Primary Care Ambulatory RN

Montage Medical Group; Monterey (CA); On-site; USD 90,000 - 98,000; Full time

Job summary

Montage Medical Group is seeking a Primary Care Ambulatory RN to join our Monterey outpatient team. The role focuses on patient safety, triage, and comprehensive care within general primary care.

The RN will assess patients, coordinate care across the care continuum, and educate patients and families about disease processes, medications, and lifestyle changes. Strong EMR documentation and teamwork are essential for success.

Qualifications

• Associate’s Degree in Nursing required.
• California RN license required.
• Minimum 3 years RN practice; acute care experience preferred.
• Experience with electronic medical records (EMR) documentation; quality standards knowledge.

Responsibilities

• Provide primary nursing care and triage within ambulatory setting.
• Collaborate with physicians and APPs to implement evidence-based care plans.
• Monitor and document patient status, medications, and treatment responses.

Skills

Interpersonal skills

Communication

Education

Associate’s Degree – Nursing

BLS

Job description

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Primary Care Ambulatory RN

Full Time Professional Monterey, CA, US

4 days ago Requisition ID: 2639

Salary Range: $65.00 To $71.00 Hourly

SUMMARY

The Primary Care Ambulatory RN serves as a clinical partner to MMG physicians and advanced practice providers, supporting patients across the spectrum of general primary care within the outpatient setting. This role emphasizes patient safety, continuity of care, telephone triage, and disease management.

The Ambulatory RN comprehensively assesses patient health status to support the development, execution, and evaluation of individualized and population-based care plans. This role utilizes clinical judgment, data, and evidence-based guidelines to drive high-quality cardiovascular care. Key dimensions of this position include care coordination, patient safety, quality outcomes, teamwork, patient education, and population health management.

ESSENTIAL DUTIES AND RESPONSIBILITIES

Primary Care Population Management & Care Coordination

• Serves as a primary RN resource for patients with acute and chronic conditions, including diabetes, hypertension, respiratory conditions, and routine primary care diagnosis.
• Collaborates with physicians and advanced practice providers to develop, implement, and evaluate evidence-based care plans
• Monitors patients’ clinical status, including symptoms, medication adherence, and response to treatment plans
• Identifies patients at increased risk for clinical deterioration and escalates care appropriately
• Coordinates care across the outpatient continuum, including specialists, and ancillary services

Patient Assessment, Education & Engagement

• Performs independent nursing assessments using strong clinical judgment and critical thinking skills
• Provides comprehensive patient and family education, including:
  • Disease processes and treatment plans
  • Medication regimens (e.g., antihypertensives, anticoagulants)
  • Preventative health and lifestyle modifications
• Delivers education during end-of-visit consultations, nurse visits, and telephonic outreach
• Engages patients in self-management and shared decision-making, promoting adherence and improved outcomes

Clinical Operations & Symptom Management

• Manages and triages incoming patient communication, including symptom calls and clinical advice requests, ensuring appropriate level of care and timely access
• Utilizes standardized workflows and protocols to support safe, efficient patient disposition (e.g., home care, same‑day visits, emergency department, or escalation to provider)
• Recognizes abnormal findings and communicates changes in patient condition to providers in a timely manner
• Conducts independent nurse visits as appropriate, including education, follow‑up assessments, wound checks, and care plan reinforcement
• Conducts Primary Care Acute Care visits as appropriate, including IV fluid and medication administration (e.g., anti‑emetics, NSAIDS, diuretics), patient education, and care coordination (e.g., diagnostic imaging, labs.).

Medication Management & Safety

• Supports medication management in collaboration with providers, including refills, titration support, and adherence monitoring
• Performs medication reconciliation to reduce risk of adverse events

Care Coordination & Resource Connection

• Connects patients to supportive services, including:
  • Social work and community resources
  • Health coaching and disease management programs
  • Addresses barriers to care, including access to medications, transportation, and follow‑up services

Documentation, Communication & Compliance

• Documents all patient assessments, interventions, and outcomes accurately in the electronic medical record
• Communicates effectively with providers and interdisciplinary team members to ensure continuity and safety of care
• Maintains patient confidentiality in accordance with HIPAA regulations
• Supports quality initiatives aimed at improving health outcomes, reducing unnecessary emergency department visits, inpatient admissions, and enhancing patient experience

EDUCATION

• Associate’s Degree – Nursing
• BLS

MONTAGE VALUES

Employees of Montage Medical Group are expected to uphold the Montage Values and Service Standards. Montage Medical Group employees find joy in caring for those we service, are dedicated to coordinating care across all settings, take ownership, collaborate to deliver the highest quality care and are entrusted to serve our community with respect.

EXPERIENCE

A minimum of 3 years of practice as an RN (acute care experience preferred). Experience with electronic medical record documentation. Working knowledge of quality standards and evidence-based practice.

REQUIREMENTS

• California licensed Registered Nurse. Strong letters of recommendation (2).

SKILLS AND ABILITIES

• Strong interpersonal and communication skills
• Patient-centric problem‑solving skills