Clinic Lead Nurse II - MUSCP

Medical University of South Carolina•Charleston, SC

About The Position

The Ambulatory Clinic RN Lead II reports to the Manager and, under general supervision, provides individualized, goal-directed patient care using the principles and practices of the nursing process. The role delivers safe and effective care, coordinates with other members of the health care team, and works with nursing leadership to support evidence-based patient care, department goals, efficient daily operations, and compliance with established rules, regulations, and guidelines. The Clinic Lead Nurse also provides leadership presence and staff support. The position combines clinical practice, patient education, care coordination, quality improvement, staff development, and operational leadership. It supports clinic staff and management with patient care, competency-based orientation and education, staffing, employee processes, financial goals, and assigned leadership projects. This position is with University Medical Associates (UMA), in the West Campus Multi Specialty clinic cost center. It is scheduled for 40 hours per week. The role requires an associate degree in nursing and at least two years of registered nurse work experience. A Bachelor of Science in Nursing and previous ambulatory experience are preferred. Current South Carolina or compact-state RN licensure and current BLS certification are required; ACLS is required if applicable to the clinic.

Requirements

  • Associate Degree of Nursing.
  • At least two years of work experience as a registered nurse.
  • Current South Carolina registered nurse licensure or compact-state licensure.
  • Current Basic Life Support (BLS) certification: American Heart Association BLS for Healthcare Providers or an AHA-recognized equivalent, or American Red Cross CPR/AED for Professional Rescuer and Healthcare Provider.
  • ACLS certification if required by the clinic.
  • RN staff hired on or after July 1, 2013, with an associate or diploma nursing degree must enroll in an accredited BSN program within two years and obtain a BSN within four years of the RN hire or reclassification date, per policy A141.
  • Ability to stand or sit for extended periods.
  • Manual dexterity and fine motor skills for tasks such as taking patient vitals, administering injections, and conducting physical exams.
  • Capacity to lift and move patients or medical equipment as needed.
  • Visual acuity and color perception to read charts, documents, and monitors accurately.
  • Auditory ability to communicate effectively and perceive important sounds, including alarms and patient instructions.
  • Stamina and resilience to meet the physical and emotional demands of patient care, including long shifts and potentially stressful situations.
  • Mobility to navigate clinical environments and move among patient rooms, offices, and other facility areas.
  • Ability to comply with infection-control protocols and properly use personal protective equipment.

Nice To Haves

  • Bachelor of Science in Nursing degree.
  • Previous ambulatory experience.

Responsibilities

  • Use the nursing process to coordinate age-appropriate patient care, assess and document patient findings and responses, coordinate with interdisciplinary team members, administer medications, and follow clinical and organizational policies.
  • Assist with action plans to improve compliance and correct identified deficiencies, and share patient-care and system-improvement knowledge with colleagues and other healthcare providers.
  • Provide and document patient and family education, including education related to the reason for the visit, medications, medication changes, and medications administered in the clinic; help update clinic-specific education materials.
  • Coordinate continuation of the plan of care through clinic and patient communications, following phone-triage protocols and documenting calls, care plans, prescription refills, and responses in the EMR.
  • Monitor in-basket messages, help manage in-basket performance using EPIC reporting tools, maintain timely call and refill responses, and refer matters to providers when appropriate.
  • Complete and coordinate tests and procedures required for the clinic specialty.
  • Identify learning needs, obtain appropriate training, recommend improvements to patient care and clinic operations, and support safety reporting, investigations, and resolutions.
  • Collaborate with the Manager on education and team action plans, including Accountable Care Organizational goals; apply evidence-based information, analytical reasoning, problem-solving, and clinical judgment to care coordination.
  • Assist with personal objectives and practice evaluation, use constructive feedback, coordinate competency-based orientation, and select and roll out annual clinical competencies.
  • Use formal and informal teaching methods and share clinical knowledge and strategies; ensure areas of responsibility adhere to applicable safety, regulatory, certification, and accreditation standards.
  • Use computer-based information for decision support, continuous quality improvement, and professional development.
  • Use appropriate communication channels to solve problems, support unit development and change, offer suggestions, and demonstrate cost awareness and professional commitment to patients and staff.
  • Verify accurate EMR documentation to enhance revenue collections and serve as a resource to various populations regarding healthcare delivery and policy; provide direct patient care as needed to maintain clinical skills.
  • Serve as a resource to the Manager, lead, and RN III.
  • Promote shared governance, a positive and motivating environment, teamwork, high standards of patient care, and staff retention; act as a role model and help staff resolve conflict and ongoing problems.
  • Delegate appropriately with defined expectations, assist with employee rounding and evaluations, and support the Manager with disciplinary processes and employee work improvement plans as appropriate.
  • Provide coverage during the Manager’s absence to address department-specific concerns.
  • Collaborate on clinic staffing schedules and monitor daily staffing levels, call-outs, and float-team support; help ensure staff work scheduled hours in accordance with time and attendance policies.
  • Coordinate interviews, orientation, and mentorship of employees with the Manager.
  • Collaborate with the Manager and staff on financial goals, including monitoring charge-capture reports in MUHA clinics to support timely corrections, and support leadership applications and projects as assigned.
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