Description
FIRST POSTING TO ENROLLED ONEIDA TRIBAL MEMBERS ONLY
Salary is Negotiable
After successful completion of the probationary period, employee will receive off probation wage increase.
Summary:
Provide safe direct patient care and triage utilizing the nursing process in the ambulatory setting with a focus on patients with substance abuse disorder. Provide services and information to patients over the phone or virtually utilizing established protocols to determine the urgency of care needed. Facilitate intra/inter- and departmental collaboration and communication to address patient care initiatives. Utilize community outreach and resources to meet needs of patients. Provide patient education and direct care. Organize and facilitate the patient care team to streamline patient appointments and follow-up. Contribute to the functioning of the division as requested. Continuation of this position is contingent upon funding allocations.
Responsibilities:
* Communicate and work closely with staff and providers to coordinate processes involved in team-based patient care with a focus on patients with substance use disorder.
* Coordinate internal and external resources with the EMR to manage patient documentation and overall care
* Assist with the development of patient and workflow procedures with a focus on the provision of services for Medically Assisted Treatment (MAT).
* Coordinate and communicate patient care and documentation requirements with appropriate departments
* Provide direct patient care and education
* Assess patients' condition and nursing needs; set goals and utilize appropriate nursing interventions
* Assist with treatments and procedures including but not limited to Suboxone, Vivitrol or other medications
* Monitor patient progress during treatments including repeat inductions or other treatments
* Communicate any questionable or urgent symptoms to provider immediately
* Assist with or institute emergency measures for sudden, adverse developments in patients.
* Facilitate hand-off procedures with behavioral health and or other primary providers for continuity of care post treatment
* Collects data in conjunction with the quality improvement coordinators on treatment effectiveness to improve services provided
* Coordinate team meetings and events in collaboration with the Nursing staff
* Collaborate with division departments as needed for troubleshooting and problem solving
* Act as a resource for clinic personnel regarding substance abuse treatments and protocols as needed and/or requested
* Triage patient calls utilizing the nursing process and standard protocols
* Refer any emergent patient symptoms to immediate/urgent care per provider protocol
* Schedule appointments or direct callers to health care resources based on assessment and protocol suggestions
* Provide direct care to patients scheduled for Nurse Only appointments for the team
* Administer medications and perform routine treatments, ensure provider orders are carried out.
* Document all patient care and triaged calls according to established procedures
* Follow up abnormal laboratory or radiology results in conjunction with provider
* Ensure that orders and referrals are processed
* May be required to cover for nursing and clinic staff in other areas of the clinic when understaffed
* Assist infection preventionist with disease tracking and treatment.
* Participate in orientation and feedback of students and new personnel. May train or supervise students, as appropriate
* Identify and report/correct adverse environmental conditions
* Report potential or actual patient safety concerns, medical errors and/or near misses per protocols
* Ensure that equipment is maintained; monitors supply and medicine requisitions; maintains supply stock levels.
