Registered Nurse - Family/Internal Medicine

Patient Care Responsibilities

• 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 heath center staff with vaccine and medication administration, including NG-G-tube (Rota vaccine).
• Perform PPD placement, Flu and COVID testing.
• 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.
• Assist with tasks/PTA messages about insulin titration for the diabetic population, which can include education and follow-ups.
• 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.

Other Duties And Responsibilities

• Patient Centered Medical Home (PCMH) and Integrated Care Team (ICT)
• All employees are responsible for promoting and participating in interdisciplinary communication and collaboration to enhance the delivery of quality across the health care system.
• Employees should maintain an environment that supports and engages patients and co-workers in a caring team-based model to promote wellness and improve health outcomes.

Physical Demands And Work Environment

• While performing the duties of this job, the employee may be required to sit for long periods of time, is required to stand, walk, use hands to handle or feel objects, tools or controls; reach with hands and arms; climb steps/stairs; balance; stoop, kneel, crouch or crawl; talk or hear; smell; manage stress as it relates to essential job functions.
• The employee must frequently lift and/or move up to 25 pounds without assistance and may occasionally be required to lift or move up to 50 pounds with assistance.
• Specific vision abilities required by the job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus.
• Work environment: While performing the duties of this job, the employee is exposed to weather conditions prevalent at the time when traveling to various clinic sites. The noise level in the work environment is usually moderate.