RN, Clinic - Nantucket

Job Summary

The RN is a licensed professional who supports medical providers in delivering patient and family centered health care in an ambulatory care setting. The nurse reports to the Nurse Director and is responsible for working side by side with the providers, hospital leadership, and health care team to oversee the delivery of quality patient care through the daily operations of the office, which may include the supervision of the medical assistants (MA).

Essential Job Duties and Responsibilities

• Participates in day-to-day clinical activities to ensure a patient focused, quality environment of care.
• Ensures compliance with NCH/NCMG best practices and policies.
• Maintains a safe environment for patients/family members/staff.
• Collaborates with Practice Supervisor, Practice Director, Clinical Nurse Director, Community Affiliate Practices, and hospital leadership to identify current and future practice needs.
• Participates in the development of work plans and implements changes to support primary care and specialty models.
• Participates in special projects as assigned.
• Promotes an environment sensitive to culturally diverse needs of patients and staff.
• Facilitates positive working relationships among departments of MGH/NCMG and NCH.
• Complies with and monitors adherence to HIPAA policies and procedures.
• Creates and maintains policies, procedures, and guidelines related to practice operations.
• Serves as departmental resource for preparation for Joint Commission and other regulatory site visits.
• Implements quality measures as directed by MGH/NCMG and NCH Quality teams.
• Participates in government and private insurers programs to ensure practice flow supports quality goals.
• Meets hand hygiene and other infection control practices.
• Maintains necessary clinical skills through self-directed clinical practice and self-examination.
• All other related duties to support optimal functioning of NCMG & Specialty offices.

Specific Job Duties and Responsibilities

• Handles calls from patients and/or patient representatives seeking medical information and/or medical attention.
• Facilitates scheduling of appointments as patient's condition requires, answers questions, and provides health education.
• Participates in daily morning huddle, proactively identifying clinical care, concerns, and needs.
• Helps facilitate processing of medication refills.
• Conducts patient call-backs/follow-up calls within a timely manner and documents interaction within the EHR.
• Supports office team with obtaining required medical records/consults/test results.
• Completes medical and treatment pre-authorizations in a timely manner.
• Helps make referrals to outside institutions if clinical expertise is needed.
• Assists providers and other office staff with scheduling patients for required medical appointments.
• Assists provider with EMR inbasket management.
• Administers immunizations within established practice guidelines.
• Completes pre-visit comprehensive assessment, intake, and history of new patients.
• Rooms patients and prepares patient and room for the provider.
• Reviews and documents all relevant clinical information in patient records.
• Completes screening and evaluation forms (PEDS and Post-Partum Screenings).
• Reviews PROMS questionnaire.
• Confirms all appropriate patient consents for treatment/care are obtained.
• Ensures all required insurance/forms are reviewed and signed by the patient.
• Provides comprehensive teaching and education to patients and/or families.
• Assists provider with treatments/screenings.
• Completes medication/treatment pre-authorizations.
• Completes all nurse visits in a timely manner.
• Completes coding within the EHR in accordance with documented industry standards and Partners Policy.
• Sends/responds to clinical messages in a timely manner.
• Assists other nurses as needed.
• Keeps rooms adequately stocked.
• Assists patients in and out of wheelchairs and other assistance as needed.
• Other duties as assigned.

Telephone Triage

• Responds to patient phone calls in a timely manner, collecting sufficient information related to presenting problem and medical history.
• Furnishes medical advice within the scope of the practice.
• Facilitates scheduling of appointments based on necessity.
• Accurately documents the encounter with the patient in the EMR.
• Maintains work queue within the EMR.

Essential Qualifications, Knowledge, Skills, and Abilities

• Knowledge of basic nursing principles.
• Good computer skills, including Microsoft Office, electronic medical record systems, and medical office practice applications.
• Effective analytical skills.
• Demonstrated strong and effective interpersonal and communication skills.
• Demonstrated leadership and management skills.
• Ability to tactfully communicate with internal and external customers.
• Ability to use fingers and hands to operate department-related equipment.
• Ability to frequently bend, using back and knees.
• Ability to stand and walk 40%, sit 60% of the time.
• Ability to frequently climb, bend, reach, stoop, squat, help lift objects from five to fifty pounds and move patients via wheelchair or stretcher.
• Ability to independently lift from five to twenty-five pounds.
• Ability to present themselves in a professional manner.
• Ability to develop rapport with providers, clinical staff, patients, and families.
• Ability to work independently and cooperatively with managers, employees, vendors, contractors, and other agencies.
• Demonstrated ability to be flexible, highly organized, and make independent decisions in response to operational issues.
• Knowledge of basic principles of practice/departmental management.

Credentials and Experience Required

• Graduate of an Accredited Nursing School.
• Current Registered Nurse licensure in Massachusetts.
• BLS/CPR certification required within one week of hire. AHA & ARC accepted.
• Other certifications as needed to perform clinical tasks within the clinical setting as required.
• Minimum of 3 years relevant clinical experience preferred.