Registered Nurse (Clinic)-Per Diem

Job Summary
As a member of the health care team, the Registered Nurse (RN) will provide high-quality, compassionate care with a focus on improving patient health and wellness. The RN will perform and coordinate patient care activities utilizing clinical judgment and other nursing skills.

Job Specific Competencies
1. RN Leadership:
a. Facilitates and provides direction to the health care team in delivery of quality patient care.
b. Communicates effectively and respectfully with each team member.
c. Coordinates flow and assists in providing patient care.
d. Functions as a clinical resource and mentor for staff regarding patient care concerns and participates in training of health care staff.
e. Collaborates with other health care agencies and services providing care coordination.
f. Participates as a preceptor orienting new RN staff members to CVCH.
g. Models standards of behavior and adheres to the Code of Conduct in all aspects of job performance.
2. Patient Care:
a. Maintains RN Competency in all nursing skills essential to job function.
b. Responsible for the RN assessment and prioritization of patient needs.
c. Formulates a nursing plan based on assessed needs.
d. Performs nursing tasks as appropriate within RN scope of practice.
e. Documents and maintains appropriate records in the Electronic Medical Record (EMR).
3. Triage:
a. Manages and directs incoming triage telephone calls.
b. Completes triage assessment for scheduled and walk-in patients as needed.
c. Collaborates with provider for appropriate plan of treatment.
d. Accurately documents symptoms/complaints, nursing assessment, advice provided and patient/caller response.
e. Follows policies, procedures, and protocols to ensure consistency and departmental effectiveness as well as improved health care outcomes of patients/callers and their access to appropriate health care.
f. Assures that pertinent medical information is forwarded to proper departments as needed for continuity of patient care.
g. Documents triage assessment, plan, implementation, evaluation, and follow-up in electronic health record (EHR).
4. Care Coordination:
a. Identifies patients meeting criteria for case management (e.g., multiple chronic conditions, repeated health crises, high social risk) through registries, risk stratification, and provider referral.
b. Develops a collaborative care plan based on provider treatment plan and patient/family self-management goals.
c. Monitors patient/family response to plan of care and revises the care plan as indicated.
d. Coordinates patient care through ongoing collaboration with provider, patient/family, community, and other members of the health care team.
e. Facilitates the transition of care from inpatient settings, assisting with timely completion of post hospital follow up to including medication reconciliation, PCP/Specialist follow-up, education, and identifying problem solving barriers.
f. Maintains required documentation for all care management activities in Electronic Health Record (EMR).

General Duties and Responsibilities
1. Performs other duties and tasks as assigned by supervisor.
2. Expected to meet attendance standards and work the hours necessary to perform the essential functions of the job.
3. Conforms to safety policies, general housekeeping practices.
4. Demonstrates sound work ethics, flexible, and shows dedication to the position and the community.
5. Demonstrates a positive attitude, is respectful, and possesses cultural awareness and sensitivity toward clients and co-workers.
6. Keeps customer service and the mission of the organization in mind when interacting with all clients, co-workers, and others.
7. Employees are expected to embrace, support and promote the core values of respect, integrity, trust, compassion and quality which align with the CVCH mission statement through their actions and interactions with all patients, staff, and others.
8. Conforms to CVCH policies and Joint Commission and HIPAA regulations.

Job Specifications
1. Education: Graduate of an accredited school of nursing. BSN preferred.

2. Licensure: Current Washington State Registered Nurse license required. Current BLS certification required.

3. Experience: Two years’ experience in Community/Migrant Health, Public Health, Family Practice, Obstetrics, Pediatrics, or Emergency Room preferred. Strong organizational and triage skills required.

4. Language Skills: Bilingual in English/Spanish preferred.

5. Essential Technical/Motor Skills: Ability to verbally communicate in English, strong organizational skills, inputting data/typing, speaking clearly, answering telephones, precise eye/hand/foot coordination, fingering/precise manipulation. Knowledge of computer applications and equipment related to work. Must have basic computer and keyboarding skills and have the ability to enter data within company’s computer system; must demonstrate manual dexterity. Teaching, mentoring, or staff development program experience preferred.

6. Interpersonal Skills: Demonstrated ability in leadership. Excellent communicator, caring attitude, ability to constructively teacher/mentor/coach others, highly flexible, team player. Strong interpersonal and communication skills and the ability to work effectively with management, nursing staff, and other staff members to achieve program outcomes. Demonstrated skill in developing and maintaining productive work teams. Ability to work in a fast paced environment under stressful situations.

7. Essential Physical Requirements: Work is normally performed in a typical interior/office work environment. Essential physical requirements of this job include: light physical effort; repetitive motions of wrists, hands, and/or fingers; standing, walking, lifting, reaching, kneeling, bending, stooping, pushing, and pulling; frequent sitting; lifting and/or moving items weighing up to 20-30 pounds, utilizing proper lifting techniques and assistance as needed; ability to read forms, computer screens, correspondence and other documents. Staff must be flexible to work some weekends, evenings, and different shifts available.

8. Essential Mental Abilities: Ability to exercise sound independent judgment; Knowledge of clinical policies and procedures, standards and regulations, ability to analyze problems and make decisions in line with Joint Commission standards, state and federal regulations; ability to read, comprehend, and analyze documents, regulations and policies; ability to prepare and submit complete and succinct documents necessary to the job concisely, accurately and timely. Must be able to pay attention to detail, manipulate/ interpret numbers, perform calculations, advanced assessing/evaluating, problem- solving/reasoning.

9. Essential Sensory Requirements: Ability to see, hear, feel, verbally communicate. Essential sensory requirements include the ability to: read computer keyboard, monitor, and documents; prepare and analyze documents; read extensively; receive and convey detailed information orally, by telephone and in person; convey accurate and detailed instructions by speaking to others in person and by telephone.

