SUMMARY:
The Registered Nurse - Clinical Lead (RN) at Open Door Community Health Centers (ODCHC) provides general nursing care to patients in the clinic and over the phone. The RN plays an essential role in providing high quality patient care and access through visits using protocols and transitioning care to a provider whenever able or needed. Within the Care Team, the RN works as a point person for daily functions and triage. In addition, the RN Clinical Lead, will serve as an expert resource for other nurses in the clinic. Although not responsible for supervising other nurses and addressing performance management, the RN clinical Lead works closely with site leadership to share concerns with RN’s clinical performance. The RN Clinical Lead will train and/or coordinate training for RNs onsite and ensure documentation of training and competencies.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
- Responsible for phone triage assessment and/or in-person triage for patients with urgent needs.
- Schedules patients after appropriate triage.
- Manages a patient schedule of various visit types of nurse visits; immunizations, education, co-visits with the goal of 4 billable patient visits per day.
- Explains procedures and treatments to patients to gain cooperation, understanding, and allay apprehension.
- Responsible for patient assessment based on chief complaint and treatment as outlined by Nursing Protocols or provider direction.
- Observes patient, records significant conditions and reactions, and notifies supervisor or provider of patient's condition and reaction to drugs, treatments, and significant incidents.
- Communicates directly with health center providers regarding patient assessment and needs; transitions patient to provider as needed.
- Utilizes Situation, Background, Assessment, Recommendation (SBAR) warm hand off method.
- Recommends and/or administers medications and vaccines as ordered by medical provider or by protocol.
- Responsible for coding each visit accurately.
- Accurately records patient history, exam notes, medication history, on-going care, and referrals in employee medical record (EMR) according to ODCHC Protocols.
- Manages tasks in their inbox and appropriate tasks in their assigned providers’ inboxes; ensures team inbox tasks are completed in a timely manner according to team role and scope.
- Assists in chronic care management, such as outreach calls, care coordination, etc.
- Assists and/or facilitates routine daily huddles within the team.
- Provides direct clinical oversight for Medical Assistants (MA) and Licensed Vocational Nurses (LVN) assigned to Care Team.
- Provides oversite to the MA working in the Care Team as needed for safe vaccine delivery.
- Maintains awareness of comfort and safety needs of patients.
- Responds to medically urgent situations based upon nursing standards, policies, procedures, and protocol.
- Prepares and maintains a wide variety of records and reports.
- Provides in-service training and mentoring to RNs at clinic site.
- Collaborates with Administrative Site Director, Site Medical Director, and other ODCHC leadership concerning clinical issues related to nursing as they arise.
- Participates in interview panel for open RN positions within the clinic.
- Trains and creates training schedule for new RNs.
- Documents competencies upon hire and annually for RNs.
- Teaches patients, families, and staff care, prevention, and treatment enhancement techniques.
- Attends and participates in meetings and quality improvement activities as required.
- Identifies problems related to patient services and makes recommendations for improvement.
- Participates in evaluation of peers and support staff.
- Participates in Open Door quality improvement activities, meetings, and initiatives.
- Other duties and responsibilities as designated by supervisor.
QUALIFICATIONS AND EXPECTATIONS:
- Strong interpersonal skills and the ability to establish constructive professional working relationships among a diverse workforce.
- Ability to work as a member of a team and independently as needed.
- Ability to train other staff effectively.
- Ability to handle difficult or confrontational situations in a calm, consistent, and equitable manner.
- Participates in staff meetings as required.
- Ability to exercise sound and responsible judgment.
- Strong computer skills with specific aptitude in Microsoft Office Suite and/or Electronic Medical Records (EMR).
- Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations.
- Ability to effectively represent ODCHC’s interests in the community and maintain effective working relationships among co-workers, public, private, and professional groups.
- Adheres to ODCHC’s policies and procedures.
EDUCATION AND EXPERIENCE:
- Associates Degree in Nursing (ADN) or Bachelors of Science in Nursing (BSN) required.
- Previous clinical experience required.
CERTIFICATES, LICENSES, AND REGISTRATIONS:
- Current Registered Nurse license for State of California.
- Current Basic Life Support (BLS)/CPR Certification.
- Successful completion of Triage Training modules, competency sign off within 90 days of hire.
SUPERVISORY RESPONSIBILITIES: The RN Clinical Lead works as a member of the Care Team and may act as a clinical supervisor as needed for MAs and LVNs on the Care Team.
SUPERVISION AND SUPPORT: The RN- Clinic Lead reports directly to the Administrative Site Director or Clinic Manager, based on clinic supervisor structure. The RN works directly with providers and support staff assigned to their Care Team and across the clinic.
PHYSICAL REQUIREMENTS: The physical requirements described are representative of those needed to successfully perform the essential duties of the position. Reasonable accommodation will be made to allow otherwise qualified candidates to perform these functions.
- Ability to communicate via telephone, video, and/or in-person.
- Vision adequate to read documents, computer screens, forms.
- Ability to remain stationary for extended periods of time.
- Ability to lift, carry, or otherwise move up to 25 pounds.
- Ability to use keyboard and view computer screens for extended periods of time.
- Ability to travel locally and long-distance as needed.
- Ability to move around offices and clinics as needed.
Hiring Range $38.73 to $47.40
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