What are the responsibilities and job description for the FIRST NURSE position at Mary Greeley Medical Center?
- Position Summary
- Provides clinical assessment, triage, and care guidance via telephone and virtual platforms. Serves as a primary point of entry into the health system, ensuring patients receive the right care, at the right time, in the right setting. Utilizes evidence-based protocols, clinical judgement, and electronic health record data to support safe, timely decision-making. Promotes care coordination, patient understanding, and optimal outcomes across the continuum.
- Position Responsibilities
Unit Specific Position Responsibilities- Serves as a primary clinical point of contact, providing real-time assessment, triage, and care guidance across the continuum.
- Demonstrates advanced ability to assess patient-reported symptoms, synthesize clinical data, and determine appropriate disposition (emergent, urgent, routine, or self-care).
- Applies evidence-based triage protocols in combination with clinical judgement to ensure safe, timely and appropriate care decisions.
- Utilizes electronic health record (EHR) data and patient history to inform decision-making and enhance care continuity.
- Ensures patients receive the right care, at the right time, and in the right setting, reducing unnecessary utilization and delays in care.
- Demonstrates strong escalation capabilities, identifying and initiating appropriate interventions.
- Communicates complex clinical information in a way that ensures patient comprehension, engagement, and adherence.
- Establishes therapeutic rapport in a non-face-to-face environment, using active listening and patient-centered communication techniques.
- Accurately documents assessments, recommendations, and decision-making to support medicolegal integrity and continuity of care.
- Effectively manages high-volume, high-acuity call environments, maintaining accuracy, efficiency, and patient safety.
- Collaborates with care teams and services to ensure seamless coordination and transitions of care.
- Maintains composure and clinical effectiveness in high stress or emotionally complex situations.
- Contributes to quality improvement and performance excellence efforts, including protocol adherence, call audits, and identification of opportunities to enhance patient outcomes and experience.
- Qualifications, Knowledge & Experience
- Required Qualifications (Including any licensure, certification, education):
- Licensed as a Registered Nurse and authorized by the State of Iowa to practice nursing.
- Three (3) or more years nursing experience in acute or ambulatory care services.
- Achievement of Baccalaureate degree in nursing within 6 years of hire if hired after January 1, 2014.
- Mandatory Reporter training or within 90 days of hire and must maintain throughout employment.
- De-escalation training prior to performing direct patient care or within 90 days of hire
- Proficient in EHR systems, telephony platforms (e.g. Cisco or similar), and clinical decision support tools, with the ability to simultaneously assess, document, and communicate real time.
- Organizational Requirements:
- Maintain stroke education per regulatory requirements.
- Preferred Qualifications:
- Experience using data, call metrics, or quality monitoring to improve performance and outcomes.
- Required Knowledge, Skills & Experience:
- Ability to pursue and foster a sense of team and partnership across all disciplines.
- Ability to communicate effectively, in English, with diverse population groups.
- Ability to be self-directed, flexible, and able to adapt to change.
- Ability to communicate effectively in a professional and tactful manner with physicians, staff, patients and/or their representatives.
- Ability to read and understand chart documentation.
- Ability to demonstrate basic computer skills.
- Ability to read, write and understand the English language.
- Ability to work independently and make sound clinical judgements.
- Strong clinical assessment and critical thinking skills.
- Ability to handle high stress situations calmly and professionally.
- Excellent interpersonal skills and patient empathy.
- Preferred Knowledge, Skills & Experience:
- None Specified