Description

POSITION SUMMARY

This position functions to assist all patients and their families through the healthcare system by acting as a health educator and patient advocate. They will also work with patients to develop preventive and self-management goals to improve their health. Additionally, this nurse position may provide triage services to patients calling for urgent care needs to provide medical advice and identify if outpatient services are appropriate or if they should be escalated to a higher level of care. This position is essential to Adelantes team-based primary care medical home model of care that supports coordinated, patient-centered, comprehensive health care to all.

EXPECTATIONS

Every Adelante employee will strive to maximize their performance and contribution to Adelante Healthcare and the community we serve every day. Employees are expected to work in a manner that demonstrates a commitment to quality, patient safety, employee engagement, innovation, and the highest standards of personal integrity, professionalism, and competence.

OUR CORE VALUES

• Compassion
• Excellence
• Integrity
• Learning
• Respect
• Sustainability

Qualifications

ESSENTIAL SKILLS AND EXPERIENCE

• Graduation from an accredited nursing program.
• Licensed with AZ State Board of nursing; license in good standing
• Demonstrated understanding of clinical methods and techniques used in record-keeping systems.
• Demonstrated ability in implementing the principles and practices of supervision.
• Advanced computer efficiency in Microsoft Office suite (Word, Excel, PowerPoint, Outlook) and experience in Patient Management System
• Meet the organization immunization requirement
• Valid Arizona drivers license
• 2-5 years of experience in a clinical setting
• Certification to perform cardiopulmonary Resuscitation for the Health Care Professional (CPR) and AED through courses that follow the guidelines from the American Heart Association and Red Cross (cognitive and skills evaluations)
• Valid Level One Fingerprint Clearance Card issued by the Arizona Department of Public Safety for all specialty behavioral health locations

NONESSENTIAL SKILLS AND EXPERIENCE

• Electronic Health Record Experience
• Bilingual (Spanish/English)

POSITION RESPONSIBILITIES/ESSENTIAL

• Performs triage calls using approved clinical decision support tools for the adult primary care, OB, and Peds populations.
• Participates in team meetings, designated Specialty Team meetings, and quality and process improvement initiatives.
• Helps facilitate health and disease patient education (including adults, peds, and OB populations) sessions.
• Coordinates continuity of patient care with external healthcare organizations and facilities such as referrals to outside specialties and ongoing two-way communication between providers and care teams.
• Develops relationships with external healthcare organizations and facilities in efforts to find additional resources.
• Coordinates outreach efforts to high-risk patients and hospital discharge and admissions. Will collaborate with health plans, hospitals, and skilled nursing facilities for transitional needs.
• Conducts comprehensive, preventative screening for patients and/or assists all support staff in daily patient interactions as needed.
• Promotes clear communication amongst a care team and treating clinicians by ensuring awareness regarding patient care plans.
• Facilitates patient care based upon approved standing orders and protocols.
• Works collaboratively with the clinical team on data collection, health outcomes reporting, clinical audits, and programmatic evaluation.
• Review and take action on care team tasks and inbox messages.
• Review and interpret lab results.
• Identify barriers to care and social determinates of health.
• Prepare for and assist with patient exams in the clinic setting.
• Medication Reconciliation.
• Medication Refills.
• Prior Authorizations.
• Referrals.
• DME.
• Short Term Disability Support
• Completion of Nurse Visits including but not limited to POCT items (flu, strep, UA, HCG testing)
• Helps evaluate clinical care, utilization of resources, and development of new clinical tools, forms, and procedures.
• Manages insulin titration for the diabetic population, which can include outbound calls to follow up.
• Excellent customer service and communication skills
• Performs assessment and delivers patient-specific education plan.

Additional Duties and Responsibilities

• Other duties as request or assigned

PCMH

All employees are responsible for promoting and participating in interdisciplinary communication and collaboration to enhance the delivery of quality across the health care system. Employees should maintain an environment that supports and engages patients and co-workers in a caringteam-based model to promote wellness and improve health outcomes.

Adherence to Compliance and Code of Conduct

All employees must comply with Adelante Healthcares written standards, including its Compliance Program and Standards of Conduct, policies and procedures, and reporting of any conduct that potentially violates Adelantes legal or compliance requirements. Such compliance will be an element considered as part of the regular performance evaluation.

PHYSICAL DEMANDS AND WORK ENVIRONMENT

The physical demands and work environment characteristics described here represent those that must be met by an employee to perform the essential functions of this job successfully. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Physical demands: While performing the duties of this job, the employee may be required to sit for long periods, is required to stand, walk, use hands to handle or feel objects, tools, or controls; reach with hands and arms; climb steps/stairs; balance; stoop, kneel, crouch or crawl; talk or hear; smell; manage stress as it relates to essential job functions. The employee must frequently lift and/or move up to 25 pounds without assistance, and may occasionally be required to lift or move up to 50 pounds with help. The job's specific vision abilities include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus.

Work environment: While performing the duties of this job, the employee is exposed to weather conditions prevalent at the time when traveling to various clinic sites. The noise level in the work environment is usually moderate. The employee may be subject to health hazards (contagious diseases, blood-borne pathogens, etc.) when working in the clinic area.