Registered Nurse - Kearney Mesa - Medical Home Port (230904)

Registered Nurse

SITE OF SERVICE: 

• Naval Medical Center, Naval Air Station North Island (NASNI) and Associates Naval Branch Health Clinics. Kearney Mesa – Medical Home Port
• Full Time

POSITION QUALIFICATION/REQUIREMENTS:

• Degree: Associates Degree of Nursing.
• Education: Graduate from a college or University accredited by Accreditation Commission for Education in Nursing (ACEN), the Commission on Collegiate Nursing Education (CCNE).
• Experience:  One year of experience in nursing after graduation. Possess a minimum of one year outpatient experience as an ambulatory care nurse within the last 2 years, with experience providing services in psychiatric nursing, behavioral health and/or wellness counseling.
• Licensure: Current, full, active, and unrestricted license to practice as a Registered Nurse.
• Certification: Must maintain hands on BLS course through American Heart Association or American Red Cross
• Additional Certifications: Registered nurses shall then obtain certifications (e.g., IV, medications and blood administration) in accordance with clinic nursing service and command policy not later than 60 days after commencement of services. (2-hour lecture on IV certification).
• U.S. Citizenship: HCWs performing under this contract shall be U.S. citizens.

• English Language Requirement: Able to read, write, and speak English well enough to effectively communicate.
• Physical Capability: Shall be physically capable of standing and/or sitting for extended periods of time and physically capable of performing all services required under the contract.

CORE DUTIES:

• Work directly with medical case management for patients who require intensive services.
• Collaborate with the TBI multidisciplinary team members to resolve issues related to patient care, communication, policies, and resources.
• Assist in establishing and maintaining liaison with appropriate community agencies and organizations.
• Serves as a resource to patients and their families to provide education, guidance and resources both in the MTF and community settings.
• Coordinate patient care in collaboration with a wide array of healthcare professionals. Facilitate the achievement of optimal outcomes in relation to clinical care, quality, and cost effectiveness.
• Ensure compliance with standards of care and practice in accordance with all established policies, procedures, and guidelines used in the MTF.
• Perform physical exam and health histories.
• Provide health promotions, counseling, and education.
• Administer medications, wound care, and numerous other personalized interventions.
• May provide clinical direction or assist in the instruction of care provide by other healthcare professionals within scope of clinical privileges or responsibilities, however, may not serve as Charge Nurse on a unit/ward.21
• Provide clinical direction for making patient care assignments based on the scope of practice and skill level of assigned personnel.
• Recognize adverse signs and symptoms and quickly react in emergency situations.
• Communicate and collaborate with a diverse group of people for the purpose of informing the healthcare team of plans/actions, for teaching/education to benefit the patient/family and organization.
• Make referral appointments and arrange specialty care as appropriate.
• Perform nursing services identified in the TO
• Assess each patient and perform triage duties as assigned.
• Formulate and carry out a goal directed plan of care which is based on determined nursing diagnosis and patient outcomes, and which is prioritized according to patient needs and available resources including time, personnel, equipment, and supplies.
• Evaluate effectiveness of self-care given by all health team members, and contribution of systems, environment, and instrumentation in progressing patient toward outcomes.
• Provide treatment and discharge instructions upon patient release.
• Perform assessment/data collection in an ongoing and systematic manner, focusing on physiological, psychological, and cognitive status.
• Provide a safe and clean environment for each patient.
• Identify patient/significant other learning needs and implement appropriate measures to meet identified needs.
• Assist in planning, provide clinical direction, and provide instruction to LPNs/LVNs, nursing assistants and ancillary personnel.
• Follow up with patient referred by Primary Care Manager (PCM) or Internal, Behavior Health Consultant (IBHC) and focus on patient progress in PCM treatment adherence.
• As required, participate in PCM or IBHC case staffing and consultations that involve patients actively engaged in or may benefit in care facilitator services.
• Participate in screening processes developed by the IBHC and PCM to improve the recognition of and appropriate interventions for depression and PTSD.
• As required, provide, and teach curriculum content for classes that promote education and skill-building to enhance enrollee population psychological and physical health.
• As part of the MHP team, the HCWs shall raise awareness about behavioral health issues and care facilitator services in MHP practice area to promote easy referral of patients.
• Inform the Clinic Manager of administrative/clinical problems as they arise.
• Participate in all accreditation and Medical Home Port recognition processes (JC, IG, etc.).
• Engage other MHP team members to assist in improving documentation of the episode of care using MHP Clinic-approved templates as the initial template (i.e., TriService Workflow/COMPASS).
• Coordinate schedule and non-availability (i.e., leave, training, etc.) with other BHIPMHP team members to ensure adequate access to care.
• Participate in MHP team huddles.

HOURS:

Services shall be provided Monday through Friday, between the hours of 0700-1900 hours. Shifts will normally be scheduled for an 8.5-to-9-hour period, to include an uncompensated 30-to-60-minute lunch break, respectively. In no instance will the HCW be required to provide services more than 80 hours per two-week period.

Base Down Days:

• During a planned closure of the facility due to training, closures before or after holidays family down days, Employee will only be compensated for the actual hours worked.  If the clinic is closed and the employee is not able to work, employee will be required to use leave or take LWOP (without penalty). 

BENEFITS:

• Medical/Dental/Vision
• PTO
• 401K
• Life Insurance/Disability Insurance
• Continuing Medical Education Reimbursement

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