Registered Nurse Multi Specialty

Central Health•Austin, TX

About The Position

The Registered Nurse (RN) provides patient-centered specialty nursing care in a supportive, team-based environment. The RN uses professional nursing knowledge, skills, and compassion to restore and promote health and prevent illness and injury, practicing in accordance with the Texas Board of Nursing, the Texas Nurse Practice Act, and organizational policies, procedures, and guidelines. The role supports a collaborative care environment focused on safe, high-quality care, a positive patient experience, and positive clinical outcomes. The RN collaborates with primary care teams, specialists, home care, hospital teams, and others involved in patients’ care. The role assesses patients’ and families’ physical, social, and emotional needs; provides advocacy, direction, and education; helps coordinate referrals and continuity of care; and supports provider teams with triage, in-basket management, medication refills, procedures, and clinic workflows. The RN may oversee assigned team workflow and staffing needs, act as a resource and preceptor, support quality improvement and organizational initiatives, and help maintain equipment, supplies, infection control, vaccine management, and regulatory compliance. Clinical duties are performed as assigned and competency-validated under Standing Delegation Orders. These may include medication and immunization administration; preparing patients and rooms; assisting with examinations and procedures; equipment cleaning and quality checks; EKGs, spirometry, point-of-care testing, specimen collection, wound care, and other requested procedures. The RN also participates in clinic huddles, quality assurance activities, staff education, protocol development, and patient issue resolution.

Requirements

Graduation from an accredited school of nursing.
Two years of nursing experience in an ambulatory clinic and/or hospital setting.
Demonstrated knowledge of Joint Commission standards, HIPAA regulations, and the Quadruple Aim.
Unrestricted Registered Nurse license in the State of Texas, maintained without lapse or expiration.
Basic Life Support (BLS) certification obtained through the American Heart Association or Red Cross and maintained without lapse or expiration.
High level of skill in building relationships and providing excellent customer and patient care.
High degree of knowledge and competency in nursing practice and documentation requirements.
Strong problem-solving skills.
Excellent verbal and written communication skills.
Strong commitment to quality, efficiency, and effectiveness.
Strong application of Microsoft Office and electronic health records.

Nice To Haves

Bachelor of Science in Nursing (BSN).
Three years of nursing clinical experience in an ambulatory clinic setting with specialty services.
One year of nursing experience caring for Cardiology, GI, Nephrology, Pulmonology, Podiatry, or Neurology patients in an ambulatory clinic and/or hospital setting.
Ability to recognize cardiac rhythms and/or experience with cardiac diagnostic testing.
Ability to start and maintain intravenous (IV) infusions.
Knowledge of leading teams in clinical workflow development and nursing triage.
Experience with Epic.
AAACN certification.

Responsibilities

Collaborate with the patient’s care team, including primary care, specialists, home care, and hospital teams, to optimize clinical outcomes.
Oversee assigned team workflow, help establish work assignments, monitor unit flow, and identify staffing needs.
Assess the physical, social, and emotional needs of patients and families in clinics.
Advocate for patients and families and provide direction and support.
Educate patients and families about diagnoses, treatments, procedures, and medications.
Identify patient needs for referrals to resources that support continuity of care.
Support provider teams with in-basket management, medication refills, and timely patient triage according to established protocols.
Assist provider teams with procedures, medication and treatment distribution, rooming, and patient dismissal in accordance with standardized workflows.
Perform assigned, competency-validated clinical duties under Standing Delegation Orders, such as administering medications and immunizations, preparing patients and rooms, assisting with examinations and procedures, cleaning and disinfecting equipment and rooms, stocking rooms, and conducting equipment quality checks.
Perform appropriate EKGs, spirometry, point-of-care testing, specimen collection, staple and suture removal, wound care, toenail cutting, equipment cleaning and reprocessing, and other requested procedures when required and competency-validated.
Participate in daily patient-care huddles and weekly clinic staff informational huddles; in some cases, ensure huddles take place.
Practice AIDET during patient interactions.
Complete daily and weekly quality assurance checklists, delegating tasks to staff as appropriate.
Help oversee health center equipment needs, infection control standards, CLIA regulations, vaccine management, compliance with Standing Delegation Orders, and emergency protocols.
Address and resolve patient issues in a timely manner.
Serve as a resource to Medical Assistants and other clinical team members.
May interview candidates and make hiring recommendations to clinical or non-clinical leaders.
Precept new clinical team members and students.
Manage supplies by ensuring provider teams have what they need, identifying trends, and anticipating supply needs.
Assist with developing departmental protocols, policies, and procedures.
Participate in continuous quality improvement projects.
Attend required staff meetings and educational offerings, in person or by teleconference or online.
Support organizational initiatives intended to promote and maintain a positive workplace culture.
Ensure patient care and related administrative tasks comply with regulatory and accreditation standards and Central Health procedures and policies.
Adhere to state nursing board and nurse practice act requirements and other governing agency regulations.
Perform other duties as assigned.
Support nursing leadership in executing initiatives, goals, programs, and complex organizational change efforts.
Manage and support implementation of new initiatives and coordinate strategies and initiatives.
Adhere to local, state, and federal regulations.