Clinic Registered Nurse (RN) Care Manager

Primary Health Solutions•Middletown, OH

46d•Onsite

About The Position

About Primary Health Solutions Our Mission We meet people where they are and partner with them on their journey towards wellness. Our Vision The destination for servant leaders to provide comprehensive and exceptional care. Our Values R – Respect I – Innovation S – Stewardship E – Excellence Registered Nurse (RN) Summary Assists in examination and treatment of patients under a Provider’s direction by performing the following duties. A Day in the Life This job description reflects management's assignment of essential functions. Nothing in this job description restricts management’s right to assign or reassign duties and responsibilities to this job at any time. Customer care: · Conducts outreach to patients for Annual Wellness Visits (AWVs), chronic care management, and preventive health screenings. · Educates patients and families on self-management strategies, chronic disease care, and lifestyle modifications to support overall wellness. · Triages patient calls and walk-ins, addresses routine concerns, and escalates clinical issues as appropriate. · Documents all patient interactions and communications in the electronic medical record (EMR) with accuracy and timeliness. · Encourages patients to stay current with preventive services, immunizations, and chronic condition management. Clinical: · Conducts Medicare Annual Wellness Visits and other preventive health assessments, documenting findings and collaborating with Providers to establish or update care plans. · Administers vaccines and injections, including psychotropic medications, per Provider direction and organizational protocols. · Assists Providers with clinical procedures, medication administration, and vital sign collection. · Closes care gaps by ensuring patients receive recommended screenings, labs, immunizations, and follow-up visits. · Reviews and reconciles medications during patient visits; provides education on medication adherence and side effects. · Tracks and follows up on diagnostic tests, referrals, and abnormal results as directed by the Provider. · Assists in the management of patients with complex or chronic conditions, ensuring continuity and coordination of care. · Documents all procedures, education, and communications in the EMR in compliance with quality and regulatory standards. · Participates or directly manages quality initiatives with special populations e.g. 0-2 years receive recommended vaccinations Operations: · Prepares, cleans and sterilizes equipment and exam rooms as established by standard safety and clinical protocols. · Participates in huddles, pre-visit planning, and team meetings to identify patients due for preventive services or follow-up care. · Supports health initiatives, including tracking and reporting of quality metrics (e.g., immunizations, screenings, chronic disease management measures). · Collaborates with care coordinators and Providers to address barriers to care and improve patient outcomes. · Participates in staff education, training, and quality improvement initiatives. · Properly handles the disposal of infectious/hazardous waste, according to OSHA guidelines. · Inventories and requests supplies. · Responsible for performing health and team based care related services within the guidelines of the state of Ohio Board of Nursing. · Support a shared goal model in order to achieve high-quality care that is patient and family centered. · Facilitates coordination of care following hospital, ER utilization or follow up from specialty providers. · May participate in team meetings and quality improvement activities as necessary. · Performs all other duties and tasks as assigned.

Requirements

Graduation from an accredited school of nursing. Bachelor’s program preferred.
Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals.
Ability to write routine reports and correspondence.
Ability to speak effectively before groups of customers or employees of organization.
Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists.
Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.
To perform this job successfully, an individual should have the ability to gain knowledge of current practice management system, electronic medical record, Microsoft Word, text paging, Internet, and Intranet.
RN License. Must hold a current, valid license to practice nursing in the state of Ohio.
Knowledge of examination, diagnostic, and treatment room procedures.
Knowledge of medical equipment and instruments to administer patient care.
Skill in taking vital signs.
Skill in maintaining records and recording test results.

Nice To Haves

Ability to speak Spanish desirable.
Skill with geriatric patients and patients in lower socio-economic sectors of the community.

Responsibilities

Conducts outreach to patients for Annual Wellness Visits (AWVs), chronic care management, and preventive health screenings.
Educates patients and families on self-management strategies, chronic disease care, and lifestyle modifications to support overall wellness.
Triages patient calls and walk-ins, addresses routine concerns, and escalates clinical issues as appropriate.
Documents all patient interactions and communications in the electronic medical record (EMR) with accuracy and timeliness.
Encourages patients to stay current with preventive services, immunizations, and chronic condition management.
Conducts Medicare Annual Wellness Visits and other preventive health assessments, documenting findings and collaborating with Providers to establish or update care plans.
Administers vaccines and injections, including psychotropic medications, per Provider direction and organizational protocols.
Assists Providers with clinical procedures, medication administration, and vital sign collection.
Closes care gaps by ensuring patients receive recommended screenings, labs, immunizations, and follow-up visits.
Reviews and reconciles medications during patient visits; provides education on medication adherence and side effects.
Tracks and follows up on diagnostic tests, referrals, and abnormal results as directed by the Provider.
Assists in the management of patients with complex or chronic conditions, ensuring continuity and coordination of care.
Documents all procedures, education, and communications in the EMR in compliance with quality and regulatory standards.
Participates or directly manages quality initiatives with special populations e.g. 0-2 years receive recommended vaccinations
Prepares, cleans and sterilizes equipment and exam rooms as established by standard safety and clinical protocols.
Participates in huddles, pre-visit planning, and team meetings to identify patients due for preventive services or follow-up care.
Supports health initiatives, including tracking and reporting of quality metrics (e.g., immunizations, screenings, chronic disease management measures).
Collaborates with care coordinators and Providers to address barriers to care and improve patient outcomes.
Participates in staff education, training, and quality improvement initiatives.
Properly handles the disposal of infectious/hazardous waste, according to OSHA guidelines.
Inventories and requests supplies.
Responsible for performing health and team based care related services within the guidelines of the state of Ohio Board of Nursing.
Support a shared goal model in order to achieve high-quality care that is patient and family centered.
Facilitates coordination of care following hospital, ER utilization or follow up from specialty providers.
May participate in team meetings and quality improvement activities as necessary.
Performs all other duties and tasks as assigned.