Clinic RN

Clinic Registered Nurse

Neighborhood Health Center is a non-profit organization local to Portland, OR serving underserved patients in the areas of primary care, internal medicine, dental services and more. Our patient-centered approach to care honors the unique needs and circumstances of each individual patient. NHC sees people, not problems, and recognizes that the time spent as a patient in a doctors office is only one factor in a persons overall health. Our leading edge, integrated clinical teams work in partnership with patients, their families, and the communities we serve to provide whole-person care, prevention, and ongoing support.

NHC is an Equal Opportunity Employer. We celebrate differences in the workplace and do not discriminate in employment opportunities or practices on the basis of race, color, religion, gender (sex), national origin, age, veteran status, sexual orientation, gender identity, disability, genetic information or any other characteristic protected by law.

The Clinic Registered Nurse delivers nursing care to Neighborhood Health Center (NHC) patients in a Primary Care Clinic. This role works collaboratively with all members of the healthcare team and requires the ability to apply the nursing process (assessment, diagnosis, planning, implementation, and evaluation) to all care provided. Registered Nurses are expected to understand and follow the Oregon Nurse Practice Act as administered by the Oregon State Board of Nursing and practice according to their nursing scope.

Essential Job Duties

• Performs comprehensive health assessment of patients by completing the nursing process. Identifies actual and potential health needs based on medical, mental/emotional, financial, and social factors.
• Triages minor to emergent situations in person or telephonically to identify the nature and urgency of the patient's health care needs and then determines appropriate disposition, including scheduling of appointments in electronic medical record. NHC uses electronic triage protocols as a tool to assist in triage.
• Responds to medical emergencies within the clinic setting.
• Completes all in person and telephonic interactions in a timely, professional manner with courtesy and respect.
• Accepts responsibility for the interactive process that occurs in person and over the telephone with the patient.
• Manages an Epic in-basket of patient calls, MyChart messages, test result notifications, and other messages that directly impact patient care plans.
• Provides care for patients using NHC approved clinical protocols.
• Assist patients to maintain maximum quality of life by coordinating services of community agencies and encouraging preventive practices.
• Assist patients to establish short and long-term goals to obtain optimum level of health through advocacy, counseling, teaching, problem solving, and utilization of resources.
• Consults and coordinates with health center team members to develop and implement comprehensive patient care plan based on assessment.
• Performs RN led patient visits for health maintenance, patient education, and treatment of acute issues based off protocols and provider orders.
• Administers medications and immunizations as ordered by an authorizing NHC provider or via NHC approved clinical protocols.
• Instructs individuals, families, and other groups on topics such as health education, disease prevention, and develops health improvement programs.
• Monitors, plans, implements, and evaluates coordination and management for patients with chronic illnesses.
• Accurately, concisely, and succinctly document all patient contacts in the electronic medical record.
• May assist with phlebotomy, CLIA waived point of care testing, in clinic EKGs, and other primary care procedures as necessary in times of staffing constraints.
• Actively participates in the management of the clinic vaccine program.
• Implements required nursing procedures consistent with NHC procedures/protocol.
• Participates in process and quality improvement workflows.
• Assists in new employee orientation, onboarding, and training.
• Participates in nursing team and clinic daily huddles at the start of the workday.
• Performs other duties as assigned.

Qualifications

• This position requires an Associate Degree in Nursing; a Bachelor of Science in Nursing degree is preferred.
• A minimum of 2 years of nursing experience is preferred.
• This position requires completion from an accredited school of nursing.
• 1-3 years related experience and/or training preferred in a Federally Qualified Health Center (FQHC) or primary care field is required.
• Previous EPIC or EHR experience is preferred.
• Ability to fluently speak, read, and write in Spanish is highly preferred.

• This position requires a current, unrestricted Oregon RN license.
• A current, unrestricted Washington RN license required (or ability to obtain within 6 months of hire).
• Active BLS certification required.
• National Provider Identifier (NPI) required, upon hire

Knowledge, Skills, Abilities & Behaviors

• Ability to work independently to the full ability of RN licensure.
• Knowledge of the principles, practices and procedures of community health nursing, managed care, and consultation, including socioeconomic and cultural factors, methods and techniques of crisis intervention.
• Ability to communicate professionally and effectively both orally and in writing with a service-oriented approach, sometimes in stressful circumstances, with patients, coworkers, and the public.
• Remains calm and effective in high pressure and emergency situations.
• Must be able to display sensitivity to the population and patients served.
• Ability to use good judgement in difficult situations.
• Ability to demonstrate proficient use of the EPIC Electronic Health Record.
• Working knowledge and proficiency of MS Office Suite (Outlook, Word, Excel) and desktop publishing software.
• Ability to comply with all HIPAA, OSHA, and Neighborhood Health Center policies and procedures.
• Ability to learn and adapt to changing information and/or policies and procedures.
• Ability to enter in data accurately with attention to detail.
• Knowledge of customer service principles and practices.
• Ability to work in a fast-paced environment.
• Ability to answer and utilize multiple line telephone.
• Must be able to demonstrate a record of reliable attendance and punctuality.

Working Conditions

• The noise level in the work environment is usually moderate to loud based on patient volume.
• As a result of high patient volume, this position experiences stressors that come along with a fast-paced environment.
• Must be able to travel during the workday and/or cover at other locations as needed.
• While performing the duties of this job, the employee may be exposed to toxic chemicals or blood borne pathogens and regularly handling contaminated sharp instruments.

Physical Demands

• Regularly sit or stand while working on the computer; use hands and fingers to handle, control or feel objects tools or controls; repeat the same movements when entering data; ability to differentiate between colors, shades, and brightness; read from a computer screen for extended periods of time.
• Frequently stand and walk around the office to gather supplies, required to do filing, use office equipment, or collaborate with patients or employees.
• Occasionally stand, stoop and lift or move objects, equipment and supplies weighing approximately 20-25 pounds up to 40-50 pounds.
• Speak clearly so listeners can understand both in person and telephonically.
• Hear and understand the speech of another person both in person and telephonically.

Neighborhood Health Center Employment Offers are contingent on successful completion of reference checks, background checks, drug screening for illegal substances, Tuberculosis, and any position specific credentialing or licensure requirements.

Neighborhood Health Center