RN: Clinic (PRN)

Pagosa Springs Medical Center•Pagosa Springs, CO

5d•$32 - $49•Onsite

About The Position

The RN: Clinic is responsible for collaborating with physicians, physician assistants, nurse practitioners, medical assistants and other support staff to coordinate and deliver care provided to our patients and their family members at Pagosa Springs Medical Center. This individual works to lead a delegated Clinic Team to meet the needs of patients empaneled to the Team. The RN effectively participates in Team Based Care by providing daily guidance, assignments and prioritization of tasks within assigned Primary Care Team of PSR’s, medical assistants and LPN’s. Join a Hospital That Feels Like Family – In a Town That Feels Like Home Pagosa Springs Medical Center is an award-winning, independent Critical Access Hospital serving the residents and visitors of Archuleta County and the surrounding region. As a modern rural hospital, PSMC delivers exceptional emergency, primary, and specialty care supported by advanced technology, a collaborative medical staff, and a leadership team committed to quality, safety, and patient-centered service. At PSMC, you are not just a number – you are a valued team member whose contributions make a real difference. We prioritize professional growth, meaningful work, and a positive, supportive workplace culture grounded in our WISER values: Wholeness, Integrity, Stewardship, Excellence, and Respect. What you’ll find at PSMC: A supportive, collaborative culture where people truly care about each other Modern facilities and growing service lines Leadership that listens and invests in staff Opportunities to learn, grow, and advance your career A place where you can have direct impact on patient care and community wellness Live Where Other People Vacation Pagosa Springs is a mountain paradise tucked among the rugged peaks of the San Juan National Forest. Here, you can step into nature the moment you clock out: Relax in our world-famous hot springs Ski or snowboard at Wolf Creek Ski Area – “the most snow in Colorado,” just 30 minutes away Explore hundreds of miles of hiking, biking, and off-roading trails Enjoy fly fishing, rafting, or paddle boarding on pristine rivers and lakes Experience warm, friendly community with local festivals, live music, farmers markets, and small-town charm If you’re looking for meaningful work, work-life balance, and a community that embraces you – PSMC and Pagosa Springs are the perfect place to build your future.

Requirements

High school diploma or equivalent.
Graduate of an accredited RN program.
Minimum of two (2) years experience in a clinical setting; outpatient clinic / physician’s office nursing is preferred. May consider training new graduates.
CLIA waived laboratory testing experience desired but not required.
CIS / Immunization experience desired but not required.
Current Colorado licensure as RN, in good standing.
Current AHA BLS certification for healthcare providers required.
Basic computer knowledge (Microsoft Office, electronic health record).
Demonstrates ability to read, write, and clearly express one’s self in English 100% of the time.
Demonstrates ability to listen.
Demonstrates ability to express or exchange ideas by means of spoken work, to impart oral information to others or the public and to convey detailed spoken instructions to others accurately, loudly, or quickly.

Nice To Haves

BSN, desired but not required.
Additional languages desired but not required.

