Nurse Supervisor & Prenatal Staff Nurse - Clinton - Part time - 24 hours

Job Description Summary:

Job Description:

*Part-time position, 24 hours a week. Two days as Nurse Supervisor, one day as Prenatal Nurse*

The Nurse Supervisor, as part of a clinical team, works at the top of their licensure to enhance the safety, effectiveness, and efficiency of care through both the performance of professional nursing responsibilities and the delegation of technical and clerical functions as appropriate. The Nurse Supervisor trains, supervises, and assigns medical assistants and staff nurses to appropriate tasks based on training and preparation.  Collaborates with the Operations Manager, On-Site Medical Director and other appropriate staff to accomplish assigned goals and responsibilities. Works closely with the CNO and their Regional Nurse Manager to contribute to agency policies, projects and standards. May require occasional evening and Saturday hours based on site needs. Nurse Supervisors do have direct clinical responsibilities for a portion of their FTE.

The Primary Care Prenatal Nurse is a registered nurse who specializes in providing high quality comprehensive care to individuals throughout the lifespan.  This includes childbearing individuals, pregnant and postpartum persons, as well as providing support to their families. As part of a clinical team, the nurse works at the top of their licensure to enhance the safety, effectiveness, and efficiency of care through both the performance of professional nursing responsibilities and the delegation of technical and clerical functions as appropriate to medical assistants.  The Prenatal Nurse is key to providing support for our providers, safe care for our patients, and ultimately improving clinical patient outcomes.  The Prenatal Nurse primarily assists in the care coordination our perinatal patient's need, while serving as a teacher, advocate, and navigator for these patients within the context of the care team.   Assumes responsibility, in collaboration with providers to coordinate care, support transitions between levels of care, and counsel, educate, and support patients in improving health status.  Applies principles of advanced access, planned care and the chronic care model, and rapid cycle performance improvement using the PDSA approach at CHCI.  The knowledge, skills, and expertise a good prenatal nurse brings to the job can be invaluable to expectant mothers and their babies. 

ROLE AND RESPONSIBILITIES

Nuse Supervisor

• Complies with all CHC policies and procedures as described in the medical department policy and procedure manual.  Assures compliance with regulatory standards, including but not limited to JCAHO, OSHA/EOC, Safety/Infection Control, Quality Care Audits, DPH licensure requirements.
• Supervises and ensures compliance with agency policy regarding telephonic patient instructions and triage.
• Ensures that Staff Nurses are directly supporting and proactively enrolling a panel of Complex Care Management patients comprised of medically or behaviorally complex, chronically ill patients, or patients in transition to enhance the patient experience and directly contribute to enhancing overall patient clinical outcomes.
• Consults with Regional Nurse Manager/CNO on nursing problems and interpretation of agency policies to ensure patient needs are met.
• Plans and organizes orientation and in-service training for nursing and medical assistant staff members and participates in guidance and educational programs.
• Adheres to CHC scheduling system. Effectively and appropriately allocates appointments according to CHC protocols to ensure maximum level of patient service and provider productivity. Collaborates with Operation Managers to adjust schedules to patient needs and seasonal demands.
• Supervises activities of medical assistants and nurses to ensure compliance with relevant requirements of agency annual training/education requirements, the State of CT regulations regarding licensure and a Joint Commission accredited facility.
• Carries out management responsibilities in accordance with the organization’s policies and applicable laws, and in collaboration with their Regional Nurse Manager
• Interviewing, hiring and appraising performance of medical assistants and nurses. Including addressing concerns, resolving problems and rewarding behaviors.
• Coaches and supervises direct reports and facilitates team approach with internal and external customers.
• Manages challenging or emotional customer situations.
• Participates in community health awareness programs and events as able.
• Responsible for effective and appropriate formulation and monitoring of the site budget.
• Collaborates and coordinates care with other community based providers as able.
• Ensures safe, accurate, clinically appropriate collection, storage, and processing of all biologic specimens.
• Coordinates both clinical and quality improvement projects and communicates changes and progress to clinical team.
• Supervises activities of medical assistant externs and nursing students to ensure appropriate clinical education and exposure to CHC’s model of care.
• Support primary care of patients under the planned care model for a portion of their FTE. Collaborates with PCP to identify needs for preventive care, evidence-based chronic disease care, and care coordination. Provides general and specific health care education.  Works with patients to identify and monitor self-management goals.  Collaborates care with other community-based providers. Follows up on emergency room visits and hospital discharges. Assists providers with exams, treatments, and procedures as needed.
• Ensures safe, accurate, clinically appropriate collection, storage, and processing of all biologic specimens. Administers medications, including vaccines and immunizations, orally, subcutaneously, intramuscularly, intradermally or via nebulizer at the order of prescribing provider and under standing orders as established by CHCI.  Adheres to CHCI protocols regarding documentation of medication, route, dosage, and information provided to the patient. Monitors patient responses to medication based on specific medication administered; detects, reports, and responds to any adverse reaction. Provides patient education as appropriate to the administered medication.
• Performs wide range of nursing activities as needed and after initial prescription by primary care provider such as wound care, catheterization, etc. Accurately documents all aspects of patient care in the medical chart on a timely basis. Schedules tests and referrals for specialty care on order of provider.
• Maintains strict infection control standards in accord with CHCI protocols and universal precautions OSHA and CLIA standards.
• Acts as a resource person for medical assistants regarding patient preparation, needs and procedures needed.
• Monitors and ensures follow up of all abnormal cancer screen results, STIs, lead screens and other tests and screens performed at CHCI.
• Oversees the maintenance of supplies and equipment, ordering supplies as necessary.
• Maintains compliance with agency mandatory annual training (Patient Safety, Abuse, Age Based Competencies, EOC, Abuse trainings, etc.)
• Expert use of electronic health record to ensure timely, safe, confidential storage and retrieval of patient information
• Precepting of new hires, new MA vaccinators
• Competencies of Nurses and MAs
• Assist in the implementation of procedural changes
• Committee Involvement as able
• Assist with daily staff RN and MA coverage schedules
• Bi-Weekly INR tracking
• Ordering/Reconciliation of VFC/CVP/CVFA vaccines
• Vaccine lot # entry into ECW
• Management of stock levels for medications and vaccines
• Assist with Joint Commission mock survey walk throughs/readiness
• Assist with Infection Control Compliance

