Clinic Nurse

Job Number: 414

Location : Midland

Supervises : None

FLSA : Exempt if RN

Division : BAS

Status : FT

Salary : $14.67 for CNA/CMA; $23.62 for LVN; $29.82 for RN. Sign on bonus may be available.

Shift : M-Th 8am - 5:30pm F 8am - 12pm; Assigned work hours may change as the needs of the agency and clients change

Driving required : Y

Travel required : Y

Settings : office

POSITION SUMMARY/JOB PURPOSE:

The Clinic Nurse assists with meeting the needs of complex medical patients, including assessment, education, referrals, and follow-up care for individuals with HIV in the Basin Assistance Services (BAS) program. This position provides nursing care including but not limited to administering medications, immunization and collecting specimen including blood and urine and treatments in compliance with a medical provider's orders, BAS policies, and State of Texas guidelines. The Clinic Nurse interprets information obtained from patient and others, including the health care team, and documents all clinical care in the patient's electronic medical records accordingly. This position provides general care coordination including but not limited to patient triage, phone call-backs, prescription refills, lab ordering and interpretation, prior authorization of medication when required.

This position works independently, under limited supervision, reporting major activities through periodic meetings.

EDUCATION, EXPERIENCE, OTHER QUALIFICATIONS:

Education Required: High School Diploma or GED.

Experience Required: At least 1 year experience in medical setting or nursing field.

Registration, Certification, Licensure or other Qualifications Required:

• Must maintain a valid Texas Driver's license, auto liability insurance and a driving record acceptable to PermiaCare's insurance requirements.
• Required to pass criminal history and background checks as well as pre-employment
• drug screen.
• Current and valid Texas certification or license as Medical Assistant, Certified Nursing Assistant, Licensed Vocational Nurse, or Registered Nurse.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

• Schedule clients to be seen in the clinic as needed.
• Triage with medical services in clinic as indicated by a medical provider.
• Administer immunizations as required by provider and state standards.
• Review client chart and immunization schedule requirements to determine needed immunizations and administer during clinic visit or schedule to be administered via use of standing orders.
• Review client charts after each clinic and submit orders for lab work requested by each provider.
• Collect specimens as ordered by medical providers or standing orders.
• Review client charts for pending orders or need of lab work to be seen by medical provider.
• Review and refill medications as appropriate.
• Maintain medical records in all EHRs and databases.
• Maintain BAS inventory and adequately stock medical supplies.
• Maintain medical scanning.
• Keep proper inventory of vaccines.
• Monitor refrigerator and freezer temperature daily.
• Ensure clinic area is sanitized properly after each use.
• Coordinate referrals given to case managers.
• Enter accurate and appropriate documentation of services within timeframe required.
• Maintain confidentiality of sensitive records and treatment information, client files and protected health information in compliance with HIPAA, laws, rules and regulations, and established procedures.
• Maintain regular and reliable physical on-site attendance. Regular attendance, dependability, and promptness are required for the scheduled work day 100% of the time, to ensure consistency and completeness of program's processes.
• Comply with the Abuse, Neglect, and Exploitation policy and reporting requirements.
• Adhere to the Code of Conduct and Standards of Behavior policy requirements.
• Establish and maintain effective work relationships with individuals served and their families, supervisors, co-workers and visitors by demonstrating cooperative, courteous and respectful behavior at all times.
• Communicate regularly with supervisor.
• Open and process mail/email in a timely manner.
• Answer phone, collect phone messages and respond to requests timely and accurately.
• Maintain safe and clean working environment by complying with procedures, rules and regulations.
• Perform all work functions and interactions using a trauma informed approach.
• Display professionalism when representing PermiaCare and the program in the community.
• Maintain compliance with legal requirements and company policies and procedures.
• Maintain valid and current driver's license, auto insurance, acceptable driving record and reliable transportation at all times. Driving may be required for this position.
• Complete all training as assigned prior to due date.
• Other duties as assigned.

