RN- Ambulatory Clinic Office (Full Time)

About the role

Adhering to System Values, Service Excellence, and Standards of Behavior, the Ambulatory Clinic Office Registered Nurse provides safe, high-quality nursing care to adult and pediatric patients in an outpatient setting. This role applies the nursing process to assess patient needs, perform patient-care-related tasks, administer ordered injections and vaccines, perform and monitor anticoagulation-related testing, provide patient education within a nurse’s scope of service, and coordinate follow-up care in collaboration with providers and the interdisciplinary care team. The nurse ensures accurate documentation, supports adherence to established protocols and standards of practice, and promotes a patient-centered environment focused on safety, quality, and continuity of care.

Responsibilities

• Assesses, monitors, and documents each patient’s clinical status, nursing interventions, education, and follow-up needs in the electronic medical record.
• Coordinates daily operations of the Ambulatory Nurse Clinic, including workflow, schedule preparation, resource needs, and communication priorities.
• Manages patient communications, including phone calls, voicemail, and clinical messages, to ensure timely response and continuity of care.
• Performs ordered clinical procedures within nursing scope of practice, including injections, wound care, blood pressure checks, ear irrigation, and outpatient EKGs.
• Coordinates referrals, specialty services, IV medication arrangements, pre-operative orders, and related patient care activities according to established protocols.
• Provides patient education and counseling on medications, chronic disease management, insulin use, blood pressure control, injections, vaccines, and anticoagulation therapy.
• Performs, reviews, and documents PT/INR testing and collaborates with providers to support safe and effective anticoagulation management.
• Educates patients receiving anticoagulation therapy on dosing instructions, diet considerations, medication interactions, bleeding precautions, and follow-up requirements.
• Monitors INR results across care settings and coordinates timely follow-up, confirmatory testing, and outreach for patients overdue for testing or appointments.
• Manages Warfarin refill requests and evaluates medication adherence, including pill counts, discrepancy documentation, and escalation of concerns as appropriate.
• Prepares and administers allergy immunotherapy injections in accordance with provider orders, patient verification requirements, monitoring standards, and documentation protocols.
• Prepares and administers adult and pediatric vaccines according to standing orders and clinical guidelines, including screening, education, monitoring, and documentation.
• Provides triage support for anticoagulation, medication management, injection-related concerns, and other outpatient nursing needs, coordinating follow-up care as indicated.
• Supports telemedicine clinic operations by coordinating scheduling, laboratory needs, patient preparation, visit communication, and clinical support during appointments.
• Maintains clinic readiness and program quality through inventory management, anticoagulation record oversight, monthly reporting, billing coordination, infection control practices, safety protocols, team participation, and quality improvement activities.
• Performs additional duties as assigned.

Qualifications

• Education: Associate of Science in Nursing (ASN) from an accredited institution. Bachelor or Master’s degree in Nursing or Healthcare Management preferred.
• Certification: All employees and contracted staff will have either successful completion of an American Heart Association* accredited course in Basic Life Support (BLS), or ACLS and PALS combined (for clinical staff), Heartsaver CPR AED (for nonclinical staff), and renewal on a regular basis. Refer to the NCH Life Support Certification Policy for position‑specific requirements.
• Licensure: Current Registered Nurse (RN) license in the state of New Hampshire and Vermont required.

Skills

• Excellent communication and interpersonal skills.
• Ability to prioritize and manage multiple tasks efficiently.
• Proficiency in electronic medical records (EMR) systems.
• Understanding of CPT, ICD-10 and HCPCS coding and its relationship to billing preferred.

Pay

The anticipated hourly range for this position is $39.22/hr - $49.02/hr - $52.94/hr. Final compensation will be determined based on the selected candidate's applicable experience, skills, qualifications, and other job-related factors.