Community Health Nurse (RN)
Full-time
Full Time
$23.92 an hour or more depending on qualifications
Grand Portage Reservation
Job Description
Job Title: Community Health Nurse RN
Department: Health Services/Clinic
Location: Grand Portage Health Services/Clinic (partner clinic to Sawtooth Mountain Clinic)
Reports To: Health Services/Clinic Director
FLSA Status: Nonexempt
Salary Level: Grade 12 / $23.92 + DOQ
Summary:
Work as part of a team providing health care to patients at Grand Portage Health Services in the areas of clinical support, community public health, home care and emergent care with a special emphasis in maternal child health.
Essential Duties and Responsibilities: include the following.
Coordinate grant programs and be the lead nurse for the areas of maternal Child health including but not limited to programs and activities such as Follow Along, Child Birthing classes, WIC Child Safety, Family Spirit Home Visiting and Adolescent Health.
Coordinate the Infection Control program including policies, training, and maintaining current knowledge through attendance at meetings, trainings and contact with the appropriate state and federal agencies.
Provide community health support via education and clinics including but not limited to vaccination clinics and preventative screening.
Initiate nursing measures to prevent complications and/or minimize the effects of communicable disease(s).
Act as primary liaison concerning health issues with Head Start, Grand Portage Day Care and the local Charter School.
Maintain current and accurate charts for patients in required reporting systems.
Participate in the planning, development and implementation of agency public health programs and nursing policy and procedures.
Maintain Minnesota State Standards of Nursing Practice, License, professional development for clinical competency including certifications in CPR.
Participate in Wellness Fair, Kid’s Day, Rendezvous Days and other community events.
Maintain confidentiality and comply with all federal, state and tribal laws and policies relating to confidentiality, data privacy and information sharing.
Secondary Duties:
Provide nursing care within scope of practice as needed during physician clinic and beyond clinic. Activities include but are not limited to patient triage, IV med administration, suture removal, med box set up and foot care. Attend to walk-in patients; communicate with SCM triage nurse as necessary. Coordinate further care as needed.
Assist with pre-appointment care including blood draws, chart reviews, working with support staff to schedule lab draws.
Refer patients for further diagnostic treatment as ordered by physician. Coordinate with CHR as necessary.
Become certified and perform pre-employment UA’s.
Monitor medical equipment and supply use and inventories; order supplies as necessary.
Network and advocate for patient care with other Grand Portage service providers and health care providers through meetings, community health fairs and health related committees.
Assist with telephones and receptions.
Supervisory Responsibilities:
This job has no supervisory responsibilities.
Qualifications:
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 and/or Experience:
RN with current, valid licensure required. Maternal Child Health experience highly desired.
Other Knowledge, Skills and Abilities:
Must be able to work as part of a team.
Excellent inter-personal relationship, decision making and communication skills.
Understanding of and ability to work with various computer systems.
Willingness to work overtime and flexibility.
Knowledge of/experience working in American Indian Community; American Indian preference.
Must have and maintain a valid driver’s license and to be insurable with Grand Portage Reservation auto insurance.
Email jenns@grandportage.com to apply!
Registered Nurse (RN)
Full-time
Full Time
$70,000 - 84,000
SUMMARY:
NACC’s mission is to promote the health & wellness of mind, body, and spirit of Native American families. We offer a full range of healthcare services that include Medical, Behavioral Health, Dental, and Substance Abuse. The ideal candidate should have experience organizing, monitoring work performance and progress, clinical experience in community care, and population health management. This position reports to the Clinic Manager and assists in the assessment, planning, implementation and evaluation of patient care to a culturally diverse population. The RN will assist in providing nursing care in an outpatient ambulatory setting. Candidates must possess strong communication and organizational skills as well as the ability to resolve workplace issues effectively.
RN DUTIES AND RESPONSIBILITIES:
Primary Care Essential Functions:
Responsible for managing patient phone calls and patient triage (phone and walk in) including but not limited to communicating abnormal labs and other orders directed by providers.
Assists in coordinating vaccine programming, activities, and events while complying with NACC policies and procedures. This may include administration of vaccines in clinic as needed.
