Admissions and Discharge and Transfer RN in Boone, North Carolina at Appalachian Regional Healthcare System

Admissions and Discharge and Transfer RN

Registered Nurse (RN) – Admissions, Discharge & Transfer (ADT)

Location: Boone, North Carolina | Inpatient | Non-Exempt

Why You’ll Love Working Here

As an ADT Registered Nurse (RN) at UNC Health Appalachian, you will be at the center of the patient journey—coordinating safe, efficient admissions, discharges, and transfers. You’ll serve as a key communicator and advocate, ensuring seamless transitions across care settings while maintaining the highest standards of safety, quality, and patient experience.

This role is ideal for an organized, clinically strong nurse who excels in communication, care coordination, and problem-solving in a fast-paced environment.

Compensation: Starting at $34.00 per hour or more, based on education, experience, certification, and internal equity
Status: Non-Exempt, Full-time
Benefits: Comprehensive medical, dental, and vision coverage; retirement plan with employer match; paid time off; tuition reimbursement; Career Pathways Program; paid parental leave; Love Your Life wellness incentives; Employee-to-Employee (E2E) assistance program; and employee discounts. Benefits begin the first of the month following 60 days of employment from new hire orientation.

Located in the Blue Ridge Mountains, Boone, North Carolina offers exceptional outdoor recreation, vibrant community living, and outstanding quality of life.

What You’ll Do as an ADT RN Admissions, Discharge & Transfer Coordination

• Conduct comprehensive admission assessments, including history, physical status, and record review.
• Develop and implement individualized discharge plans in collaboration with physicians, social workers, and care teams.
• Coordinate safe, timely patient transfers between units or facilities with complete documentation and communication.
• Ensure continuity of care across all transitions.

Patient Advocacy & Education

• Advocate for patients and families throughout transitions of care.
• Provide clear education on medications, discharge instructions, and self-care.
• Address concerns with empathy and professionalism to support a positive patient experience.

Collaboration & Communication

• Work closely with interdisciplinary teams to ensure seamless care coordination.
• Maintain clear, timely communication with providers, staff, patients, and families.
• Support care teams during high-volume or complex transition scenarios.

Documentation & Quality

• Maintain accurate and timely documentation in compliance with regulatory standards.
• Participate in quality improvement initiatives related to admissions, discharges, and transfers.
• Promote patient safety and adherence to organizational policies and procedures.

Emergency Response

• Assist in emergency situations as needed, following established protocols.
• Respond promptly to changes in patient condition.

Qualifications Minimum Education

• Graduate of an accredited nursing program
• Associate Degree in Nursing (ADN) required

Experience

• Minimum of one (1) year of Registered Nurse experience required
• Strong communication, organizational, and critical thinking skills
• Ability to work effectively in a fast-paced clinical environment

Licensure & Certifications

• Current Registered Nurse (RN) license in the State of North Carolina
• Basic Life Support (BLS) from the American Heart Association required at time of hire
• Advanced Cardiovascular Life Support (ACLS), Pediatric Advanced Life Support (PALS), and PEDS training required within one (1) year of hire
• NIH Stroke Scale (NIHSS) certification required within one (1) year of hire

Knowledge, Skills & Abilities

• Strong interpersonal and communication skills
• Ability to deliver safe, effective patient care within regulatory and organizational guidelines
• Understanding of care transitions and the continuum of nursing care
• Strong organizational and multitasking abilities
• Commitment to exceptional customer service and patient-centered care

Physical Requirements

• Ability to lift, position, push, pull, and transfer patients or equipment weighing 50+ pounds
• Prolonged standing, walking, bending, squatting, and twisting
• Manual dexterity for clinical tasks and documentation
• Near visual acuity for detailed patient assessments

Work Environment

• Exposure to bloodborne pathogens and infectious materials
• Frequent exposure to medical equipment, chemicals, and environmental hazards
• Requires flexibility for days, evenings, nights, weekends, holidays, and emergency situations
• Extended standing and walking during shifts (8+ hours)
• Occasional exposure to radiation, vibration, or confined spaces

About UNC Health Appalachian
It's official - UNC Health Appalachian earned an "A" in the fall 2023 Leapfrog Patient Safety Grades! UNC Health Appalachian, the leader for healthcare in the High Country, comprises three hospitals, 13 medical practices, Seby B. Jones Regional Cancer Center, The Rehabilitation Center, and Appalachian Regional Healthcare Foundation. UNC Health Appalachian stays committed to promoting health in the High Country, enhancing quality of life, and simply “making life better.”

About UNC Health
UNC Health is a state entity and an affiliated enterprise of the University of North Carolina system, comprised of 14 hospitals, 18 hospital campuses and more than 500 clinics along with the clinical patient care programs of the UNC School of Medicine (SOM). It exists to improve the health and well-being of North Carolinians and others we serve and to further the teaching mission of the University of North Carolina SOM. Over the past three years, UNC Health has provided more than $400 million in uncompensated or charity care to the citizens of North Carolina. Our hospitals have received numerous awards and recognition for quality care, patient safety and the overall patient experience. For more information, please visit unchealth.org.

UNC Health Appalachian embraces diversity and does not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, or any other protected status. We value a workforce that reflects a variety of backgrounds and perspectives, as it enhances our ability to provide outstanding care. We welcome and encourage applications from candidates of all backgrounds and experiences. UNC Health Appalachian is committed to providing a fair and inclusive hiring process and a workplace where all team members feel respected and empowered. If you require accommodations during the application process, please contact us.

Employment at UNC Health Appalachian is contingent upon successful completion of a background and drug screen. For accommodations or additional information, contact arhsrecruitment@unchealth.unc.edu.