RN Clinical Lead

Job Duties And Responsibilities

• Bridges patient to exam room, takes appropriate vital signs and documents in electronic medical record.
• Notifies provider regarding patient in need of intervention.
• Identifies patients with ED, Hospital Admission or specialty consults and obtains records.
• Reviews and reconciles medication list to ensure accurate and complete list in electronic medical record (EMR) available for provider review and submission.
• Records patients’ chief complaint in EMR.
• Completes referrals and tracks patients' compliance.
• Reviews prescriptions electronically and sends prescriptions to providers for review and submission.
• Obtains prior authorization for diagnostic testing and medication and enters into EMR.
• Responds to patient's concerns appropriately using AIDET communication.
• Edicates patients on procedures and obtains patient consent as directed by provider.
• Performs pre-visit planning and reviews quality metrics.
• Retrieves telephonic clinical information from patients who call into the office.
• Triage calls and provides advice to patients.
• Follows up with patients within same business day.
• Documents clinical guidance and patient response in patient’s medical record.
• Maintains task list and completes tasks assigned by provider in a timely manner based on urgency.
• Uses Universal Precautions with all encounters, and follows procedure for handling occurrences involving exposure to blood or other body fluid.
• Educates patients regarding medication, testing procedures and home care techniques.
• Ensures proper labeling, handling and documentation for patient specimens.
• Follows up with patient regarding test results based on advice given by provider.
• Ensures that patient exam rooms are stocked and cleaned at all times.
• Routinely rotates and checks for expiration dates on all medical supplies.
• Notifies designated colleagues of ordering supplies prior to supply depletion.
• Participates in mandatory in-service training including but not limited to OSHA and harassment.
• Maintains a clean and safe work environment including disinfecting patient care areas and equipment.
• In conjunction with other nursing colleagues, maintains the medical supply cabinet and drug cabinet.
• Prepares and administers vaccines and medications/injections utilizing the six (6) R's: Right Medication, Right Dosage, Right Time, Right Route, Right Patient, Right Documentation.
• Completes incoming patient forms and ensures forms are scanned into the EMR.
• Handles medical waste appropriately.
• Communicates respectfully with internal and external customers.
• Uses the electronic medical record to communicate effectively.
• Maintains current license and certifications required based on NYS requirements.
• Attends and participates in all required meetings and trainings.
• Performs quality assurance duties as assigned.
• Provides a clinical visit summary (Patient Plan) to patient as requested.
• Provides educational materials.
• Mandatory reporting; abuse and neglect, vaccine adverse event reporting system (VAERS).
• Reports patient safety events into MIDAS system and maintains yearly training.
• Participates in daily Patient Care huddles as appropriate.
• Maintains patient confidentiality and adheres to HIPAA regulations.
• Adheres to all St. Peter’s Health Partners policies and procedures at all times.
• Works cooperatively with all colleagues to ensure quality patient care at all times.
• Performs nurse visits as scheduled following standing orders given by providers.
• Performs other duties as assigned.

Qualifications

• Current unencumbered NYS RN license.
• Basic Life Support certification.
• Excellent attention to detail and organization.
• Commitment to confidentiality and respect.
• Demonstrated ability to handle multiple priorities in a deadline-driven environment.
• Understand and embrace a customer service focus.
• Ability to work independently, yet function collaboratively as a team.
• Basic Computer Competency.