Registered Nurse

MCHWC Organization; San Francisco (CA); On-site; USD 90,000 - 130,000; Full time

Job summary

The MCHWC Organization is seeking a Lead Clinic Registered Nurse (RN) to provide ambulatory care and case management at the Bayview clinic in San Francisco, with weekly visits to Marin City. You will assess patient problems, implement care plans, educate on health maintenance, and mentor staff under licensed providers.

Responsibilities include triage, medication reconciliation, wound care, and coordination with the care team to improve patient outcomes.

Qualifications

• Two year nursing degree required; BSN/MSN preferred.
• California RN license required.
• 1-2 years community nursing experience preferred.

Responsibilities

• Perform patient care activities within the scope of competencies.
• Collaborate with care team to enhance patient experience.
• Provide comprehensive triage and advice for adult/geriatric, young adult, pediatric, infant and pregnant/nursing mothers under licensed staff.
• Process medication refills per protocol.
• Maintain crash cart and oxygen supplies per protocol.
• Assist with procedures and medication reconciliation.
• Educate patients on abnormal labs and disease management per protocol.
• Lead and mentor staff trainings and oversee non-licensed staff.

Skills

Nursing skills

Patient education

Triaging

Documentation

Mentoring staff

Case management

Bilingual English/Spanish

Education

Two year nursing degree

RN license (CA)

BSN/MSN preferred

Tools

MS Office (Word/Excel/Outlook)

EMR systems

Job description

Title: Registered Nurse

SUMMARY:

Lead Clinic Registered Nurse (RN) is responsible for providing care in assessing patient problems and needs. This is a combination of traditional ambulatory nursing as well as case management. He/she will implement plans of care, advise patients on health maintenance and prevention, maintain clinical documentation, mentor other staff, and/or provide case management per protocol under the direction of the Provider. Bayview clinic in San Francisco is to be the primary work location, and candidate must be at the Marin City location 1-2 days a week.

Areas of Responsibility:

Patient Care & Education

• Performs patient care activities that are assigned within the scope of competencies
• Collaborates with the Care team and Providers to increase understanding, involvement and to enhance the MCHWC patient experience
• Performs comprehensive triage and advice (phone and walk-in) for adult/geriatric, young adult, pediatric, infant and pregnant/nursing mothers under the direction of licensed clinical staff
• Processes medication refills in accordance with protocol
• Provides immediate response for urgent triage (includes phone) and codes within the facility
• Responds to and manages emergency codes as per protocol
• Maintains crash cart and oxygen tanks per protocol, including logging crash cart inventory and ordering supplies monthly
• Performs nurse visits under the direction of Provider (s) (includes, but not limited to): wound care;
  B12; Coumadin; Testosterone injections; Insulin and glucometer teaching; Depo; BP checks; suture removal; medication reconciliation; and patient education for chronic disease per protocol
• Assists with various procedures
• Perform medication reconciliation and adjustments per protocol and with support of Provider
• Informs and educates patients on the significance of abnormal lab results relative to chronic disease and/or Public Health tracked illnesses in accordance with MCHWC approved educational materials as per protocol
• Effectively utilizes MCHWC approved educational materials to provide patient education for medications, wellness, disease management, procedures and processes under the direction of licensed clinical staff

Case Management

• Performs indirect case management (includes, but not limited to): patient recalls; missed cancer screening care follow up; coordinating with specialty offices; and new patient intakes
• Provides direct case management for uncontrolled chronic disease, in accordance with MCHWC policies and procedures, as well as provider discretion

Documentation

• Ensures a clean, orderly and functional work environment
• Effectively participates in problem identification and resolution
• Ensures proper care in the use and maintenance of MCHWC equipment and supplies
• Promotes continuous improvement of workplace safety and environmental practices
• Performs miscellaneous job-related duties as assigned

Training

• Assists and leads staff trainings
• Provides guidance to MA’s and oversees duties are performed efficiently, including directing flow as necessary
• Mentors, trains, and orients all non-licensed staff as needed

SKILLS AND EXPERIENCE REQUIRED:

Qualifications: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required.

