Clinic Registered Nurse (RN) Care Manager

Description

About Primary Health Solutions

Our Mission

We meet people where they are and partner with them on their journey towards wellness.

Our Vision

The destination for servant leaders to provide comprehensive and exceptional care.

Our Values

R – Respect

I – Innovation

S – Stewardship

E – Excellence 

Registered Nurse (RN) Summary

Assists in examination and treatment of patients under a Provider’s direction by performing the following duties. 

A Day in the Life

This job description reflects management's assignment of essential functions. Nothing in this job description restricts management’s right to assign or reassign duties and responsibilities to this job at any time. 

Customer care: 

· Conducts outreach to patients for Annual Wellness Visits (AWVs), chronic care management, and preventive health screenings.

· Educates patients and families on self-management strategies, chronic disease care, and lifestyle modifications to support overall wellness.

· Triages patient calls and walk-ins, addresses routine concerns, and escalates clinical issues as appropriate.

· Documents all patient interactions and communications in the electronic medical record (EMR) with accuracy and timeliness.

· Encourages patients to stay current with preventive services, immunizations, and chronic condition management.

Clinical: 

· Conducts Medicare Annual Wellness Visits and other preventive health assessments, documenting findings and collaborating with Providers to establish or update care plans.

· Administers vaccines and injections, including psychotropic medications, per Provider direction and organizational protocols.

· Assists Providers with clinical procedures, medication administration, and vital sign collection.

· Closes care gaps by ensuring patients receive recommended screenings, labs, immunizations, and follow-up visits.

· Reviews and reconciles medications during patient visits; provides education on medication adherence and side effects.

· Tracks and follows up on diagnostic tests, referrals, and abnormal results as directed by the Provider.

· Assists in the management of patients with complex or chronic conditions, ensuring continuity and coordination of care.

· Documents all procedures, education, and communications in the EMR in compliance with quality and regulatory standards.

· Participates or directly manages quality initiatives with special populations e.g. 0-2 years receive recommended vaccinations

Operations: 

· Prepares, cleans and sterilizes equipment and exam rooms as established by standard safety and clinical protocols. 

· Participates in huddles, pre-visit planning, and team meetings to identify patients due for preventive services or follow-up care.

· Supports health initiatives, including tracking and reporting of quality metrics (e.g., immunizations, screenings, chronic disease management measures).

· Collaborates with care coordinators and Providers to address barriers to care and improve patient outcomes.

· Participates in staff education, training, and quality improvement initiatives.

· Properly handles the disposal of infectious/hazardous waste, according to OSHA guidelines. 

· Inventories and requests supplies. 

· Responsible for performing health and team based care related services within the guidelines of the state of Ohio Board of Nursing. 

· Support a shared goal model in order to achieve high-quality care that is patient and family centered. 

· Facilitates coordination of care following hospital, ER utilization or follow up from specialty providers. 

· May participate in team meetings and quality improvement activities as necessary. 

· Performs all other duties and tasks as assigned. 

Requirements

Core Competencies

· Customer Service: Committed to increasing customer satisfaction, sets proper customer expectations, assumes responsibility for solving customer problems, ensures commitments to customers are met.

· Communication: Understand and communicate effectively with others using a variety of contexts and formats, which include writing, speaking, reading, listening and interpersonal skills.

· Dependability: Meets commitments, works independently, accepts accountability, handles change, sets personal standards, stays focused under pressure, meets attendance/punctuality requirements.

· Quality: Is attentive to detail and accuracy, is committed to excellence, looks for improvements continuously, monitors quality levels, finds root cause of quality problems, owns/acts on quality problems.

· Productivity: Manages a fair workload, volunteers for additional work, prioritizes tasks, develops good work procedures, manages time well, and handles information flow.

Success Requirements

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Education/Experience

Graduation from an accredited school of nursing.  Bachelor’s program preferred. 

Language Skills

Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals. Ability to write routine reports and correspondence. Ability to speak effectively before groups of customers or employees of organization.

Reasoning Ability

Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.

Computer Skills

To perform this job successfully, an individual should have the ability to gain knowledge of current practice management system, electronic medical record, Microsoft Word, text paging, Internet, and Intranet.

Certificates, Licenses, Registrations 

RN License. Must hold a current, valid license to practice nursing in the state of Ohio. 

Other Applicable Requirements 

Ability to speak Spanish desirable. Knowledge of examination, diagnostic, and treatment room procedures.  Knowledge of medical equipment and instruments to administer patient care.  Skill in taking vital signs.  Skill in maintaining records and recording test results. Skill with geriatric patients and patients in lower socio-economic sectors of the community. 

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee is frequently required to stand; walk; use hands to finger, handle, or feel; reach with hands and arms and talk or hear. The employee is occasionally required to sit and stoop, kneel, crouch, or crawl. The employee must regularly lift and /or move up to 25 pounds. Specific vision abilities required by this job include close vision, distance vision, peripheral vision, depth perception and ability to adjust focus.

Work Environment

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this Job, the employee are occasionally exposed to fumes or airborne particles; toxic or caustic chemicals and risk of radiation. The noise level in the work environment is usually moderate.

Affirmative Action/EEO Statement

It is the policy of Primary Health Solutions to provide equal employment opportunities without regard to race, color, religion, sex, national origin, age, disability, marital status, veteran status, sexual orientation, genetic information or any other protected characteristic under applicable law.

Other Duties 

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.