*Registered Nurse

Martin's Point Health Care; Portsmouth (NH); On-site; USD 75,000 - 95,000; Full time

Benefits offered by this job

Sign-on bonus

Job summary

Martin's Point Health Care, a not-for-profit organization serving Maine and beyond, seeks an RN to join the care team. The RN coordinates primary and specialty services, ensures timely access, and delivers patient education to improve care quality and satisfaction.

This role emphasizes collaboration with providers, care coordination, and population health initiatives. A $2,000 sign-on bonus is offered to new hires to support a smooth transition and retention.

Responsibilities

• Coordinate care with internal and external providers to ensure continuity.
• Schedule and prioritize primary and specialty services to fit patient needs.
• Assess patient condition and triage using standard protocols.
• Maintain inventory of medical supplies meeting infection control standards.
• Educate patients on diagnoses, tests, meds, and lifestyle changes.
• Identify care gaps and collaborate to close them.
• Work with team and population health staff to improve outcomes.
• Review upcoming appointments to identify chronic disease gaps.
• Triage calls and advise on appointments, urgent care, or home care.
• Lead flu clinics and community wellness initiatives.
• Process documents: refills, forms, lab results per protocol.
• Develop and follow nursing care plans tailored to patient needs.
• Conduct nursing visits: injections, diabetes teaching, BP, spirometry.
• Perform point-of-care tests: rapid COVID/flu/strep, A1c, urinalysis.

Job description

Join Martin's Point Health Care - an innovative, not-for-profit health care organization offering care and coverage to the people of Maine and beyond. As a joined force of "people caring for people," Martin's Point employees are on a mission to transform our health care system while creating a healthier community. Martin's Point employees enjoy an organizational culture of trust and respect, where our values - taking care of ourselves and others, continuous learning, helping each other, and having fun - are brought to life every day. Join us and find out for yourself why Martin's Point has been certified as a "Great Place to Work" since 2015.

Position Summary

$2,000 sign-on bonus!

The Registered Nurse (RN) works collaboratively with all members of the care team to provide world class service to both the patients and staff of Martin's Point. The RN coordinates the delivery of primary and specialty care services to assure the highest quality of care while efficiently utilizing available services and resources. This position provides excellent customer service in a timely manner resulting in improved patient care, satisfaction, and provider efficiency (availability and appointment access). The RN performs independent assessments in person or on the phone (within scope of practice), provides patient education, and demonstrates initiative and creative problem solving to address patient concerns.

Job Description

Key Outcomes

• Coordinates with internal providers, external specialty providers, community-based health care resources, urgent care centers and/or hospitals to maintain continuity of patient care (e.g., care coordination, patient navigation).
• Prioritizes and schedules specialty/primary care services to meet patient needs while maximizing available resources.
• Performs independent patient assessment to determine the level and urgency of specialty/primary care services, including walk in visits and clinical triage utilizing standard protocols for disposition.
• Maintains an adequate inventory of medical supplies, instruments and equipment that meet quality and infection control standards within their area of support.
• Provides education regarding specialty diagnosis, lab results, procedures, medications, risk factor modifications, exercise prescription and follow up activities/care to patients and/or family members by phone, portal communication, or face to face.
• Coordinates with the team on patients identified with gaps in care and strategizes on appropriate action to facilitate closure.
• Partners collaboratively with providers, clinical support, patient service representatives, clinical quality specialist RN's and the population health nurses to support and improve quality outcomes and care navigation and to address gaps in care.
• Reviews upcoming scheduled appointments to identify chronic disease patients. Analyzes the patient record for gaps in care and takes appropriate action to facilitate closure of these gaps.
• Participates in daily huddles and regular team meetings to improve workflows and contribute to improving patient population outcomes.
• Receives day-to-day clinical direction from on-site RN Clinical Leads, Clinical Quality Specialist, Clinical Supervisors, or Clinical Manager.
• Triages telephone calls, utilizing clear triage, apply standard protocols for disposition, i.e., schedule an appointment, refer to urgent/emergency room, or offer home advice (knowledge base/scope of practice to support the various types of patient population and services: OB/GYN, Pediatrics, Family Practice, Internal Medicine, Surgical, Cardiac).
• Communicates with patients in person, via telephone, or portal to assess patient need using standard protocols in order to coordinate appropriate care and next steps.
• Contributes to the health maintenance, wellness promotion, and disease management of our patient population and the community at large by aiding the providers in the collection and review of patient-level data and assuming leadership roles in flu clinics and similar clinic and community wellness initiatives.
• Performs processing of documents (prescription refills, DME orders, forms, specialist/facility reports, lab results, telephone notes per protocol/guidelines) as advised by the provider.
• Develops, implements, and follows up on nursing plan of care with reference to patient's age, gender, culture, community and family resources, barriers, and readiness for adherence.
• Conducts nursing care visits for the provisions of services such as injections, nebulizer treatments, chronic disease visits (e.g., diabetic care: insulin injection teaching, use of blood glucose monitor), coagulation therapy adherence, HIV risk reduction counseling, wound care, blood pressure monitoring, spirometry, peak flow testing, medication adherence counseling, and other procedures and interventions as appropriate.
• Performs point of care testing such as rapid covid, flu, strep, RSV testing, POC blood glucose, urinalysis, A1C, pregnancy testing, u