Clinic Nurse II, Primary Care/LGBTQIA+ Care Center

Sutter Health•San Francisco, CA

21h•Onsite

About The Position

The Registered Nurse provides comprehensive ambulatory nursing care in a busy, collaborative primary care setting at Sutter Pacific Medical Foundation’s South organization, at 45 Castro Street in San Francisco. The clinic operates across four suites and has 11 providers serving a diverse patient population, with a strong focus on LGBTQIA+ health, HIV prevention and treatment, sexual health, and inclusive primary care. The RN works with providers, medical assistants, a licensed vocational nurse, patient service representatives, and other members of the interdisciplinary care team. The position provides direct and indirect care through patient assessment, triage, nursing care planning, treatment, medication management, education, and ongoing evaluation. The RN supports in-person triage, follow-up and communication of critical laboratory results, HIV-related services and medications, rapid HIV testing, sexually transmitted infection testing, and other specialty clinical services. The RN performs delegated clinical functions under applicable Sutter Health Nursing Standardized Procedures after completing required training and competency validation, and consults or escalates to a provider when a patient’s presentation falls outside established criteria. The role requires respectful, culturally responsive, trauma-informed, and affirming care for LGBTQIA+ patients and other diverse populations, including comfort discussing sensitive health information. The RN documents care in the electronic health record, coordinates with the interdisciplinary team, supports safe and reliable patient care, and participates in professional development, workflow improvement, staff education, and quality initiatives.

Requirements

Graduate of an accredited school of nursing.
Current California Registered Nurse license.
Current Basic Life Support Healthcare Provider certification.
Two years of recent relevant nursing experience.
Demonstrated knowledge and competence in nursing theories, concepts, and practices; medical terminology; anatomy; and physiology.
Clinical assessment and triage skills, including identifying changes in condition and determining when provider review or a higher level of care is needed.
Ability to communicate critical and sensitive laboratory results clearly and compassionately in accordance with clinical protocols.
Ability to provide culturally responsive, trauma-informed, and affirming care to LGBTQIA+ patients and other diverse populations.
Working knowledge of the healthcare industry, safety precautions, patient privacy requirements, and ambulatory care best practices.
Strong written and verbal communication skills, including the ability to explain sensitive or complex health information to patients and non-medical audiences.
Ability to complete and maintain required education, competency validation, chart audits, and annual renewals for assigned Nursing Standardized Procedures.
Basic knowledge of Microsoft Office applications, including Word and Outlook, and experience using an electronic health record.
Ability to prioritize assignments and work within standardized policies, procedures, protocols, and evidence-based practices to meet objectives and deadlines.
Ability to work independently and collaboratively while managing multiple responsibilities in a busy clinical environment with frequent interruptions.

Nice To Haves

Ambulatory care, primary care, telephone or in-person triage, HIV care, sexual health, infectious disease, or LGBTQIA+ health experience is preferred.
Knowledge of, or willingness to develop competency in, HIV prevention and treatment, injectable HIV medications, rapid HIV testing, and sexually transmitted infection testing.

Responsibilities

Provide direct and indirect patient care using comprehensive assessment, care planning, implementation, patient education, and ongoing evaluation.
Deliver holistic, individualized care and coordinate interdisciplinary plans that account for patients’ psychological, sociocultural, spiritual, economic, and lifestyle factors.
Perform RN-level assessment, triage, treatment, medication management, ordering, and other delegated clinical functions under applicable Nursing Standardized Procedures.
Maintain required initial and annual education, competency validation, and documentation for assigned standardized procedures.
Provide in-person RN triage and assessment for urgent or time-sensitive concerns, perform appropriate nursing interventions, and collaborate with providers on escalation and next steps.
Use authorized standardized procedures to provide timely, evidence-based care and consult or escalate to a provider when a presentation falls outside established criteria.
Review critical laboratory results and complete timely patient notification and follow-up calls according to established protocols.
Document assessments, interventions, education, communications, and follow-up plans accurately and promptly in the electronic health record.
Support administration, coordination, monitoring, and patient education related to HIV prevention and treatment medications, including Apretude, Cabenuva, and Yeztugo.
Support rapid HIV and sexually transmitted infection testing workflows, including patient education, collection coordination, result follow-up, and linkage to appropriate care.
Provide inclusive, respectful, affirming nursing care to LGBTQIA+ patients and other diverse patient populations.
Communicate sensitive clinical information clearly, compassionately, and professionally.
Collaborate with the clinic’s providers and multidisciplinary support teams across all four clinic suites, and assist with coverage based on care priorities and operational needs.
Educate patients about medications, treatment plans, test results, follow-up care, and when to seek urgent or emergency evaluation.
Recognize changes in patient condition and initiate appropriate escalation using established policies, procedures, and standardized nursing protocols.
Foster effective relationships and communication among patients, families, support systems, physicians, and other healthcare providers.
Adhere to policies, industry standards, best practices, laws, regulations, and codes to support safe, high-quality, reliable care.
Participate in professional growth, workflow improvement, staff education, quality initiatives, and efforts to improve access and the patient experience.