Responsibilities

Meets all standard job requirements.
Accountability:
Meets standards and clear expectations for the RHC including, job performance, training, continuing education, certifications, conduct and adherence to district values.
Holds self and staff accountable in a consistent and respectful manner.
Follows all approved PSMC policies and procedures.
Interpersonal Skills:
Communicates effectively, keeping leadership and team members informed and involved.
Treats people with respect, recognizes individuality and is fair and equitable in all interactions.
Demonstrates critical thinking skills in problem solving tactics. Uses sound and fair judgement in a calm and professional manner.
Demonstrates adaptability and flexibility when new information becomes available.
Works collaboratively with others, communicates the department’s vision and strategy across all levels of the organization, and builds consensus around key initiatives and projects.
Establishes and maintains respectful and effective relationships with providers, employees, patients and managers/directors/Senior Leadership.
Ability to handle high stress situations, rapid pace, multiple issues, interruptions and matters requiring sensitivity.
Able to work independently, meeting essential job functions, deadlines and priorities, while also utilizing available resources when needed.
Departmental Operations:
Practices within the RN scope of care as defined by the State of Colorado.
Provides patient care, as ordered, within the RN scope of practice, including comprehensive patient assessment, patient care planning, initiating/directing treatments, reassessment/monitoring response, evaluation of care provided and patient/family education.
Describes the underlying pathophysiology of commonly encountered injury and/or disease processes.
Monitors patients for changes in condition and reports any abnormal findings to the appropriate care provider.
Demonstrates a high level of critical thinking and clinical judgement skills to assure the delivery of safe and effective nursing care for the clinic patient.
Acts as a liaison between the rural health clinic care team and the clinic patient, promoting a culture of effective communication, collaboration and a commitment to service and clinical excellence.
Able to assist Lead RN in oversight, supervision, education, and leadership of clinical support staff.
Actively participates in training new clinical staff members.
Implements evidence-based best practices to assure the provision of a high level of patient care with optimal patient outcomes in an environment that promotes teamwork and interdisciplinary collaboration.
Appropriately triages patients and provides nursing advice while using accepted protocols and workflows. Sends messages in the EMR as appropriate.
Receives patient phone calls appropriately and sends messages in the electronic health record to appropriate parties.
Provides patient and family education around medical conditions, diagnostic and surgical procedures, as well as rehabilitation goals and strategies to achieve these goals.
Works closely with providers and the rural health clinic leadership team to assure a seamless and positive experience for clinic patients and their family members.
Serves as a nursing resource to clinic staff, while taking the initiative to stay current on nationally recognized practice standards and guidelines, regulatory standards, and strategies for improving the patient experience.
Assists in the development and implementation of nursing policies and procedures that promote the safe and effective delivery of nursing care in the clinic setting.
Supports and promotes organizational key strategies and initiatives including, but not limited to: patient, employee and physician engagement; leadership rounding; quality improvement; and regulatory readiness.
Efficiently and accurately collects and documents patient related quality data in accordance with clinic workflows and protocols. In collaboration with leadership, develops action plans to address opportunities for improvement.
Accurately performs CLIA waived, point of care, laboratory tests as directed by the Provider.
Provides additional patient care as ordered within the RN scope of practice, including completing dressing changes, administering medications, suture / staple removal, EKG, nebulizer treatments, ear lavage, orthopedic device fitting and other Clinic appropriate nursing tasks as ordered by the provider in an accurate and timely manner.
Performs injections, using appropriate technique, appropriate dose calculations, and documents accurately in the electronic health record.
Researches each medication to be given and knows the appropriate doses, side effects, and contraindications etc.
Utilizes resources such as Lexicomp, Nursing Drug Handbooks, and PSMC pharmacist to ensure patient safety.
Follows the seven (7) medication rights (right patient, right medication, right dose, right time, right route, right indication and right documentation) and reduces the potential for medication errors.
Safely administers and correctly documents immunizations as directed/ordered by the Provider.
Accurately documents medication samples given to patients.
Authorizes medication refills in accordance to current nursing refill policies and procedures.
Demonstrates the ability to perform age specific nursing care by reviewing the History and Physical (H&P) and performs reassessments to identify any changes in patient condition.
Initiates and completes all department specific, initial intake patient assessments following established documentation requirements in the electronic medical record.
Transfers care, when needed, following hospital procedure, utilizing the SBAR format.
Evaluates the patient’s general condition, including obtaining vital signs, height and weight and notifies the provider of any abnormal findings.
Promotes wellness by providing education materials to patients and communicating physician instructions and orders.
Provides preventive care information that matches patient age, sex, and health status.
Works with the provider to reinforce patient education and prior patient teaching surrounding disease state, treatment plan, and medications.
Utilizes the National Patient Safety goals in providing patient care.
Follows up on all outstanding orders in a timely manner.
Reviews chart preparation including order verification, insurance authorization verification, and lab orders placed by the provider.
Ensures patients’ next appointments are scheduled and appropriate follow-up.
