Medical - Registered Nurse

Summary:

The Registered Nurse (RN) provides professional nursing care to patients at a San Diego American Indian Health Center. The RN collaborates with the interdisciplinary team, including physicians, nurse practitioners, medical assistants, and support staff, to deliver high-quality, patient-centered care. The RN supports clinic operations and ensures compliance with regulatory standards while maintaining a focus on preventive care and chronic disease management.

Essential Duties and Responsibilities:

Patient Care

1. Performs appropriate treatments as ordered by physician in an accurate and timely manner.
2. Assess, plan, and implement patient care in accordance with SDAIHC standards, policies, and procedures.
3. Conduct triage, manage chronic conditions, and administer medications or treatments as prescribed.
4. Provide education and counseling to patients on various health conditions and preventive care measures.
5. Assist in minor procedures and perform wound care, immunizations, and diagnostic testing (e.g., blood pressure, glucose levels).
6. Support the care of patients with chronic illnesses (e.g., diabetes, hypertension) through case management.
7. Performs therapeutic nursing interventions as established by individualized plan of care for the patient and his/her family.
8. Initiates emergency resuscitative measures according to adult resuscitation and advanced life support protocols.
9. May assists clinic manager with disciplinary actions, and performance evaluations.
10. Checks and oversees maintenance of clinic logs including refrigerator and freezer temperatures twice daily (AM/PM), room cleaning, hazardous waste, and expiration dates.
11. Assists/oversees medical supplies inventory and materials.
12. Ensures company policy is being adhered to by MA's, take corrective action when necessary.
13. Assists clinic manager with HEDIS, UDS, GPRA measures.
14. Assists clinic manager in facilitating inter-department communication.
15. Performs other duties as assigned.

Care Coordination

1. Collaborate with providers and clinical staff to coordinate patient care, including follow-up appointments and referrals.
2. Participate in care team meetings to ensure quality and continuity of care.
3. Provide patient education regarding medications, treatments, and health maintenance.

Health Screenings and Preventive Services

1. Participate in community outreach efforts to promote health education and preventive care.
2. Administer vaccines and screenings per federal, state, and organizational guidelines.

Documentation and Compliance

1. Maintain accurate and timely documentation in the Electronic Health Record (EHR) system.
2. Ensure compliance with FQHC standards, HIPAA, OSHA, and infection control policies.
3. Participate in quality improvement initiatives to enhance patient care and outcomes.
4. Documents patient assessment findings, physical/psychosocial responses to nursing intervention and progress towards problem resolution.
5. Demonstrates proficiency in the use of the clinic’s E.H.R, including appropriate documentation of visits, telephone notes, medical Rx refill requests, referral process, and data entry into patient’s chart.
6. Checks CAIR for up-to-date IZ records. 

Patient Advocacy

1. Act as an advocate for patients, ensuring their rights are respected and their health needs are met.
2. Provide culturally sensitive care that recognizes the unique needs of underserved and vulnerable populations.

Qualifications

Education:

• Associate or bachelor’s degree in nursing from an accredited nursing program.
• Bachelor’s in nursing preferred.

Licensure/Certification:

• Current CA Registered Nurse (RN) license in good standing.
• CPR BLS Provider (AHA).

Experience:

• Minimum of 1-2 years of nursing experience in an outpatient, primary care, or community health setting, preferably at an FQHC or similar clinic.
• Experience with EHR systems (e.g., ECw is a plus.

Work Environment

This job operates in a clinical setting, and the RN will be exposed to patients, bodily fluids, and communicable diseases. The RN may need to lift and support patients and work in a fast-paced environment. The role may also involve participating in community outreach programs or events.

Knowledge, Skills, and Abilities:

1. Strong clinical assessment and critical thinking skills.
2. Excellent verbal and written communication skills.
3. Excellent interpersonal, negotiation, and conflict resolution skills.
4. Excellent organizational skills, record-keeping skills and attention to detail.
5. Excellent time management skills with a proven ability to meet deadlines.
6. Strong analytical and problem-solving skills.
7. Ability to prioritize tasks and to delegate them when appropriate.
8. Ability to act with integrity, professionalism, and confidentiality.
9. Proficient with Microsoft Office Suite or related software.
10. Proficiency with or the ability to quickly learn the organizations EMR and other billing software systems.
11. Ability to work effectively with diverse populations and underserved communities.

Physical and Mental Requirements: 

1. Able to lift/move up to 20 pounds, move from place to place.
2. Able to stand, bend and reach for prolonged periods.
3. Ability to do math, organize and prioritize workload, work effectively and efficiently under stress.
4. Ability to supervise, multitask, understand, and follow instructions.
5. Ability to proficiently read, write, speak, and understand English.

Customer Service:

1. Actively supports, promotes, and works to fulfill the Mission, Vision, and core values of SDAIHC.
2. Provides excellent internal and external customer service.
3. Demonstrates SDAIHC’s Standards of Customer Service Behavior: Compassion, Attitude, Communication, Appearance, Sense of Ownership, and Teamwork.
4. Participates in on-going customer service training.
5. In every action, seeks to promote SDAIHC as a top service organization.

Quality Management:

1. Contribute to the success of the organization by participating in quality improvement activities.
2. Complies with all SDAIHC policies and procedures and proactively participates in the implementation of new initiatives.
3. Participate and ensures continuous quality improvement process as directed by clinic leadership. 

Safety:

1. Ensures regulatory compliance and adherence with policies and procedures related to safe work practices.
2. Participate in infection prevention through appropriate use of infection control measures during patient treatment and patient interactions.
3. Ensure compliance with regulatory requirements for maintaining physical spaces, equipment, and supplies. 
4. Uses all appropriate equipment and/or tools to ensure workplace safety.
5. Immediately reports unsafe working conditions.

   Privacy/Compliance:

1. Maintains privacy and security of all patients, employee, and volunteer information and access to such information. Such information is accessed on a need-to-know basis for business purposes only.
2. Complies with all regulations regarding corporate integrity and security obligations. Reports on unethical, fraudulent, or unlawful behavior or activity.
3. Upholds strict ethical standards.

Flexibility: Available for all shifts and, when required, able to work evenings and weekends

Preference is given to qualified American Indian/Alaskan Natives in accordance with the American Indian Preference Act (Title 25, U.S. Code Section 472, 473 and 473a). In other than the above, the San Diego American Indian Health Center, is an equal opportunity employer.

San Diego American Indian Health Center is an Equal Opportunity Employer. We encourage applications from all individuals regardless of race, religion, color, sex, pregnancy, national origin, sexual orientation, gender identity, gender expression, ancestry, age, marital status, physical or mental disability or any other protected class, political affiliation, or belief.