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Registered Nurse - OB/GYN

Employer
Malama I Ke Ola Health Center
Location
Lahaina, Hawaii
Closing date
May 18, 2022

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Discipline
Registered Nurse (RN)
Specialty
OB/GYN
Position Type
Nurse
Hours
Full Time
Work Setting
Hospital / Medical Center
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Community Clinic of Maui, Inc. dba Malama I Ke Ola Health Center is a Federally Qualified Health Center (FQHC) and a fully integrated behavioral health, dental, and primary care system. Our 100+ professionals and providers serve the people of Maui at three clinics—two locations in Wailuku and one in Lahaina. We have behavioral health providers who partner with the primary care clinicians to assist in a vast number of activities including warm handoffs for acute behavioral health crisis management, substance abuse counseling, tobacco cessation counseling, chronic disease self management counseling, and long-term individual and family therapy. We have been serving the Maui community since 1993. Since 2015, we have served over 11,000 patients of which 97% are living at or below 200% of the Federal poverty level. Our philosophy is for all professionals to work at the top of their license. We are a learning organization that focuses on Patient Centered Medical Home (PCMH), Trauma-Informed Care, and Team-Based Care. Please visit our website https://ccmaui.org/ to view our unique focus projects, our professional staff, and to learn more about our health center. Join our growing team of caring, competent, and committed professionals in serving the underserved communities on Maui.

The Registered Nurse (RN) provides patient-centered care which includes care coordination and health education to patients and their families utilizing the nursing process of assessment, planning, intervention, and evaluation.

The RN will work in a clinical triad with the Medical Assistant (MA) and Medical Provider. This position also works closely with an interdisciplinary team including the Adult care team, Pediatric care team, Integrated Health team, Dental staff, Member Services and outside referral entities to ensure patient-centered care. The RN will work out of the main clinic in Wailuku as well as the satellite clinics located Lahaina and Wailuku.

Join the Malama I Ke Ola Health Center Team!

Team-Based Care
90 Day Introductory Period Increase
Continuous Learning On-The-Job and Internal Training Sessions
External Training Reimbursed and Paid for Time
Medical, Dental, and 403(b) Retirement Plan
Vacation, Holiday and Sick Benefits
$5000 Sign-On Bonus! Base salary $75,000/year plus bonus incentive.

ESSENTIAL RESPONSIBILITIES

Clinical Responsibilities:
Pre-Visit Patient Care:

Follows the pre-visit planning policy and procedure as established by the organization.
Coordinates pre-visit planning with Medical Assistant and Medical Provider on assigned team.
Prepares for, attends and participates in team meetings and huddles.
Works with Medical Assistant to contact all new patients presenting with Chronic Disease indicators, 5 to 7 days prior to their first visit in order to complete a Pre-Visit assessment that includes medications, past medical history, medication list and problems. Completes screenings for depression, smoking, drugs, safety, etc. per current practice guidelines.
Identifies High Needs Patients, described below, with Medical Provider and works with Medical Assistant to contact all identified High Needs Patients, 5 to 7 days prior to next visit to determine if care plan objectives from previous visit have been completed, if there has been interim care outside the organization and if the patient has any concerns that the team can prepare for.

Patient care during visit:

Confers with Medical Provider on team and participate in data gathering, setting patient expectations, patient education and care coordination of High Needs patients, as requested by the medical provider. These will consist of:

Transfer of Care (TOC) Patients:

New Patients
Hospital/ER Follow ups

Patients with poor control of chronic medical conditions
Patients with anticipated barriers to data gathering of patient history and care needs:

Language barriers
Learning or cognitive disabilities
Mental Health or Behavioral barriers

Patients with multiple specialist care providers
Patient with high acuity care-coordination (e.g. patients with active cancer diagnosis)
Time intensive patients (as designated by the medical provider).

Conducts RN-led chronic care management visits. The RN will review population health data for the panel entrusted to the assigned care team with the Medical Provider.
Identifies patient care needs based on assessments and conversation with the patient and family.
Verifies the patient history, medication list, problems, and diagnostic test results and identify any care gaps.
Monitors and facilitates preventive care such as immunizations, cancer screenings and lab tests.
Gives report to provider, using SBAR method, about patient care needs.
Collaborates with care team and patient in developing team priorities, patient goals and care plans.
Assists the patient in setting realistic self-management goals taking into consideration barriers the patient and family may encounter.
Assists the patient in obtaining needed services in the community such as transportation, house etc. by referring the patient to the appropriate organization and monitors results.
Documents in EMR the RN interaction with patient, according to organizational policy and protocol.
Assists provider with procedures as needed and within scope of practice.

Patient Care In Between Visits:

Utilizes the EMR and population health tools to identify significant care gaps and take steps to facilitate patient and population management to improve clinical outcomes as identified by clinical quality measures (CQM).
Notifies patients, per provider instruction, of abnormal test results and follow plan.
Assists the team in monitoring and responding to the Refill Line, per organizational Refill Policy and Protocol.
Will be responsible for on-going care coordination of patients as requested by patient (or designated proxy), Medical Provider and other referral entities/diagnostic centers/agencies involved in care of the patient.

General Clinical Responsibilities

Provides nursing triage.
Medication and vaccine administration.
Responds to phone calls in a timely manner and per protocol.
Responds to life-threatening situations within the scope of licensure.

QUALIFICATIONS
Education:

Graduate of an accredited school of Licensed Professional Nursing
Licensed in the State of Hawaii as a Register Nurse.

Experience:

2 years' experience as a Registered Nurse, preferred.
Experience or training in OB/GYN preferred.
CPR/AED certification
Vaccinated against COVID-19 or ability to provide medical or religious exemption and request for accommodation

Skills:

Computer knowledge related to word processing, data input, graphs using Microsoft Word and Excel.
Ability to make accurate assessments and prioritize work to be done.
Demonstrated excellent assessment skills and performance.
Ability to solve problems.
Provide excellent customer services to our clients including demonstration of the organizational value that patient needs are the first and central priority and the belief that patients come first.
Willingness to assist co-workers.
Fluency in Tagolog, Ilocano and/or South Pacific Island language a plus.

Community Clinic of Maui, Inc. dba Malama I Ke Ola Health Center is an equal opportunity employer and prohibits discrimination and harassment of any kind. We are committed to the principle of equal employment opportunity for all employees and to providing employees with a work environment free of discrimination and harassment. We embrace a friendly, warm, and welcoming environment so that we can deliver on our promise to provide quality care to our community. E komo mai (Welcome)

Equal Employment Opportunity Statement
We are an equal opportunity employer. We do not discriminate on the basis of age, race, sex, religion, color, national origin, ancestry, marital status, disability, sexual orientation, lactation, arrest and court record or any other protected category recognized by state and federal laws.
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