Clinic RN (0.9 FTE) (Adult Clinic)

Job Description

Job Description

Clinic RN

FLSA Classification : Non-Exempt

Reports to : Clinic Supervisor

Job Summary / Objective :

Provides primary care nursing, patient education, health care maintenance, patient counseling, and normative care services to patients at Peoples Community Health Clinic. Works with providers and administers nursing care utilizing the nursing process (assessment, planning, implementation, and evaluation).

Protected Health Information Requirements / Access :

• This position will require the use or disclosure of protected health Information.
• This position will use the Treatment and Health Care Operations classes of protected health information.
• Restrictions on the protected health information for this position will follow the Privacy Policies of Peoples Community Health Clinic, Inc.
• Use or disclosure of protected health information not routinely available to this position will follow procedures assessed by or directed by management.
• Patient Records – Yes Medical Information System – Yes

Essential Functions :

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

o Prepares patient for provider visit including explanation of PCMH model and related services.

o Assesses and evaluates health and development status of the patient, including complete medical and / or social history, vitals, and measurements according to approved protocol.

o Maintains accurate records and documents appropriate information in patient’s EHR including notifying patients of test results when needed.

o Reviews patient’s EHR for pertinent information including obtaining documents from other facilities as needed.

o Evaluates need for referral and makes referrals as needed.

o Assists providers with procedures, including preparation of equipment and clean-up.

o Provides medical therapy or monitoring of that therapy as directed by the provider or by protocol, including medication, immunization, and IV fluids administration.

o Performs EKGs, hearing and vision tests, ear lavage, tympanometry, spirometry, catheterization of the urinary tract and CLIA waved lab testing

o Administers irrigation, including enemas and removal of impactions.

o Collects and labels specimens, including cultures.

o Measures and records physiological and growth indices.

o Provides planned educational programs and materials per evidence-based guidelines related to prevention, health maintenance and improvement.

o Reinforces provider’s instructions and explains patient’s plan of care.

o Provides emotional support and an atmosphere of confidentiality to facilitate discussion of clinic procedures, prevention or testing for STDs and other communicable diseases.

o Provides support and guidance to clients and families of clients who are terminally or chronically ill.

o Serves as a client advocate to provide protection of client rights and for complaints regarding care or service.

o Inventories medications, supplies, vaccines, crash carts and exam rooms as needed.

o Functions as coordinator of patient services to facilitate patient flow.

o Participates in Team Huddle / Meeting to communicate information among providers and care team members.

o Aids the Clinical Representatives in areas of practice which are beyond their scope and serves as a resource to other staff members.

o Collaborates with providers to facilitate patient care.

o Provides advice and follow-up to patients regarding care, including patient education according to protocol.

o Completes medication refills according to protocol.

o Schedules patient appointments as needed.

Pediatric Case Management-Provides case management services for pediatric and adolescent patients including assessment, planning, referral, coordination, and follow-up.

o Ensures the provision of primary health care services from birth through adolescence as recommended by AAP.

o Facilitates access of high risk / special needs pediatric patients to state and local services.

o Serves as an advocate for the rights of the client when barriers prevent obtaining needed care or the client is unable to do so.

o Supports pediatric triage, referrals, and patient and family education as a Clinic RN.

Health Coach-Primary responsibility is to educate and maintain communication with patients assigned to their caseload to facilitate self-management of chronic and complex disease and improvement / maintenance of quality of life.

Medication Assisted Treatment (MAT) nurse case manager-Provides skilled nursing services to opioid dependent patients and their significant support systems. Provides case management services for opioid dependent patients and their significant support systems, including assessment, planning, coordination, and follow-up.

o Coordinates / assists with grant specific or other required MAT documentation.

o Provides education and assessment to patients looking to access MAT treatment programs.

o Follows state and federal guidelines in providing care to opioid dependent patients in collaboration with licensed, prescribing physicians and pharmacy.

o Assesses and monitors patients in the induction, stabilization, and maintenance phases of treatment.

o Works with pharmacy and the MAT team in obtaining medication orders, prescriptions, refills, prior authorizations, and communication as needed.

o Assists in the ongoing primary care of patients referred to the opioid treatment program.

o Facilitates communication between all members of the care team, patient, and family.

o Manages patient referrals and follow-up to other specialty medical, mental health, substance abuse and community service.

o Provides education and insight to staff and community as needed related to substance use disorder and MAT options.

o Participates in local and national training and education to foster continued professional growth and assure high quality care delivery.

o Demonstrates a cooperative and courteous manner towards patients, families, and visitors while carrying out job functions.

o Develops an understanding of UDS and meaningful use clinical indicators and Quality Assurance process while assisting care team members in solving practice-related problems.

Competencies :

Supervisory Responsibilities :

Patient Population :

Pediatric, adolescent, adult, and geriatric patients.

Work Environment / Personal Protective Equipment :

This position operates in a clinical setting, might be exposed to bloodborne pathogen hazard to head, hands, and torso. PPE is required.

Physical Demands :

Alternately Sit / Stand–Frequently (34% - 66% of shift)

Walking-occasionally (1% - 33% of shift)

Lifting 1 lb. to 75 lbs. – Occasionally (1% - 33% of shift);

Carrying 1 lb. to 20 lbs.- Occasionally (1% - 33% of shift), Carrying 21 lbs. to 100 lbs. less than 1% of shift.

Push / Pull 1 lb. to 100 lbs. - Occasionally (1% - 33% of shift)

Continuous fine motor skills including finger dexterity and repetitive use of hands and arms.

Requires 20 / 20 near vision, 20 / 40 far vision, color discrimination and accurate depth perception.

Position Type :

This is an hourly position covered under the bargaining unit.

Education and Experience :

Licenses and Certificates :

Other Duties :

The statements contained in this job description reflect general details as necessary to describe the principal functions of this job, the level of knowledge and skill typically required, and the scope of responsibility. It should not be considered an all-inclusive listing of work requirements as individuals may perform other duties as assigned.