Clinic Nurse

Full-time position based in Midland. Driving and travel required.

About the role

The Clinic Nurse assists with meeting the needs of complex medical patients, including assessment, education, referrals, and follow-up care for individuals with HIV in the Basin Assistance Services (BAS) program. This position provides nursing care including administering medications, immunizations, collecting specimens (blood, urine), and treatments in compliance with a medical provider's orders, BAS policies, and State of Texas guidelines. The Clinic Nurse interprets information from patients and the healthcare team, documents clinical care in electronic medical records, and provides general care coordination such as patient triage, phone call-backs, prescription refills, lab ordering and interpretation, and prior authorization of medication. This role works independently under limited supervision.

Responsibilities

• Schedule clients for clinic visits as needed.
• Triage with medical services in clinic as indicated by a medical provider.
• Administer immunizations as required by provider and state standards.
• Review client charts and immunization schedules to determine and administer needed immunizations during visits or via standing orders.
• Review client charts after each clinic and submit orders for lab work requested by providers.
• Collect specimens as ordered by medical providers or standing orders.
• Review client charts for pending orders or lab work to be seen by medical provider.
• Review and refill medications as appropriate.
• Maintain medical records in all EHRs and databases.
• Maintain BAS inventory and stock medical supplies.
• Manage medical scanning and vaccine inventory.
• Monitor refrigerator and freezer temperatures daily.
• Ensure clinic area is sanitized properly after each use.
• Coordinate referrals given to case managers.
• Enter accurate and timely documentation of services.
• Maintain confidentiality of sensitive records and protected health information in compliance with HIPAA.
• Maintain regular and reliable on-site attendance.
• Comply with Abuse, Neglect, and Exploitation policy and reporting requirements.
• Adhere to Code of Conduct and Standards of Behavior.
• Establish and maintain effective work relationships with individuals served, their families, supervisors, co-workers, and visitors.
• Communicate regularly with supervisor.
• Process mail/email in a timely manner.
• Answer phones, collect messages, and respond to requests accurately.
• Maintain a safe and clean working environment.
• Perform all work functions using a trauma-informed approach.
• Represent PermiaCare professionally in the community.
• Maintain compliance with legal requirements and company policies.
• Complete all assigned training by the due date.
• Perform other duties as assigned.

Marginal Duties

• Answer BAS phones as needed.
• Fill in for other BAS staff as needed.
• Provide translation, if applicable.
• Participate in team meetings or staffings.
• Attend community meetings or activities as needed.
• Participate in workgroups and committees as assigned.

Requirements

• High School Diploma or GED.
• At least 1 year of experience in a medical setting or nursing field.
• Valid Texas Driver’s license, auto liability insurance, and a driving record acceptable to PermiaCare’s insurance requirements.
• Pass criminal history and background checks, as well as pre-employment drug screen.
• Current and valid Texas certification or license as a Medical Assistant, Certified Nursing Assistant, Licensed Vocational Nurse, or Registered Nurse.

Skills

• Knowledge of HIV/AIDS and other infectious diseases.
• Knowledge of clinic operations and universal precautions.
• Knowledge of telemedicine.
• Ability to assess, observe, and communicate with patients.
• Ability to record patient medical history and current health details.
• Ability to prepare patients for exams and treatment.
• Ability to safely administer medications, treatments, and immunizations, and monitor patients for side effects.
• Ability to perform limited medical examinations and wound care.
• Ability to assist in medical procedures as needed.
• Ability to operate and monitor medical equipment.
• Ability to draw blood, urine samples, and other bodily fluids for lab work.
• Ability to provide respectful and caring patient care.
• Knowledge of infection control procedures.
• Ability to accurately document patient care activities.
• Basic understanding of medical terminology.
• Ability to take and record vital signs.
• Knowledge of nursing principles, practices, and procedures, including the Nurse Practice Act.
• Ability to calculate medication dosages.
• Ability to communicate effectively with diverse cultures and socio-economic populations on sensitive matters.
• Knowledge of HIPAA and ability to protect confidentiality.
• Effective multi-tasking and organizational skills.
• Positive, welcoming behavior and exceptional customer service skills.
• Cultural sensitivity and dependable attendance/punctuality.
• Knowledge of trauma-informed theories, principles, and practices.
• Flexibility and adaptability to different work environments.
• Excellent computer skills (Word, Excel, Outlook, Electronic Health Records).
• Strong reading, comprehension, reasoning, and analytical skills.
• Ability to coordinate with inter-agency personnel.
• Ability to fulfill PMAB and CPR/First Aid requirements.
• Ability to work independently and display good interpersonal skills.
• Ability to build rapport with individuals including co-workers.
• Ability to interact comfortably with diverse cultural, ethnic, and economic backgrounds.
• Ability to acquire and utilize new skills as required.
• Ability to work cooperatively and productively in a team environment.
• Ability to maintain highly confidential information.
• Ability to remain calm in stressful situations.
• Ability to plan and schedule work with minimal supervision.
• Professionalism in dress, language, ethics, and work habits.
• Ability to drive a personal and/or company vehicle, including travel to agency sites, community/residential sites, or locations outside the PermiaCare catchment area.
• May require transport of agency individuals or those served.

Physical Requirements

• Light lifting (under 15 lbs).
• Light carrying (under 15 lbs).
• Walking, standing, and sitting.
• Operating office equipment and motor vehicles.
• Ability to see, identify colors, and hear (with aid if necessary).
• Ability to write, count, read, and tell time.
• Driving required; may require some travel after hours and overnight.

Worksite Conditions

• Travel required.
• Work primarily indoors.
• May work closely with others or alone.

Pay

$14.67 per hour for CNA/CMA; $23.62 per hour for LVN; $29.82 per hour for RN. Sign-on bonus may be available.

Schedule

Monday–Thursday 8:00 AM–5:30 PM, Friday 8:00 AM–12:00 PM. Assigned work hours may change as the needs of the agency and clients change.