RN, Family Medicine

Family Medicine at Gabriel Park is a community clinic located in SW Portland. We serve our patients in varying stages of life and throughout their lives. Our services include general family medicine transgender care maternity care (including deliveries) pediatric care behavioral health sports medicine travel immunizations acupuncture a retail pharmacy x-ray minor procedures and health maintenance with focused preventive care. We are a high volume clinic that sees up to 250 patients and receives 400-600 phone calls daily. We have 39 providers plus 60 staff members. Our clinic guides itself though our vibe: Compassionate Committed and Collaborative.

This position also comes with great benefits! Some highlights include:

• Comprehensive health care plans. Covered at 100% of the cost for full-time employees and 88% for dependents.
• $50K of term life insurance provided at no cost to the employee
• Two separate above market pension plans to choose from
• Vacation - 192 to 288 hours per year depending on length of service prorated for part-time
• Holidays - up to 64 holiday hours per calendar year (employees accrue .0308 holiday hours for each hour paid included in vacation accruals)
• Sick Leave - 96 hours per year prorated for part-time
• Substantial public transportation discounts (Tri-met and C-Tran)
• Tuition Reimbursement
• Innovative Employee Assistance Program (EAP) including extensive wellness resources

The OHSU Clinical registered nurse (RN) provides compassionate evidence-based and efficient care to individuals families communities and patient populations. The Clinical RNs care delivery is consistent with the Oregon Nurse Practice Act the ANA Scope and Standards of Practice and the ANA Code of Ethics. The Clinical RN demonstrates the professional role obligations of scientist leader and knowledge transferor Onsomble Model of the Professional Role. Professional accountability enriches the Clinical RNs engagement as a leader in promoting an inter-professional culture of collaborative decision-making innovation life-long learning and teamwork. The Clinical RN exemplifies the principles of a Culture of Safety by committing to a Just Culture a Reporting Culture a Learning Culture and an Engaged Informed Culture.

Description of work:

Provides effective care coordination for an assigned panel of approximately 200 high risk patients with chronic conditions including (but not limited to) congestive heart failure hypertension diabetes chronic obstructive pulmonary disease as well those with complex psychosocial needs or receiving home health or hospice/end of life care. Responsible for the active management including transition management of patients as the liaison between referral providers and other members of the patients care team. Participates in clinic department OHSU campus teams and committees. Expected to initiate and/or actively participate in quality improvement projects as part of a multi-disciplinary team working with providers medical assistants lab personnel and patient access services. Assist in the implementation of nursing system that supports the mission of the American Academy of Ambulatory Care Nursing (AAACN).

Clinical Skills and Duties:

Active participant in the development of care management standards and care delivery models within clinic and across OHSU primary care.

Responsible for handling urgent/emergent calls and participating in provider visits for assigned patient panel.

• Perform wound care INR testing IV placement/infusion bladder catheterization suture removal injection medication and other clinical duties as directed.
• Executes nurse visits focused on but not limited to: hypertension management diabetes coaching wound care suture removal anticoagulation monitoring medication safety injection medication teaching and initial prenatal visits.
• Perform hospital and emergency department follow up phone calls to ensure safe transitions of care for patients.
• Participate in yearly Risk Stratification to identify high risk patients appropriate for care management.
• Cross coverage of all clinic RNs as needed.
• Ability to assess and document simultaneously in EMR.
• Communication skills including fluency in oral and written English.
• Basic computer skills including the ability to send/receive email navigate information technology associated with the position and use Electronic Health Record information and tools.

• Minimum of six-months of ambulatory experience within the last two-years.
• BSN Graduates: Baccalaureate Degree in Nursing from a program accredited by Commission of Collegiate Nursing Education (CCNE) Accreditation Commission for Education in Nursing (ACEN) or Commission for Nursing Education Accreditation (CNEA) 30 days before start date.
• ADN Graduates: Associate Degree in Nursing from an accredited program 30 days before the start date.
• Associate degree Nurses required to enroll in BSN program within 3 years of hire and complete within 5 years of hire
• Current unencumbered Oregon State Registered Nurse License
• BLS at time of hire and must be issued by the American Heart Association (AHA)
• BLS must not expire during orientation
• Must be able to perform the essential functions of the position with or without accommodation

• Current OHSU employees - Bachelor of Science in Nursing preferred.
• Greater than one-year of Primary Care clinic experience.
• ACLS certification National Care Management Certification

Length of Orientation Experienced Nurse

• External candidates: OHSU & Nursing New Employee Orientation (NEO) for about a week.
• Either Transition to Practice (TTP) Program Specialty Fellowship/Fellowship Learning Pathway or Orientation experience for 3 days-26 weeks depending on the care area. An employment service agreement may apply.