Advanced Licensed Practical Nurse, Ambulatory Care

Sea Mar Community Health Centers, a Federally Qualified Health Center (FQHC) founded in 1978, is a community-based organization committed to providing quality, comprehensive health, human, housing, educational and cultural services to diverse communities, specializing in service to Latinos in Washington State. Sea Mar proudly serves all persons without regard to race, ethnicity, immigration status, gender, or sexual orientation, and regardless of ability to pay for services. Sea Mar's network of services includes more than 90 medical, dental, and behavioral health clinics and a wide variety of nutritional, social, and educational services.
We are recruiting for the following position: Sea Mar is a mandatory COVID-19 and flu vaccine organization.
Job Title: Nurse Manager Duties and Responsibilities
The primary role of the Nurse Manager is to coordinate nursing roles and responsibilities to ensure effective patient care is being provided. In doing so, each patients will receive quality, patient-centered care following clinical guidelines for both preventive care and chronic disease management. The Nurse Manager is considered a leader of the local operations team and works collaboratively with the Clinic Manager, Medical Director and other departments to ensure all performance measures are met, which include but are not limited to clinical quality measures, provider productivity and resource management. Additionally, outreach may need to be performed for patients who have care gaps or who have yet to be seen. The Nurse Manager is responsible for the implementation of evidence-based practices and ensures nursing care practices are consistent with standards of care and practice regulations. The Nurse Manager is responsible for evaluating clinic operations and performances, and continually evaluates programs, processes and procedures, and implements and sustains changes in cohesion with Sea Mar practices. As a licensed professional, the Nurse Manager holds a leadership position in the organization and within the clinic. She/he implements changes as necessary to maintain quality care and competent staff. The Nurse Manager provides clinical and administrative supervision of all clinical care team personnel in the clinic, including registered nurses (RNs), licensed practical nurses (LPNs) and medical assistants (MAs), and functions as the site supervisor for other ancillary staff such as care coordinators, integration specialists, health educators, health advocates and others as directed. The Nurse Manager is responsible for ensuring all employees adhere to the AIDET model of service with the expectation that every employee provides exceptional service to every person, every time.
Essential duties and responsibilities:

Provides leadership and guidance to other nurses and clinical staff.
Supervises, trains and evaluates the performance of clinical care team staff, including medical assistant supervisors, medical assistants and other licensed nurses.
Supervises ancillary employees including care coordinators, integration specialists, health educators, health advocates and others as directed.
Provides staff training using a variety of methods and assesses competency by administering competency tests.
Addresses personnel issues to promote a productive and supportive work environment.
Monitors staff performance relative to quality patient care.
Actively participates with executive management, interdisciplinary teams and other stakeholders to develop, implement and evaluate programs and services.
Applies evidence-based healthcare practices and nursing standards according to organizational protocols.
Reviews and analyzes clinic and organizational data to measure the effectiveness of quality patient care.
Confers with Clinic Manager and Medical Director to ensure 18-21 patients seen by provider per day.
Teaches and demonstrates skills necessary to provide care appropriate to the age of patients served.
Teaches and demonstrates the principles of growth and development over the lifespan.
Teaches clinical guidelines for preventive care and chronic disease management. This includes understanding the needs of patients according to age, gender and clinical presentation.
Oversees and coordinates the daily operations of the clinic in the absence of the Clinic Manager.
Conducts nursing audits to measure staff performance and quality measures. The interval of audits may be daily, weekly or monthly as directed by performance.
Utilizes the nursing model of identifying, implementing and evaluating performance plans using PDSA as the improvement tool.
Plans and implements on-going in-service trainings for staff according to the established requirements. Trainings include annual corporate trainings, QI trainings specific to the nursing department and infection control, and any trainings needed to accommodate system or regulatory changes.
Ensures medication administration, storage, maintenance, dispensation and waste logs are maintained in accordance with Sea Mar policies and procedures.
Ensures quality controls are performed and documented as required.
Assures infection control measures are appropriately implemented in the clinic. Includes surveillance and prevention of the spread of infection.
Oversees the disinfection and sterilization of equipment.
Manages resources during outbreaks and when there is an influx of patients.
Trains staff on the use of personal protective equipment.
Demonstrates knowledge, proficiency and compliance with regulatory requirements including, but not limited to: The Joint Commission, NPSG, Clinical Quality Measures, Department of Health, and contractual obligations. Provides training and oversight of clinic staff in these areas.
Coordinates annual employee health screenings.
Ensures all medical and nursing policies and procedures are followed and implemented.
Monitors the provider/medical assistant huddle to ensure huddle time is used in an effective and productive manner, and is used to identify gaps in care for both preventive and chronic disease measures.
The Nurse Manager is ultimately responsible for delivery of care as it relates to Clinical Quality Measures and supporting services to ensure 18-21 patients seen by provider.
Manages tracking activities such as childhood immunizations, chronic disease management, abnormal pap smears, abnormal mammograms and other clinical measures as identified by the organization.
Oversees the responsibilities of the MA/Nurse Supervisor to ensure referrals are being processed in an efficient and timely manner per organizational policy.
Hires, trains and evaluates performance of MA Supervisor, performance plans for staff who are not meeting employment standards.
Works with, and provides direction and support to MA/Nurse Supervisors in evaluating MA performance.
Oversees the work of MA/Nurse Supervisors relative to staff and patient schedules in order to assure maximum patient accessibility and organizing staff resources to meet clinic needs.
Manages patient grievances.
The Nurse Manager will at times be required to function as a relief nursing supervisor or consultation nurse, perform nurse visits, or work directly with providers according to the specific needs of the site.
Manage incoming calls and messages for the providers on assigned pod in a personalized and efficient manner. This may require the use of standing orders to manage patient requests for medication refills, etc. Any calls referred to you requiring additional follow-up will be resolved by you within 1 business day.
Follows the AIDET model of customer service to ensure patients, peers and visitors have an exceptional experience during their visit.
Implements team-based care by following the Synchronization Model of Care as part of our Patient Centered Medical Home recognition.
Ensures that all medical policies and procedures are followed and implemented.
Annually signs a confidentiality statement that covers all patient-related information.
Other duties as assigned.
Personnel and Performance Metrics
Will support a team to see an average of 21 patients per provider (MD) or an average of 18 patients per provider (ARNP/PA). Will ensure all patients are being seen in a safe and timely manner. Will ensure medication administration, storage, maintenance and dispensation and waster logs are maintained in accordance with Sea Mar policies and procedures. Track, perform and complete Clinical Quality Measures for their teams. Collect, screen and perform clinical quality measures for every patient roomed, ensuring quality controls are performed and documented daily. Will provide highest customer service at each patient visit including escorting each patient to and from the treatment rooms. All referral calls referred to you requiring additional follow-up will be resolved within one (1) business day.
Desired Qualities and Qualifications