* Ensure strict confidentiality of records
Skills:
Essential:
* Obtain additional education and training
* Foster a cooperative work environment
* Comply with Caregiver Law and Grant conditions criminal history checks as a condition of employment to include fingerprinting
* Analyzing problems, projecting consequences, identifying solutions, and implementing recommendations
* Preparing and maintaining patient records
* Ability to maintain quality, safety, and/or infection control standards
* Ability to clearly communicate medical information to professional practitioners and/or the general public
* Ability and willingness to provide strong customer service orientation
* Ability to work both independently and in a team environmen
* Knowledge of AAAHC, HIPAA, Workers Compensation, OSHA, Federal, State and Local regulations
* Ability to accurately interpret applicable federal, state, county and local laws, regulations, and requirements
* Knowledge of clinical operations and procedures
* Knowledge of health education theory and practice
* Ability to communicate effectively in the English language, both verbally and in writing
* Ability to establish and maintain professional relationships with individuals of varying social and cultural backgrounds and with vendors and co-workers at all levels
* Continually seek improvement in results
* Knowledge of current principles, methods and procedures for the delivery of nursing procedures and quality of care
* Ability to educate patients and/or families as to the nature of disease and to provide instruction on proper care and treatment
* Ability to exercise sound judgment in decision making
* Ability to communicate technical information to non-technical personnel
* Knowledge of current and emerging trends in technologies, techniques, issues, and approaches in area of expertise
* Operating business computers and office machines, including in a Windows environment, specifically Word, Excel, Access, and presentation software (such as PowerPoint)
* Ability to observe, assesses, and document symptoms, reactions, and progress
Education Requirement - Or A Closely Related Field:
Education with Equivalent Qualifications:
Essential:
* Associates Degree in Nursing
Nonessential:
* Bachelor's Degree in Nursing
Credentials:
Essential:
* Wisconsin registered nurse
* Driver's License Personal & Tribal Vehicle
* Insurance Required
Nonessential:
* Driver Safety Training
* Health Insurance Portability (HIPAA) Accountability
* Child Abuse Reporting Policy (CARP)
* Basic Life Saving (BLS)
Credential equivalent experience:
Essential:
* A valid driver's license or occupational driver's license, reliable transportation and insurance is required. Must obtain a Wisconsin driver's license or occupational driver's license within thirty (30) days of employment if applicant has an out-of-state driver's license. Must be authorized as eligible to operate a Personal and Tribal vehicle under the Oneida Nation's Vehicle Driver Certification and Fleet Management Law prior to actual start date. Must maintain driver's eligibility as a condition of employment.
Nonessential:
* Within thirty (30) days of employment and annually thereafter.
* Within ninety (90) days of employment.
* Within (3) months of employment. Must maintain certification during employment.
Working conditions:
Essential:
* Varicella vaccine required
* Measles mumps rubella vaccination required
* Stand frequently
* Walk frequently
* Reach frequently
* Push/pull frequently
* Pull with hands and arms.
* Sit occasionally
* Bend/stoop occasionally
* Kneel occasionally
* Crouch Occasionally
* Crawl occasionally
* Move 25 pounds occasionally
* Medical office setting with potential patient exposure
* Hospital setting
* Exposure to dangerous materials and situations
* Exposure to potentially dangerous materials and situations that require following extensive safety precautions
* Wear protective clothing
* Exposure to blood borne pathogens
* Exposure to latex products
* Evening and weekend work may be required
* Work extended hours
* Work irregular shifts
Experience:
Nonessential:
* Care of persons with substance use disorder
* Clinical work in a ambulatory care setting
* Registered Nurse
Other information:
EQUAL EMPLOYMENT OPPORTUNITY STATEMENT - The Oneida Nation does not discriminate based on race, color, national origin, sex, religion, age or disability status in employment or the provision of services. However, individuals of Indian ancestry and Veterans will be given preference by law in employment.
Continuation of this position is contingent upon funding allocations.
Must maintain strict security, confidentiality, and quality to meet professional standards of the department.
Must adhere to all Oneida Nation Personnel Policies and Procedures, Oneida Nation Standard Operating Procedures, and Area and Program Strategic Plans and Policies.
Must pass a background check to meet Employment Eligibility Requirements. If applicable, must pass a background check to meet Oneida Nation/State Compact and/or Oneida Nation Gaming Ordinance, and may be required to obtain a temporary license and/or Gaming license as a condition of employment.
Must be willing and able to obtain additional related education and training.
Must pass a pre-employment drug screen and adhere to the Nation Drug and Alcohol-Free Workplace Policy.
A Tuberculosis (TB) Screening and/or a 2 step TB Skin Test is required within thirty (30) days of employment.
Must provide a copy of diploma/degree, license, or certification upon employment.
ITEMS TO BE SUBMITTED:
- Three (3) current letters of references (personal, professional, and past employment).
- Background information disclosure (BID) form.
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