Registered Nurse Ob/Gyn (Bilingual) Temporary

Marin Community Clinics, founded in 1972, is today, a multi-clinic network with a wide array of integrated primary care, dental, behavioral, specialty and referral services. As a Federally Qualified Health Center (FQHC), we provide vital health services to almost 40,000 individuals annually in Marin County. The Clinics regularly receive national awards from the Health Resources and Services Administrations (HRSA). Our Mission is to promote health and wellness through excellent, compassionate care for all.

The Registered Nurse will be responsible for providing direct patient care and coordination of care for both the gynecology and obstetrics team at Marin Community Clinics. The RN plays a vital role for the gynecology department, working closely with Gynecology Physicians and Women’s Health Nurse Practitioners, and Primary Care Physicians who specialize in Women’s Health. The provider ideally has prior experience in Obstetrics and/or Gynecology and the ability to add clinical skills and expand scope of practice as required by the clinic. The RN must be interested in learning from the Obstetric and Gynecologic physicians, providers, and existing OB RN team at MCC. The provider will participate in disseminating new knowledge, guidelines, or information to non-Women’s Health providers and RNs in conjunction with the clinic Gynecology physicians.

• Temporary to Regular hire benefited status opportunity
• Temporary status 3-6 months
• 32 Hours per week schedule
• Bilingual Spanish skills are required

Covid-19 vaccination requirements: 

All employees are required to be fully vaccinated for COVID-19, including "health-care" required boosters as a condition of employment, subject to limited exemptions. New employees are required to provide proof of being fully vaccinated for COVID-19 and boosted before the first day of employment. If you completed your primary series early boosters,but have not received the most recent booster,you will be required to get the most recent booster and mask until completed if hired.

• Gynecology Team Responsibilities
• Perform patient phone calls to discuss complex results with direction from GYN providers: endometrial biopsy, vulvar biopsy, colposcopy.
• Communicate complex patient plans from physician to team, patients, and within the EHR: follow up s/p colposcopy, LEEP, endometrial hyperplasia and document those appropriately and within established guidelines.
• Patient preparation and education prior to office procedures: endometrial biopsy, colposcopy, LEEP, vulvar biopsy, or other procedures as designated by provider.
• Complex follow up calls after treatment initiated as directed by GYN provider: Abnormal uterine bleeding, fertility treatment w/ letrozole.
• Work with GYN surgery coordinator to help prepare patients for surgery: Pre-op instructions, pre-op medications, chlorhexidine prep, post-op instructions.
• Post-op phone calls:  Performs timely post-op phone calls as determined by provider assess for post-op complications and medication compliance, answer post-op questions, alert surgeon if any concerns.
• Coordinate care of urgent gynecology patients identified by PCPs: assess along with assistance from GYN MD whether ER visit necessary, coordinate urgent appointments or imaging.
• Manage the “GYN high risk list” – patients with gynecologic cancer or potential cancer, coordinate their follow up, imaging, referrals and long term follow up to prevent loss to follow up.
• Check the GYN MD’s PAQs.
• Relay to patients normal and abnormal Colposcopy Results (up to CIN 3) and follow up plan as determined by colposcopists.
• Coordination for the insurance approval, administration, and follow up of Lupron injections for fibroids or heavy bleeding.
• Providing patient education of infertility work-up, menstrual calendar, timed intercourse, and treatment including oral ovulation induction medication regimen
• Follow up fertility labs.
• Serve as MCC RN point person to other RNs and providers regarding cervical cancer screening questions and management of abnormal results.
• Obstetric Team Responsibilities (one day per week)
• OB RN Intake visits: taking a thorough patient medical and surgical history, update EHR with medications, problem list, schedule initial OB visits with CNM or MD.
• Discuss genetics options.
• Coordinate routine and complex patient appointment scheduling for the Obstetrician physicians.
• Coordinate referrals to non-OB physicians for high risk obstetric patients.
• Triage OB visits: rule out preterm labor, severe nausea/vomiting, abdominal pain, urgent mental health or social needs. Make patient assessments and coordinate follow up care.
• Coordinate with outside OB offices: UCSF PDC Ultrasound center, MHMC Labor and Delivery, Antenatal testing, genetic testing, NIPT/carrier testing.
• Discuss normal results for genetic testing, carrier testing, NIPT, ultrasounds.
• Check the OB MDs & CNM PAQs for lab and imaging results, ER follow ups, etc.
• Manage the “OB Follow up Log:” ectopic pregnancy, pregnancy of unknown location, possible miscarriage, and coordinate any non-obstetric follow up care postpartum.
• May cover the OB RN “Desk”: field phone calls from OB patients, answer patient questions in regards to test results, common pregnancy complaints, medication questions.

• Administrative Responsibilities:

• Attend and participate in bi-monthly Reproductive and Sexual Health Meetings, assist in disseminating any new information to other MCC RNs.
• May attend and participate in OB High risk monthly meetings, help coordinate care as directed by OB team.
• Train and acclimate new OB/GYN MAs where applicable.
• Provide annual training sessions in regards to cervical cancer screening for MCC RNs to ensure follow up is uniform across the organization.
• RN education on how to talk about HPV/ abnormal PAPS to patients.
• Proper GYN chart updates within EHR (Care Guidelines).

• Procedural Skills:

• Basic wound care: evaluation and treatment of minor post-op infections, wounds from laparoscopy, gynecology and OB patient. Visits will be joint RN/MD visits.
• Insertion and removal of straight or indwelling urinary catheters.
• Suture removal.
• Phlebotomy skills.
• Assisting in LEEP procedures if MA not available or extra assistance needed.
• Assisting in hysteroscopy or Manual Vacuum aspiration procedures if MA not available or extra assistance needed.
• Medication administration of injectable and oral medications for treatment of STIs, pelvic infections, pain management prior to office procedures.
• Fetal heart rate auscultation and fundal height measurement.
• Patient instruction on using a home blood pressure cuff, home glucose monitor.
• Makena administration.
• Rhogam administration.
• Other duties as assigned. 

• Associate or BS Nursing Degree required
• Primary Care experience preferred but not required
• A valid and unrestricted license issued by the Nursing Board of California
• Current BLS certification
• Excellent verbal and written communication ability.
• Bilingual English/Spanish medical Spanish skills are required. 
• Must be able to work independently and within a team environment. 
• Must be sensitive to ethnic and cultural differences and their relevance to health care.
• Willingness and ability to follow clinic policies, objectives and mission established by regulations, grants, management or the Board of Directors.
• Experience with Epic Electronic Health Records highly desired.

Physical Requirements

• Prolonged periods of sitting at a desk and working on a computer.

Benefits Information

Hiring Bonus $1,000

Relocation Assistance NA

Our benefits program is designed to protect your health, family and way of life. We offer a competitive Benefits Program that includes affordable health insurance and Health Reimbursement Accounts (HRA), Dental and Vision Insurance, Educational and Continuing Education Benefits, Student Loan Repayment and Loan Forgiveness, Retirement Plan, Group Life and AD&D Insurance, Short term and Long Term Disability benefits, Professional Fee Reimbursement, Mileage and Cell Phone Reimbursement, Scrubs Reimbursement, Loupes Reimbursement, Employee Assistance Programs, Paid Holidays, Personal Days of Celebration, Paid time off, and Extended Illness Benefits.

MCC is an equal opportunity employer.  We enthusiastically accept our responsibility to make employment decisions without regard to race, religious creed, color, age, sex, sexual orientation, gender identity, national origin, religion, marital status, medical condition, disability, military service, pregnancy, childbirth and related medical conditions, or any other classification protected by federal, state, and local laws and ordinances.