Senior Clinical LPN at Primary Care Health Partners-New York LLP – Plattsburgh, New York

Role Summary

The Senior Clinical LPN operates in a high-level clinical capacity, serving as a shared resource and clinical quarterback for our pediatric provider team. This role focuses on high-acuity triage, complex care coordination, and comprehensive immunization management. The Senior LPN ensures office flow by managing physician in-baskets and operating independently to deliver nurse-led services, specifically vaccinations and chronic care assessments. Beyond clinical tasks, the Senior LPN serves as a professional role model, exemplifying an attitude of professional curiosity and inspired care for the entire office team.

Key Responsibilities

1. Pediatric Clinical Excellence & Prevention

• Immunization Advocacy: Serve as a subject matter expert on childhood immunizations, confidently discussing risks/benefits with parents and ensuring high-skill administration and meticulous documentation.
• Sophisticated Assessment: Perform evaluation of vital signs and determine which signs are most pertinent to the child's specific presenting problem.
• Developmental Screening: Ensure appropriate screening tools for social needs, cognitive development, and emotional development are completed and assessed during visits.
• Nutrition & Breastfeeding Support: Advocate for breastfeeding and basic nutrition concepts, engaging office lactation support or community food security resources as needed.

2. High-Level Triage and Clinical Communication

• Professional Resource: Access and direct patients to reputable information and sources.
• Attention to Incoming Information: Serve as the primary filter for the physicians’ in-baskets. Address patient messages, medication refills, lab questions, school nurse needs, referral issues.
• Family Point of Contact: Develop relationships with and become the main contact point for families seeking clinical support, office visits, help with school and referral issues.
• Acuity Determination: Perform complex telephone and portal triage to determine appointment urgency. Decide between same session, same-day or future follow-up appointments. Communicate clearly with patients about their expected arrival times, what information may be needed for check–in or clinical information. Coordinate with physician related to end-of-day or after-hours visits.

3. Leadership & Mentorship

• Clinical Modeling: Model timeliness, precision, and detail-focus for Medical Assistants and non-clinical staff.
• Technical Resource: Answer scope-of-practice questions for Medical Assistants and provide guidance on proper clinical techniques (EKGs, screenings, vitals).
• Social Media: Maintain professional demeanor in public facing social media.

4. Workflow & Float Coordination

• Pre-Visit Preparation: Plan prior to arrival of patients in the office leads to greater efficiency during visits and much higher achievement of meeting clinical objectives. Senior LPNs prepare for regular health maintenance visits with attention to screenings and immunizations that will be needed. For any follow-up or urgent visits nurses obtain relevant data such as outside labs or images, specialist notes, hospital discharge summaries. Plan for any labs that may need to be done the time of visit
• Care Transition Support: Manage prior authorizations, durable medical equipment (DME) orders, and home health referrals.
• Management of Clinical Work: Nursing has many simultaneous tasks and effective LPN work includes learning and developing efficient workflow. Prioritization is key given the possibility of variable acuity of illness and coordination with physician work. LPN skills need to be particularly evident during high volume periods

5. Nurse-Led Services & Procedures

• Chronic and Complex Pediatric Care: Assist families in organization, referrals, materials needed for chronic disease management. Coordination for visits for children with complex illness.
• Specialized Care: Administer intramuscular and subcutaneous medications or injections when needed in office care. Serve as primary assistant for minor office procedures (sterile field, supplies, first aid, management at home.
• Collaborative Care: Engage with "Healthy Steps" specialists and office management to ensure a whole-child approach to integrated care delivery.
• Pediatric Medication Knowledge: Provide education about over the counter and prescribed pediatric medications. Educated about commonly used medications, precautions to avoid overuse.

Required Skills & Qualifications

• Licensure: Current LPN Licensure in New York State. Maintenance of licensure.
• Experience: Minimum 3–5 years of experience in Primary Care (Pediatrics preferred).
• Technical Proficiency: Mastery of Electronic Health Records (Medent preferred), specifically regarding communication tools and standardized documentation.
• Clinical Knowledge: Strong understanding of pediatric medications (OTC and prescribed), vaccine-preventable diseases, and basic breastfeeding/nutrition concepts.
• Professionalism: Demonstrated ability to manage time, identify clinical priorities, and adapt to multiple provider styles with a commitment to continuous learning.

This is a Full time position.

Pay rate of $30 per hour