Job Description

The Registered Nurse (RN) assumes the responsibility for application of nursing and clinical processes and delivery of quality patient care at AltaMed clinics under the supervision of Nursing Supervisor, Nursing Director or CNE and has accountability of the nursing process and the delivery of efficient patient care. RN supports patient evaluation, and carries out related nursing intervention, supports nursing patient evaluation, efficient system applications and recording of patient care/behavior. Works collaboratively with clinic interdisciplinary team members, medical staff, clinical operations, and with the Administrative/Operational Leadership teams to ensure achievement of patient, clinical or program goals as appropriate. Provides clinical care and demonstrated clinical competency for area of specialty patient populations. Application of and knowledge of regulatory requirements in delegation of tasks and in documentation. Assist in the development and implementation of quality, cost-effective, efficient systems and protocols for standardizing processes of patient care at clinics. Within Health Services, may work as the Triage Nurse in Urgent Care, Primary Care Nurse in the Nurse Clinic or the Charge Nurse on the floor at each clinic. Nursing job duties are to comply with the Nurse Practice Act, Title 22, Joint Commission (JC), CMS 42 CFR Part 460 regulatory requirements as appropriate. The plan for provision of nursing care to patients aligns with the AltaMed Code of Conduct, professional and educational standards, requirements as needed.

1. Performs clinical patient care nursing duties within the scope of practice for Registered Nursing, with high integrity, quality, and meet nursing or population care standards.
2. Performs screening, triage, assessment and/or patient intake for patient as required by job duties or responsibilities.
3. Utilizes patient medical information, conducts nursing assessments, evaluates current treatment plan, (which may include medications, therapies, devices and/or interventions) to:
   a. Prepare for and/or provide care based upon patient visit or encounter needs.
   b. Obtain and evaluate diagnostic results as needed, i.e. vital signs, TB skin testing,
   c. Evaluate and/or provide patient/family teaching or skill validation i.e. fall prevention,
4. Performs therapeutic point of care diagnostic testing as ordered for patients, i.e. Blood Glucose, UA,
5. Performs nursing procedures utilizing evidence based practice guidelines or clinical standards. Examples: medication administration, IV therapy,
   wound care, positioning, personal care,
6. Maintains acceptable standards of nursing care based on AltaMed, community, JCAHO and applicable governing regulatory Agency requirements.
7. Participates in and supports on-going efforts to ensure infectious diseases control program is applied for all clinic experiences.
8. Communicates, coordinates and consults with members of the health team while performing nursing responsibilities.
9. Assist in the development and implementation of quality, cost-effective, efficient systems and protocols for standardizing processes of patient care at clinics.
10. Contribute to performance appraisals by providing feedback to the Nursing Manager, about MAs and LVNs on her/his team
11. Participate in MA and LVN clinical competency evaluation
12. Complies with federal, state, and local regulatory requirements and participates in the preparation and conduction of clinic or program regulatory audits.
13. Responds to all medical emergencies and follows process outlined by AltaMed Emergency codes and procedures.
14. Required member of the clinic interdisciplinary team and participate in team based care meetings for care coordination, daily operations, care
    planning and service delivery.
15. Perform all other related duties as assigned.

Position May Include Patient Service Center (PSC) Responsibilities:

1. In collaboration with the PSC RN Manager, will support the recruitment, screening and hiring of competent nursing and clinical support staff.
2. Responsible for ensuring teaching, training and competencies for PSC staff as needed
3. Maintains acceptable standards of nursing care, based on community, JCAHO and AltaMed standards.
4. Works collaboratively with Clinic Leadership in planning and implementing medical services.
5. Responsible for infectious control program as it relates to the PSC.
6. Assist with monitoring of quality and compliance with all nursing standards (including, but not limited to, development of audits for EHR nursing documentation and facility audits as it relates to the PSC.)
7. Responsible for indirect oversight of all nursing as assigned in the PSC.
8. Communicates, coordinates and consults with members of the health team while performing nursing responsibilities.
9. Follow up on Registry patients (Abnormal Paps, Mammograms, Colorectal, and Lab Results) by determining appropriate next actions and contacting patient to provide information and scheduling assistance as necessary.
10. Track patients with a history of abnormal registry results to ensure compliance with recommended actions.
11. Schedule patients with internal providers as needed.
12. Follow-up on in-basket message and management tasks.

1. Accredited school of nursing graduate with a current California State Board of Nursing Registered Nurse License required.
2. Minimum one (1) or more years experience as a Registered Nurse required, (except for CHLA)
3. Experience in an ambulatory care environment i.e., clinic or Urgent Care preferred.
4. Current Valid BLS Certification
5. Bilingual English/Spanish/ preferred.

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