RN Resource Nurse - Downtown Medical Associates - Foundation Medical Partners - Full time

SolutionHealth • Nashua, NH

11d

About The Position

The RN Resource Nurse, Advanced Primary Care is a dynamic clinical leader within the ambulatory setting, blending direct patient care, care coordination, team coaching, and population health management. This role supports high-quality, evidence-based care for patients attributed to primary care provider panels while fostering a culture of safety, collaboration, and continuous improvement.

Requirements

• A licensed RN (NH or NLC) with at least 2 years of nursing experience, including 1 year in primary care.
• Skilled in chronic disease management, ambulatory care workflows, and EMR use (Epic preferred).
• A strong communicator with excellent organizational and time‑management abilities.
• A collaborative team player who can coach, mentor, and model best practices.
• Adaptable, resilient, and comfortable leading change in a fast‑paced clinical environment.

Nice To Haves

• Experienced in care coordination or clinical leadership (preferred but not required).

Responsibilities

• Provide comprehensive RN care, including assessments, care planning, interventions, and evaluations across in‑person, telephonic, and telehealth encounters.
• Deliver chronic disease self‑management education for conditions such as diabetes, CHF, COPD, asthma, hypertension, and depression.
• Coordinate care across the continuum—hospital discharges, specialty referrals, community resources, and pre‑visit planning.
• Track and support complex patients to improve transitions of care and reduce readmissions.
• Serve as a liaison to internal teams and external community partners.
• Precept new clinical staff and support onboarding, coaching, and professional development.
• Promote evidence‑based practice, safety, and quality improvement initiatives.
• Monitor clinical quality metrics and recommend improvements.
• Facilitate care team huddles and collaborate with interdisciplinary partners.
• Maintain required licensure, certifications, and ongoing competencies.
• Support organizational initiatives including value‑based care, population health, and EMR optimization.

Benefits

• Health, dental, prescription, and vision coverage for full‑time & part‑time employees
• Short‑term, long‑term disability, life & pet insurance
• Tuition reimbursement & Nursing Student Loan Paydown Program
• 403(b) retirement savings plans
• Continuous earned time accrual & more!

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed