Clinical Nurse II- Concierge Medicine

Clinical Nurse II- Concierge Medicine

We are seeking a Clinical Nurse II in our Duke Signature Care clinic located in Durham, NC to be an integral member of the healthcare team and provide direct and indirect care to patients. Independently plan and provide professional nursing care for patients in ambulatory clinic settings in accordance with the medical and nursing plans of care and established policies and procedures. Provide nursing services to patients and families in accordance with the scope of the RN as defined by the North Carolina Board of Nursing. Address patient phone calls and coordinate care needs in an ambulatory concierge practice/ Primary Care Medical Home. Includes, but not limited to, triage of acute care needs utilizing approved protocols when appropriate; obtaining medical documents; prescription refills; managing home health supplies and equipment; and scheduling patient visits.

Job duties and responsibilities include:

• Participate in daily huddles with providers and clinical team to coordinate patient care needs.
• Plan, provide and document professional nursing care in ambulatory settings, utilizing the nursing process, in accordance with physician orders and established policies and procedures.
• Perform patient assessment on intake and documentation utilizing double identifiers including reason for visit, vital signs, medication reconciliation, falls risk, goals, learning assessment, PHQ2/9, SDOH, patient screening for immunizations, and appropriate forms.
• Collect and analyze patient data, make recommendations for nursing care plans, evaluate nursing care provided, document and communicate appropriately nursing actions taken and patient responses.
• Address staff messages, patient prescription refill requests patient calls, prior authorizations, faxing, etc. during work shift; walk-in and telephone patient triage when needed.
• Perform EKG's ear lavage, administer medications (PO, IM, ID, SQ, topical, inhalation), immunizations, nebulizer treatments, suture removal, wound dressings and pulse oximetry as needed.
• PIV insertion for patient hydration and urinary catheterization as ordered by provider.
• Perform checks, maintains clinic logs for equipment, supplies, medication, refrigerators, and runs controls in accordance with appropriate policy.
• Clean exam rooms, stock, check for expiration dates, and document on appropriate log.
• Participate in the identification of clinical, operational and safety related performance improvement opportunities.
• Monitors inventory and reports to assistant nurse manager or nurse manager as appropriate.
• Maintains orderly work environment by keeping work station clean/tidy, hallways and patient care areas hazard free.
• Educates the patient, family, or support person regarding medications, treatment plan, plan of care and documents within the Electronic Health Record (EHR).
• Monitor and initiate corrective action to maintain the environment of care, including equipment and material resources.
• Participates in clinic and entity level Performance Improvement activities.
• Perform phlebotomy, point of care testing, and lab processing in accordance to policy.
• Delegate task and supervise activities of unlicensed assistive personnel; assist other nursing personnel in the delivery of patient care; Support the development of other staff and formal learners.
• Coordinate patient movement throughout clinic to ensure consultations, procedures, and other forms of care are achieved in a timely manner in accordance with physician orders.
• Perform other related duties incidental to the work described herein.

Job eligibility requirements include:

• Work requires graduation from an accredited Associate's Degree in Nursing or Nursing Diploma program.
• All registered nurses without a Bachelor's degree in Nursing (or higher) are encouraged to enroll in an appropriate BSN program within two years of their start date but must complete the BSN program within seven years of their start date.
• Exception: Registered nurses hired between July 1, 2014 and April 11, 2021 without a Bachelor's degree in Nursing (or higher) are encouraged to enroll in an appropriate BSN program within two years of their start date but must complete the program within seven years of their start date.
• Registered nurses hired before July 1, 2014 are not required to enroll in a BSN program to remain in this job classification.
• 2+ years of clinical experience is required.
• Adult Medical/Surgical, ED, Critical Care, Cardiac or previous Ambulatory Care experience with the last 5 years preferred.
• Must have current or compact RN licensure in the state of North Carolina.
• BLS required.

Job schedule: Monday-Friday day shift schedule with no weekends or Duke designated holidays.