Clinical Nurse (Ambulatory Care)

Tohono O•Tucson, AZ

7d•Onsite

About The Position

The Clinical Nurse provides comprehensive nursing care and patient services in a clinic or ambulatory care setting and assists physicians and patients. The position is within Tohono O'odham Nation Health Care, including Sells Hospital, San Xavier Health Center, Santa Rosa Health Center, and San Simon Health Center. The employee is assigned to the outpatient unit and works under the general supervision of the Supervisory Clinical Nurse. The role may require temporary relocation to other TONHC facilities. The Clinical Nurse provides direct patient care, supports care coordination and follow-up, and maintains accurate patient records. Depending on the area of assignment, some listed duties may not be required. The employee may also act in the supervisor's absence and perform other duties as assigned.

Requirements

Degree from a professional nursing program approved by the legally designated State-accrediting agency when the applicant completed the program.
Active, current, unrestricted professional nurse license in a U.S. state, the District of Columbia, the Commonwealth of Puerto Rico, or a U.S. territory.
Current certification in Cardio Pulmonary Resuscitation (CPR) and Automated External Defibrillator (AED).
Current immunization statement, including proof of a non-reactive tuberculosis skin test within the last year and proof of hepatitis B immunity; a positive titer is required as proof of immunity. Documentation is required within three months of hire.
Upon recommendation for hire, successful completion of criminal background and National FBI fingerprint checks to determine employment suitability, including a 39-month driving record.
May be required to possess and maintain a valid driver's license, with no DUIs or major traffic citations within the last three years.
If required to operate program vehicles, meet the Tohono O'odham Nation tribal employer's insurance requirements for a driver's permit.
May be required, based on department needs, to demonstrate fluency in both Tohono O'odham and English as a condition of employment.
Knowledge of Tohono O'odham culture, customs, and traditions.
Knowledge of HIPAA-related rules and regulations.
Knowledge of nursing concepts, principles, and practices sufficient to perform professional assignments of moderate difficulty.
Knowledge of pharmacology, including drugs' desired actions, dosages, uses, and potential adverse side effects.
Ability to explain illnesses and therapies to patients and instruct them in self-care techniques, including medication administration and insulin injection.
Knowledge and skill to conduct staff and patient/family education classes and participate in hospital-wide in-service education.
Knowledge of and ability to apply professional nursing principles, procedures, and techniques in outpatient care for a wide variety of conditions.
Skill in providing care and responding promptly to emergencies.
Ability to provide individual and family counseling, guidance, and health instruction about disease prevention and maintaining good health.
Skill in developing patient visit plans that consider patients' physical, emotional, social, and cultural needs across the lifespan.
Skill in using medical equipment relevant to the area of assignment.
Compassion and good communication skills.
Ability to carry out verbal and written instructions; communicate effectively verbally and in writing; exercise independent judgment; maintain confidential information; establish and maintain positive working relationships; work independently; and meet strict timelines.
Computer skills for using and documenting in the Electronic Health Record.

Nice To Haves

One year of experience in an ambulatory care or clinic setting is preferred but not required.

Responsibilities

Assist the primary provider in gathering patient information for new-patient health histories.
Conduct follow-up calls on behalf of the care team provider to discuss test results, referrals, medication or care-plan changes, and self-management goals.
Serve as the primary clinical liaison among referral hospitals, pharmacies, treatment facilities, patients, and families to support treatment according to established care plans.
Triage patients who call or walk in and assist or direct them appropriately.
Ensure patient needs are met safely and promptly using available resources.
Facilitate, schedule, and participate in patient-care coordination activities; identify alternative resources when needed.
Maintain and update team patient panels, including panels of high-risk subpopulations for care management.
Collect and report clinical measures for a patient panel.
Lead a multidisciplinary health care team in performance-improvement efforts.
Provide emergency care as needed.
Support health promotion, disease prevention, and treatment for patients with common chronic illnesses, including diabetes, hypertension, and tuberculosis.
Initiate and follow up on needs for continuing care and related health services.
Provide and document patient and family counseling, including telephone triage and counseling.
Conduct nurse visits according to standing orders and current orders in the patient's record.
Check stocks of drugs, wound-care supplies, linens, medical supplies, and other patient-related supplies, and advise appropriate staff of needs.
Work with health care team members to develop patient-care visit plans.
Maintain patient records with thorough and accurate documentation of patient encounters.
Administer medications as prescribed by the primary physician or provider and in compliance with policies.
Lead or coordinate pre-visit planning for scheduled patients.
Perform treatments and procedures in the clinical area.
Participate in Quality Improvement teams and other committees as assigned.
Act in the supervisor's absence.
Perform other job duties as assigned.