Summary of Position

* Responsible for providing primary nursing care to patients, including assessment, treatment, care planning and medical care evaluation.

Responsibilities:

* Provide nursing care to patients, as appropriate, including, but not limited to wound care and medication administration.
* Verify patient's chief complaint.
* Take vital signs as requested.
* Review patient chart for missing lab work, reports and open orders.
* Review EHR (electronic health record) active medication list with patent. Conduct and document point-of-care tests based on protocol.
* Administer medications as directed by provider.
* Provide care in accordance with nursing standards and organizational policy following established procedures for infection control, patient care and safety in compliance with all federal, state and local standards (OSHA, HIPAA, etc.).
* Add recommendations to individualized care plan(s) and review After Visit Summary (AVS) with patient.
* Document progress notes in electronic health record within 24 hours.
* Coordinate outpatient work-up and or treatment plans when required for determination of diagnosis (i.e. further clinical testing, x-rays, and facilitate communication between physicians and health care providers).
* Participate in the development of strategies to maintain high levels of wellness for at-risk populations.
* Teach and support patients with self-care management.
* Facilitate chronic condition management education to patients.
* Actively seek input to support patient care and outcomes.
* Review work to be completed and develop a plan based upon patient/population need, ACP policy/procedure and applicable rules and regulations.
* Support implementation of programs and procedures developed at an organizational level.
* Collect data and adjust process to accommodate program requirements.
* Participate in ongoing education activities.
* Manage in-basket requests and respond to all requests in a timely manner.
* Handle phone calls from patients regarding their questions and addressing their concerns.
* Handle requests for medication refills according to ACP procedure.
* Contact patients with test results and provide recommendations on cases per physician determination and/or standards of care.
* Follow up on abnormal laboratory results requiring patient action and possibly re-measurement (increasing medication dose, dietary changes, etc.).
* Call patients at doctor's request to assure compliance with treatment plan and/or response to treatment prescribed.
* Understand and support practice of other team members and refer patients appropriately.
* Support patient transition through different level of care (e.g. hospital to home through outreach and assessment, assure timeliness of doctor follow-up).
* Performs other job-related duties as required.