Clinical Nurse (Ambulatory Care)

Tohono O'odham Nation Healthcare•Tucson, AZ

9d•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 and may involve direct patient care at Sells Hospital, San Xavier Health Center, Santa Rosa Health Center, or San Simon Health Center. Temporary relocation to other TONHC facilities may be required. The employee is assigned to the outpatient unit and works under the general supervision of the Supervisory Clinical Nurse. The role supports patient assessment, triage, treatment, education, care coordination, and follow-up. It also includes maintaining patient records and panels, supporting quality improvement, coordinating pre-visit planning, and helping ensure the clinic has necessary supplies. Depending on the assignment, some listed duties may not be required.

Requirements

Degree from a professional nursing program approved by the legally designated State-accrediting agency at the time 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 CPR and AED certification.
Current immunization statement, including proof of a non-reactive tuberculosis skin test within the last year and proof of hepatitis B immunity within three months of hire; a positive titer is required as proof of immunity.
Upon recommendation for hire, pass a criminal background check and National FBI fingerprint check to determine suitability for employment; a 39-month driving record is also required.
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.
Depending on department needs, may be required to demonstrate fluency in both the Tohono O'odham language and English as a condition of employment.
Ability to use computer systems to document in the Electronic Health Record.
Ability to maintain privileged and confidential information, exercise independent judgment, work independently, and meet strict timelines.
Ability to communicate effectively verbally and in writing, follow verbal and written instructions, and maintain positive working relationships with employees and the public.
Ability to provide compassionate care, respond promptly to emergencies, and provide patient and family counseling, guidance, health instruction, and education.
Knowledge of Tohono O'odham culture, customs, and traditions; HIPAA rules and regulations; professional nursing principles and practices; pharmacology; outpatient care; and medical equipment used in the assigned area.
Ability to interpret illness, explain therapies and outcomes, instruct patients in self-care, and develop patient visit plans that consider individual physical, emotional, social, and cultural needs across the life span.

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 initial health histories.
Conduct follow-up calls for the care team provider and contact patients about test results, referrals, medication or care-plan changes, and self-management goals.
Serve as the clinical liaison among referral hospitals, pharmacies, treatment facilities, patients, and families to support treatment according to the established care plan.
Triage patients who call or walk in, and assist or direct them to ensure their needs are met safely and promptly using available resources.
Facilitate, schedule, and participate in patient-care coordination activities; identify alternative resources as needed.
Maintain and update patient panels and identify, create, and maintain 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.
Assess patients and provide support in health promotion, disease prevention, and treatment of common chronic illnesses, including diabetes, hypertension, and tuberculosis.
Initiate and follow up on continuing-care and related health-service needs.
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 stock of drugs, wound-care supplies, linens, medical supplies, and other patient-related supplies, and advise appropriate staff of needs.
Collaborate with other health care team members to develop patient-care visit plans.
Maintain patient records through 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.
Assist in the clinical area by performing treatments and procedures.
Participate in Quality Improvement teams and other committees as assigned.
Act in the supervisor's absence.
Perform other job duties as assigned.