FHCHC is a forward-thinking, dynamic, and exciting community health center that provides care for multiple generations at nearly 140,000 office visits in over 20 locations. We believe that everyone should have access to high-quality medical and dental care, regardless of ability to pay. Fair Haven is proud to have a diverse and motivated team of professionals who are constantly seeking ways to enhance and improve the health and well-being of all patients

We are seeking a registered Nurse Nurse to join our team.

Duties and responsibilities

Major Areas of Responsibility:

• Independently carries out assignments; providing direct patient care in clinic or via telephone.
• Collaborate and Lead within the Patient Care Team.
• Provides supervision and collaborates with Licensed Practical Nurses in the development of the patient’s plan of care.
• Provides supervision of Medical Assistants within the care team.
• Delegates appropriate tasks to the LPN and Medical Assistant in the provision of patient care.
• Documents in patient’s EMR, processes forms & performs follow up phone calls related to the patient’s plan of care.
• Is a key participant in Care Coordination within the patient care team.
• Plans patient care using the nursing process (Assess/Plan/Implement & Evaluate).
• Conducts Patient Education and documents education and patient’s response to teaching in the patient record.
• Positively contributes to Fair Haven Community Health Care mission.

Primary Objectives:

• Delivers excellent Nursing Care in a Patient Centered Medical Home care model.
• Demonstrates nursing leadership within the Primary Care Team and greater FHCHC community.
• Contributes and fosters advancement of nursing, medical care, and quality improvement at FHCHC and the community.

Specific Responsibilities of the Job:

• Serves as an integral member of the care team and supports teamwork.
• Participates in Pod Functions such as huddles and Pod Meetings.
• Participates in Team and Departmental Meetings.
• Oversees Team flow and assists the session in running on time by delegating appropriate tasks to maximize efficiency of clinic.
• Addresses patient complaints or concerns and documents in the patient record. Consults Nursing Management with any risk management issues.
• Assists the Nurse Manager in reviewing daily schedules and suggesting coverage solutions when needed.
• Responds to emergency situations per FHCHC protocols.
• Performs and documents monthly checks on emergency equipment.
• Orders mediations per FHCHC policies
• Keeps the Medication Room and supply inventory items well stocked per par levels.

Supervision (Team Specific, may vary)

• Supervise the LPN and Medical Assistants providing general oversight.
• Assist in the completion of the employee annual clinical competencies and provides feedback to the Nurse Manager on performance reviews for direct reports (LPN/MA).
• Provides goal oriented coaching, counseling and other forms of support to direct reports (LPN/MA).
• Demonstrates the principles of good patient care management and communication skills.

Documentation, Forms Management & Phone Calls

• Performs phone/electronic message follow-up.
• Places calls to patients to answer questions, conduct patient assessments, or review lab results, as directed by the PCP.
• Assists in completing patient forms, as needed.
• Follows all FHCHC EHR documentation policies and procedures.

Care Coordination

• Manage anticoagulation therapy for Coumadin Patients.
• Work closely with VNA nurses for new referrals and ongoing patient care.
• Coordinate specialty services for patients with internal and external providers.
• Provides feedback to the care team regarding care coordination status.

Patient Assessment, Diagnosis, Planning, Implementation & Evaluation

• Assists with Initial patients by documenting Medical History, Medications, and elements of the nursing process.
• Discusses and documents allergies and other relevant details with the PCP.
• Conducts Nursing Triage on the phone and in the office, collaborating with the Nursing Team and Clinicians as needed.
• Administers medications/vaccines and performs clinical procedures per standing order or clinician written order.
• Perform medication reconciliation by phone or in office for established patients.
• Carries out assessments and interventions identified in panel management meetings.
• Collaborates with the LPN and Medical Assistant in developing the patient’s plan of care.

Patient Education

• Provide Health Education by phone or at the end of an office visit.
• As needed, conclude the office visit with a review of the After Visit Summary and any relevant interventions.
• Documents all patient/family/significant other teaching and outcomes in patient record

Positively contribute to Fair Haven Community Health Care

• Ensures patient confidentiality and safety.
• Adheres to all FHCHC Health, Safety and Infection Control Policies, Protocols and Practices.
• Provides excellent customer service and culturally competent care.
• Engages in performance improvement activities and acts as an agent of positive change by looking for innovative ways to improve processes and advance clinical excellence.
• Positively represent FHCHC to internal and external clients.
• Perform other necessary duties as required by FHCHC to achieve the goal of providing excellent primary health care in a Patient Centered Medical Home.