Clinic Lead Nurse I - MOHS Surgery - MUSCP

Job Description Summary The Clinic Lead Nurse I will provide frontline clinical care and daily leadership in a high-volume, nationally respected MOHS Surgery Clinic at the Medical University of South Carolina. Reporting to the Ambulatory Service Manager, this role supports safe, efficient clinic operations while serving as a visible clinical leader for an experienced, well-established, and high-performing nursing team. Nurses in this role practice hands‑on surgical nursing, functioning as first‑assist and circulator/floater, and independently managing nurse‑driven suture checks and wound care visits. The Clinic Lead RN collaborates closely with surgeons, administrative staff, and histotechnologists in a highly collaborative, team‑focused environment to deliver exceptional care, support staff engagement and performance, and uphold MUSC’s high standards for patient safety, quality outcomes, and patient satisfaction. This is an ambulatory position that does not require nights, weekends, or MUSC‑recognized holiday shifts. The position primarily supports the Mt. Pleasant MOHS Surgery Clinic, with additional leadership support provided to the North Charleston MOHS Surgery team as needed. Job Responsibilities 20% Job Responsibility: Clinical Practice Assessment Planning, Implementation and Evaluation Utilize the nursing process to facilitate age‑appropriate patient care coordination activities based on individual patient needs in a safe environment. Success Criteria Assess and interpret findings for vital signs and other required body measurements. Assess and document findings from required screenings completed for the individual patient population. Evaluate and document patients’ responses to plan of care, pain, medication usage, follow‑up tests, procedures, and treatments. Coordinate care with interdisciplinary team members. Demonstrate knowledge of hospital policies, procedures, nursing standards, and legal issues in areas of specialty. Administer medicine to patients and adhere to rules, regulations and policies related to medication administration and documentation. Adhere to clinic‑specific medication policies: high‑alert, pain reassessment, standing orders, medication labeling, giving in‑clinic medications and food/drug interactions education. Follow unit and organizational policies and procedures to complete indicated clinical procedures. Assist in the development of an action plan to increase compliance and implement actions to correct identified deficiencies. Identify and participate in opportunities to share skills, knowledge, and strategies for patient care and system improvement with colleagues and other healthcare providers. 10% Job Responsibility: Patient Education and Teaching Provide patient instruction that results in increased understanding and improved outcomes. Success Criteria Document teaching in EMR following policy. Participate in updating clinic‑specific education materials. Provide and document education specific to the reason for visit/patient problem, including giving in‑clinic medications. Provide education and teaching to patients and families for medications and medication changes. 20% Job Responsibility: Coordination of Care Coordinate continuation of plan of care utilizing all methods of communication between patient and clinic. Success Criteria Adhere to unit protocols used for phone triage. Utilize EMR phone templates to document patient calls, plan of care, prescription refills and response to call. Remain within scope of practice and appropriately refer call to provider for response or signature. Maintain efficiency with call response time and requests for medication refills and other patient requests. Monitor in‑basket messaging and communicate all relevant information required to coordinate care. Complete and coordinate all relevant tests and procedures required for individual clinic specialties. 20% Job Responsibility: Commitment to Quality Patient Care, Environment, and Professional Development Facilitate departmental and/or organizational educational opportunities. Success Criteria Recognize learning needs and obtain guidance to acquire appropriate education and/or training. Proactively contribute recommendations to improve patient care and clinic operations. Encourage, advocate, and assist team with safety reporting (Sheild), investigations and resolution. Collaborate with manager to support education and team action plans to meet accountable care organizational goals. Coordinate and manage care by applying analytical reasoning, reflection, rational problem‑solving skills, using evidence‑based information and clinical judgment. Assist with the development of personal objectives. Evaluate practice through discussion with appropriate staff and self‑evaluation. Accept and utilize constructive feedback to improve performance. Assist with the coordination of competency‑based orientation for licensed and unlicensed staff in the unit. Responsible for selection and roll‑out of annual clinical competencies. Use formal and informal methods to teach. Identify and participate in opportunities to share skills, knowledge, and strategies for patient care and system improvement with colleagues and other healthcare providers. Assure that areas of responsibility adhere to relevant safety, regulatory, certification and/or accreditation standards (OSHA, JCAHO, DHEC, etc). Demonstrate effective use of computer‑based information for decision support, continuous quality improvement and professional development. 