The RN position in OB/Gyn is a vital member of the clinical team and works with the providers and staff to deliver patient care in accordance with nationally accepted guidelines, policies and procedures to achieve the health center’s goals and objectives in delivering exceptional care to our patients. This is a full-time position on Maui.
ESSENTIAL RESPONSIBILITIES
Clinical Responsibilities:
(A) Pre-Visit Patient Care:
- Follows the pre-visit planning policy and procedure as established by the organization.
- Coordinates pre-visit planning with Medical Assistant and Medical Provider on assigned team.
- Prepares for, attends and participates in team meetings and huddles.
- Works with Medical Assistant to contact all new patients presenting with Chronic Disease indicators, 5 to 7 days before their first visit to complete a Pre-Visit assessment that includes medications, past medical history, medication list and problems. Completes screenings for depression, smoking, drugs, safety, etc. per current practice guidelines.
- Identifies High-Risk Patients, described below, with the Medical Provider and works with the Medical Assistant to contact all identified High-Risk Patients 5 to 7 days prior to the next visit to determine if the care plan objectives from the previous visit have been completed, if there has been interim care outside the organization, and if the patient has any concerns that the team can prepare for.
(B) Patient care during visit:
1. Confers with Medical Provider on the team and participates in data gathering, setting patient expectations, patient education, and care coordination of high-risk patients, as requested by the medical provider. These will consist of:
a. Transfer of Care (TOC) Patients:
i. New Patients
ii. Hospital/ER Follow ups
b. Patients with poor control of chronic medical conditions
c. Patients with anticipated barriers to data gathering of patient history and care needs:
i. Language barriers
ii. Learning or cognitive disabilities
iii. Mental Health or Behavioral barriers
d. Patients with multiple specialist care providers
e. Patient with high acuity care-coordination (e.g. patients with active cancer diagnosis)
f. Time intensive patients (as designated by the medical provider).
2. Conducts RN-led chronic care management visits. The RN will review population health data for the panel entrusted to the assigned care team with the Medical Provider.
3. Identifies patient care needs based on assessments and conversation with the patient, and with family as appropriate.
4. Verifies the patient history, medication list, problems, and diagnostic test results and identify any care gaps.
5. Monitors and facilitates preventive care such as immunizations, cancer screenings and lab tests.
6. Conducts Medication Reconciliation for all High Needs Patients, RN-led Visits and per provider request.
7. Reports to the provider, using the SBAR method, about patient care needs.
8. Collaborates with care team and patient in developing team priorities, patient goals and care plans.
9. Assists the patient in setting realistic self-management goals considering barriers the patient and family may encounter.
10. Assists the patient in obtaining needed services in the community, such as transportation, housing, etc., by referring the patient to the appropriate organization and monitors results.
11. Documents in EMR the RN interaction with the patient, according to organizational policy and protocol.
12. Assists the provider with procedures as needed and within the scope of practice.
(C) Patient Care In Between Visits:
1. Utilizes the EMR and population health tools to identify significant care gaps and take steps to facilitate patient and population management to improve clinical outcomes as determined by clinical quality measures (CQM).
2. Notifies patients, per provider instruction, of abnormal test results and follow plan.
3. Assists the team in monitoring and responding to the Refill Line, per organizational Refill Policy and Protocol.
4. Will be responsible for on-going care coordination of patients as requested by patient (or designated proxy), Medical Provider and other referral entities/diagnostic centers/agencies involved in care of the patient.
(D) General Clinical Responsibilities
1. Provides nursing triage.
2. Medication and vaccine administration.
3. Responds to phone calls in a timely manner and per protocol.
4. Responds to life threatening situations within the scope of licensure.
(E) Quality and Safety:
1. Participates in self education needed to perform case management and patient care.
2. Participates in meeting the quality clinical measures set by the organization by reviewing preventive care needed and protocol tests, as needed.
3. Participates in quality initiatives as directed to fulfill the organizations grant obligations and insurance requirements.
4. Practices within the Clinical Protocols and Guidelines and Policies and Procedures of the organization.
5. Participates in Emergency Preparedness Plan.
Other:
1. Other duties, as assigned, and within the scope of licensure.
Required Qualifications:
· Registered Nurse in the State of Hawaii;
· Must be a self-starter and able to collaborate with team members;
· Effective organizational skills are a must;
· Computer literate;
· Able to write and speak fluent English;
· Experience in case management preferred.
· TB clearance within the past 12 months.
· Driver license and access to an insured vehicle.
· BLS CPR – current.
Required education:
· Bachelor's or Associate’s degree from accredited institution
Required experience:
· Nursing: 2 years highly preferred, will consider new graduate
· RN OBGYN - Labor & Delivery: nice to have
Required license or certification:
· Registered Nurse (RN) in Hawaii
The ideal candidate will possess all of the skills and competencies listed above and have a verifiable work background in treating all individuals with respect and aloha. The selected candidate must reside on the Island of Maui. This position reports to the RN Team Manager in OB/Gyn at our Wailuku clinic. This RN will support OBGYN patients for Ooka and Kahana Malama I Ke Ola Health Center locations. Full-time, exempt, salary range $77,295.24 to $81,160.32/year DOE; eligible for $5000 sign-on bonus after initial 3 months in the position