Must have graduated from an accredited college or university with an active RN license in the state of Washington.
LPNs will be considered if they possess equivalent experience to satisfactorily meet the qualifications.
Ambulatory care and supervisory experience highly preferred.
Bilingual English/Spanish strongly desired.
Ability to read and write proficiently in English.
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required.
Must demonstrate a strong work ethic, honesty and dependability.
Must be able to maintain the understanding of physical health, emotional stability and personality suited to meet the physical, mental, emotional and social needs of the population served.
Must possess strong leadership and management skills with a strong clinical background in ambulatory care.
Must be able to interact sensitively and effectively with people of diverse backgrounds.
Must be able to perform procedures such as IV access, pediatric and adult catheterization.
Must have a strong clinical understanding of physiology and psychosocial dimensions of health as well as principles of health education.
Must possess excellent problem solving abilities.
Must demonstrate clear and concise written and verbal communication.
Must be able to calculate medical dosages (i.e. mg to ml).
Should be able to analyze and present simple data as needed for reports.
Must possess the ability to solve practical problems in a variety of situations where only limited standardization exists.
Must be able to make decisions independently and have a good sense of medical priority.
Must be able to anticipate the needs of patients and providers according to clinical presentation.
Must be able to anticipate the needs of the clinic according to existing demands and resources and based on historical trends.
Must be able to problem solve creatively in a variety of situations and circumstances.
Ability to interpret a variety of instructions furnished in written, oral, diagram or schedule form.
Must be computer literate and proficient in software including Microsoft Word, Excel, and Outlook.
Will be expected to use SharePoint, Arcadia, One Health Portal, Health Plan Finder, electronic health records, EKG monitors, retinal cameras and other technical resources as needed.
Must be proficient with Sea Mar’s patient management and electronic health records systems before end of probationary period.
Certificates, Licenses, Registrations, and Medical Screening

Must have licensure in the State of Washington, RN or BSN preferred.
LPN may be considered depending upon experience.
Must undergo state mandated HIV education.
This position must obtain Basic Life Support (BLS) CPR within 90 days of hire date and is required to maintain current BLS CPR throughout employment.
Additional Requirements

Pre-hire and annual employee health screening required
Annual influenza vaccine required. Only exception is for employees with a medical or religious exemption approved by Administration. Employees with an approved medical or religious exemption must wear a mask at all time during the flu season.
Work Environment
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. The noise level in the work environment is usually moderate. The Nurse Manager may be required to share workspace with other staff members.
Physical Requirements
While performing the duties of this job, the employee is regularly required to walk, talk and hear. The employee is frequently required to stand, use hands to finger, handle or feel, and reach with hands and arms. The employee must frequently lift and/or move up to 10 pounds and occasionally lift and/or move up to 50 pounds. There is potential for exposure to communicable diseases and blood-borne pathogens.
Supervision

Nurse Supervisor
MA Supervisor
Medical Assistants
Referral Tracking Specialists
Infant Case Managers/Community Health Worker/OB Coordination
Care Coordinators
Integration Specialist
Lab Personnel
Externs
Salary
Salary - Salary Plan, 90,000.00 USD Annual
What We Offer
Sea Mar offers talented and motivated people the opportunity to work in a dynamic and growing community health organization. Working at Sea Mar Community Health Centers is more than just a job, it's a fulfilling career with opportunity for advancement. The fringe benefits surpass most companies.

• Medical
• Dental
• Vision
• Prescription coverage
• Life Insurance
• Long Term Disability
• EAP (Employee Assistance Program)
• Paid-time-off starting at 24 days per year + 10 paid Holidays
• 401(k)/Retirement options
• Opportunities to work in a culturally diverse environment

Sea Mar is an equal opportunity employer.
Sea Mar Community Health Centers, founded in 1978, is a community-based organization committed to providing quality, comprehensive health, human, housing, educational and cultural services to diverse communities, specializing in service to Latinos in Washington State. Sea Mar proudly serves all persons regardless of their ability to pay for services. Sea Mar's network of services includes more than 90 clinics.
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