Registered Nurse, OB/Perinatal - Rainier Beach/Columbia City (.6 FTE - .8 FTE)

For 50 years, Neighborcare Health has been caring for our neighbors with essential medical and dental care, counseling, outreach, health education and more in Seattle, Vashon, and our newest dental clinic in Olympia! Our purpose is to improve health by engaging, educating, and empowering people in the communities we serve. We are looking to hire the best talent to support our culturally diverse workplace and community.

Eligible for up to a $5000 sign on bonus

Summary

The Perinatal Program RN works in partnership and joint accountability with other staff members to achieve Neighborcare’s Mission, Guiding Principles and goals. The primary focus of the RN is providing appropriate care for the antepartum/postpartum OB population in a multi-cultural setting. The RN provides direct patient care, follow up, coordination of high risk patients, and complex case management. The Perinatal Program RN facilitates coordinated care and collaboration with all care providers including Maternity Support Services, OB Care teams, and specifically serves as the primary point of care continuity for the Residency Teams. While RNs will be assigned to a specific clinic site, they will also work in partnership with each other to meet the needs of patients throughout Neighborcare. The ANA Standards of Clinical Nursing Practice and the AAACN Ambulatory Care Nursing Administration and Practice Standards provide a basis for the practice of the registered nurse in the ambulatory setting. The Perinatal Program RN follows the nursing process to assess needs, plan care, implement the plan, and evaluate the patient’s responses and progress towards goals. The Perinatal Program RN works in partnership and joint accountability with other staff members to achieve Neighborcare’s Mission, Guiding Principles and goals.

Schedule for this job:

  • The schedule will be Monday (Columbia City), Tuesday/Thursday (Rainier Beach).
  • Remote options on Wednesday for inbox and north end clinics
  • Hours per week & day: 24-32 hours per week, 8 hours per day.
    Mondays at Columbia City, Tuesday/Thursday at Rainier Beach, OPTIONAL remote shift on Wednesdays (inbox coverage for north-end clinics)
    Schedule: Thursdays at Rainer Beach will be 9-5:30 or 9:30-6, all other shifts 8-4:30. If candidates are interested in adding the Wednesday remote shift, hours can be flexible that day.

In this position you will:

  • Collaborate with patients, clients, staff, and community partners to identify and address the ways that systemic racism and other forms of compounding bias are root causes of disparities in clinical/mental health and homelessness in Black, Indigenous, and other communities of color and other communities that have experienced historical and structural oppression
  • Health Promotion & Case Management (40%)

    • Develop a proactive model of care to assist providers in anticipating milestones and utilize practice guidelines to ensure appropriate follow-up
    • Utilize the electronic health record to communicate with members of the care teams and implement care plans in person or by telephone according to Neighborcare Health Tasking Guidelines
    • Communicate and collaborate with community partners including Public Health, UW, cultural organizations and others serving and supporting patients
    • Orient and support teaching of rotating residents to Neighborcare Health and the patient population
    • Facilitate care coordination between outside care providers and internal clinic team to insure care providers are aware of the patient’s current condition, needs and medical management priorities (through EHR or case conferences)
    • Develop partnerships with patients and families and facilitate continuity of care between patients and OB care providers (residents) for positive outcomes in health status
    • Identify patient and family goals for improving health status
    • Assess patient and family’s understanding of health and readiness to change
    • Provide patient and family with education about development and disease processes and offer tools and skills needed to achieve self-management goals
    • Coordinate care according to EHR (Electronic Health Records) OB templates
    • Monitor, track, follow-up with patient and family as needed
    • Follow Neighborcare Health protocols and utilize resources of best clinical practices to advise patients and families
    • Coordinate site-based Centering Pregnancy programs. We currently offer Centering in English, Spanish and Somali. This role may include being directly involved in the facilitation of the group care, monitoring and reporting of outcomes to the Centering Healthcare Institute, ongoing quality improvement and engagement with CHI Consultants, overseeing scheduling and organization, purchasing of supplies, outreach and further development of the program, grant acquisition/management and facilitating the Steering Committee and regular meetings
    • Partner to ensure smooth process for intake appointments and counseling on care models

    Patient and Family Education (30%)

