Licensed Practical Nurse who will become part of a Clinical Care Team, working in partnership with Nurse Practitioners. Together the team will manage the overall health of a defined population of patients in collaboration with the patient’s primary care and specialist physicians. You will serve your community, which includes daily travel to patients’ homes. Meeting with patients in their home affords you the opportunity to develop deep and rich relationships.

This individual will understand and be comfortable with mobile technology and have a deep commitment to exceptional patient care. A typical day may include home patient clinical assessments, telephonic assessments of patients, providing patient education, maintaining patient compliance to a treatment plan, connecting with community resources, conducting routine diagnostic tests, and charting assessments in Spiras systems. This is a personally and professionally rewarding position and it allows the colleague an opportunity to provide health care services at the top of their training.

This is a multi-state float role. You will travel to Spiras Health markets across multiple states to support new market launches, cover staffing gaps, and help established teams meet patient demand, with overnight stays in target areas. Assignments may last from a few days to several weeks, and you will practice under the licensure and scope-of-practice rules of each state where you provide care. Each day is a mixture of working from a home office and seeing patients in the community, with the constant focus being patient centered care.

Duties and Responsibilities

• Travel to new territories across multiple states for startup and to assist established markets. Work from home about 50% and travel up to 50% or more

• Provides in-home and telephonic patient coverage in multiple states as assigned, adapting quickly to new markets, care teams, and client programs

• Practices within the LPN scope of practice and supervision/delegation requirements of each state where care is delivered, and follows state-specific documentation and reporting rules

• Completes state-, market-, and client-specific orientation and training before providing care in a new market

• Supports onboarding of newly hired local clinical staff in startup markets by modeling Spiras Health workflows, documentation standards, and patient engagement practices

• Maintains all required nursing licenses and certifications in good standing and promptly reports any change in license status

• Conducts detailed patient assessment, including vital signs, monitors for changes in status, reports findings, contribute to and implements care plans, collaborates with Nurse Practitioner, provides patient education

• Helps patient accomplish treatment plan goals and identifies and seeks to resolve barriers to care

• Evaluates effects of treatment plan by observing, noting, and evaluating patient’s progress and recommending adjustments and modifications

• Communicates with physicians, nurses, social workers, family, caregivers, and other health care workers

• Recommends assistive equipment and outpatient or home health follow-up programs

• Documents patient care and services in an accurate and timely manner, per policy

• Always adheres to hygiene and safety standards (sanitizing surfaces, equipment, hands, etc.)

• Fosters a supportive and compassionate environment to care for patients and their families

• Consistently adheres to documented policies, procedures, and standards

• Other duties as assigned

• You will support multiple market teams. You may be asked to cover any patient within an assigned market.

• You will be required to take on call duties on a rotating schedule.

• Additional travel required as needed.

Qualifications

• Successful completion of LPN licensing program

• Minimum 2+ years of experience as an LPN

• Excellent knowledge of nursing care methods and procedures

• Excellent knowledge of emergency care

• Active, unencumbered multistate LPN license issued through the Nurse Licensure Compact (NLC) by your primary state of residence

• Ability and willingness to obtain and maintain additional single-state LPN licenses in non-compact states as assigned

• Valid driver's license and ability to travel by car and air, including overnight stays of up to several weeks

• Reliable and insured personal vehicle

• Current BLS for Healthcare Provider CPR or CPR/AED for the Professional Rescuer certification

• Experience with cardiac or pulmonology specialties

• Experience with advance directives and palliative care

• Experience with clinically complex geriatric patients

Preferred Qualifications

• Bilingual (English / Spanish)

• Home Health experience

• Prior travel, float, or multi-state nursing experience

• Experience supporting a new market, clinic, or program launch

Skills Required

• Strong and concise verbal and written communicator

• Able to rapidly identify and gather required information to assess and care for patients

• Comfortable working with patients that may have difficulty hearing, struggle with memory issues, or have a lower health care literacy level

• Desire to collaborate with others

• Adaptable and self-directed; comfortable stepping into new communities, teams, and state regulatory environments

• Ability to think quickly and provide information with confidence and clarity

• Ability to manage competing priorities, organize work efficiently, and meet deadlines

• Perseverance and self-management to achieve defined objectives

• Confident working with EMR platform and mobile applications

• Strong knowledge of chronic medical conditions are the keys to success in this role.

Physical & Other

Requirements

• This job operates in a remote professional environment free from noise and distraction, combined with frequent travel to patients' homes and to other states. This role routinely uses standard office equipment such as computers and phones.

• The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.

• Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus.

• While performing the duties of this job, the employee is regularly required to talk and hear.

• This position requires the ability to occasionally lift office products and supplies, up to 20 pounds.

• This position requires frequent travel by car and air, overnight stays away from home, and the ability to enter and move within patient homes, which may include stairs and varied environments.

Eeoc statement

All qualified candidates will receive consideration for employment without regard to age, race, color, national origin, gender (including pregnancy, childbirth or medical conditions related to pregnancy or childbirth), gender identity or expression, religion, physical or mental disability, medical condition, legally protected genetic information, marital status, veteran status, or sexual orientation.