RN - Ambulatory - MetaSense Inc

Duties:

• Assumes responsibility and accountability for patient screenings; triage; pain management; falls prevention, nutritional and psychosocial, discharge planning and other interventions to restore, maintain or promote patients physical health.
• Utilizes the nursing process in the provision of direct patient care.
• Assists all patients, families/significant others through the healthcare system by acting as a patient advocate and navigator.
• Responsible and accountable for prescribing, delegating, and coordinating all care provided to assigned patients.
• Executes medical plan of care, at the direction of the treating clinician, in accordance with licensure of a Registered Professional Nurse.
• Utilizes nursing diagnoses to treat human responses to actual and potential health problems through such services as case finding, health teaching, health counseling, and provision of care supportive or to restorative of life and well-being.
• Supervises patient care provided by Licensed Practical Nurses (LPN), Medical Office Assistants (MOAs), Nursing Attendants (NAs), technicians, and supplemental staff.
• Supports patients self-management of disease and behavior modification interventions.
• Coordinates continuity of patient care with external healthcare organizations and facilities, including the process from admission to discharge and referrals from the primary care provider to the specialty care provider.
• Promotes clear communication amongst a care team and treating clinicians by ensuring awareness regarding a patients plan of care.
• Participates on a team for data collection, health outcomes reporting, clinical audits, and programmatic evaluation related to Patient-Centered Medical Home and ambulatory care initiatives.
• Assists in the prior authorization process for clinical and pharmacy related orders.
• Demonstrates the ability to function as part of an interdisciplinary health care team.

PRIMARY RESPONSIBILITIES:

• Assesses the immediate and continuing care needs of the patient/families/significant other.
• Develops comprehensive and current plans of care which include physical needs, patient teaching, discharge planning and psychosocial/spiritual needs.
• Provides direct patient care based on assessed needs and the medical regimen.
• Oversees and ensures the provision of all aspects of care for the patient.
• Supervises the care provided by other nursing personnel including Licensed Practical Nurses (LPN), Medical Office Assistants (MOAs) and Nursing Attendants (NAs), as defined in the scope of practice.
• Participates in Quality Improvement activities related to patient care delivery and the development of nursing/hospital/ambulatory care standards.
• Recalls patients for abnormal results and/or follow-ups as requested by Provider.
• Documents all attempts via telephone and correspondence.
• Establishes priorities for care in collaboration with the multidisciplinary team and initiates follow-up, as indicated, to ensure timely provision of patient care and therapeutic modalities.
• Observes, evaluates, documents, and communicates to relevant team members the patient\'s response to illness and/or therapeutic modalities as related to diagnosis.
• Ensures timely reassessment of patient responses to treatment and when significant changes occur in patient condition and/or diagnosis.
• Participates in Patient Centered Medical Home Model including conducting daily briefings and huddles, as required.
• Provides Patient and Family education, as needed. Daily, weekly and monthly checks of all logs including refrigerators, medications, testing equipment as per established protocols.
• Coordinates the overall plan of care to ensure implementation of nursing interventions and consistency with medical regimen.