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RN / LPN Clinical Admissions Nurse

Carrolton of Fayetteville
Fayetteville, NC Full Time
POSTED ON 10/26/2026
AVAILABLE BEFORE 2/13/2027

RN / LPN Clinical Admissions Nurse

This is a Full-Time position, scheduled Monday–Friday, with on-call responsibilities.

Position Summary

This is a hands-on clinical position responsible for reviewing admission packets, coordinating and facilitating resident admissions, verifying and implementing appropriate physician orders within the nurse's scope of practice, completing resident assessments, and ensuring a safe transition into the facility. The Clinical Admissions Nurse will also provide direct resident care and assist with nursing unit responsibilities, including working the medication cart and supporting floor staff as needed.

Required Qualifications

  • Must be, as a minimum, a graduate of an approved LPN/RN program.
  • Must have a current, unencumbered, active LPN/RN license to practice in the state of North Carolina.
  • Training in rehabilitative and restorative nursing practices is preferred.
  • Must have, as a minimum, training in a hospital, skilled nursing care facility, or other related medical facility
  • Current CPR Certification.
  • Must function independently within the scope of practice for LPN, have flexibility,
  • personal integrity, and the ability to work effectively with residents, personnel, and support agencies.

Must also meet state requirements for relevant licensures or certifications and have no disciplinary action in effect against professional license.

Major Duties and Responsibilities

Clinical Admissions and Referral Review

  • Review incoming admission packets, hospital records, discharge summaries, medication lists, diagnoses, physician orders, and other supporting documentation for completeness and accuracy.
  • Evaluate prospective residents' clinical needs to determine whether the facility can safely and appropriately meet their care requirements.
  • Identify missing documentation, medication discrepancies, incomplete orders, and potential clinical concerns prior to admission.
  • Communicate with hospitals, discharge planners, providers, referral sources, residents, and families to obtain necessary information and coordinate admission arrangements.
  • Collaborate with the DON, ADON, and interdisciplinary team regarding clinical appropriateness, staffing needs, specialized treatments, and barriers to admission.
  • Coordinate the timely receipt and review of required documentation to facilitate safe and efficient admissions.

Admission Orders and Documentation

  • Enter, transcribe, and process physician orders in the electronic medical record in accordance with provider authorization, facility policy, and applicable scope-of-practice requirements.
  • Review medication orders and medication reconciliation documentation for accuracy, completeness, and potential discrepancies.
  • Coordinate clarification of incomplete, conflicting, or questionable orders with the appropriate prescribing practitioner.
  • Ensure admission documentation, assessments, treatment orders, and other required records are completed accurately and within applicable regulatory timeframes.
  • Communicate admission orders, treatments, precautions, and pertinent clinical information to the receiving nursing team.
  • Maintain accurate and timely documentation to support continuity of care and regulatory compliance.

Resident Assessments and Clinical Care

  • Complete nursing assessments of newly admitted residents within applicable regulatory and facility timeframes and within the nurse's scope of practice.
  • Assess residents' immediate clinical needs, including vital signs, skin integrity, pain, medication needs, fall risk, and other concerns as appropriate.
  • Identify changes in condition, potential safety risks, and unmet care needs and promptly notify the appropriate provider and nursing leadership.
  • Ensure resident care needs are communicated to the interdisciplinary team and incorporated into the ongoing plan of care as appropriate.
  • Support safe transitions from acute care to the skilled nursing environment through thorough clinical review, assessment, and communication.

Direct Nursing Support

  • Assist with daily nursing unit operations when admissions are not the immediate priority or when facility needs require additional clinical support.
  • Work the medication cart as needed, administering medications and treatments in accordance with current orders, facility policies, and licensure requirements.
  • Provide direct resident care and assist floor nurses with clinical responsibilities as assigned.
  • Support timely completion of medication administration, treatments, documentation, and other nursing duties when providing floor coverage.
  • Assist with identifying and addressing clinical concerns, resident safety risks, and care delivery issues.
  • Promote teamwork, accountability, and consistent standards of care throughout the facility.

Personal Skills and Traits Desired/Physical Requirements/Working Conditions

  • Ability to read, write, speak and understand the English language.
  • Must be a supportive team member, contribute to and be an example of teamwork.
  • Ability to make independent decisions when circumstances warrant such action.
  • Ability to deal tactfully with personnel, residents, family members, visitors, government agencies/personnel and the public.
  • Must have patience, tact, and willingness to deal with difficult residents, family, and staff.
  • Must be able to relay information concerning a resident’s condition.
  • Must not pose a threat to the health and safety of other individuals in the workplace.
  • Must be able to move intermittently throughout the workday.
  • Meets general health requirements according to facility policy, including medical and physical exams and checking immunity status to various infectious diseases.
  • Ability to work beyond normal working hours and on weekends and holidays when necessary.
  • Ability to assist in evacuation of residents during emergency situations.
  • Ability to bend, stoop, kneel, crouch, perform overhead lifting and perform other common physical movements as needed for the position.
  • May be subject to falls, burns from equipment, and/or odors throughout the day, encounter reactions from dust, tobacco smoke, disinfectants, and other air contaminants.
  • Subject to exposure to infectious waste, diseases and/or conditions which include AIDS, Coronavirus, Hepatitis B, and Tuberculosis.
  • May be subject to hostile or emotional residents, family members, visitors, or personnel.
  • Must possess leadership and supervisory ability and be willing to work harmoniously with and supervise other personnel.
  • Ability to work beyond normal working hours and on weekends/holidays when necessary.
  • Ability to work independently, and to organize, plan, and manage time effectively to complete assignments.
  • Effective verbal and written communication skills.
  • Strong listening skills and ability to deal with conflict with professionalism and courtesy.
  • Basic computer skills, including ability to navigate electronic medical record systems.
  • Positive interpersonal relationship skills, including with persons of all ages and cultures.
  • Communicates with medical staff, nursing personnel, and other department heads.
  • Subject to call back for emergency situations.
  • Subject to work beyond scheduled working hours and on weekends and holidays as needed.
  • Dexterity of hands and fingers to perform resident care.

This job description is not all inclusive but is intended to convey the general scope of the major duties and responsibilities inherent in this position. Other tasks not listed may be assigned if the tasks are similar or related to the essential duties of the position.

Consistent with the Americans with Disabilities Act (ADA), it is the policy of Carrolton Health to provide reasonable accommodation when requested by a qualified applicant or employee with a disability, unless such accommodation would cause an undue hardship. The policy regarding requests for reasonable accommodation applies to all aspects of employment, including the application process. If reasonable accommodation is needed, please contact the Human Resources Department.

Benefits:

  • 401(k)
  • 401(k) matching
  • Dental insurance
  • Disability insurance
  • Employee assistance program
  • Health insurance
  • Life insurance
  • Paid time off
  • Referral program
  • Vision insurance

Experience:

  • Nursing: 1 year (Required)
  • Skilled nursing facility: 1 year (Required)
  • Clinical admissions: 1 year (Preferred)

License/Certification:

  • RN or LPN License (Required)

Ability to Commute:

  • Fayetteville, NC 28306 (Required)

Work Location: In person

Salary : $71,005 - $91,922

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