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Form of workIf you receive an offer of employment for this position, it is contingent on the satisfactory completion of a pre-employment background check, immunization review, and drug screen (including THC/Marijuana). CareOregon is a federal contractor and must comply with all federal laws.
Position Title: Registered Nurse (RN) – Primary Care
Department: HCP-Primary Care
Title of Manager: Primary Care Clinical Manager
Supervises: Non-Supervisory position
Employment Status: Regular – Non-Exempt
Requisition ID: 24070
Pay and Benefits: Estimated hiring range $96,950 - $117,315 / year, 5% bonus target, full benefits. www.careoregon.org/about-us/careers/benefits
Posting Notes: This role will serve the Northwest Portland area.
Housecall Providers https://www.housecallproviders.org/
Housecall Providers is a Portland area nonprofit organization and one of the largest providers of medical care exclusively in the home in the Western United States. We are proving every day that in home medical services for homebound and chronically ill patients can improve health outcomes, increase patient comfort, reduce health care costs and increase provider satisfaction. We are a proud part of the CareOregon family of health organizations.
Our Mission Improving lives by bringing health care home
Our Vision To sustainably transform home-based medicine so all homebound adults and those living with serious illness have access to care that improves their quality of life.
Our Values Compassion and respect, authentic relationships, collaboration, courage, social justice
Diversity Statement
We embrace the diversity of our employees, patients, and those who care for them. Through awareness and advocacy, we are working to create health equity by recognizing and reducing barriers that affect non-dominant groups within Housecall Providers and our communities at large.
The quadruple aim is real at Housecall Providers In home medical care for homebound patients is proven to increase patient comfort, improve health outcomes, reduce health care costs and increase provider/care team satisfaction. Housecall Providers has saved Medicare millions of dollars, while providing better care to our patients, ensuring greater patient comfort, improved health outcomes and care team satisfaction. With the population aging, more people are suffering from multiple chronic conditions and degenerative diseases. This trend will continue as roughly 10,000 baby boomers a day enter the Medicare system.
General Statement of Duties
The Registered Nurse – Primary Care provides specialized transitions and/or palliative nursing care to identified Primary Care patients who will benefit from increased support and care to improve quality of life, manage and relieve symptoms, and improve psycho-social needs. Responsibilities include initial and ongoing assessments of patients, development and revisions of the plans of care, timely documentation and communication of assessments, and coordination of care with the palliative and transition care team.
Essential Position Functions
+ Makes initial and on-going visits to assess patient and provide baseline and comprehensive data. Utilizes nursing process to provide patient care that is individualized, goal directed and consistent with current standards of practice.
+ Identifies and communicates the needs of the patient and family to the interdisciplinary group which includes the PCP, assists with identifying goals of care, and monitors and documents progression toward goals.
+ Participates as a member of the interdisciplinary group to establish and implement a biopsychosocial care plan in patients with serious, complex and/or chronic illness.
+ Educates patients and families regarding disease process, pain and symptom management, and what to expect in the event of disease progression.
+ Counsels patients and families regarding end-of-life issues and provides guidance throughout the trajectory of illness.
+ Maintains high standards of professional practice by adhering to the ethics of the profession which includes seeking continuing education to support a goal of excellence in nursing care.
+ Relates to patients and families in an open, empathetic and supportive manner while maintaining personal and professional boundaries.
+ Provides hospitalized patient coordination, conducts urgent nursing visits, and obtains lab specimens as requested by PCPs.
+ Works closely with PCPs and Hospice team to ensure a continuum of care.
+ May include evening, night or weekend scheduling.
+ Completes all documentation and work within the scheduled work day.
+ Maintains standards of practice for patients enrolled in the Independence at Home Demonstration Project.
+ Responsible for documentation in the electronic medical records, assuring accuracy, completeness and compliance with regulations, certification standards, legal and ethical standards per policies and procedures.
+ Accepts and performs other duties as assigned
Essential Department and Organizational Functions
+ Maintain patient/family and staff confidentiality in compliance with HIPAA laws.
+ Participate in the coordination of the patient’s care in accordance with professional standards of practice.
+ Practice within the scope of license, certification or registration, where applicable, and as required by law and regulation.
+ Develop and maintain professional boundaries with all patients/family/caregivers.