Responds to patient portal messages in a timely manner.
Participates in the coordination of care by bringing any concerns to his/her direct supervisor and/or the Team providers.
Communicates effectively with ordering provider to ensure that all orders are accurate and complete.
Performs approved nursing procedures as defined by specific department and successful completion of associated competencies.
Completes all Cerner documentation required in accordance with competencies, trainings, and PSMC policy and procedures.
Acts as the patient navigator for Clinic Team patients.
Utilizes efax to process faxes.
Scans records into patient charts as appropriate.
Uses approved abbreviations. Refer to PSMC policy: Abbreviations in the Medical Record.
Assists providers, other department, and hospital staff.
Demonstrates knowledge of the principles of growth and development over the life span and possesses the ability to assess data reflective of the patient’s status and interpret the information needed to identify each patient’s requirements relative to his/her age-specific needs.
Use at least two identifiers when confirming the identity of each patient (i.e., name and date of birth).
Accurately and efficiently completes all elements of patient intake following clinic workflows and protocols. Appropriate documentation of the patient intake includes, but is not limited to: medications, allergies, history of present illness, procedure history, social history, family history, depression screening and immunization status.
Demonstrates proficiency in completion and documentation of patient data, using the correct electronic health record template for visit. (i.e., Medicare Annual Wellness, Adult Intake, Pediatric Intake and CDL Exam).
Documents all patient contact and/or care/treatment and medications administered in the EMR.
Reconciles Immunization forecaster utilizing CIIS, prints recommended schedule for appropriate visits.
Performs all aspects of patient care in an environment that optimizes patient safety and reduces the likelihood of medical/health care errors.
Formulates a teaching plan based on identified patient learning needs and evaluates effectiveness of learning; family is included in teaching as appropriate, from initial visit to discharge.
Identifies and addresses psycho-social needs of patients and families. Appropriately adjusts care for patients of all cultural and religious backgrounds.
Carries out medical and surgical asepsis during treatments and special procedures. Utilizes universal precautions with all patients.
Reduces potential for infection by instituting appropriate level of infection precautions based on patient condition.
Consults, collaborates with other departments, as needed and as appropriate, to provide for an inter-disciplinary approach to the patient’s needs.
Utilizes required templates and/or forms when documenting within the electronic health record.
Presents / provides patients with appropriate patient education and visit summaries at the end of each visit.
Rooms all patients in a timely fashion and in a professional manner.
Demonstrate willingness to perform tasks and complete assigned work, does not leave unfinished tasks for others to complete.
Prioritizes tasks so that the most important tasks are completed first.
Initiates action to prevent the occurrence of any potential problems or nonconformities relating to patient care or supporting activities.
Initiates, recommends or provides solutions through designated channels.
Able to assist supervisor in oversight, supervision, training, education, and leadership of clinical support staff.
Serves as a mentor to LPN/LVN and MA staff, providing continuous learning support.
Preps exam/procedure rooms for patients and maintains clean and sanitary exam rooms.
Stocks and maintains medical supplies in exam/procedure rooms so necessary items are available for provider/patient.
Checks and removes outdated supplies on a monthly basis.
Creates and maintains a sterile field for appropriate procedures.
Assures insurance authorizations do not expire for patients during treatment and submits for renewal when appropriate.
Demonstrates efficient operation of multi-line phone system.
Responsible for monitoring, checking and acting on messages in Artera at least once at the beginning of the shift and end of shift and as required throughout the day.
Monitors and maintains the assigned Primary Care Team message centers.
Follows up on patient messages, phone calls, voice mails and faxes daily.
Review all Portal Messages that come to the providers of assigned care team and address, resolve or schedule appropriate visit.
Review all incoming messages; address, resolve or schedule patient if needed; using critical nursing judgment.
Before sending messages to providers, include all pertinent information, i.e. last office visit, last date of refill, lab values, pertinent vital signs, etc.
Maintains EPIC CommonSpirit and UC Health access for medical record retrieval to ensure continuity of care.
Maintains Cover My Meds access to manage prior authorizations for oral specialty medications.
Authorizes medication refills in accordance with current nursing refill policies and procedures.
Initiates and completes medication prior authorizations for patients as needed.
Pursues professional growth and maintains specialized knowledge and skills in clinic nursing practice by participating in professional organizations and on-going continuing education/in-service training with emphasis in outpatient clinic practice.
Initiates and accurately completes DME paperwork for any patient fitted with DME supplies.
Monitors and maintains the appropriate Clinic Team Nursing Pool message center.
Responsible for monitoring, checking and acting of messages in Artera at least once at the beginning and the end of the shift and as required throughout the day.
Monitors and maintains the incoming Clinic fax folder.
Participates in shared clinic tasks such as opening/closing procedures, bi-annual inventory, stocking of supplies and routine supply expiration practices.
Locks medication cabinet, vaccine refrigerator and medication sample closet at the end of each business day.
Unlocks medication cabinet, vaccine refrigerator and medication sample closet at the beginning of each business day.
Participates in bi-annual inventory process. Assists in the outdating of expired supplies.
Monitors and records temperatures on all refrigerators twice daily.
Meets the qualifications as set forth herein.