Primary Care Prenatal Nurse

• Support primary care of patients under planned care model, including pre-visit planning, daily huddles, and execution of nurse-led and nurse-assisted visits.
• Triage of patients (both in person, and over the phone) based on clear triage protocols. 
• Collaborates with PCP to identify needs for preventive care, evidence based chronic disease care, and care coordination.
• Provides general and specific health care education during patient visits and by telephone.
• Works with patients to identify and monitor self-management goals. 
• Collaborates and coordinates care with other community based providers.  Including attending and presenting at Continuation of Care Collaboration meetings with the local hospital child birthing center.
• Follows up on emergency room visits and hospital discharges.  Ensuring OB discharge follow up has occurred. 
• Assists providers with exams, treatments, and procedures as needed.
• Performs placement and monitoring of patients for prenatal NSTs.
• Ensures safe, accurate, clinically appropriate collection, storage, and processing of all biologic specimens.
• Administers medications, including immunizations, at the order of prescribing provider and under standing orders as established by CHCI.
• Adheres to CHCI protocols regarding documentation of medication, route, dosage, and information provided to patient.
• Monitors patient response to medication based on specific medication administered; detects, reports, and responds to any adverse reaction. Reconciles medications.  Provides patient education as appropriate to the administered medication.
• Performs wide range of nursing activities as needed and after initial prescription by provider such as wound care, HTN follow up, Rhogam administration, gestational diabetes education, etc.
• Performs a wide range of nursing visits under CHCIs standing orders or delegated visits by the provider.  Examples of standing order nursing visits include (but not limited to): Prenatal intakes, uncomplicated UTIs, titration of long acting insulin, treatment of vulvovaginal candidiasis, and pregnancy testing.
• Accurately documents all aspects of patient care in the medical chart on a timely basis.
• Maintains strict infection control standards in accord with CHCI protocols and universal precautions JC, OSHA and CLIA standards.
• Acts as a resource person for medical assistants regarding patient preparation, needs and procedures needed.
• Monitors and ensures follow up of all abnormal cancer screening results (PAPs and Mammograms), STIs, and other tests and screens performed at CHCI.
• Oversees the maintenance of supplies and equipment, ordering supplies as necessary.
• Maintains compliance with agency mandatory annual training (Patient Safety, Abuse, Age Based Competencies, EOC, Abuse trainings, etc.)
• Expert use of electronic health record to ensure timely, safe, confidential storage and retrieval of patient information.
• Participates in Project ECHO complex care management to continually advance knowledge and skills in care management and care coordination.
• Presents nursing information and insight into patient care with other members of the care team at Integrated Care Team meetings.

QUALIFICATIONS

Required Skills and Education

Registered Nurse

BSN

Preferred Skills

Masters in nursing or related field

Driver’s License

Electronic health record experience

Two or more years of experience as a nurse in ambulatory care, preferred.

Prior management experience in healthcare

Bilingual

Knowledge of computer skills in word, basic excel, PowerPoint

CCCTM Certification

Experience in prenatal or maternal health care setting

Knowledge of current prenatal care guidelines and practices

Strong understanding of prenatal and maternal health

Required Licenses/Certifications

Current CT Nursing License

CPR – American Red Cross CPR for the Professional Rescuer and AED certification or American Heart Association BLS/AED for Healthcare Providers.

PHYSICAL REQUIREMENTS/WORK ENVIRONMENT

Frequent and alternating standing, walking and sitting

Occasional bending, squatting, kneeling and lifting up to 25 pounds.

Daily and continuous computer use

Daily and frequent telephone use.

ADDITIONAL QUALIFICIATIONS

Committee membership

Participation in quality improvement projects

Precepting

Confidentiality of Information

Confidentiality of business information is a requirement.  Confidentiality must be maintained according to CHC policies

Organization Information:

Location:

Community Health Center of Clinton

City:

Clinton

State:

Connecticut

Time Type:

Part time