Ambulatory Care Nurse - RN $5000 Signing Bonus

Westside Family Healthcare Inc•Dover, DE

112d•Onsite

About The Position

Westside Family Healthcare is a nonprofit organization providing primary medical care. The Ambulatory Care Nurse is an on-site registered nurse and an integral member of the patient care team. The nurse supports assigned care teams by managing high- and rising-risk patients, coordinating services across the continuum of care, and serving as the in-office nurse. The role helps patients implement prescribed treatment plans through patient-centered education about disease processes and wellness, and by developing patients’ self-management skills. Using the nursing process and established protocols, the nurse coordinates care through a team-based, patient-centered approach in partnership with patients and families, the medical home team, community resources, medical professionals, pharmacies, and Westside Family Healthcare. The nurse provides safe, therapeutic, efficient, quality care in all patient interactions. Westside Family Healthcare has five health centers, a mobile health unit, and serves patients throughout Delaware. Its mission is to improve community health by providing equal access to quality healthcare. The organization describes its care model as a Primary Care Medical Home, placing patients at the center of healthcare decision-making.

Requirements

Graduate of an accredited nursing program with an associate degree in Nursing.
Active RN licensure in Delaware or a compact state, with no restrictions or disciplinary action.
Current BLS certification.

Responsibilities

Manage a caseload of patients identified as at risk for health deterioration, sentinel events, or poor outcomes using the nursing process and established protocols or workflows.
Evaluate care coordination efforts by measuring intervention effectiveness and supporting continuous improvement.
Partner with patients and families, primary care providers, and other team members to implement interdisciplinary plans of care.
Participate in daily huddles with the Clinical Operations team and other scheduled team meetings and trainings.
Review patient medical records proactively and continuously to identify care needs requiring intervention or follow-up during patient interactions.
Work with patients and families to address medical and psychosocial needs, promote health and well-being, and identify barriers to following the prescribed plan of care.
Educate patients and families about existing or newly diagnosed medical conditions to support appropriate self-management.
Incorporate lifestyle improvement opportunities and preventative care into patient interactions to help patients reach their individual health goals.
Assess and document progress toward goals based on the provider’s plan of care, using clinical judgment, established protocols, patient self-monitoring tools, and clinical data trends such as HbA1c, LDL, and blood pressure.
Promote timely access to appropriate care and increase use of preventative care and healthy behaviors to improve the health of the population at risk.
Provide ambulatory care support as a care-team member, which may include walk-in and/or telephone triage using established protocols.
Advocate proactively for patient care issues to support quality and adherence to the provider’s plan of care, with care sensitive to each patient’s needs.
Participate in quality improvement activities and initiatives.
Maintain compliance with professional and organizational requirements for position standards.

Benefits

Medical insurance with two plans to choose from
Dental insurance through Guardian Dental
Vision insurance
Life insurance paid by Westside, with the option to purchase additional coverage
Short-term disability paid for by Westside
Long-term disability paid by the employee
401(k) retirement plan with a match
Supplemental insurances
Generous paid time off package
Work/life balance flexibility
$5,000 signing bonus
Loan repayment program available