Per Diem Health Center Nurse

Registered Nurse Position

Applications are accepted until there are sufficient numbers of qualified applications or qualified candidate has been identified. The position could possibly close at any time.

Under the supervision of the Operations Manager, provides comprehensive nursing services including assessment, education, counseling, and prevention services to individuals and families to promote health throughout the community. Participates in the operation of health centers and programs, maintains patient and program activity records, and educates patients on a variety of health topics.

Essential Functions

1. Interviews patients and conducts health assessments including conducting physical assessments, obtaining blood pressure, temperature, measurements, and other data and developing information on health and diet history and family health status. Provide drive-thru services for testing and/or immunizations.
2. Assesses various tests and screening results and correlates them with health history and physical assessment. Determines absence or presence of abnormalities in the health history, physical examination, and health maintenance activities. Reviews lab results and specialist reports and refers to the appropriate medical provider in a timely manner.
3. Arrange diagnostic testing, specialized medical procedures, and specialty referrals. Completes necessary paperwork, contacts specialist's offices, hospitals, labs, or other facilities to schedule appointments. Completes paper work, mails copies to patient and/or caregiver, and refers to proper personnel to complete referral authorizations as needed. Assist with specialized medical procedures.
4. Obtains appropriate authorizations for medical care, communicating with patients and case managers regarding issues related to authorizations, benefits, and medical treatment, and surgery schedules. Resolves problems with insurance providers. Complete prior authorization (PA) requests.
5. Refers patients for diagnostic tests. Coordinates paperwork including prior authorizations obtained. Notifies patient of appointments and educates regarding required preparation.
6. Provides Case Management/Care Coordination evaluation to patients who have high risk health care needs to ensure optimal outcome of care or refers them to other department staff for evaluation. Perform Care Management between the health center and hospitals, emergency rooms, and other outside facilities.
7. Reviews written prescriptions with patient and/or caregiver, providing education regarding side effects, dosage, and any special instructions.
8. Assists medical provider with physical assessments and procedures as needed. Perform treatments, administer medications and injections and performs testing per provider orders. Educate patient and/or caregiver in the proper way to collect specimen in order to obtain accurate results.
9. Maintains patient charts, ensuring proper documentation of clinic visits, diagnosis, treatments, and medications. Document patient's diagnosis and procedures for accurate billing.
10. Triages calls or visits from patients and/or caregivers. Determines needs and initiates appropriate action such as intervention, appointment, after hour clinic referral, or answering patient questions. May initiate appropriate action by using standing orders for over-the-counter medications or referring to provider, calling parents/guardians, and/or administering medical provider ordered medications.
11. Assists with diverse cultures including non-English speaking patients to overcome barriers in obtaining equitable health care.
12. Reports cases of suspected abuse or neglect of children and adults to the proper authorities in accordance with department policy and state law.
13. Assesses the immunization status of patients. In accordance with written protocols, administers immunizations and documents immunization records. Managing vaccine inventory. Reconcile immunizations from MCIR to the Electronic Health Record.
14. Ensures that client records are kept secure and confidential and maintained consistent with Health Department policies and procedures and HIPAA standards. Educates patients and families on their rights as related to privacy of medical information.
15. Manage monthly inventory of 340B stock, administer 340B meds at scheduled nurse visits under standing orders/provider orders/recurring orders. Responsible for receiving medication samples. Perform monthly checks of ER bag supplies.

Other Functions:

• During a public health emergency, the employee may be required to perform duties similar to but not limited to those in his/her job description.

An employee in this position may be called upon to do any or all of the above tasks. These examples do not include all of the tasks which the employees may be expected to perform.

Employment Qualifications

Education: Graduation from an accredited school of nursing.

Experience: Two years of nursing experience, preferably in a physician's office or similar setting.

Other Requirements: Possession of a current license to practice as a Registered Nurse in the State of Michigan.

Demonstrates effective communication skills by engaging, interacting and working with all individuals to ensure clarity and understanding in all interactions.

The qualifications listed above are intended to represent the minimum skills and experience levels associated with performing the duties and responsibilities contained in this job description. The qualifications should not be viewed as expressing absolute employment or promotional standards, but as general guidelines that should be considered along with other job-related selection or promotional criteria.

Requirements and Working Conditions

Physical Requirements:

• Assists clients to examination tables.
• Stooping and bending to examine clients.
• Restraining children while administering injections.
• Ability to lift, carry, and transport equipment and supplies.
• Ability to access office files.
• Ability to enter and access information using a computer.

Working Conditions:

• Works in office and clinic conditions.
• Often works under very disruptive conditions.
• Exposure to communicable diseases and blood and other bodily fluids.