Summary of Position
•Provide professional nursing care to patients and proactively support efforts to ensure that standards for patient satisfaction, patient safety, and quality of care are maintained, as established by AdvantageCare Physicians.
•Primary liaison between patients, staff and physicians and support the Advanced Care Model.
•Organize and provide clinical supervision to the specialty patient care team including, but not limited to, delegation of responsibilities, mentoring, evaluating, educating, scheduling and counseling the care team staff.
Principal Accountabilities
•Provide general nursing care to patients including administering prescribed medications and treatments in accordance with nursing standards and per orders; planning, articulating, and coordinating care and interventions; maintaining consideration for specific age-related characteristics, needs related physical development, communication, socialization and safety, in collaboration with other members of the care team.
•Ensure nursing practices of the specialty care team as well as own practices are in accordance with nursing standards, local, state and federal guidelines and organizational policy.
•Provide clinical supervision to the Licensed Practical Nurses (LPNs) and Care Team Associate IIs (CTA II) on the specialty care team. Assist with daily/weekly Care Team scheduling. Delegate tasks appropriately according to the scope of licensure and follow up on delegated tasks to ensure completion. May function as the Lead Nurse in the medical office when the Manager, Nursing (and/or Assistant Manager, Nursing) is unavailable or has not been designated.
•Assist with new hire orientation, staff training, providing feedback for performance evaluations, and providing information related to employee discipline and termination of staff.
•Coordinate and manage daily huddles. Prepare and manage materials and deliverables.
•Review patient charts for missing labs, reports, and/or open orders and review as part of care team huddles.
•In coordination with the Manager, Nursing and Practice Administrator, manage and inventory clinical supplies.
•Prepare equipment and aid physician during treatment, examination, testing of patients and patient procedures.
•Verify chief complaint and take vital signs as requested.
•Review the EHR (electronic health record) active medication list with patients.
•Conduct and document point-of-care tests based on protocol.
•Administer medications as directed by provider.
•Contact patients with test results and provide recommendations on cases per physician determination and/or standards of care.
•Add recommendations to individualized care plan(s) and review After Visit Summary (AVS) with patient.
•Facilitate clinical messages and chronic condition management education to patients.
•Document progress notes in electronic health record within 24 hours.
•Manage in-basket requests and responds to all requests in a timely manner. Serve as a clinical liaison between the call center and medical office.
•Triage urgent same day or double-booked appointment requests.
•Identify patients who may need point-of-care testing as well as patients with special needs (i.e., transportation).
•Coordinate outpatient work-up and or treatment plans when required (i.e. further clinical testing, x-rays, and facilitate communication between physicians and health care providers).
•Pend tests and procedure orders for physician approval and co-signature.
•Prepare prescriptions or medication refills, for review and signature by provider.
•Provide patient education on self-management of chronic conditions.
•Accountable for the administration, treatment and training of patient self-administered drugs.
•Perform other job-related duties as required including participation in nursing practice work groups and committees.
Education, Training, Licenses, Certifications
•Graduate of an accredited school of nursing (R)
•Bachelor's Degree in Nursing (P)
•Current unencumbered New York State Registered Nurse license
•BLS (R)
•ACLS required for GI and Cardiology
Relevant Work Experience, Knowledge, Skills, and Abilities
•Work experience as a nurse in a hospital or ambulatory setting (P)
•Work experience in specific specialty (only for those roles where a specialty area is listed, e.g. Cardiology, Gastroenterology) (P)
•Experience with American Association for Accreditation of Ambulatory Surgery Facilities (AAAASF) Accreditation (GI position only) (P)
•Strong knowledge of professional nursing theory, regulations and practices to give and evaluate patient care. (R)
•Skill in applying and modifying the principles, methods and techniques of professional nursing to provide ongoing patient care. (R)
•Knowledge of medical chart reporting. (R)
•Ability to maintain quality control standards including knowledge of policies and procedures related to infection control, environmental safety, patient confidentiality and common safety hazards and precautions to establish/maintain a safe work environment. (R)
•Ability to work independently within scope of practice, make appropriate clinical decisions and delegate appropriately. (R)
•Excellent verbal and non-verbal communication skills to provide patient care and interact with colleagues in a team atmosphere. (R)
•Knowledge or electronic medical records (EMR). (P