MARGINAL DUTIES AND RESPONSIBILITIES (these duties are not designated as essential for the purposes of ADA; they are still required duties):

• Answer BAS phones as needed.
• Fill in for other BAS staff as needed.
• Provide translation, if applicable.
• Participate in team meeting or staffings.
• Participate in community activities and/or attends community meetings as needed.
• Participate in workgroups and committees as assigned.

KNOWLEDGE, SKILLS, ABILITIES AND COMPETENCIES:

• Knowledge of HIV/AIDS and other infectious diseases.
• Knowledge of clinic operations and universal precautions.
• Knowledge of telemedicine.
• Ability to assess, observe and speak to patients.
• Ability to record details and symptoms of patient medical history and current health.
• Ability to prepare patients for exams and treatment.
• Ability to safely administer medications and treatments, including immunizations and monitoring patients for side effects and reactions.
• Ability to perform limited medical examinations.
• Ability to perform wound care, such as cleaning and bandaging.
• Ability to assist in medical procedures as needed.
• Ability to operate and monitor medical equipment.
• Ability to draw blood, urine samples, and other bodily fluids for lab work.
• Ability to provide patient care in a respectful, caring manner.
• Knowledge of infection control procedures.
• Ability to accurately document patient care activities.
• Basic understanding of medical terminology.
• Ability to take and record vital signs.
• Knowledge of nursing principles, practices and procedures, including Nurse Practice Act.
• Ability to calculate dosage for medications.
• Ability to communicate effectively with diverse cultures and socio-economic populations on various sensitive matters, developing health centered service relationships with patients.
• Knowledge of HIPAA and ability to protect confidentiality
• Effective multi-tasking skills.
• Good organizational skills.
• Welcoming, positive behavior.
• Ability to express self clearly and effectively, orally and in writing.
• Effective time management skills.
• Exceptional customer service skills, including positive attitude.
• Cultural sensitivity.
• Dependable attendance and punctuality.
• Knowledge of trauma informed theories, principles and practices.
• Flexibility and adaptability to different work environments.
• Excellent computer skills, including Word, Excel, Outlook, and Electronic Health Records (EHR).
• Reading and comprehending.
• Reasoning and analyzing.
• Ability to coordinate with various inter-agency personnel.
• Ability to fulfill PMAB and CPR/First Aid requirements.
• Ability to work independently.
• Good interpersonal skills, including ability to build rapport with individuals including co-workers.
• Ability to display comfort in interacting with individuals of diverse cultural, ethnic and economic backgrounds and with social service, healthcare, educational and criminal justice organizations, as needed.
• Ability to acquire and utilize new skills as the job requires.
• Ability to work cooperatively and productively with supervisor, individuals, co-workers, and groups of persons at all levels of activity, contributing to a spirit of teamwork.
• Ability to maintain highly confidential information.
• Ability to remain calm in stressful situations.
• Ability to plan and schedule work and implement directives without constant supervision.
• Model professionalism by appropriate dress, language, ethics and work habits.
• Ability to drive personal and/or company vehicle. This position may require travel to agency program sites, community and residential sites, and/or locations outside the PermiaCare catchment area. This position may require transport of agency individuals and/or individuals served.

PHYSICAL REQUIREMENTS:

Abilities Required:

• Light Lifting, under 15 lbs
• Light Carrying, under 15 lbs
• Walking
• Standing
• Sitting
• Operating office equipment
• Operating motor vehicle
• Ability to see
• Identify colors
• Hearing (with aid)
• Ability to write
• Ability to count
• Ability to read
• Ability to tell time

Other (specify): driving required. May require some travel after hours and overnight.

WORKSITE CONDITIONS:

• Travel
• Inside
• Working closely with others
• Working alone

ADA Statement: Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.

EEO Statement: PermiaCare is committed to hiring and retaining a diverse workforce. We are proud to be an Equal Opportunity Employer, making decisions without regard to race, color, ethnicity, national origin, sex, sexual orientation, gender identity, religion, age, disability, veteran status, genetic information, or any other characteristic protected by state or federal law.

This job description is not designed to cover or contain a comprehensive list of duties, activities or responsibilities that are required of the employee for this job. Duties, activities and responsibilities may change or new ones may be assigned at any time with or without notice. This job description does not constitute an employment contract with PermiaCare

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