Registered Nurse (Community Health)

Salt River Pima-Maricopa Indian CommunityScottsdale, AZ
Hybrid

About The Position

Under general supervision from the Community Health Services Manager in the Health Services Division of the Health & Human Services (HHS) Department, provides community health nursing services to SRPMIC Community Members with the goals of promoting and restoring health to the Salt River Pima-Maricopa Indian Community, fostering wellness and healthy living and addressing health disparities through community-driven initiatives at River People Health Center. This job class is treated as FLSA Exempt. This is a driving position.

Requirements

  • Active unrestricted AZ Registered Nurse license.
  • One (1) year professional Nursing experience required.
  • Must possess and maintain a valid Arizona Driver’s license.
  • Must have current Bloodborne Pathogens training or complete within 30 days of hire.
  • New hires in clinical roles must present valid BLS certification (Healthcare Provider BLS for clinicians) prior to the first day of patient care.
  • Ensures all patient information is kept confidential and complies with Health Insurance Portability and Accountability Act (HIPAA) regulations and SRPMIC HHS policies and procedures.

Nice To Haves

  • Bachelor of Science in Nursing (BSN) degree from an accredited college or university preferred.
  • At least one (1) year experience in Public Health or Home/Community Health Nursing preferred.
  • Experience working with Native Americans preferred.
  • Working knowledge of public health, infection control, immunizations, diabetes education and chronic disease management preferred.

Responsibilities

  • Monitor and promote health outcomes for referred and enrolled clients in the community health program.
  • Identify community health problems through comprehensive in-home assessments from a biopsychosocial perspective to support chronic disease management, decrease unnecessary emergency room utilization, and support patient adherence towards self-management.
  • Create in collaboration with the client and intervention plan to address individual, health, safety and quality needs towards health and disease management.
  • Provide direct care to patients and vulnerable populations who may not have access to health care or cannot afford medical services.
  • Provide in-home treatment and support services to individuals and families who need them.
  • Medication reconciliation, education, and medication administration.
  • Diabetes education and glucose monitoring.
  • Wound care and dressing changes under the direction of WOCN plan of care.
  • Injection administration under existing plan of care.
  • Tube feeding education and support.
  • Catheter education and support.
  • Tracheostomy education and support.
  • STI medication management and education.
  • Provide counselling and education on chronic diseases including but not limited to obesity, diabetes, hypertension, congestive heart failure, and chronic kidney disease.
  • Support client self-monitoring and engagement in their health outcomes.
  • Provide information on disease prevention.
  • Collaborate with the interdisciplinary team including the client’s medical provider for care delivery, treatment planning, and treatment goals.
  • Identifying opportunities in collaboration with the client and family members where community health worker (community health representative) services are needed for health monitoring and social determinants of health mitigation.
  • Provide ongoing evaluation of client’s condition and progress.
  • Provide ongoing follow-up, basic motivational interviewing and goal setting with patient/s families.
  • Seek out opportunities to work with various teams to investigate and identify Community health needs.
  • Collaborate with public health nursing regarding data trends and high-risk areas to individually support at risk clients.
  • Document and report activities accurately and in a timely manner, consistent with plan of care in client’s electronic medical record.
  • Develop strategies that support individual, family, and Community health efforts.
  • Initiates preventative health measures within the scope of practice for a professional Registered Nurse (RN).
  • Initiates appropriate interventions according to health care priorities identified in individual and Community assessments.
  • Link people to needed personal health services and assure the provision of health care when otherwise unavailable.
  • Work with providers and services within the SRPMC and outside the Salt River to improve the health of individuals and the Community as a whole.
  • Connect those who don’t have access to care with direct health care services, such as screening services, preventative care, medical specialty, social work, behavioral health, convalescent, and rehabilitative services.
  • Provide health-related instruction to individuals, families, and groups.
  • Coordinate programs, services and other activities to implement targeted health promotion and disease prevention activities.
  • Present health-related instruction at conferences, staff-meetings, Community events, and to Community leaders and stakeholders.
  • Educate individuals one-on-one as needed for situations when group education is not appropriate.
  • Manage assigned caseload of patients and ensure to SRPMIC River People Documentation standards.
  • Maintain HIPAA compliance at all times.
  • Maintain organization skills to handle multiple priorities while remaining professional.
  • Ensure appropriate standards for telephone and communication methods with clients and interdisciplinary team.
  • Maintain safe and healthy working environment and uses safe work methods and procedures in accordance with program standards.
  • Participate as a member of multi-disciplinary consultation and review teams for case assignments to develop strategies and referrals that support individuals and families/caregivers in achieving healthy state.
  • Update professional knowledge and proficiency in nursing through continuing education, staff meetings, training and conferences, etc.
  • Performs other job-related duties as assigned to maintain and enhance program mission and operation.
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