Family Health Centers-posted 3 months ago
Tonasket, WA
11-50 employees

As an RN at Family Health Centers, you will provide direct patient care in a clinic setting, including performing assessments, administering medications, educating patients on health conditions and self-care, collaborating with healthcare providers to develop treatment plans, and maintaining accurate patient records, all while focusing on non-emergency patient care within a clinic environment.

  • Assists care teams with identification of complex chronic diseases and conditions to ensure the patient population receives appropriate care.
  • Coordinates care with the medical, behavioral health and dental teams and patients to assess needs, identify barriers and coordinate plans of care and communication among multiple providers.
  • Coordinates transitions of care with patients, PCP and other service providers.
  • Relays appropriate information between patient and care team by documenting in EHR.
  • Monitors and processes voicemail, EHR messaging and email in a timely manner.
  • Works to the level of their license to maximize their contribution to Team Based Care.
  • Acts as a resource to MAs to help them work to the level of their license.
  • Acts as a leader in integrated teams to establish and maintain a positive work environment and strengthen relationships between teams and departments.
  • Functions as an RN Case Manager in direct patient care when needed for complex patients.
  • Assists with Case Management in a Team Based Care environment as needed under the direction of the PCP.
  • Supports and contributes to Quality Initiatives that advance the goals of Family Health Center.
  • Follows the direction of the Infection Control Manager to uphold the highest standards of patient and staff safety.
  • Participates in PDSA cycles, capturing pertinent information to maximize the effectiveness of Process Improvement.
  • Provides professional nursing care for FHC patients following established standards and practices and acting within the scope of the RN license.
  • Interacts frequently with high risk patients regarding care plans, by phone and in the clinical setting.
  • Acts as an educational resource for patients and staff.
  • Develops and discusses patient self-management plans in conjunction with PCP.
  • Follows up with patients to assess compliance and progress with identified goals.
  • Provides decision support and encourages treatment adherence.
  • Assists in PCMH strategies to identify high risk patients based on diagnosis and other factors; use reports to access data on high risk patients; work with Clinic Supervisor & Operations Manager to help develop and implement processes to ensure high risk patients received appropriate care at FHC.
  • Triages patients to level of employee licensure: assess patients as needed and provide appropriate nursing care.
  • Supports empanelment and helps to maintain accurate and appropriate Provider panels.
  • Support Population Health to proactively improve the health of our community.
  • Participates in Team Based Care and Whole Person Care initiatives.
  • Works with QIP Leadership and the Clinic Nurse Supervisor to maintain compliance.
  • Must have registered nurse licensure from the State of Washington.
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