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Registered Nurse

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Job Summary: Provides direct nursing care to our patients, assists medical providers and integrated pod team members to optimize the patient care experience, works with and on the care coordination team, and is responsible for triage across clinic sites. Functions as a nurse leader when assigned to a pod team.

Essential Functions:

• Utilize professional nursing clinical skills and assessment to provide primary care nursing.

• Participate as member of health care team planning for and providing optimal patient care including establishing nursing care plans when needed.

• Manage and lead daily pod patient flow, including nurse visits, medical assistant visit, co-visits and walk-ins.

• Assist and facilitate patients in obtaining medical services, including scheduling patients as appropriate, triaging patients, and assessing patients who walk-in to the clinic seeking services.

• Provide patient triage and assessment and obtain health information and relevant data.

• Consistently follows telephone triage guidelines, including documentation and notifying provider in a timely manner.

• Transition care for patients discharged from the hospital within 24-48 hours to prevent readmission and related complications.

• Evaluation of appropriate follow-up care for patients seen in the emergency department.

• According to departmental protocol, provide medications and conduct medication reconciliation.

• Provide a safe, comfortable, therapeutic environment for patients and families.

• Identify changes in clinical signs and symptoms in life threatening situations and initiate appropriate measures.

• Evaluate outcome of patient care, consult with other professionals as required, and adjust nursing care processes as necessary to ensure optimal patient care.

• Assist with OSHA (Occupational Safety and Health Administration), CLIA, VFC (Vaccines for Children) and the Cancer Screening Programs and other organization or site quality processes.

• Provide co-visits in collaboration with providers and medical assistants. Responsibilities include initial assessment, documentation, and patient education.

• Additional job duties and responsibilities may be assigned based on clinic need

Competencies:

• Good Proficiency and navigation PC application included by not limited to MicroSoft suite of products and EMR systems

• Ability to multitask while actively listening

• Excellent keyboarding skills

• Good telephone manner with a clear speaking voice

• Effective communication skills and the ability to build rapport with the patients, outside professionals and staff

• Ability to work in a PCHM team model of care

Skills

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