Registered Nurse I, On-Call

POSITION: Registered Nurse, On-Call (327) DEPARTMENT: Medical REPORTS TO: Lead Registered Nurse, 7D LOCATION: Native American Health Center, Inc. (NAHC) WORK HOURS: Up to 30 Hours per Week STATUS: Union, Non-Exempt, On-Call POSITION SUMMARY Under the direction of the Director of Clinical Services (DCS), the RN, On-Call is a key member of the medical care team who substitutes for other Registered Nurses when they are out of the office, and/or who supports the medical department by working on temporary projects. The RN will also coordinate and manage member care in partnership with members, families and caregivers. Duties and responsibilities are to occur on the day(s) one is called in for work. All duties may or may not be possible to start and/or be completed given the length of on-call assignment. DUTIES AND RESPONSIBILITIES Clinical Duties Perform clinical nursing duties with high integrity, quality and under the clinical supervision of the DCS, and in coordination with the clinical care pods. Assist and facilitate members in obtaining medical services, including scheduling members as appropriate, triaging members, and assessing members who walk-in to the clinic seeking services. Coordinate member flow for the clinical care pod. Ensure members are seen on a timely basis, identify and communicate barriers to efficient flow and identify possible solutions. Identify and respond appropriately to the health care needs of all members who are on-site at NAHC, regardless if they are appointed. Take and record vital signs, recognize any variances, outliers or red flags, and take appropriate action. Fill in for MAs as needed, which can include and is not limited to preparing members to be seen by the clinic practitioner -taking member history, determination of the chief complaint, and providing member education. Provide member triage and assessment and obtain health information and relevant data. Perform basic in-house lab tests; obtain and process specimens for outside laboratories. Conduct nursing visits which may include, but not be limited to: wound care, pregnancy tests, injections, BP checks, urine tox screens, pill counts, TB tests, etc. Perform EKG, audiometric, snellen and other necessary member screening tests. According to departmental protocol, provide medications and conduct medication reconciliation. Administer IM, ID, SC, PO, oxygen and nebulized medications as ordered by the clinicians. Assist in medical procedures as needed, as well as assist providers with complicated and complex member visits, as needed. In coordination with Primary Care Provider (PCP), counsel members and families regarding health education needs, preventative health and chronic conditions. Support the providers by processing medication refills according to the medical refill protocol. General Duties Actively participate in internal quality improvement teams and work with members proactively to drive quality improvement initiatives in accordance with the mission and strategic goals of the organization, federal and state laws and regulations, and accreditation standards, when assigned. At all times demonstrate cooperative behavior with supervisors, subordinates, colleagues, clients and the community. Member Care: Demonstrate understanding and apply working knowledge of safety policies and ensuring safe member practices. Quality Improvement: Actively participate in internal quality improvement teams and work with members proactively to drive quality improvement initiatives in accordance with the mission and strategic goals of the organization, federal and state laws and regulations, and accreditation standards, when assigned. Must maintain compliance with ergonomic safety standards; be mindful of posture and regularly practice ergonomic stretches Safety: Responsible for ensuring that all duties, responsibilitie and operations are performed with the utmost regard for the safety and health of all personnel involved, including themselves. Work extremely well under pressure, meet multiple and often competing deadlines. Other duties as assigned by Supervisor. [ ]{teams="true"} MINIMUM QUALIFICATIONS 1. Must have a current R.N. license in the state of California, and the license must be in good standing. 2. Must have at least two years of work experience as a Registered Nurse. 3. Must be able to communicate effectively with varying audiences. 4. Must be customer-service focused. 5. Must be able to maintain composure while under pressure and in stressful situations. 6. Must be detail oriented, and have the ability to set priorities appropriately in order to meet deadlines. 7. Must be able to make sound judgments and be able to delegate effectively. 8. Must be comfortable working on computers - including the following software: Microsoft Word and Excel, as well as electronic health records. DESIRED QUALIFICATIONS 1. Experience working in outpatient nursing, preferably in a community clinic. 2. Experience working in a care pod model. 3. Bilingual in Spanish. 4. Bilingual in a second language. 5. Experience working in NextGen Electronic Health Record system and in i2i. 6. Experience supervising staff. NAHC is a National Health Service Corp (NHSC) approved site where primary care physicians who are eligible for loan repayment funding can fulfill their service obligation. NAHC is an Indian Health Program site for Indian Health Services (IHS) Loan Repayment Program. Benefits: Native American Health Center (NAHC) considers our employees to be our most valuable resource and offers an excellent benefit package: competitive salaries, personal time off (PTO) or sick/vacation leave program, and an employer contribution 403(b) retirement plan to full-time regular status employees. We also provide medical, vision, dental, flexible spending, group term and voluntary life insurance coverage for employees and their dependentswith a percentage of employee contribution for dependent medical premiums. Note to Applicants: Please be advised a post job offer, pre-employment Physical and TB test are required as a condition of employment. Additionally, you may be asked to get a Department of Justice Fingerprinting clearance as a contingency for an offer of employment. Criminal clearances are obtained to protect the welfare and safety of clients receiving services at NAHC. EQUAL OPPORTUNITY EMPLOYER: Within the scope of Indian Preference, all candidates will receive equal consideration without regard to race, color, gender, religion, national origin or other non-merit factors. Age Discrimination in Employment Act (ADEA): Native American Health Center abides by the mandates of the ADEA (protecting individuals 40 years and older) and considers age a non-merit factor in all employment decisions and considerations. Americans with Disabilities Act (ADA): Native American Health Center abides by the mandates