RN- Ambulatory Clinic Office (Full Time)

North Country Healthcare • Lancaster, NH

2d • $39 - $53 • Onsite

About The Position

Adhering to System Values, Service Excellence, and Standards of Behavior, the Ambulatory Clinic Office Registered Nurse provides safe, high-quality nursing care to adult and pediatric patients in an outpatient setting. This role applies the nursing process to assess patient needs, perform patient-care-related tasks, administer ordered injections and vaccines, perform and monitor anticoagulation-related testing, provide patient education within a nurse’s scope of service, and coordinate follow-up care in collaboration with providers and the interdisciplinary care team. The nurse ensures accurate documentation, supports adherence to established protocols and standards of practice, and promotes a patient-centered environment focused on safety, quality, and continuity of care.

Requirements

• Associate of Science in Nursing (ASN) from an accredited institution.
• Current Registered Nurse (RN) license in the state of New Hampshire and Vermont required.
• Successful completion of an American Heart Association accredited course in Basic Life Support (BLS), or ACLS and PALS combined.
• Excellent communication and interpersonal skills.
• Ability to prioritize and manage multiple tasks efficiently.
• Proficiency in electronic medical records (EMR) systems.

Nice To Haves

• Bachelor or Master’s degree in Nursing or Healthcare Management preferred.
• Understanding of CPT, ICD-10 and HCPCS coding and its relationship to billing preferred

Responsibilities

• Assesses, monitors, and documents each patient’s clinical status, nursing interventions, education, and follow-up needs in the electronic medical record.
• Coordinates daily operations of the Ambulatory Nurse Clinic, including workflow, schedule preparation, resource needs, and communication priorities.
• Manages patient communications, including phone calls, voicemail, and clinical messages, to ensure timely response and continuity of care.
• Performs ordered clinical procedures within nursing scope of practice, including injections, wound care, blood pressure checks, ear irrigation, and outpatient EKGs.
• Coordinates referrals, specialty services, IV medication arrangements, pre-operative orders, and related patient care activities according to established protocols.
• Provides patient education and counseling on medications, chronic disease management, insulin use, blood pressure control, injections, vaccines, and anticoagulation therapy.
• Performs, reviews, and documents PT/INR testing and collaborates with providers to support safe and effective anticoagulation management.
• Educates patients receiving anticoagulation therapy on dosing instructions, diet considerations, medication interactions, bleeding precautions, and follow-up requirements.
• Monitors INR results across care settings and coordinates timely follow-up, confirmatory testing, and outreach for patients overdue for testing or appointments.
• Manages Warfarin refill requests and evaluates medication adherence, including pill counts, discrepancy documentation, and escalation of concerns as appropriate.
• Prepares and administers allergy immunotherapy injections in accordance with provider orders, patient verification requirements, monitoring standards, and documentation protocols.
• Prepares and administers adult and pediatric vaccines according to standing orders and clinical guidelines, including screening, education, monitoring, and documentation.
• Provides triage support for anticoagulation, medication management, injection-related concerns, and other outpatient nursing needs, coordinating follow-up care as indicated.
• Supports telemedicine clinic operations by coordinating scheduling, laboratory needs, patient preparation, visit communication, and clinical support during appointments.
• Maintains clinic readiness and program quality through inventory management, anticoagulation record oversight, monthly reporting, billing coordination, infection control practices, safety protocols, team participation, and quality improvement activities.
• Performs additional duties as assigned.

Benefits

• North Country Healthcare is committed to providing equal employment opportunities to all applicants and employees.
• North Country Healthcare and its affiliates do not exclude people or treat them differently because of race, color, national origin, age, disability or any other protected class.
• Employment decisions are made based on job-related qualifications, skills, and business needs, and without unlawful discrimination in accordance with applicable federal, state, and local laws.
• North Country Healthcare provides reasonable accommodation to qualified individuals with disabilities and to individuals with sincerely held religious beliefs, as required by law.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree