Primary Care Registered Nurse

Nascentia Health•Syracuse, NY

5h•Hybrid

About The Position

The role of the RN in primary care is to provide nursing care to a diverse group of patients and families in a community-based setting using the knowledge, skills and abilities of the nursing profession. The RN is a central team member in the delivery of quality and cost-effective primary care services. The Primary Care RN is responsible for managing a group of patients who require intensive oversight and helps individuals, families and groups reach their maximum level of wellness through a variety of techniques including health coaching. The Primary Care RN works in an ever-changing environment and, as such, invests considerable time in maintaining their professional expertise and maintaining a strong evidence-based approach. The Primary Care RN acquires and maintains a comprehensive understanding of health and social services as well as referral processes, including diagnostic services, specialists, hospital care, rehabilitation and support programs, educational programs, and community-based health agencies. They are also involved in many initiatives aimed at improving healthcare practice, identifying risk and safety issues and facilitating resolution.

Requirements

Associates Degree in Nursing with a Bachelors Degree in nursing preferred
NYS License as Registered Professional Nurse, current CPR certification.
Valid driver�s license and access to a vehicle
At least two (2) years of primary care (or related) experience with nursing care knowledge related to primary care/community health/chronic disease management
Knowledge and awareness related to cultural competence, social determinants of health, concepts of health promotion, disease prevention, behavior change counselling, program planning, individual and group counselling
Working knowledge of medical outpatient office processes, terminology, procedures and equipment required
Ability to work independently and be self-directed
Knowledge of electronic health records and proficiency in Microsoft office programs required
Effective organizational, critical thinking, problem-solving and decision-making skills
Excellent communication skills and ability to adapt communication styles to meet the needs of patients, health team members and community partners

Responsibilities

Administration and management of clinical support staff operations; maintain coordination of services and communication among program components
Initiates and/or contributes to the development of a health plan in collaboration with the patient and other members of the interdisciplinary team.
Assists and supports patients with implementation of the health plan including interventions and diagnostic testing. This may involve setting up supports such as medication delivery/adherence programs for medications, assisting with transportation, arranging in-home care, etc.
Determines the need for and initiates consultations with other services and health-care providers in a timely and supportive manner.
Monitors, evaluates and adjusts the health plan based on effectiveness of interventions and/or changes in condition or environment, in collaboration with the patient and team members.
Provides telephone care, follow-up and consultation. Documents this care in patient record or according to agency policy.
Informs and educates patients regarding the meaning and implications of test results and interventions.
Counsels patients on drug therapies, side-effects and interactions.
Counsels and guides patients on symptom management, health maintenance and rehabilitation strategies, as well as risk factors and lifestyle changes.
Coordinates services and care with the patient to ensure continuity and follow-up.
Initiates or participates in patient care case conferences to ensure coordinated, comprehensive and holistic services.
Provides care in collaboration with providers for patients in long-term care or assisted living, including home visits as required.
Prepares prescriptions for signing or facilitates the ordering of medications according to practice policy.
Completes necessary documents to access medications or treatments that are exceptions to formulary.
Communicates with secondary and tertiary providers to ensure the continuity of care.
Networks with community agencies and groups.
Completes referrals or consults, lab requisitions, and diagnostic requisitions. Ensuring follow-up as appropriate.
Assist with Pharmaceutical Patient Assistance Applications, sample meds, vaccines, including the VFC program and ensure that documentation of medication-related activities are accurately documented
Order and maintain storage of necessary medications and medical supplies in accordance with agency policies and procedures including the monitoring of proper refrigeration
Participate in the QAPI program including PDSA cycles for Process Improvement
Manages and supervises nursing care provided to patients and delegates tasks appropriate to scope of practice.
Ensure that all incidents are documented and reported
Participate in the recruitment, hiring, and training of nursing staff
Work with clinic staff and providers to ensure seamless and efficient clinic flow for patients
Ensures progress and development is made toward departmental strategic plan goals
Perform all other duties as assigned.

Benefits

Competitive Salary
$15,000 sign-on bonus
Retention Bonuses
Internal Mentoring Program
401K with generous Employer match
On-Site Gym (free for all employees)
Excellent work/life balance (no rotating shifts, only 2 required holidays per year on a rotating schedule)
Medical, Dental, Vision plans
Tuition Reimbursement (BSN after only 6 months of employment!)
Partially funded HSA
Employee Recognition Platform
Paid Time Off, Holidays, Sick and Extended Sick Leave
Short/Long term Disability
Employee Assistance Program (EAP)