RN, Healthcare Nursing, Clinical Nurse Specialist

Overview

Provides professional nursing care for patients following established standards and practices, which can include triage (telephone and walk-in visits), and care needs that transpire between office visits. The position ensures timely access to appropriate services, reduces care fragmentation, and promotes optimal health outcomes and patient safety. Demonstrates professional clinical leadership and oversight within the scope of the RN role.

The following job functions may not be the responsibility of all RN’s. Some RN’s will be assigned work that has more focused responsibilities (example: prior authorizations or indirect work supporting a provider inbox.)

• Responsible for efficiently triaging patient needs via telephone and during visits to ensure appropriate timely access to the appropriate level of care, reducing avoidable emergency department visits and readmissions according to IHA's Policies and Protocols.
• Conducts post-discharge calls for patients experiencing a transition of care for identified populations.
• Documents clinical findings in a clear and concise manner according to IHA Policy.
• Utilizes critical thinking skills within the scope of licensure to appropriately assess patient needs and involves providers as appropriate.
• Enters orders (medication, laboratory, radiology, referrals) according to provider direction and as per state, local and professional guidelines.
• Follows clinical and nursing protocols as applicable.
• Schedules patient appointments as applicable.
• Encourages patient portal usage and supports where needed.
• Provides scope-appropriate nursing education during all patient interactions.
• Consults with providers and other extended care team members (Care Management, Embedded Pharmacy, Behavioral Health and Nutrition) and external case managers as appropriate to effectively ensure quality patient care.
• Supports physician and advanced practice providers with indirect work according to protocol. This includes and is not limited to test results/orders management.
• Assesses patients for gaps in care for preventative and disease management needs.
• Ensures patient medication list is accurate, completes medication reconciliation and processes refill requests per protocol.
• Works with the entire care team to co-manage indirect patient work according to Standard Work Instructions.
• Collaborates with insurance, DME, home care and all other care partners to ensure patient needs are met.
• Reviews patient medical history to identify supporting documentation relevant to ordered services and procedures to assist with or complete prior authorization process.
• Assists patients with resources for any social influences of health needs.
• Participates in process improvement projects within the office/department.
• Serves as a resource to clinical office/department staff within scope of RN role; may direct the work of LPN and Medical Assistant staff as needed and appropriate based on role/scope.
• May perform clinical support tasks as outlined on the Clinical Support Staff Scope of Practice document.
• Supports other offices, attends required meetings and training, and participates in committees as requested.
• Attends weekly patient care meetings and attends daily huddles as applicable.
• Assumes additional duties as required.

• Creates a positive, professional, service-oriented work environment for staff, patients and family members by supporting the mission and values of Trinity Health Medical Group.
• Must be able to work effectively as a member of the clinical care team.
• Assumes responsibility for performance of job duties in the safest possible manner, to assure personal safety and that of coworkers, and to report all preventable hazards and unsafe practices immediately to management.
• Successfully completes all relevant organizational training and adheres to Trinity Health Medical Group standard of care as outlined in the Trinity Health Code of Conduct.
• Maintains knowledge of and complies with Trinity Health Medical Group standards, policies and procedures.
• Maintains general knowledge of Trinity Health Medical Group office services and in the use of all relevant office equipment,…