Manages prescription refills and durable medical equipment using standing orders and provider direction.
Manages incoming paperwork for home health and external orders.
Responsible for performance improvement and reporting related to RN or LPN functions, including prenatal, pediatric, asthma and diabetes care treatment and indicators.
Responds to medical emergencies and incidents involving patients.
Responsible for maintenance of the crash cart, medication disposal program, and sample medications.
Works with NACC’s leadership team to carry out projects as they relate to the nursing team.
Attends regular meetings with Medical Director, care coordinator and medical teams for planning and reporting.
Participates in work groups as requested.
Other related duties requested by Clinic Manager.
Care Management:
Responsible for the coordination of care for clinic patients. Duties may include, but are not limited to population management and tracking of patient engagement in care; scheduling patient appointments, imaging, transfers of care and hospital admissions; navigating referrals to specialists: coordination of outpatient/inpatient continuity of care; tracking of high-risk patients and abnormal test results
Conducts nurse-led visits through the utilization of clinic standing orders. Nurse-led visits include planning. intake visit, complete physical, and routine follow-up visits.
Perform assessment of patient's unmet social needs and help patients navigate community resources including classes, services, WIC, dental care, nutritionists and other social services as needed.
Completes accurate, timely documentation of patient encounters in the electronic medical record. Documentation and records requirements include completion of office visit notes, updating patient care sheets, acquiring records and closing patient charts according to clinic protocol.
Conduct population management outreach phone calls to promote engagement in care for patients lost to follow-up. Population calls can include rescheduling missed appointments, follow-up, and non engagement calls.
Perform other program duties as requested to ensure the delivery of high quality, accessible care. Duties include, but are not limited to, maintenance of patient educational material and coordination of supplies in clinic.
QUALIFICATIONS:
Education and/or experience: Minimum 2 year experience providing direct patient care services in clinic setting; previous experience working with Native Americans or other marginalized communities preferred.
Certificates, licenses and registrations required: Registered Nurse (RN); active, unrestricted license to practice in Minnesota; BLS CPR; proof of current COVID-19 vaccination.
Computer skills required: Internet Software; Spreadsheet Software (Excel); Word Processing Software (Word); Electronic Mail Software (Outlook); Presentation software (PowerPoint); experience using EMR preferred.
Other skills required: Works well independently and on a team; excellent communication, customer service, and case management skills.
Family Practice Provider
Full-time
Full Time
$110,000 - 180,000
Job Summary:
This position is primarily responsible for providing medical treatment in the Native American Community Clinic (NACC) within the scope of their specialty.
Duties and Responsibilities:
Provides comprehensive primary healthcare for patients of NACC
Performs initial examinations, including physical exams and patient observations
Orders and administers diagnostic tests
Records patient medical histories in NACCs Electronic Medical Record
Communicates test results to patients and their families
Actively participates in medical program planning
Assumes on-call duties as required
Maintains a good working relationship with colleagues, staff, and community partners of NACC
Abides by clinical protocols, policies, and procedures
Maintains productivity standards of the medical clinic
Performs other related duties as assigned by management.