10. Exposure to Hazards: Possible exposure to toxic materials, communicable diseases, body fluids/blood, and exposure to or use of sharps.

Blood/Fluid Exposure Risk
Category I
1. Tasks routinely involve a potential for mucous membrane or skin contact exposure to blood, fluids or tissue. Use of personal protective equipment (PPE), when appropriate, is required

Age Specific Competency
1. Neonatal (Birth – 30 days)
2. Infant (30 days to less than 1 year)
3. Pediatric (1 year – 12 years)
4. Adolescent (12 years – 18 years)
5. Adult (18 years – 65 years)
6. Geriatric (65 years – Death)

Telecommuting
• Position NOT eligible for Telecommuting

Benefits 

*Coverage below based on a 1.0 FTE; Medical, Dental, Paid Leave, Holidays are prorated based on FTE

Benefit:

Coverage:

Effective:

Medical

    Premera (Self Insured)

    Preferred Provider   

Employee covered - $50.00 per month

Dependents covered – please refer to the benefits Guide 2024 for rates

First of the month following the first date of employment.

Dental

    Washington Dental

Employee covered – 100%

Dependents covered – 50%

First of the month following the first date of employment.

Paid Leave

120 hours – Year 1

136 hours - Year 2
Each year after that employee will accrue 8 hours of PTO each year, on their anniversary date, until they reach a maximum of 208 hours at 10+ years.

Paid Leave may be used immediately for sick leave and after 3 months employment for vacation. Maximum accrual cap of 320 hours; hours in excess of 320 hours will automatically transfer into the employees EIB.  

Extended Illness Bank (EIB)

Allows for maximum accrual of 200 hours

PTO hours in excess of 320 will transfer into EIB. Employees are eligible to use EIB hours after at least 3 consecutive scheduled working days of PTO (max 24 hours) which have been used for a personal illness and/or a qualifying event under FMLA or the WA Family Care Act. 

Holidays

88 hours related to:

·         New Year’s Day

·         Memorial Day

·         4th of July

·         Labor Day

·         Thanksgiving Day

·         Day after Thanksgiving

·         Christmas Eve

·         Christmas Day

·         3 Diversity Days

Holidays are calculated as 8-hour days if full time, 1.0 FTE, and paid based on the calendar year (January 1 through December 31).  Holiday hours will be added to the employee’s timecard automatically. If an employee is part-time, as documented in our HR/Payroll system, Holiday hours will be pro-rated.  If an employee starts after the calendar year has begun, holiday hours will be prorated based on remaining holidays in the calendar year and diversity days will be prorated as outlined below:

·         Jan 1- April 30: 3 diversity days (24 hours if 1.0 FTE)

·         May 1 – August 31: 2 diversity days (16 hours if 1.0 FTE)

·         Sept 1 – Dec 31: 1 diversity day (8 hours if 1.0 FTE)

Please refer to the Paid Leave policy for additional details.

403(b) Retirement Plan

    Lincoln Financial

150% CVCH match up to 3% of the employee’s contribution

Immediately. Vesting schedule:

20% at 2 years, 50% at 3 years, 60% at 4 years, and 100% at 5 years.

Employee Assistance Program

    Mutual of Omaha

Free short-term counseling for employee and family

Immediately. Call 800-316-2796

Long-term Disability

    Mutual of Omaha

Employee Only (variable)

First of the month following the first date of employment.

Benefit:

Coverage:

Effective:

Basic Term Life

    Mutual of Omaha

Employee Only (1x annual salary, up to $200,000)

First of the month following the first date of employment.

Group Accidental Death and Dismemberment (AD&D)

   Mutual of Omaha

Employee Only (1x annual salary, up to $200,000)

First of the month following the first date of employment.

Supplemental Term Life

    Mutual of Omaha

Employee / Spouse / Dependent(s)

First of the month following the first date of employment.

Voluntary AD&D

    Mutual of Omaha

Employee / Family

First of the month following the first date of employment.

Health Reimbursement Arrangement

    RedQuote

Reimbursement for out of pocket expenses for services received at CVCH (medical, dental, and prescription) by employees and their dependents enrolled in our medical plan. Up to $750 per family per year.

First of the month following the first date of employment.

Flex Plan: Medical

    RedQuote

Flex Plan: Maximum $3,200 per year

Direct Deposit available

First of the month following the first date of employment.

Flex Plan: Dependent Care

    RedQuote

Flex Plan: Maximum $5,000 per year

Direct Deposit available

First of the month following the first date of employment.

AFLAC

Supplemental insurance – cafeteria plan

First of the month following the first date of employment.

Wellness Stipend

CVCH will reimburse staff up to $30 per month for a local gym membership

OR

CVCH will reimburse up to $150 per year for a subscription type workout program service (i.e.: Beachbody on Demand, Les Mills, etc.)  

Immediately. Once employee has submitted invoice to HR/Payroll department.

Cell Phone Discounts

Discounted monthly access fees

Discounted select accessories and special equipment

Available for personal cell phones, currently in place with AT&T & Verizon

Benefit:

Coverage:

Effective:

Tuition Reimbursement

For approved courses, the cost of tuition, books, and lab fees may be reimbursed at 75% of the actual costs up to a maximum of:

·         $4,000 for an Associate’s degree, vocational, technical, or certification program

·         $6,000 for a Bachelor’s degree

·       $8,000 for a Master’s degree

Upon approval; regular employees who work at least 20 hours per week, have successfully passed their evaluation period and are in good standing may apply.

Employees must agree to work for a period of one (1) year from the date of receipt of tuition reimbursement and obtain satisfactory completion of approved courses or Challenge Exams.

Compensation: $32.60-$46.80/hourly (based on experience)