Ambulatory Care Nurse - RN $5000 Signing Bonus

Westside Family Healthcare Inc•Bear, DE

2d•Onsite

About The Position

Westside Family Healthcare is seeking an Ambulatory Care Nurse (RN) to join their dedicated nursing team. This on-site RN will be an integral part of the patient care team, supporting assigned care teams by managing high and rising risk patients, coordinating services throughout the continuum of care, and serving as the in-office nurse. The role involves patient-centered education on disease processes and wellness, and developing patient self-management skills to support prescribed medical treatment plans. Westside Family Healthcare is a nonprofit organization providing high-quality primary medical care without regard to ability to pay, with a mission to improve community health and achieve health access for all. They operate five health centers, one mobile health unit, and serve over 27,000 patients across Delaware.

Requirements

Graduate of an accredited nursing program with an associate degree in Nursing.
Active RN licensure in the State of Delaware (or compact state) with no restrictions or disciplinary action.
Current BLS certification.
Active Ambulatory Care Certification (AMB-BC) – must commit to obtaining within 1 year of hire.

Responsibilities

Manage a caseload of patients identified as at risk for health deterioration, sentinel events and/or poor outcomes using the nursing process and established protocols/workflows.
Ongoing evaluation of care coordination efforts by measuring interventions effectiveness and fostering a continuous improvement mentality.
Partners with the patient and family, the primary care provider, and other team members to implement an interdisciplinary plan of care.
Participates in daily huddles with the Clinical Operations team, and other team meetings/trainings as scheduled.
Proactively and continuously reviews patient medical records to identify any care needs requiring intervention or follow up during patient interactions.
Works with patients and families to ensure both medical and psychosocial needs are met in order to promote health and well-being and to identify any barriers that inhibit the patient from adhering to the prescribed plan of care.
Assesses and documents progress towards goals based on provider’s plan of care; utilizing clinical judgment, established protocols, review of patients’ self-monitory tools and trends in clinical data (i.e., HbA1c, LDL, BP).
Promotes timely access to appropriate care, increasing the utilization of preventative care and healthy behaviors to improve the health of the population at risk.
Provides ambulatory care support as a member of the care team, which may include, but is not limited to walk-in and/or telephone triage utilizing established protocols.