Licenses/Certifications: Licensed as an RN and APRN by the board of nursing and certified by a national nurse certification organization acceptable to the board to practice as a Certified Nurse Practitioner (CNP)
RN/Care Coordinator
Full-time
Full Time
$30-38/hour
https://neighborhoodhealthsource.org/
ESSENTIAL FUNCTIONS & RESPONSIBILITIES:
General Nursing
• Serves as the contact point, advocate, and informational resource for patients, care team,
family/caregiver(s), payers, and community resources
• Handles incoming triage calls:
o Provides appropriate patient education regarding medical condition
o Provides medication instructions
o Supports providers by following up with patients regarding their lab/imaging results as guided
by the provider
o Documents telephone discussions in the patient’s electronic medical record (EMR)
• Handles incoming Nursing Home Orders
• Handles incoming pharmacy questions, clarifications and prior authorizations
• Calls patients with medication changes, directions and education, as ordered by providers
• Provides nursing support, when needed, to the Nurse Midwives and NHS providers
• Utilizes the Patient Portal to communicate with patients
• Sees patients on daily nurse schedule:
o Responds to the needs of walk-in patients
o Assists providers as needed
o Provides education on medical condition, e.g., asthma, diabetes, family planning
o Reads and documents PPD results
• Provides refill requests that come through the EMR, phone or fax
• Reconciles medications
• Maintains a logbook of all dispensed medication at the direction of the medical provider
• Maintains an emergency box of medications
• Oversees the application/enrollment and tracking process for patients in indigent medication
programs
• Prescribes medications per standing order protocols, e.g., STI treatment, Vitamin D deficiency
• Provides community-based nursing care as established by the organization, as requested
Care Coordination/Case Management Support
• Maintains Health Care Home (HCH) and FUHN registries for patient follow-up:
o Assists with the identification of “high risk” patients (those with chronic illness and/or special
health care needs)
o Contacts patients to enroll them into HCH and documents patient’s acceptance or declination,
to populate the registry
o Contacts patients that are on the FUHN ID/ Stratification tool to get them in for follow-up care
and educates patients on when to utilize the ER
o Reviews FUHN/ID Stratification patient’s EMR to see what patients may need; refers to
specialty providers and to helps with medication reconciliation
• Works with patients to plan and monitor care:
o Assesses patient’s unmet health and social needs
o Develops a care plan with the patient, family/caregiver(s) and providers (emergency plan,
health management plan, medical summary, and ongoing action plan, as appropriate)
o Monitors adherence to care plans, evaluates effectiveness, monitors patient progress in a
timely manner, and facilitates changes as needed
o Creates ongoing processes for patient and family/caregiver(s) to determine and request the
level of care coordination support they desire
• Facilitates patient access to appropriate medical and specialty providers
• Educates patient and family/caregiver(s) about relevant community resources
• Cultivates and supports primary care and specialty provider co-management with timely
communication, inquiry, follow-up, and integration of information into the care plan regarding
transitions in care and referrals
• Facilitates and attends HCH meetings between patient, family/caregiver(s) and provider
• In collaboration with the primary care provider, assigns the appropriate tiering level based on
required criteria for HCH patients
• Advocates for the participant in understanding needs surrounding transportation, shelter, child
care and safety. Refers participant to behavioral health services if warranted
• Keeps EMR care plans updated for easy access by HCH Team
• Interacts, communicates and collaborates with HCH Team daily in-person, by phone, inbox
messaging and/or team huddles to update and advance care coordination within the Team
• Utilizes all available tools to deliver education, instruction, care coordination and training,
including: computer; patient registry; HCH brochure; HCH care plan; other HCH policies &
procedures (tiering process, pre-visit planning, screening process); after-visit summaries; disease
management brochures; disease management participant tracking records (Diabetes glucose
records, nutritional records, wellness/exercise plan, blood pressure record); disease-specific
educational handouts; services offered by NHS
CORE REQUIREMENTS:
• Works collaboratively and respectfully with staff and others—individually and as part of a team—
to achieve optimal efficiency, outcomes and morale
• Interacts in a culturally competent manner with individuals and groups from diverse backgrounds,
including but not limited to: socio-economics, race and ethnicity, nationality and religion, both inclinic and in the community
• Maintains excellent and punctual attendance
• Attends and actively participates in staff and departmental meetings
• Attends agency functions and meetings as relevant or required
• Works at any or all NHS clinics, as needed
• Uses computer daily including e-mail, word documents, spreadsheets, patient management
system, electronic health record, and patient portal, as needed to carry out essential job functions
• Maintains any required licensure/certification
• Demonstrates commitment to agency mission and goals
• Abides by corporate compliance program, HIPAA regulations and other agency policies and
procedures
• Participates daily in pre-visit planning and huddles (RN, Provider, Medical Assistant, Front Desk)
• Plans, organizes, and multitasks
• Speaks, understands, reads and writes English sufficiently to carry out all essential duties
• Performs other duties as assigned
QUALIFICATIONS
• Graduation from an accredited nursing program
• Current Minnesota RN license
• Minimum one year experience in a primary care setting preferred
• Patient education experience
• Family planning experience highly desired
• Motivated to improve the health of the community
• Excellent interpersonal communication