    • Educate patients and families in the use of medications
    • Educate patients and families regarding abnormal laboratory results requiring education and follow-up
    • Provide patients and families information to assist with self-care
    • Promote wellness and the importance of preventive care
    • Provide motivational interviewing and harm reduction counseling
    • Provide gestational diabetes teaching including use of glucometer, monitoring blood sugars, warning signs, etc.
    • Perform health screenings and assessments (mental health, DV, etc) as indicated
    • Assist patients with the development of birth plans
    • Refer clients to outside resources (L&D classes, vision resources, home visit nurse, etc)

    Triage Emergent Health Issues and Perform Select Clinical Procedures (10%)

    • Perform telephone or in-person triage and home care advice for OB patients in accordance with Telephone Triage Protocol references
    • Administer select injections and medications
    • Assist with procedures (pelvic exams, IUD insertions) as appropriate by licensure and Neighborcare protocol and policy
    • Perform fetal non-stress tests

    Working in Partnership and Joint Accountability (10%)

    • Perinatal Program RN will be assigned to a specific clinic to manage defined panels of patients and work as members of Neighborcare’s Primary Care Nursing Team
    • Maintain joint accountability with the clinic team and the medical program as a whole, to include working at a variety of sites to best meet the needs of the patients
    • Work with others to assess and redefine priorities as needed, and support colleagues throughout the organization either on site or remotely.
    • Work in partnership with care team members to plan and communicate care delivery
    • Delegate tasks to Medical Assistants as appropriate
    • May provide supervision of or training for students who are assigned to Neighborcare as part of their professional education


Minimum Qualifications
Education
Required: Completion of an accredited RN program
Preferred: BSN desirable

License/Registration/Certification
Required: Valid WA State Registered Nurse license; BLS certificate
Preferred: Board certification in applicable specialty areas

Experience
Preferred:1+ years of RN experience in a primary care, hospital and/or home care setting or comparable social service setting

Key Skills, Knowledge & Abilities
Required for this role:

  • Knowledge and understanding of a broad range of physical and mental health conditions throughout the lifespan; Ability to work effectively with patients and communicate effectively and respectfully with people of varied cultures, ethnic, language (including use of interpreters), educational and socio-economic backgrounds, as well as individuals with disabilities and contagious diseases
  • Knowledge, skill and ability to provide pregnancy and contraceptive options counseling; Knowledge of medical terminology and clinical procedures; anatomy, physiology, biology, human growth and development; asepsis and universal precautions; medical documentation; Ability to demonstrate reliable and timely attendance
  • Ability to start and operate emergency equipment, perform CPR, and provide basic first aid, and respond professionally in emergent situations; Skills in the use of personal computers, Electronic Health Records, e-mail, and other software programs and reports
  • Skills in written and verbal communication in English and basic math; Ability to comply with HIPAA/Confidentiality policies and procedures and to handle confidential and sensitive patient and staff information
  • Ability to work effectively independently and as part of a team, interact appropriately with co-workers and patients, and develop and maintain rapport with a wide range of individuals; Ability to demonstrate flexibility, adaptability, willingness and openness to learn and change; Ability to follow written and verbal directions and to complete assigned tasks in a timely manner
  • Ability to be detail-oriented and handle multiple tasks under stressful conditions, including organizing and problem solving in a creative manner; Ability to demonstrate sound clinical judgment and work resourcefully and independently in the absence of detailed instructions
  • Ability to work with supervision, receiving instructions/feedback, coaching/counseling and/or action/discipline and learn from directions, observations and mistakes; Ability to effectively perform job duties under a variety of conditions including time and/or resource constraints; Ability to self-assess knowledge and nursing skill, and continuously develop clinical expertise through Neighborcare Health and community-based Continuing Education

Preferred for this job:

  • Skills in Motivational Interviewing and application of a harm reduction model
  • Skills in care for chronic wounds, including conservative sharp debridement
  • Knowledge of unique health needs of specific patient populations pertinent to the role/site
  • Knowledge of community resources

Neighborcare offers competitive pay, continuing education, health benefits package, retirement plan, Paid Time Off, holiday pay, and more!

Union: YES

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities

The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c)