Registered Nurse

Patient Care

• Perform triage phone calls & Walk-in patients using approved procedures and resources for the adult primary care, women’s health, and pediatric populations.
• Assist providers with procedures such as wound care, urinary catheterization, suture/staples removal, wart removal, lacerations, skin biopsy, abscess incision & drainage, toenail & skin tag removal, LEEP, Colposcopy, and Intrauterine Device Insertion (IUD).
• Perform EKG, Peak flow, spirometry, albuterol & oxygen treatments and document results in the electronic health record.
• Clinical Collaboration
• Collaborate with the clinical team to review and act on Tasks/PTAs sent by providers.
• Collaborate with the FM/IM interdisciplinary team to assist with point-of-care testing including HbA1c, UA, HCGs, hemoglobin, Fecal Occult Blood Test, Lead screening, PKU, HIV and Strep.
• Support health center staff with vaccine and medication administration, including NG-G-tube (Rota vaccine).
• Support referral process as needed per AHC standing orders and procedures.
• Develop Self-Management Goals (SMGs) in collaboration with the patient to set up SMART (Specific, Measurable, Attainable, Realistic, Time-bound) goals that are patient-centered.
• Support troubleshooting/problem-solving by using critical thinking during complex situations.
• Review and contact patients regarding normal & abnormal labs & diagnostics results.

Quality Improvement and Coordination

• Collaborate with the interdisciplinary team to improve the Uniform Data System (UDS) Quality Metrics.
• Collaborate with the integrated care team to improve Care Delivery Integration and closure of Healthcare Effectiveness Data & Information Set (HEDIS) care gaps of required Quality Metrics.
• Coordinate outreach efforts to high-risk patients and hospital discharge and admissions, including collaboration with health plans, hospitals, and skilled nursing facilities for transitional care.
• Identify barriers to care and social determinants of health by ensuring the PRAPARE survey has been collected.
• Support with High-Risk Prior Authorizations, Durable Medical Equipment (DME), and Short-Term Disability as needed.
• Work collaboratively with the clinical team to ensure compliance with Joint Commission, HRSA, and AHC standards.

Leadership and Accountability

• Provide leadership for collaboration and coordination of services, which includes defining the appropriate skill mix and delegation of tasks among licensed and unlicensed healthcare staff.
• RNs are fully accountable in all ambulatory care settings for all nursing services and associated patient outcomes provided under the direction of clinical providers.

Patient Education and Reporting

• Provide education and reporting STIs as needed for public health.
• Build relationships with external healthcare organizations and facilities in efforts to find additional resources to support patient care.

Administrative Responsibilities

• Obtain medical records, labs & diagnostics results as needed.
• Align role and responsibilities with Adelante Healthcare's mission, vision, core values policies, and procedures.
• Ensure proper and complete documentation using approved templates in the electronic health record.
• Evaluate clinical resources and support the development of new tools, forms, and procedures as needed.

Skills and Competencies

• Apply critical thinking and organizational skills in all tasks related to specialty and the organization’s standards, including providing discharge instructions for patients.
• Enhance patient safety and the quality and effectiveness of care delivery, making sure to assess, set goals, implement, and evaluate professional nursing services per the Board of Nursing Scope of Practice and organizational standards.

Family Medicine (FM)/Internal Medicine (IM) RN

• Collaborate on the performance of Medicare Wellness Visits by conducting assessments, completing surveys, reviewing patient’s charts and documenting appropriately in the electronic health record by following established procedure and workflows.
• Provide direct nursing care to adult patients, including care coordination, patient education, triage, health assessments, medication administration, vaccinations, record management and quality improvement.
• Provide education to patients and their families on health management, disease prevention and wellness promotion.

Women’s Health RN

• Perform and interpret NSTs to monitor fetal well-being and pregnant patients, documenting results and communicating findings to the health care provider.
• Assist with procedures, such as pap smears, breast exams, and education on contraceptive options and pregnancy care.
• Provide direct nursing care for women’s health patients, including care coordination, patient education, triage, medication administration, vaccinations, health assessments, record management and quality improvement.

Pediatrics RN

• Provide direct nursing care to pediatric patients, including care coordination, patient education, triage, health assessments, record management, medication administration, vaccinations, and quality improvement.
• Provide education to parents and caregivers about child health, disease prevention, nutrition, and wellness practices.
• Assist providers with pediatric procedures such as circumcision.