Registered Nurse – Clinical Management (Telemedicine and Case Management)

POSITION SUMMARY

Under the supervision of the Chief Operations Officer the Registered Nurse in this position performs duties in various programs and provides direct and virtual clinical support to the Physician and PA/NP. The nurse in this position is distinguished by the level of responsibility assumed, complexity of duties assigned and by the independence of action taken. Employees at this level are required to be fully trained in all procedures related to assigned clinical and telehealth duties. The primary purpose of this position is to provide telemedicine and remote monitoring nursing care and leadership, working collaboratively with physicians and multidisciplinary team members including social workers and community health workers. The R.N. will promote and restore patient’s health as they prescribe, provide, delegate, evaluate and coordinate comprehensive professional nursing care through the use of the nursing process for patients of all ages, gender, cultures, and background; provide physical and psycho-social support to patients, friends, and families. The nurse may be from time to time responsible for the coordination of student nursing staff and clinic volunteers. The employee in this position is responsible for and held accountable for maintaining patient/client confidentiality.

EXAMPLES OF WORK (ESSENTIAL FUNCTIONS - NOT ALL ITEMS MAY BE PERFORMED BY ANY GIVEN INCUMBENT)

n Demonstrates competency in knowledge and skills of Telemedicine Nurse Case Manager and site coordinator roles: Evaluates appropriateness of referrals and provides feedback to physicians; Establishes contact with patient/proxy. Assesses willingness, ability to use Telemedicine; Evaluates patient and family for social needs and makes appropriate referrals to community resources.

n Provides electronic health record site with relevant information: Follows and expedites referral process; Informs providers and support staff and patient/proxy of referral sources.

n Coordinates appointment time with the primary physician or provider, patient and clinic schedules.

n Facilitates equipment set-up and indicated quality control activities in preparation for appointment. Obtains additional pertinent patient information at time of appointment.

n Develops forms and questionnaires to facilitate exchange of information

n Provides follow up: Sees that requested lab/tests are ordered, and results are sent to specialist. Schedules follow-up appointments.

n Informs and updates physicians and staff of services available through Telemedicine.

n Encourages the use of the video-conferencing equipment for other than specialty consults. Provides equipment set up, distribution of materials to attendees, return of forms to electronic health record site, and maintains records for CME classes. Provides site coordination of community service programs available from electronic health record.

n Provides remote patient chronic disease monitoring and case management.

n Occasionally participates in health clinics; KAN Be Healthy Assessments, Prenatal Risk Reduction Assessments, school screening services; coordinates the prevention and control of communicable disease,; perform diagnostic screening tests including collection of lab specimens; give prescribed treatments and immunizations; lead assessments; chart patient information; maintain clinic log; make referrals; provide breast feeding education and promotion; assist individuals and families in carrying out recommendations made by their physicians.

n Schedules and directs the activities of student nursing staff.

n Reviews, evaluates, and recommends Quality Assurance program policy and procedures to Quality Assurance Coordinator

n Assists in assuring that all standing orders are kept current;

n Assess, plan, direct and evaluate total nursing care as determined by the patient’s age related physical, psychosocial, and cultural needs in accordance with established standards, policies and procedures of the Community Health Center.

n Provides case management by being a patient advocate, resource and contact person for patients.

n Provides basic education information to patients and family, focusing on self-care appropriate to their age and identified learning considerations and needs.

n Performs assessment data collection and documents subjective data (chief complaint and allergies) and objective data (vital signs/weight/etc.). Reviews basic health history information for patients; focusing on environmental, self-care and clinic discharge planning.

n Administers medications and intravenous solutions skillfully and correctly, and performs lab/diagnostic testing as ordered by provider and reports all critical lab values immediately.

n Demonstrates an ability to remain calm, perform effectively and professionally during peak periods of activity and emergency situations.

n Anticipates and prepares examination room with equipment and supplies required for virtual and on-site visits. Assists provider with examination and procedures per request.

n Utilizes universal precautions in obtaining specimens (venipuncture, cultures, etc.) and in delivery of patient care. Performs lab testing (i.e. urine dip, pregnancy test, strep screen, hemacue) including quality controls and maintains all laboratory/diagnostic test logs.

n Performs efficiently in stressful situations, seeking guidance, informing appropriate persons and documenting events.

n Assures all clinic equipment is maintained in a safe and functioning manner;

n Assures safety of biologicals by maintaining temperature logs on refrigerator;

n Assure accuracy of test results by running appropriate controls as needed;

n Assists in assuring compliance with OSHA’s Occupational Exposure to Bloodborne pathogen standards;

n Assures adequate supply of nursing supplies, lab supplies, and clean linens are all on hand for delivery of services; informs the Chief Financial Officer of supply needs;

n Serves as liaison to the public health department for reportable communicable diseases;

n Participates in educational activities by attending conferences, meetings and workshops to keep informed in all FQHC programs and procedures with the approval of the Chief Medical Officer; when appropriate;

n Provides up-dated information received at meetings and workshops to all applicable staff (not attending) as soon as possible;

n Participates in the hiring of nursing staff; performs training and evaluation of nursing staff per agency policies and procedures.

n Performs duties in various programs including participation in quality assurance and improvement program, and patient centered medical home transformation.

n Performs other duties as assigned.

