Clinical Nurse

The Family Practice & Counseling Services Network•Philadelphia, PA

About The Position

The Clinical Nurse functions as a member of a progressive, interdisciplinary team.  The RN impacts the health of individuals, families and the community through health promotion, disease prevention and chronic disease care including monitoring and evaluating health services and outcomes and documenting services. The RN supports patients, families and the community to achieve their highest level of wellness, to learn to live with or recover from illness, and to enhance their care capabilities and to support their right to make choices. A valued member of the primary care team, the RN is strategically placed to optimize use of his/her/their knowledge and expertise in roles such as clinician, coordinator, consultant, educator for patient, families and students, leader, and advocate.   The RN helps assure that all patients receive high quality comprehensive health care.  This position includes, but is not limited to: patient triage, patient assessment, clinical tasks, patient education and counseling, and connection to needed services. 

Requirements

Bachelor’s Degree Preferred 
At least 5 years’ experience as a RN;  experience in an outpatient practice setting preferred; experience working within OB for pre-natal nurse  
Current RN license from the Commonwealth of Pennsylvania 
Knowledge of primary health care and the social determinants of health
Knowledge of concepts of health promotion, disease prevention, behavior change counseling, program planning, individual and group counseling 
Nursing care knowledge related to primary care/community health/chronic disease management 
Excellent organizational skills to manage numerous practice activities 
Excellent interpersonal skills 
Proficiency in computer skills, familiarity with Electronic Medical Records and willingness to learn all computer systems 
Demonstrates initiative, leadership and a high level of nursing skills
Unconditional ability to maintain HIPAA regulations
Leadership skills that include the ability and desire to champion teambuilding within the Primary Care
Demonstrates fiscal responsibility
Demonstrates effective time management skills and follow through 
Support the Center’s commitment to the creation of a trauma-informed system of care that continually recognizes and responds to the impact of traumatic stress on all those who have contact  with the organization, including children, adults, families, caregivers, and staff. Uphold the commitments that include: non-violence, emotional intelligence, social learning, open communication, social responsibility, democracy, and growth and change. Specifically: 
Demonstrate cultural competence/proficiency in interactions with others by treating co-workers, colleagues and those receiving service with respect and fairness at all times. 
Awareness and sensitivity to the structural conditions and power dynamics involved in systems of oppression embedded in health care that impacts health 
Ability to build and maintain positive and professional relationships based on respect, trust, and safety.  
Ability to create a space for staff and those we serve to feel physically and emotionally safe. 
Ability to support individuals on their paths to recovery and healing and resist re-traumatization of staff and patients. 
Demonstrate exemplary problem-solving, communication, interpersonal, and conflict resolution skills. 
Ability to work effectively as a team member  
Exemplary organizational skills and ability to prioritize

Responsibilities

Provide primary care services to patients of all ages, including: phone/walk-in triage, patient education, counseling, family planning activities, coordination of appointments and referrals, assistance in obtaining needed services and supplies. 
Work collaboratively with the Primary Care Nurse Practitioners and the Primary Care Department and teams to provide comprehensive primary care for all patients. 
Provide direct patient care activities within the scope of the Registered Nurse including blood pressure checks and hypertension follow-up visits, diabetes follow-up and teaching, other chronic care management visits, emergency department and hospital admission follow ups, medication injections, patient-centered education, and other tasks as delegated and assigned by the Primary Care Nurse Practitioners. 
Care Manage a designated list of high-risk patients referred by insurance lists, i2i lists, care coordinators, or by a nurse practitioner. These are patients with more than one chronic condition (HTN, COPD, Asthma, CHF, DM1/2, HIV) at risk for hospitalization, and in need of assistance in overcoming psychosocial barriers to care and navigating referrals and follow-up care. 
Assures quality of care by: adhering to therapeutics standards;  measuring health outcomes against patient care goals and standards;    making recommendations for necessary healthcare adjustments;    Following standards of care set by state board of nursing, state nurse practice act, and other governing agency regulations.  
Manage and complete refills per the FPCSN Prescription Refill Policy and Procedure. 
Perform wound care and injection visits, as appropriate. 
Manage prior authorization of prescriptions, imagine and diagnostic testing as needed in conjunction with the Care Coordinator 
Collaborate with integrated services such as social services, behavioral health, nutrition, mind/body, and creative arts to provide support and holistic care for all patients.  
Inform and educate patients about lab results and follow-up plan designated by the Nurse Practitioner. 
Document patient care services by charting in the Electronic Health Record. 
Maintain professional and timely treatment communication and documentation; use phone notes and Care Management notes, completing notes in a timely manner. 
Maintain professional and technical knowledge by attending educational workshops; reviewing professional publications; and establishing professional networks.  
Maintain a cooperative relationship among health care teams by communicating information; responding to request; and participating in team problem-solving methods.  
Utilize Microsoft Word, Excel (create tracking sheets), and i2i to maintain patient lists and follow-up tasks.  
Expected to engage individuals in a trusting, supportive and professional relationship, while providing emotional support within professional boundaries. 
Meet established productivity requirements set by the program guidelines.  
Participate in health education and promotion activities in collaboration with the Lead Nurse Practitioner, the Practice Manager, and the Center Director/Operations Director. 
Implement and maintain quality improvement activities related to Primary Care, in collaboration with the Lead Nurse Practitioner, the Practice Manager, the Center Director/Operations Director, and the Quality Manager. 
Assist and facilitate student experiences in primary care as needed.