Registered Nurse

JOB CONTENTPosition Summary:(Overall purpose of this position)* Provide nursing care in a community health ambulatory care setting including health promotion, patient and family education, health maintenance, disease management, coordination of care and maintaining continuity of care.* Provide nurse visits for clinical support and care, as well as telephone triage to advise patients of clinical needs and appropriate course of action.Essential duties and responsibilities which must be performed in order to carry out the position purpose summarized above:(The following description is a general representation of the key duties and responsibilities of this position. Other duties may be assigned, as required.)Obtain baseline data on all patients including histories, vital signs, lab tests and health education as indicated by the patient presentation, assess patient problem; develop and implement patient care plan.Assure the timely and accurate documentation of patient care observations and activities.Provide ongoing education to patients regarding specific health or psychosocial problems. Utilize established guidelines and educational materials.Evaluate patient knowledge regarding health, illness and self-care practices; educate patient on positive lifestyle choices and health habits.Develop and teach classes on health topics to patients and community residents as requested by clinic.Demonstrated proficiency in utilizing the EMR system for documenting patient care, reviewing the record for health maintenance needs, entering orders, medication refill requirements, review lab values, scheduling appointments, and processing the in-basket folders and messagesCollaborate with public health and social service agencies regarding patient health issues. (testing vaccines education)Serve as a member of a Patient Center Medical Home team (PCMH); confer with team members and appropriate community resources.Perform telephone triage: assess patient problem and advise to assure optimal outcomes.Maintain updated knowledge of telephone care practices and clinical skills in disease management and health promotion.Care manage high risk patient populations to coordinate care and manage health outcomes.Maintain goals to align with quality metrics.Complete organizational trainings and assigned education courses as it relates to nursing role.Other duties as assigned.