Registered Nurse (RN) I at Great Plains Tribal Leaders Health Board Inc – Rapid City, South Dakota

SPECIALTY SERVICES

Job Summary:

This position is responsible for providing direct patient care providing the highest quality nursing care to Oyate Health Center (OHC) patients in the outpatient or urgent care setting. This position promotes the efficient and effective use of a variety of health care resources by focusing on the whole patient to provide a seamless continuum of care and care management.

Essential Functions:

• Understands key concepts including same day access, continuity of care, empanelment, and integrated care.

• Works effectively in a rapidly changing and innovative health care system.

• Responsible for direct care and active management of patients throughout the age continuum.

• Prepares for patient appointments by performing pre-visit planning in accordance with established procedures.

• Performs comprehensive and/or focused assessment and/or screenings on patients as indicated for physical, mental, and psychosocial needs to develop a comprehensive care management plan that will address patient needs.

• Maintains awareness of comfort and safety needs of the patient; explains procedures and treatments to the patient to gain cooperation, understanding, and allay apprehension.

• Operates and monitors medical equipment in accordance with established procedures and scope of practice.

• Administers prescribed medications according to scope of practice; Assesses a patient prior to and following medication administration or oxygen administration and documents this assessment appropriately; Uses a systematic process to determine the efficacy of medication administration and determines the appropriate action to take when medication administered are ineffective or have limited effectiveness.

• Assists medical providers during treatment and examination of patient as needed.

• Maintains accountability for delivery of quality nursing care; Communicates with medical providers and supervisor to obtain diagnostic and therapeutic assistance and coordination of needs.

• Record accurate, timely, and appropriate information in the patient’s electronic health record: Document observations, nursing interventions, therapeutic measures administered and status of coordinated activities between nursing staff and other professional disciplines.

• Develops and implements patient education plans by providing age-appropriate instructions to patients in accordance with established clinic guidelines.

• Collaborates proactively with all interdisciplinary team members and with a patient focus to facilitate and maximize patient health outcomes.

• Utilizes client-based tracking system or clinical databases to track, monitor, and assure the appropriate follow-up of clients.

• Coordinates with other service lines as needed.

• Utilizes skills in prioritizing needs, problem solving, and decision-making in a clinical setting.

• Efficiently and effectively manages multiple responsibilities.

• Responds to life saving situations based upon nursing standards, policies, code procedures, and established protocol. Participates in quality improvement activities such as GPRA, PI, IPC, nursing audits/peer review, infection control, case management, and nursing care conferences.

• Utilizes best practice model to identify, incorporate or develop best practices for patient management. Collaborates with other teams to share and establish best practice for clinic and division.

• Manages patient acute care, chronic care, and health maintenance needs.

• Provide ongoing evaluation and documentation of patient progress/risk status and communication with the care team.

• Identify cases with potential for high-risk complications; act as an advocate for an individual’s health care needs; Understand methods for assessing an individual’s present level of physical/mental impairment; Assist individuals with the development of short-and-long-term health goals; Understand the psychological characteristics of wellness.

• Utilizes behavioral strategies to help patients adopt healthy behaviors and improve self-care in chronic disease management; Promote self-management goals.

• Ability to maintain quality, safety, and infection control standards.

• Advocates for the patient at the service-delivery level fostering the patient’s decision-making, independence, growth, and development.

• Assist patients in navigating the health care system; Execute specific care management activities and/or interventions that will lead to accomplishing the goals set forth in the care management plan.

• Provides appropriate follow-up as directed or per established guidelines and assists with referrals.

• Gather sufficient information from all relevant sources about the care management plan and its activities and/or services to determine the effectiveness of the plan.

• Initiates a patient education plan according to the individualized needs of the patient, as prescribed by medical provider and/or OHC policy, including patient and family instruction; notifies patient of lab results and provides advice to patients per provider instruction. Provides patient education, advice, and information on health assessment, disease processes, medications, and treatment plans.

• Collaborates in multi-disciplinary patient care conferences for high risk or complex patients as needed.

• Must comply with federal laws and regulations as required by the Privacy Act of 1974 and the Health Insurance Portability and Accountability Act (HIPAA).

• Performs job and other related duties as assigned by Supervisor with minimal supervision. May provide coverage to additional departments as necessary to meet staffing needs.

Minimum Qualifications:

• Associate’s Degree or Diploma of Nursing.
• Licensed as a Registered Nurse by any US State or Territory.
• Current BLS certification.

The GPTLHB is a tribal organization that follows tribal preference laws. Our policy is to give preference to qualified Indian/Tribal candidates over qualified non-native candidates in hiring decisions if all other qualifications are equal.

Employment is contingent upon the outcome of all required criminal background checks.

Compliance with our Employee Health Procedure is a condition of employment. You are required to agree that you will comply with all job-related employee health screening and immunizations prior to your first day of employment. Jobs require that you have documentation that you have completed the following immunizations prior to your first day of employment: MMR (Measles, Mumps and Rubella, Varicella (Chicken Pox), Hepatitis B, Influenza, T-dap (Tetanus - Diphtheria - Pertussis), and COVID-19 vaccination is required.