RN (Adult Clinic)-Triage Job at Peoples Community Health Clinic in Waterloo

FLSA Classification: Non-Exempt

Reports to: Clinical Manager

This position is primarily responsible for triage patient care with case management, chronic care coordination, and acute assessments. The duties will primarily be performed over the phone with some face-to-face patient interactions. State and federal loan repayment opportunities are available for those that qualify.

Job Summary/Objective:

Provides primary care nursing, patient education, health care maintenance, patient counseling, and normative care services to patients at Peoples Community Health Clinic. Works with providers and administers nursing care utilizing the nursing process (assessment, planning, implementation, and evaluation).

Protected Health Information Requirements/Access:

• This position will require the use or disclosure of protected health Information.

• This position will use the Treatment and Health Care Operations classes of protected health information.

• Restrictions on the protected health information for this position will follow the Privacy Policies of Peoples Community Health Clinic, Inc.

• Use or disclosure of protected health information not routinely available to this position will follow procedures assessed by or directed by management.

• Patient Records – Yes Medical Information System – Yes

Essential Functions:

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• While specialized RN positions in pediatric case management, health coach and Medication Assisted Treatment (MAT) nurse case manager have functions related to their specific position all RN positions will be expected to perform these duties.

• Provides primary and normative care for patients.

• Prepares patient for provider visit including explanation of PCMH model and related services.
• Assesses and evaluates health and development status of the patient, including complete medical and/or social history, vitals, and measurements according to approved protocol.
• Maintains accurate records and documents appropriate information in patient’s EHR including notifying patients of test results when needed.
• Reviews patient’s EHR for pertinent information including obtaining documents from other facilities as needed.
• Evaluates need for referral and makes referrals as needed.
• Assists providers with procedures, including preparation of equipment and clean-up.
• Provides medical therapy or monitoring of that therapy as directed by the provider or by protocol, including medication, immunization, and IV fluids administration.
• Performs EKGs, hearing and vision tests, ear lavage, tympanometry, spirometry, catheterization of the urinary tract and CLIA waved lab testing
• Administers irrigation, including enemas and removal of impactions.
• Collects and labels specimens, including cultures.
• Measures and records physiological and growth indices.

• Provides patient education.

• Provides planned educational programs and materials per evidence-based guidelines related to prevention, health maintenance and improvement.
• Reinforces provider’s instructions and explains patient’s plan of care.

• Provides patient counseling.

• Provides emotional support and an atmosphere of confidentiality to facilitate discussion of clinic procedures, prevention or testing for STDs and other communicable diseases.
• Provides support and guidance to clients and families of clients who are terminally or chronically ill.
• Serves as a client advocate to provide protection of client rights and for complaints regarding care or service.

• Coordinates Provider support.

• Inventories medications, supplies, vaccines, crash carts and exam rooms as needed.
• Functions as coordinator of patient services to facilitate patient flow.
• Participates in Team Huddle/Meeting to communicate information among providers and care team members.
• Aids the Clinical Representatives in areas of practice which are beyond their scope and serves as a resource to other staff members.

• Provides symptom assessment to determine level of illness and patient care needed.

• Collaborates with providers to facilitate patient care.
• Provides advice and follow-up to patients regarding care, including patient education according to protocol.
• Completes medication refills according to protocol.
• Schedules patient appointments as needed.

• Works to improve work processes and clinical outcomes including health disparity and quality improvement collaboratives.

• Follows policies and procedures.

• Develops and maintains own competence.

• Maintains a safe working environment and practices safe working habits.

• Assists in control of Peoples Community Health Clinic resources.

Competencies:

• Strong analytical, problem-solving, and reasoning skills and ability

• Communication – listening, speaking, writing, and reading comprehension

• Attention to detail

• Working knowledge of MS Office Products (ex. Excel, Word) and Windows Platform. Must be comfortable moving within an EHR computer system regularly

• Ability to work with diverse groups of people

• Work with a large degree of independence

• Calm response in stressful situations

Supervisory Responsibilities:

• None

Patient Population:

Adult and geriatric patients.

Work Environment/Personal Protective Equipment:

This position operates in a clinical setting, might be exposed to bloodborne pathogen hazard to head, hands, and torso. PPE is required.

Physical Demands:

Alternately Sit/Stand–Frequently (34% - 66% of shift)

Walking-occasionally (1% - 33% of shift)

Lifting 1 lb. to 75 lbs. – Occasionally (1% - 33% of shift);

Carrying 1 lb. to 20 lbs.- Occasionally (1% - 33% of shift), Carrying 21 lbs. to 100+ lbs. less than 1% of shift.

Push/Pull 1 lb. to 100+ lbs. - Occasionally (1% - 33% of shift)

Continuous fine motor skills including finger dexterity and repetitive use of hands and arms.

Requires 20/20 near vision, 20/40 far vision, color discrimination and accurate depth perception.

Position Type:

This is an hourly position covered under the bargaining unit.

Preferred Education and Experience:

• Graduate of an accredited nursing program.

• One year of nursing experience is preferred.

Licenses and Certificates:

• Current Iowa RN licensure

• Current BLS or CPR/First Aid certification

• Mandatory reporter training for child and dependent adult abuse certificate

Other Duties:

The statements contained in this job description reflect general details as necessary to describe the principal functions of this job, the level of knowledge and skill typically required, and the scope of responsibility. It should not be considered an all-inclusive listing of work requirements as individuals may perform other duties as assigned.