Registered Nurse [FPCN-RN-A-04302024]

Description

Job title

Registered Nurse

#FPCN-RN-A-04302024

The Family Practice & Counseling Network (FPCN) provides comprehensive primary care, dental and behavioral health services. We stand behind the belief that all people are entitled to accessible, comprehensive, quality, and affordable health care, and that care must be delivered in a culturally competent, trauma-informed and compassionate manner by caring for the whole person – mind, body & spirit.  The network’s mission is to provide person-centered, integrated and comprehensive health services to individuals and families across their lifespan. The network promotes resiliency and well-being among patients, staff and surrounding communities.  

The Network consists of three (3) federally qualified health centers (FQHC) in Philadelphia:   

• Abbottsford Falls Family Practice & Counseling (Northwest Philly); 
• Stephen & Sandra Sheller 11th Street Family Health Services of Drexel University (North Philly); and 
• Health Annex (Southwest Philly). 

Today the FPCN serves more than 20,000 patients annually and is a NCQA certified Patient-Centered Medical Home and recognized by HRSA as a National Quality Leader for Behavioral Health. 

Position Summary

The Registered Nurse functions as a member of a progressive, interdisciplinary team. The RN impacts the health of individuals, families and the community through health promotion, disease prevention and chronic disease care including monitoring and evaluating health services and outcomes and documenting services. The RN supports patients, families and the community to achieve their highest level of wellness, to learn to live with or recover from illness, and to enhance their care capabilities and to support their right to make choices. A valued member of the primary care team, the RN is strategically placed to optimize use of his/her/their knowledge and expertise in roles such as clinician, coordinator, consultant, educator for patient, families and students, leader, and advocate. 

The RN helps assure that all patients receive high quality comprehensive health care. This position includes, but is not limited to: patient triage, patient assessment, clinical tasks, patient education and counseling, and connection to needed services.

Essential Duties and Functions

1. Assure that all operating procedures and regulations are followed.

2. Provide primary care services to patients of all ages, including: phone/walk-in triage, patient education, counseling, family planning activities, coordination of appointments and referrals, assistance in obtaining needed services and supplies.

3. Work collaboratively with the Primary Care Nurse Practitioners and the Primary Care Department and teams to provide comprehensive primary care for all patients.

4. Provide direct patient care activities within the scope of the Registered Nurse including blood pressure checks and hypertension follow-up visits, diabetes follow-up and teaching, other chronic care management visits, emergency department and hospital admission follow ups, medication injections, patient-centered education, and other tasks as delegated and assigned by the Primary Care Nurse Practitioners.

5. Care Manage a designated list of high-risk patients referred by insurance lists, i2i lists, care coordinators, or by a nurse practitioner. These are patients with more than one chronic condition (HTN, COPD, Asthma, CHF, DM1/2, HIV) at risk for hospitalization, and in need of assistance in overcoming psychosocial barriers to care and navigating referrals and follow-up care.

6. Assures quality of care by: 

    a. adhering to therapeutics standards;

    b. measuring health outcomes against patient care goals and standards; 

    c. making recommendations for necessary healthcare adjustments; 

    d. Following standards of care set by state board of nursing, state nurse practice act, and other governing agency regulations. 

7. Manage and complete refills per the FPCN Prescription Refill Policy and Procedure (updated 3/5/2021).

8. Manage prior authorization of prescriptions, and diagnostic testing as needed in conjunction with the Care Coordinator

9. Collaborate with integrated services such as social services, behavioral health, nutrition, mind/body, and creative arts to provide support and holistic care for all patients. 

10. Inform and educate patients about lab results and follow-up plan designated by the Nurse Practitioner.

11. Document patient care services by charting in the Electronic Health Record (Athena Practice).

12. Maintain professional and timely treatment