Primary Care Liaison RN

Overview Dignity Health Medical Foundation, established in 1993, is a California nonprofit public benefit corporation with care centers throughout California. Dignity Health Medical Foundation is an affiliate of Dignity Health – one of the largest health systems in the nation - with hospitals and care centers in California, Arizona and Nevada. Today, Dignity Health Medical Foundation works hand-in-hand with physicians and providers throughout California to provide comprehensive health care services to the many communities we serve. As Dignity Health Medical Foundation continues to grow and establish new premier care centers, we provide increasing support and investment in the latest technologies, finest physicians and state-of-the-art medical facilities. Our 130+ clinics across the state of California deliver high-quality, patient-centric care with an emphasis on humankindness. Through affiliations with Dignity Health hospitals, along with our joint ventures and partnerships, we offer a robust, state-of-the-art health care delivery system in the communities we serve. We strive to create purposeful work settings where staff can provide great care, while advancing in knowledge and experience through challenging work assignments and stimulating relationships. Our staff is well-trained and highly skilled, qualities that are vital to maintaining excellence in care and service. One Community. One Mission. One California Responsibilities Position Summary: Within Dignity Health Medical Foundation, Primary Care Centers utilize the RN team-based model of care. The Primary Care RN is an integral part of the care team and performs patient care services that support the team-based care model. The Primary Care RN is expected to know his/her scope as defined by the California Business and Professional Code and function at the top of his/her licensure. The Primary Care RN works in collaboration with physicians, staff, clinic management and other healthcare professionals in a primary care medical home, in a team approach with continuous partnership with physicians and patients to promote timely access to needed care and the enhancement of patient and family well-being. The Primary Care RN uses protocol-driven standing orders to perform comprehensive support to physicians consistent with scope of practice, which may include evaluating lab data, providing instruction and education to patients, phone triage, and medication modifications. Provides coordination of care to support disease management education, facilitate diagnostic and laboratory testing, ensure timely scheduling of follow-up appointments with providers, and contribute to the ongoing development and process improvement of the clinical point of care program within primary care. Provides leadership and guidance to LVNs, MAs to ensure practice at the top of licensure within scope of practice. Coordinates resources to facilitate the patient’s progress through the continuum of care and provides patient education, disease management and population health services in support of physicians managing patients with chronic diseases. Coordinates a wide range of patient self-management support and disease registry activities and works with the extended care team to ensure smooth transitions across the continuum of care. Collaborates with the Ambulatory Care management program to refer patients who require intensive care management and ensures smooth transitions between clinic care teams and complex care teams. Qualifications Minimum Qualifications: Three (3) years’ experience as an RN. A minimum of one (1) year in the last 5 years as an RN in an ambulatory community involving care management and/or chronic disease management (including outpatient community health clinics, private physician offices, home health and hospices, public health settings, free-standing urgent care clinics) or primary care setting Graduate from an accredited school of nursing required. Clear and current CA RN license. Understanding of patient centered care, team-based care and evidence-based clinical practice guidelines. Proven ability to educate patients on self-management techniques and chronic disease/population health management. Demonstrated ability to independently assess, evaluate and interpret clinical information and care planning. Ability to perform job functions independently and with minimal supervision. Strong clinical assessment and critical thinking skills. Ability to demonstrate leadership skills to delegate and provide direction/guidance to multidisciplinary team. Effective oral, written and listening communication skills necessary for interaction with patients, families, physicians and other health team members. Able to stay organized and flexible in a work environment with multiple assignments and changing priorities. Able to operate PC-based software program. Excellent interpersonal, organizational, and customer service skills are essential. Medical terminology, and clinical reference tools CPR certification (through American Heart Association) Preferred Qualifications: Five (5) years of clinical patient care experience as an RN in a patient-centered primary care setting. Experience in care coordination and chronic disease management preferred Bachelor of Science in Nursing or other advanced clinical degree preferred Recent experience as an RN in an ambulatory community (including outpatient community health clinics, private physician offices, home health and hospices, public health settings, free-standing urgent care clinics) or primary care setting strongly preferred. Training in motivational interviewing preferred. Understanding of rapid cycle process improvement activities. Knowledge of community resources preferred. This position is represented by CNA Note: Referrals and job postings may appear with location and other job-related details; this section is retained for context only and does not convey additional requirements. #J-18808-Ljbffr