RN Primary Care Clinic

POSITION DESCRIPTION :

Provides professional nursing care for patients following established standards and practices, which can include triage (telephone and walk-in visits), and care needs that transpire between office visits.

Demonstrates professional clinical leadership and oversight within the scope of the RN role.

ESSENTIAL JOB FUNCTIONS :

The following job functions may not be the responsibility of all RN’s. Some RN’s will be assigned work that has more focused responsibilities (example : prior authorizations or indirect work supporting a provider inbox.)

• Responsible for efficiently triaging patient needs via telephone and during visits according to IHA's Policies and Protocols.
• Documents clinical findings in a clear and concise manner according to IHA Policy.
• Utilizes critical thinking skills within the scope of licensure to appropriately assess patient needs and involves providers as appropriate.
• Enters orders (medication, laboratory, radiology, referrals) according to provider direction and as per state, local and professional guidelines.
• Follows clinical and nursing protocols as applicable.
• Schedules patient appointments as applicable.
• Encourages patient portal usage and supports where needed.
• Provides scope-appropriate nursing education during all patient interactions.
• Consults with providers and other extended care team members (Care Management, Embedded Pharmacy, Behavioral Health and Nutrition) and external case managers as appropriate to effectively ensure quality patient care.
• Supports physician and advanced practice providers with indirect work according to protocol. This includes and is not limited to test results / orders management.
• Assesses patients for gaps in care for preventative and disease management needs.
• Ensures patient medication list is accurate, completes medication reconciliation and processes refill requests per protocol.
• Works with the entire care team to co-manage indirect patient work according to Standard Work Instructions.
• Collaborates with insurance, DME, home care and all other care partners to ensure patient needs are met.
• Reviews patient medical history to identify supporting documentation relevant to ordered services and procedures to assist with or complete prior authorization process.
• Assists patients with resources for any social influences of health needs.
• Participates in process improvement projects within the office / department.
• Serves as a resource to clinical office / department staff within scope of RN role; may direct the work of LPN and Medical Assistant staff as needed and appropriate based on role / scope.
• May perform clinical support tasks as outlined on the Clinical Support Staff Scope of Practice document.
• Supports other offices, attends required meetings and training, and participates in committees as requested.
• Attends weekly patient care meetings and attends daily huddles as applicable.
• Assumes additional duties as required.

ORGANIZATIONAL EXPECTATIONS :

• Creates a positive, professional, service-oriented work environment for staff, patients and family members by supporting the IHA CARES mission and core values statement
• Must be able to work effectively as a member of the clinical care team.
• Successfully completes IHA’s The Customer training and adheres to IHA’s standard of promptly providing a high level of service and respect to internal or external customers.
• Maintains knowledge of and complies with IHA standards, policies and procedures, including IHA’s Employee Handbook.
• Maintains complete knowledge of office services and in the use of all relevant office equipment, computer and manual systems.
• Maintains strict patient and employee confidentiality in compliance with IHA and HIPAA guidelines.
• Serves as a role model by demonstrating exceptional ability and willingness to take on new and additional responsibilities.

Embraces new ideas and respects cultural differences.

• Uses resources efficiently.
• If applicable, responsible for ongoing professional development maintains appropriate licensure and continuing education credentials, participates in available learning opportunities.

MEASURED BY :

Performance that meets or exceeds IHA CARES Values expectation as outlined in IHA Performance Review document, relative to position.

ESSENTIAL QUALIFICATIONS :

EDUCATION : Graduate of an accredited Registered Nurse program.

CREDENTIALS / LICENSURE : Valid, unrestricted RN license in the State of Michigan. Valid CPR certification.

MINIMUM EXPERIENCE : 1-2 years of clinical experience in a medical or physician office preferred. Previous nursing experience not required.

POSITION REQUIREMENTS (ABILITIES & SKILLS) :

Demonstrated competency in obtaining accurate patient vital statistics (height, weight, blood pressure, temperature, etc.

and patient health history.

• Must have basic knowledge and understanding as to the relevance of patient vital statistics to the patients’ health history.
• Proficient / knowledgeable in medical terminology.
• Proficiency in operating a standard desktop and Windows-based computer system, including but not limited to, electronic medical records, email, e-learning, intranet and computer navigation.

Ability to use other software as required while performing the essential functions of the job.

• Excellent communication skills in both written and verbal forms, including proper phone etiquette.
• Ability to work collaboratively in a team-oriented environment; courteous and friendly demeanor.
• Ability to work effectively with various levels of organizational members and diverse populations including IHA staff, providers, patients, vendors, family members, outside customers and community groups.
• Ability to cross-train in other areas of practice in order to achieve smooth flow of all operations.
• Good organizational and time management skills to effectively juggle multiple priorities, time constraints and ever-changing medical situations.
• Ability to exercise sound judgement and problem-solving skills.
• Ability to perform mathematical calculations needed during the course of performing basic job duties, i.e. : calculating proper dosages for immunizations.
• Knowledge of the compliance aspects of clinical care and patient privacy and best practices in medical office operations.
• Ability to handle patient and organizational information in a confidential manner.
• Ability to travel to other office / practice sites and meeting and training locations.
• Successful completion of IHA competency-based program within introductory and training period.

MINIMUM PHYSICAL EXPECTATIONS :

• Physical activity that often requires keyboarding, phone work and charting.
• Physical activity that often requires time working on a computer.
• Physical activity that often requires lifting over 50 lbs.
• Physical activity that sometimes requires handling and lifting patients, transferring patients to gurney using slide board, assisting patients with dressing / undressing, transferring patients to wheelchair using gaitbelt, walking, bending, stooping, reaching, climbing, kneeling and / or twisting.
• Physical activity that sometimes requires lifting, pushing and / or pulling up to 100 lbs.
• Specific vision abilities required include close vision, depth perception, color vision, peripheral vision and the ability to adjust and focus.
• Manual dexterity sufficient to operate a keyboard, photocopier, telephone, calculator and other office equipment.
• Must hear and speak well enough to conduct business over the telephone or face to face for long periods of time in English.

MINIMUM ENVIRONMENTAL EXPECTATIONS :

This job operates in a medical facility and requires regular walking to various locations around the hospital / clinic. Employees will be working where there is patient care equipment.

Hazardous materials, including bloodborne pathogens and bodily fluids are also present. Exposure to sharps, x-rays, patients' conditions and some unpleasant sights, smells and contagious diseases are possible.

This position requires significant interaction with people (many of whom are scared, hurt and / or ill) which can be stressful and result in competing priorities.

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