REGISTERED NURSE

Basic Function

Position is responsible for providing comprehensive nursing services to clients and their families including assessment and education in coordination with team-based care. Performs care management of patients with complex conditions within the primary care and family practice setting.

Intradepartmental Relationships

Department Officer: Chief Operations Officer
Reports to: Nursing Director
Supervises: None

Primary Responsibilities

• Participates as an integral part of a multi-disciplinary team for the comprehensive health care of clients and their families.
• Provides triage assessment, consultation, and referral for FCHC clients contacting FCHC through the telephone, patient portal and directly in clinic.
• Schedules same day appointments in conjunction with provider.
• Provides appropriate education and home care advice.
• Obtains information for clients requesting test results and medication refills.
• Documents assessment, patient education, nursing interventions, and encounter notes in the EMR.
• Sends refill requests to appropriate provider and completes prior authorization if needed by insurance.
• Performs routine direct patient care such as administering injections, dressing changes, vital sign assessment and other requested and necessary RN duties.
• Develops individualized care plan setting mutual health goals with patient/family for patients with acute conditions, complex conditions and co-occurring chronic illnesses.
• Provides education about disease processes and management (e.g. diabetes, asthma, and COPD).
• Emphasizes disease prevention and health promotion and addresses the specific needs of the client.
• Consults with members of multidisciplinary care team (Community Health, Nutrition, Behavioral Health, Pharmacy, etc.) about identified health conditions and the tailored interventions necessary to address barriers and challenges to achieving individual health care goals.
• Carefully coordinates care using a care management approach, including risk assessment, coordination and referral, follow-up and tracking, crisis intervention, documentation and modification of care plan as needed, to maintain continuity of patient care.
• Provides medication, education and support to help patients better manage all of their health conditions.
• Performs post-hospital discharge transitions of care encounters and oversees the scheduling of patient for follow-up as appropriate and per clinical protocols (e.g. new onset of illness or diagnosis).
• Documents transition of care encounter, including medication reconciliation, in the EMR.

Periodic Duties

• Participates in Health Center staff problem solving groups.
• Attends and participates in department meetings, etc.
• Identifies and presents appropriate educational materials for different audiences.
• Presents information to various audiences.
• Participates in data analysis and quality assurance.
• Performs other duties as assigned.

Working Relationships

Inside Center: All inclusive.
Outside Center: Patients/Clients, students, vendors, community health agencies, hospitals, physician’s offices, Dept of Health & Social Services, etc.

Skills And Abilities

• Excellent clinical skills.
• Experience with EMR; intermediate proficiency with Outlook and MS Office applications, such as Word and MS Teams.
• Excellent telephone skills.
• Excellent customer service and teamwork skills.
• Ability to always maintain a professional attitude and demeanor.

Qualifications

• Graduate of an accredited school of nursing required;
• BSN preferred.
• Licensure as a Registered Nurse in the State of Missouri required, and in good standing.
• Two plus (2+) years of experience in nursing working with patients who have complex conditions requiring care coordination and collaboration with a multidisciplinary care team.
• Experience working with patients in a primary care setting.
• OB experience preferred.

Continuing Education

Satisfactory maintenance of continuing education as established by the Missouri Nurses’ Association is required.