CLINIC RN

About the role

The Clinic RN position at Santa Barbara Neighborhood Clinics provides health advice, education, and care coordination for SBNC patients in person, over the phone, and via the patient portal. This role is integral to the Patient Centered Medical Home (PCMH) and supports chronic disease management to achieve optimal patient outcomes.

Responsibilities

• Provides excellent customer service in all phone and other interactions
• Collaborates with patients' primary care team as needed to coordinate appropriate care
• Retrieves messages in a timely manner and responds to patient needs according to medical priority
• Works cooperatively with other staff and departments to problem solve and improve workflows
• Maintains patient confidentiality/HIPAA
• Participates in required meetings
• Provides culturally sensitive, patient-centered care to all SBNC patients
• Assists in the development, maintenance, revision, and evaluation of clinic workflows
• Elicits history of present illness and pertinent past medical history and uses clinical judgment and experience to formulate a care plan
• Coordinates follow-up care for patients with recent emergency department visits or hospitalizations
• Sends medication refills per clinic protocol
• Utilizes health coaching skills and encourages patient activation and self-management
• Helps patients manage medications accurately and safely. RN is authorized to remove and update medications with Provider input
• Discusses test results per provider order
• Participates in outpatient case management of medically or psychosocially complex patients; visits may take place within the home. Maintains accurate charting and registry of all patients served under case management
• Provides health education and formulates care plans for patients and families; supports with chronic illnesses such as diabetes, asthma, heart failure, obesity, etc.
• Delegates patient outreach, teaching, and care coordination activities to the LVN as appropriate
• Facilitates and implements clinic focus quality improvement and evaluation initiatives. Contributes to a work environment where continuous quality improvements in service and professional practice are pursued
• Identifies, collects, and maintains timely and accurate information about the clinic's quality improvement activities
• Conducts monthly MA chart reviews for various functions related to workflow, screenings, utilizing the audit

Qualifications and Education Requirements

• Qualifications: Current CA RN License in good standing. Current AHA CPR Certification. Bilingual in English/Spanish preferred
• Education: Associate or BA/BS Degree
• Experience: Five (plus) years of direct patient case management and/or community health experience
• Knowledge & Skills: English grammar, spelling, and punctuation must be excellent. Excellent documentation skills. Communication skills (written and verbal). Strong critical-thinking skills. History-taking skills. Good organizational skills
• Ability to: Follow verbal and written instructions accurately. Communicate effectively and professionally with a variety of people and provide accurate information, via phone, e-mail, and written communication. Work independently and complete tasks with minimal supervision. Pay attention to detail. Strong enthusiasm and willingness to pitch in whenever needed. Organize work and maintain accurate files and records. Use office equipment including copier, fax, and postage meter. Functions well in a high-stress environment