10% Job Responsibility: Understand Roles, Scope, and Responsibilities of Clinic Staff Success Criteria Utilize appropriate channels of communication for problem solving. Contribute to unit development by supporting change and offering suggestions. Demonstrate an awareness of cost effectiveness. Demonstrate a professional commitment to patients and staff by adhering to clinic procedures, MUSC policies, and scope of practice. Verify accurate documentation in EMR to enhance revenue collections. Serve as a resource to various populations for influencing the delivery of healthcare and the formation of policy. As needed, participate in direct patient care to maintain clinical skills. Resource to manager/lead/charge nurse and RN III. 20% Job Responsibility: Provide Leadership to Achieve Desired Outcomes Success Criteria Promote shared governance structure and processes. Promote a positive, motivating environment supportive of staff retention. Demonstrate high standards of patient care and function as a role model for others. Facilitate positive group relationships by promoting teamwork. Encourage and assist staff to deal appropriately with conflict; take action and coach others in resolving ongoing problems and unit issues. Delegate appropriately with defined expectations. Verify accurate documentation in EMR to enhance revenue collections. Assist with employee rounding and evaluations. Provide coverage during the manager’s absence to address department‑specific concerns. Collaborate on department staffing schedules and monitor daily staffing levels to adjust accordingly for unit acuity and census. Assist staff to work required scheduled hours and days adhering to time and attendance policies (e.g., unapproved overtime). Additional Job Description Minimum Training and Education Associate Degree of Nursing and a minimum of one year of work experience as a registered nurse are required. Previously ambulatory experience preferred. Bachelor of Science in Nursing Degree preferred. RN staff hired on or after July 1 2013 with an Associate or Diploma degree in nursing are required to be enrolled in an accredited BSN program within two years and successfully obtain a BSN degree within four years of the RN hire or reclassification date. Refer to policy A141 for more details. Required Licensure, Certifications, Registrations Current South Carolina licensure as a registered nurse or compact state required. Current Basic Life Support (BLS) required, either a certification from an American Heart Association (AHA) BLS for Healthcare Providers (or AHA‑recognized equivalent) or an American Red Cross CPR/AED for Professional Rescuer and Healthcare Provider. ACLS if required by clinic. Physical Requirements Continuous requirements are to perform job functions while standing, walking, and sitting. Ability to bend at the waist, kneel, climb stairs, reach in all directions, fully use both hands and legs, possess good finger dexterity, perform repetitive motions with hands/wrists/elbows and shoulders, reach in all directions. Ability to be qualified physically for respirator use, initially and as required. Maintain 20/40 vision corrected, see and recognize objects close at hand and at a distance, work in a latex‑safe environment and work indoors. Frequently lift, lower, push and pull and/or carry objects weighing 50 lbs (+/-) unassisted, exert up to 50 lbs of force, lift from 36” to overhead 25 lbs. Infrequently work in dusty areas and confined/cramped spaces. The Medical University of South Carolina is an Equal Opportunity Employer. MUSC does not discriminate on the basis of race, color, religion or belief, age, sex, national origin, gender identity, sexual orientation, disability, protected veteran status, family or parental status, or any other status protected by state laws and/or federal regulations. All qualified applicants are encouraged to apply and will receive consideration for employment based upon applicable qualifications, merit and business need. Medical University of South Carolina participates in the federal E‑Verify program to confirm the identity and employment authorization of all newly hired employees. For further information about the E‑Verify program, please click here: #J-18808-Ljbffr