Education/Experience:

• Two year degree in Nursing required; Bachelors and/or Master’s degree is preferred
• Equivalent to an RN or higher degree from an accredited school of nursing
• One to two years of increasingly responsible nursing experience including experience in community nursing preferred

Desired Skills:

• An energetic and creative individual with high standards and an appropriate professional image
• Proven ability to handle multiple projects and meet deadlines
• Versatility, flexibility and willingness to work within an ambiguous, fast-paced environment
• Demonstrated resourcefulness in providing solutions and setting priorities
• Effective interpersonal skills to work effectively with all levels within the health center
• Strong verbal and written communication skills with demonstrated ability to communicate clearly
  and effectively at all levels

Knowledge of:

• Principles, procedures, methods and techniques of nursing and health care
• Modern practices and principles of method disease counseling
• A variety of community resources
• Basic management practices and principles
• Principles and procedures of electronic medical record keeping
• Universal precautions and infection control practices
• Pertinent Federal, State and local laws, codes, and regulations regarding health care

Ability to:

• Provide administrative and nursing orientation to staff
• Assess and evaluate patient responses to service provided, treatment, and medication
• Demonstrated leadership skills and a desire to continually enhance nursing practice and performance
• Prepare clear and concise documentation and reports
• Respond to requests and inquiries from the general public
• Apply basic time management and patient care coordination skills to effectively provide nursing services
• Establish and maintain effective working relationships with those contacted in the course of work, including service representatives and the general public
• Plan and organize multiple work tasks, problem-solve and analyze information toward sound decisions
• Identify problems/issues, develop and evaluate options in order to implement solutions
• Appropriately manage highly sensitive and confidential patient information

Licenses and Certifications:

• Possession of an appropriate, valid California Registered Nursing License
• Possession of, or ability to obtain, an appropriate valid California driver’s license
• Possession of, or ability to obtain, an appropriate valid CPR certificate
• Possession of, or ability to obtain, an appropriate valid BLS certificate
• Candidate must be able to successfully meet MCHWC’s credentialing and privileging requirements

Language Skills:

Ability to effectively present information and respond to questions and request s from patients, co-workers, and others as necessary. Bilingual in English and Spanish, both written and verbal preferred.

Mathematical Skills:

Ability to add, subtract, multiply, divide in all units of measure, using whole numbers, common fractions and decimals.

Reasoning Ability:

Ability to recognize problems, collect data and establish facts.

Computer Skills:

High level of computer literacy and proficient in MS Office (Word, Excel and Outlook), electronic medical records and web applications. Types 60+ WPM.

Physical Demands:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Movement within health center complex environment repeatedly throughout the day
• Ability to write by hand, use phone, use computer keyboard and mouse extensively to perform general office functions
• Manual wrist and finger dexterity and wrist-finger speed sufficient to perform repetitive actions for extended periods of time
• Ability to effectively communicate by hearing continuously and speech in a manner which can be understood by a diverse population
• Ability to give and follow verbal and written instructions with attention to detail and accuracy
• Must have visual acuity near and far (20 inches to 20 feet), depth perception, field of vision, ability to focus on an object, ability to identify and distinguish colors
• Ability to sit or stand for extended periods of time (minimum periods of one (1) hour at a time)
• Ability to frequently walk, bend, squat, stoop, kneel, twist, crouch, and climb with the use of a step stool
• Ability to grasp, hold and pick up and reach with hands and arms
• Ability to frequently lift and or move up to fifteen (15) pounds
• Ability to occasionally lift and carry up to thirty-five (35) pounds (periodic lifting of supplies or equipment)
• Ability to coordinate multiple tasks simultaneously
• Ability to travel to and from other health center sites and community locations

Work Environment:

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. While performing the duties of this job, the employee is regularly exposed to Health Center areas and general office environment. The work environment is a clean, well-lit, well-ventilated, and temperature-controlled environment. The noise level in the work environment is usually moderate. The hours of duty are lengthy and irregular.

TRAVEL REQUIREMENTS:

Frequent need to utilize personal transportation to conduct site visits, and attend meetings and events.