Rn Jobs

About The Position

Requirements

• BSN-prepared registered nurse
• Strong clinical assessment, nursing judgment, critical-thinking, and problem-solving skills.
• Knowledge of primary care, chronic disease management, care coordination, and preventive health.
• Excellent organizational, communication, and interpersonal skills.
• Ability to work effectively with individuals from diverse cultural, socioeconomic, and linguistic backgrounds.
• Understanding of health literacy and culturally responsive care.
• Ability to prioritize competing clinical and operational responsibilities and work independently and collaboratively.
• Proficiency with EHR systems and standard office technology.
• Commitment to confidentiality, professional boundaries, and the mission of nonprofit/community healthcare.
• Minimum of 2-3 years of professional nursing experience, preferably in primary care, family practice, community health, public health, care coordination, or a related setting.
• Experience with chronic disease management, patient education, and care coordination.

Nice To Haves

• Experience in a federally qualified health center, free clinic, nonprofit clinic, safety-net healthcare, or similar setting
• Experience serving uninsured or underinsured populations
• Experience in population health, quality improvement, or care management
• Relevant certification in care coordination, case management, diabetes education, or another specialty
• Experience with grant-funded programs, community health initiatives, clinical protocols, workflows, or patient education programs
• Bilingual or multilingual skills relevant to the clinic's patient population

Responsibilities

• Coordinate comprehensive care for patients with acute, chronic, complex medical, and social needs, including assessment, triage, care planning, transitions of care, and follow-up.
• Review clinical information, including medical records, laboratory and diagnostic results, referrals, and hospital/ED discharge information, to identify and address follow-up needs.
• Coordinate referrals, diagnostic testing, medications, and communication among patients, providers, pharmacies, specialists, hospitals, and community resources.
• Identify high-risk patients and barriers to care and implement appropriate interventions to improve access, adherence, continuity, and outcomes.
• Support medication reconciliation and adherence and follow up on abnormal results in accordance with provider recommendations and clinic protocols.
• Maintain timely, accurate, and complete documentation in the EHR and appropriately escalate urgent or emergent clinical concerns.
• Provide individualized, culturally and linguistically appropriate education related to diagnoses, medications, treatment plans, prevention, nutrition, physical activity, and healthy lifestyle behaviors.
• Support chronic disease prevention and management and promote preventive care, including immunizations, screenings, and health maintenance.
• Help patients establish achievable self-management goals and use evidence-based approaches, including motivational interviewing, to support behavior change and treatment adherence.
• Develop or adapt patient education materials and participate in group education, community health programs, and outreach activities as appropriate.
• Oversee and coordinate daily clinical operations and patient flow in collaboration with the Medical Director and COO to promote safe, efficient, and patient-centered care.
• Supervise, train, mentor, and support clinical support staff as assigned, including delegation, competency development, performance feedback, and accountability.
• Develop, implement, and maintain clinical workflows, protocols, standing orders, safety procedures, and operational processes.
• Coordinate staffing, scheduling, clinic readiness, supplies, equipment, medications, vaccines, and emergency resources.
• Promote effective communication and teamwork across clinical, administrative, and volunteer staff and identify and resolve operational or workflow issues.
• Monitor clinical, preventive, operational, and population health measures and identify gaps in care or opportunities for improvement.
• Conduct or support patient outreach, chart audits, quality assurance activities, and interventions to improve completion of screenings, laboratory monitoring, referrals, immunizations, and chronic disease care.
• Participate in quality improvement, patient safety, and evidence-based practice initiatives and track relevant outcomes and metrics.
• Assist with regulatory, accreditation, grant, and programmatic reviews and support implementation of organizational quality and safety priorities.
• Practice within the RN scope of practice and comply with applicable federal, state, and local laws, regulations, and professional standards.
• Maintain compliance with HIPAA, OSHA, infection prevention and control requirements, and organizational policies.
• Promote patient confidentiality, safety, accurate documentation, appropriate clinical escalation, and timely reporting of incidents or safety concerns.
• Collaborate with leadership to develop, implement, and update clinical policies and procedures and support organizational risk-management and compliance activities.
• Provides clinical leadership and mentorship to assigned staff and serves as a clinical resource for the care team.
• Responsibilities include appropriate delegation, coaching and feedback, conflict resolution, promoting teamwork and accountability, and supporting patient safety, quality, and service standards in collaboration with the COO and Medical Director.

Benefits

• Health insurance
• Dental insurance
• Vision insurance