+ Maintain agreed upon work schedule and meet deadlines for completion of work.
+ Demonstrate the ability to function in a variety of care environments, including home settings, skilled nursing facilities, assisted living environment, etc.
+ Serve as an ambassador for CareOregon and Housecall Providers at all times.
+ Demonstrates cooperation and teamwork and maintains collaborative relationships with all levels of staff and community partners.
+ Participate in orientation of new employees, volunteers or students seeking experience in palliative and transition care.
+ Attend staff and mandatory in-services meetings, as required.
+ Participate in ongoing education and assume responsibility for updating professional skills
+ Familiar and comfortable with a compassionate, person-centered approach to communication, education and care planning.
+ Maintain patient and personal safety regarding occupational health and safety and participates in safety program, as requested.
+ Participate in Quality Assessment Performance Improvement efforts to continually assess and improve quality of care, as requested.
Knowledge, Skills and Abilities Required
+ Demonstrates ability in case management, on-call triage management and nursing preferably in a palliative care or hospice setting
+ Knowledge of Federal, State and Local regulations, HIPAA privacy rules and regulations
+ Computer skills and a working knowledge of Electronic Medical Records systems, MS office, Outlook, and the internet
+ Excellent interpersonal skills
+ Ability to work both independently and collaboratively
+ Ability to work under pressure to meet deadlines
+ Ability to take initiative and utilize innovative techniques and ingenuity
+ Ability to interact with various departments throughout the organization
+ Ability to work flexible hours, if needed
+ Ability to manage conflict situations
+ Ability to plan, prioritize and coordinate multiple projects or tasks
+ Ability to adhere to organizational standards, policies and procedures
Education and/or Experience
Required:
+ Current unencumbered license as a Registered Nurse in the State of Oregon
+ Minimum two years’ hospice, palliative/oncology, geriatrics and/or home health nursing experience
+ Valid driver’s license, acceptable driving record, and automobile liability coverage or access to an insured vehicle
+ CPR certification at hire or within 6 months in position
Preferred:
+ Bachelor of Nursing degree
Physical Skills and Abilities Required
Lifting/Carrying up to 20 Pounds
Pushing/Pulling up to 5 Pounds
Pinching/Retrieving Small Objects
Crouching/Crawling
Reaching Above Shoulders
Climbing Stairs
Repetitive Finger/Wrist/Elbow/
Shoulder/Neck Movement
Up to 3 hours/day
3-6 hours/day
Up to 3 hours/day
0 hours/day
0 hours/day
Up to 3 hours/day
3-6 hours/day
Standing
Walking
Sitting
Bending
Seeing
Reading
Hearing
Speaking Clearly
3-6 hours/day
Up to 3 hours/day
More than 6 hours/day
Up to 3 hours/day
More than 6 hours/day
More than 6 hours/day
More than 6 hours/day
More than 6 hours/day
Ability to operate a motorized vehicle
Cognitive and Other Skills and Abilities Required
The following cognitive or mental requirements are necessary on a daily basis:
+ Critical thinking
+ Reading, writing, mathematics
+ Drawing conclusions from written or computer-generated materials
+ Implementing recommendations by coordinating people and/or other resources
+ Developing plans, procedures, goals, strategies or processes
+ Directing activities of others to accomplish a goal
+ Clear verbal articulation
+ Ability to tolerate and manage stress and grief
Working Conditions
+ Environment: This position’s primary responsibilities typically take place in the following environment(s) (check all that apply on a regular basis):
? Inside/office ? Clinics/health facilities ? Member homes
? Other_________________________________________
+ Schedule: This position may occasionally require more than 8 hours per day.
+ Travel: This position requires frequent travel outside of the workplace, in which the employee’s personal vehicle may be used. Driving may be required in all kinds of weather conditions. Driving infractions will be monitored in accordance with organizational policy.
+ Equipment: General office equipment and/or mobile technology
+ Hazards: OSHA Category I - Assigned tasks may involve exposure to communicable diseases, blood, body fluids or tissues.
Candidates of color are strongly encouraged to apply. CareOregon is committed to building a linguistically and culturally diverse and inclusive work environment.
Veterans are strongly encouraged to apply.
We are an equal opportunity employer. CareOregon considers all candidates regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability, or veteran status.
Visa sponsorship is not available at this time.
