Clinic Nurse II, Primary Care/LGBTQIA+ Care Center

Sutter Health•San Francisco, CA

1d•$86 - $121•Onsite

About The Position

The Registered Nurse provides comprehensive ambulatory nursing care in a busy, collaborative primary care clinic at 45 Castro Street in San Francisco. The clinic operates across four suites and includes 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 interdisciplinary team members. The role includes direct and indirect patient care, in-person triage and assessment, critical laboratory result follow-up, patient education, clinical coordination, medication management, and support for HIV prevention and treatment services. The RN provides holistic, individualized care and coordinates plans that account for patients’ psychological, sociocultural, spiritual, economic, and lifestyle factors. Care should be inclusive, culturally responsive, trauma-informed, and affirming. The RN performs delegated clinical functions under applicable Sutter Health Nursing Standardized Procedures, after completing required education and competency validation. Procedures may cover triage and advice, treatment of gonorrhea and chlamydia, primary care medication renewal, preventive health maintenance and orders, dispensing sample medications, and emergency interventions for anaphylaxis. The RN works within authorized protocols, consults or escalates cases outside established criteria, documents care in the electronic health record, and participates in 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 recognizing changes in patient condition and determining when provider review or a higher level of care is needed.
Ability to communicate critical and sensitive laboratory results clearly, compassionately, and according to established 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 clearly 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.
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, including comprehensive assessment, nursing care planning, patient education, and ongoing evaluation.
Perform RN-level patient assessment, in-person 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.
Use authorized standardized procedures to provide timely, evidence-based care and consult or escalate concerns outside established criteria.
Evaluate patients within the RN scope of practice, provide appropriate nursing interventions, and collaborate with providers on escalation and next steps.
Review critical laboratory results and complete timely patient notification and follow-up calls in accordance with 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 for 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 care.
Provide inclusive, respectful, culturally responsive, trauma-informed, and affirming care to LGBTQIA+ patients and other diverse populations.
Communicate sensitive clinical information clearly, compassionately, and professionally.
Collaborate with providers and multidisciplinary support teams across the clinic's four suites, and assist with coverage based on patient-care 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 clinical escalation using established policies, procedures, and protocols.
Foster effective working relationships among patients, families, support systems, physicians, and other healthcare providers.
Participate in continuous workflow improvement, staff education, quality initiatives, and efforts to improve access and the patient experience.
Adhere to policies, industry standards, best practices, and applicable laws, regulations, and codes, and engage in ongoing professional growth.