Outpatient Care Nurse - LPN

Position Summary  

The License Practical Nurse (LPN) works under the direct supervision of the Registered Nurse and the Regional Practice Director to support the delivery of high-quality patient care. This role involves both clinical and administrative responsibilities, including patient outreach via telephone, accurate documentation in the electronic medical record system and administration of vaccinations in accordance with clinical guidelines. The LPN also plays a key supportive role in clinical operations by assisting registered nurses with staff training and contributing to the optimization of clinical workflows. 

Responsibilities

• Provides nursing care including administration of medications and injections to patients as directed by Providers, immunizations, referrals to other providers and community health resources, preauthorization’s as required for any testing and health instructions to patients following examinations.
• Utilizing the nursing process, LPN will provide direct and indirect patient care by identifying patient problem and concern and reporting to provider for further evaluation.
• LPN will complete patient intake by documenting past and current medical diagnoses, concerns, medications, allergies, smoking history, and other pertinent social history.  LPN will obtain and document patient’s vital signs, including blood pressure, respiration rate, pulse, pulse oximetry, height and weight. All information is documented utilizing an EMR.
• Instruct and assist patients to remove shoes to obtain accurate weight and inspect feet of diabetic patients.
• As a part of the uniform requirement, LPN must wear wrist-watch with second hand to obtain accurate vital signs provide safe and quality patient care.
• Monitors patient flow and assists in preparation of examination rooms, chairs and preparation of patients for exam. Effectively work with a care team to deliver safe and quality patient care.
• Administers vaccines according to policy using two identifiers, provides proper education and information sheets to patients/guardians, and accurately documents information in EMR.  
• Enters appropriate patient data and all the vaccine information in NJIIS Registry right after the vaccine is administered.
• Enter refrigerator/freezer temperatures appropriately and in a timely manner in NJIIS as required by VFC (Vaccines for Children).
• Maintain an accurate, and daily temperature log for refrigerator/freezer thermometer to assure vaccine and medication safety. Update the log monthly, file the log for previous month and send a copy to the RN by 5th of each month 
• Inspect and check medications/vaccine expiration dates on a continuous basis, and maintain the expiration medication log
• Utilize time management skills, multi-task in a fast-paced environment.  Maintain nursing competency and patient confidentiality
• Maintains adequate stock of routine medical supplies; -orders supplies through established purchasing procedures monthly and as needed, and maintains all necessary logs updated. Sends copies of all logs to the RN monthly
• Observes patient, records significant conditions and reactions, and notifies Provider of patient's condition and reaction to drugs, treatments, and significant incidents. 
• Reconciles labs within normal limits, reports critical labs and abnormal results to Provider following OHI policy.
• Complete various forms as requested by a patient and report to provider for final review and management.
• Ensures chart preparation is completed and enters appropriate orders based on outstanding Quality Measures for Provider to review daily
• Inspects Environment of Care for any safety concerns and infection control issues and intervenes as appropriate. Completes monthly EOC report and reports findings to RN according to protocol.
• Reports all necessary information and/or unusual occurrences in accordance with established policies and procedures and notifies RN or the Regional Practice Director of unusual occurrences as they develop.
• Completes incident reports immediately as per policy in all required situations.
• Promotes and delivers optimum satisfaction to all patients.
• Attends and completes all mandatory in-services and attends required meetings.
• Orients and trains staff as observed by the Registered Nurse.
• Develops and maintains effective communications by promptly notifying providers, Registered Nurse and other involved clinical team members of change in patient’s condition, new orders, and other pertinent information to patient’s care information.
• Assists with managing staff inboxes/buckets, prior authorization, referrals, and medical clearance
• Participates in morning huddles to coordinate all clinical activities within the department and facility, as well as daily staff assignments. Records information discussed in huddle and presents it to the RN. 
• Accepts constructive criticism as demonstrated by positive behavior changes.
• Adheres to Corporate Compliance policies.
• Notifies the Registered Nurse and Chief Medical Officer on matters relating to nursing practices.
• Provides input to the RN in reference to development of policies and protocols for patient care.
• Provides leadership in the development of standards of care for the Department, patient/family education and staff education to address the needs of specific populations.
• Guides the professional growth of others through role modeling, coaching, and/or mentoring.
• Provides leadership at a unit level for initiatives designed to improve the quality of care or clinical outcomes for populations of patients and growth of others.  
• Participates in ongoing quality initiatives.
• Reports to any OHI site(s) as scheduled by Scheduling Coordinator. 
• Adheres to Corporate Compliance policies. 
• Maintains a passing monthly scorecard threshold at 80%. 
• Other duties as assigned. 

Education/Experience/Licensure

• Graduate of accredited Licensed Practical Nursing program
• One to three years nursing experience in medical center or community health care settings.
• OB/GYN experience is preferred.
• Active State of New Jersey LPN license is required.
• Certified Basic Life Support through American Heart Association is required.
• Bilingual English/Spanish is preferred.
• Proficiency in Microsoft Office 365 is required.   
• Flexibility to meet the hours of the practice including evenings and weekends is required.
• Flexibility to cover shifts at other current and future OHI sites is required. 
• Must have your own reliable transportation throughout Ocean and Monmouth Counties as required by OHI.

Benefits

• Medical, Dental, Vision and Life Insurance
• Flexible Spending Accounts with Medical and Dependent Care
• Voluntary Life Insurance
• 401(k) Salary Deferral and Match
• Paid Time Off 
• Paid Holidays
• Employee Assistance Program
• Employee Discounts
• Employee Referral Program