STAFF NURSE, POSITION REQUIREMENTS

EXPERIENCE: Previous appropriate experience is a factor in selection of the Registered Nurse. Employee is expected to have acquired the necessary information and skills to perform the job satisfactorily after probationary period.

EDUCATION: A Registered Nurse with a Bachelors of Nursing (BSN) degree or academic public health preparation is preferred, however, prior experience may be considered.

SKILLS: Thorough knowledge of all program operations and procedures. Good management skills. Excellent oral, written and interpersonal communication skills. Ability to manage emotions and anxiety. Ability to operate all equipment used in performing nursing services. Bilingual in Spanish and English preferred.

PROBLEM SOLVING: Problem solving is a factor in this position. Problems include student nursing staff management and scheduling, recommending program policies and procedures for student nursing staff guidance and equipment malfunctions.

DECISION MAKING: Decision making is a factor in this position. Decisions include determine program policies and procedures, student nursing staff scheduling and making decision of referral to help with client needs.

ACCOUNTABILITY: Responsible to assess nursing supply and equipment needs and bring them to the attention of the Chief Medical Officer and Chief Financial Officer. Employee is responsible for reading, knowing and following policies, procedures and protocols for the Health Center and guidelines in manuals dealing with specific programs as assigned.

Private Health Information: Protected Health Information or PHI means any information (including demographic information collected from an individual), whether oral or recorded in any form or medium.

This position requires regular access to protected health information. The Registered Nurse in this position requires complete access to all PHI that is necessary to carry out vital job functions as outlined in this description. The nurse is obligated to divulge the minimum necessary PHI to carry out essential functions of the position.

This position requires the employee to sign a confidentiality agreement as all programs under the Community Health Center are required to be HIPAA compliant.

PERSONAL RELATIONS: Continual contact with other county agencies, state health department staff, local medical professionals, and the general public. Must be able to establish and maintain effective working relationships within the community and fellow employees.

WORKING CONDITIONS: Adverse weather, infectious wastes and possible exposure to communicable diseases are factors in this position. Physical effort is required. The employee in this position must be able to meet deadlines under excess pressure.

PHYSICAL ABILITY:

Moving: Moves in and out of waiting room, front office, hallways, doorways and exam rooms during clinic hours. Spends the majority of the day sitting at a computer.

Body: Some bending and stooping required. Ability to sit for prolonged periods of time. Requires lifting up to 50 lbs.; over 50 lbs. requires assistance. Requires manual dexterity to maneuver around office equipment. Ability to operate personal automobile, due to services being provided at various sites in the county, as well as, the need to attend job-related in-services and workshops held throughout the state.

Reading / Seeing: Visual acuity required to read and type at the computer for prolonged periods of time, respond and react to client observations and to physical changes while assisting with clinic tasks. Eye hand coordination and finger dexterity needed to perform nursing procedures, entering data and reviewing software for lab/x-ray results. Must be able to read and generate accurate, concise, and professional written communication and documentation.

Speaking / Hearing: Pleasant phone voice with articulate speech and excellent customer service. Ability to communicate effectively with staff, clients, physicians, peers, supervisors, and other collaborative community agencies. Must be able to use appropriate grammar, vocabulary and word usage. Auditory acuity is necessary to respond and react to emergency situations in the clinic and to report to supervisors and other regulatory agencies.

Ability to operate personal automobile, due to services being provided at various sites in the county, as well as, the need to attend job-related in-services and workshops held throughout the state.

OTHER REQUIREMENTS: Valid Kansas Drivers License, use of personal automobile and certificate of liability insurance from automobile insurer.

Job Type: Full-time

Pay: $53,500.00 - $69,000.00 per year

Benefits:

• 401(k)
• 401(k) matching
• Continuing education credits
• Dental insurance
• Disability insurance
• Health insurance
• License reimbursement
• Life insurance
• Loan forgiveness
• Malpractice insurance
• Paid time off
• Relocation assistance
• Vision insurance

Medical specialties:

• Primary Care

Physical setting:

• Clinic

Standard shift:

• Day shift

Weekly schedule:

• Monday to Friday
• No weekends

COVID-19 considerations:
All staff and patients required to mask on-site. One-year supply of patient and staff PPE. All air conditioning U.V. disinfected. To date (October 14, 2022) we have had ZERO staff-to-staff, staff-to-patient, patient-to-staff transmissions.

Ability to commute/relocate:

• Winfield, KS 67156: Reliably commute or willing to relocate with an employer-provided relocation package (Required)

Experience:

• Nursing: 1 year (Required)

License/Certification:

• RN (Required)
• BLS Certification (Required)

Work Location: One location

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