Registered Nurse Per-diem, Homeless & Housing Outreach Team

Neighborcare Health•Seattle, WA

1d•$39 - $48

About The Position

The Registered Nurse, Per-diem works in partnership and joint accountability within an interdisciplinary team to achieve Neighborcare’s Mission, Guiding Principles and goals. The primary focus of the RN is to optimize the health status of patients across the lifespan through working in partnership and joint accountability, patient education, emergent triage, and performing complex procedures. RNs build relationships with their patients through face-to-face, virtual, and telephonic care and work in partnership with other care team members to meet the needs of patients throughout Neighborcare Health. The RN follows the Nursing Process to assess, diagnose, plan, implement and evaluate nursing care in an outpatient clinic setting. This is a grant funded position.

Requirements

Clinical Knowledge & Skills
Knowledge and understanding of a broad range of physical and mental health conditions across the lifespan.
Knowledge, skill, and ability to provide condition- and population-specific education and coaching, including but not limited to wound care, foot care, and injections.
Knowledge of medical terminology and clinical procedures; anatomy, physiology, biology, human growth and development; asepsis and universal precautions; medical documentation.
Ability to start and operate emergency equipment, perform CPR, provide basic first aid, and respond professionally in emergent situations.
Ability to demonstrate sound clinical judgment and work resourcefully and independently in the absence of detailed instructions.
Ability to self-assess knowledge and nursing skill and continuously develop clinical expertise through Neighborcare Health and community-based continuing education.
Patient & Interpersonal Skills
Ability to work effectively with patients and communicate respectfully with individuals from varied cultures, languages (including through interpreters), educational and socio-economic backgrounds, as well as individuals with disabilities and contagious diseases.
Ability to work effectively independently and as part of a team, interact appropriately with co-workers and patients, and develop and maintain rapport with a wide range of individuals.
Ability to comply with HIPAA/Confidentiality policies and handle confidential and sensitive patient and staff information.
Skills in written and verbal communication in English and basic math.
Professional & Technical Attributes
Ability to demonstrate reliable and timely attendance.
Willingness to travel to clinic with the most need based on Nurse Manager staffing.
Ability to demonstrate flexibility, adaptability, willingness, and openness to learn and change.
Ability to follow written and verbal directions and complete assigned tasks in a timely manner.
Ability to work with supervision, receiving instructions/feedback, coaching/counseling and/or action/discipline, and learn from directions, observations, and mistakes.
Completion of an accredited RN program
Valid Washington State Registered Nurse license
BLS certificate

Nice To Haves

Skills in Motivational Interviewing and application of a harm reduction model
Skills in care for chronic wounds, including conservative sharp debridement
Knowledge of unique health needs of specific patient populations pertinent to the role/site
Knowledge of community resources
BSN desirable
1+ years RN experience in a primary care, hospital and/or home care setting or comparable social service setting
Board Certification in applicable specialty areas

Responsibilities

Working in Partnership and Joint Accountability
Provide care to patients in the outpatient clinic setting as part of Neighborcare’s nursing team, maintaining shared accountability with the clinic team and the medical program as a whole.
Collaborate with team members and leaders to define and reassess priorities, and to plan, communicate, and execute patient care.
Participate in quality and performance improvement initiatives to improve patient outcomes.
Serve as a preceptor for new staff and/or students completing clinical rotations at Neighborcare.
Patient Care & Health Management
Partner with patients and families in person, virtually, and by phone to support optimal health outcomes.
Identify patient goals for improving health status and managing chronic physical and mental health conditions.
Apply the nursing process (assess, diagnose, plan, implement, evaluate) to meet patient needs.
Assess patient understanding of their condition and readiness for behavior change.
Deliver wound care, foot care, chronic disease management, and ongoing injections.
Monitor, track, and follow up to ensure care needs are met.
Apply Neighborcare Health guidelines, standing orders, and evidence-based clinical practices.
Patient Education
Provide education across the lifespan.
Identify barriers to learning and tailor education to patients’ individual needs and learning styles.
Educate patients on medications, abnormal lab results, and management of acute and chronic conditions.
Promote preventive care and wellness strategies.
Use motivational interviewing and harm reduction counseling to support patient-centered care.
Triage & Clinical Procedures
Respond to emergent health issues in person and by phone; provide assessment, advice, first aid, and Basic Life Support as needed.
Perform clinical procedures within RN licensure and individual competency, which may include wound care, foot care, IM injections, IV insertion and administration of fluids/medications, and urinary catheter insertion/removal.
Administer injections and medications per standing orders and protocols.
OB Registered Nurse
Rotate between clinics, programs, and pregnant/postpartum patient populations based on organizational needs and training. Assignments will be made by the RN Supervisor.
Provide anticipatory guidance and education to patients regarding pregnancy, postpartum recovery, newborn care, and preventive health.
Support pregnant and postpartum patients by aligning care plans, facilitating communication, and coordinating follow-up across the care team.
Work closely with providers to support OB-related health needs, including monitoring pregnancy symptoms and postpartum concerns.
Participate in activities that support prenatal and postpartum care, perinatal health, and early parenting.
Provide hands-on nursing care including NST’s, OB vitals, glucose screening support, and lactation support.
Casual / Per Diem Registered Nurse
Be assigned to clinics, programs, and patient populations based on organizational needs and training.
Rapidly adapt to varied clinic workflows, patient demographics, and team structures.
Maintain competency across a broad range of family practice nursing functions (triage, procedures, health education, chronic disease management).
Communicate reliably with scheduling teams regarding availability and confirm shifts in alignment with per diem expectations.