Mālama I Ke Ola Health Center (Community Clinic of Maui) is a Federally Qualified Health Center (FQHC) and a fully integrated behavioral health, dental, and primary care system. Our nearly 100 professionals and providers serve the people of Maui at three clinics—two locations in Wailuku and one in Lahaina. We have behavioral health providers who partner with the primary care clinicians to assist in a vast number of activities including warm handoffs for acute behavioral health crisis management, substance abuse counseling, tobacco cessation counseling, chronic disease self management counseling, and long-term individual and family therapy. In 2015, we served over 11,000 patients of which 97% are living at or below 200% of the Federal poverty level. Join our growing team of caring, competent, and committed professionals in serving the underserved communities on Maui.

 
The Registered Nurse (RN) provides patient centered care which includes care coordination and health education to patients and their families utilizing the nursing process of assessment, planning, intervention, and evaluation. 
 
The RN will work in a clinical triad with the Medical Assistant (MA) and Medical Provider (MD/DO/NP/PA). This position also works closely with an interdisciplinary team including the OBGYN care team, Pediatric care team, Integrated Health team, Dental staff, Member Services and outside referral entities to ensure patient centered care. The RN will work out of the main clinic in  Wailuku as well as the smaller clinics located Lahaina and Wailuku.

Join the Mālama I Ke Ola Health Center Team! 
  • Team Based Care
  • 90 Day Introductory Period Increase
  • Continuous Learning On-The-Job and Internal Training Sessions
  • External Training Reimbursed and Paid for Time
  • Medical, Dental, and 403(b) Retirement Plan
  • Vacation, Holiday and Sick Benefits
ESSENTIAL RESPONSIBILITIES

Clinical Responsibilities: 
Pre-Visit Patient Care:
  1. Follows the pre-visit planning policy and procedure as established by the organization.
  2. Coordinates pre-visit planning with Medical Assistant and Medical Provider on assigned team.
  3. Prepares for, attends and participates in team meetings and huddles.
  4. Works with Medical Assistant to contact all new patients presenting with Chronic Disease indicators, 5 to 7 days prior to their first visit in order to complete a Pre-Visit assessment that includes medications, past medical history, medication list and problems.Completes screenings for depression, smoking, drugs, safety, etc. per current practice guidelines.
  5. Identifies High Needs Patients, described below, with Medical Provider and works with Medical Assistant to contact all identified High Needs Patients, 5 to 7 days prior to next visit to determine if care plan objectives from previous visit have been completed, if there has been interim care outside the organization and if the patient has any concerns that the team can prepare for.
  Patient care during visit:
  1. Confers with Medical Provider on team and participate in data gathering, setting patient expectations, patient education and care coordination of High Needs patients, as requested by the medical provider. These will consist of:
    1. Transfer of Care (TOC) Patients:
      1. New Patients
      2. Hospital/ER Follow ups
    2. Patients with poor control of chronic medical conditions
    3. Patients with anticipated barriers to data gathering of patient history and care needs:
      1. Language barriers
      2. Learning or cognitive disabilities
      3. Mental Health or Behavioral barriers
    4. Patients with multiple specialist care providers
    5. Patient with high acuity care-coordination (e.g. patients with active cancer diagnosis)
    6. Time intensive patients (as designated by the medical provider).
  2. Conducts RN-led chronic care management visits. The RN will review population health data for the panel entrusted to the assigned care team with the Medical Provider.
  3. Identifies patient care needs based on assessments and conversation with the patient and family.
  4. Verifies the patient history, medication list, problems, and diagnostic test results and identify any care gaps.
  5. Monitors and facilitates preventive care such as immunizations, cancer screenings and lab tests.
  6. Conducts Medication Reconciliation for all High Needs Patients, RN-led Visits and per provider request.
  7. Gives report to provider, using SBAR method, about patient care needs.
  8. Collaborates with care team and patient in developing team priorities, patient goals and care plans.
  9. Assists the patient in setting realistic self-management goals taking into consideration barriers the patient and family may encounter.
  10. Assists the patient in obtaining needed services in the community such as transportation, house etc. by referring the patient to the appropriate organization and monitors results.
  11. Documents in EMR the RN interaction with patient, according to organizational policy and protocol.
  12. Assists provider with procedures as needed and within scope of practice.

Patient Care In Between Visits: 

  1. Utilizes the EMR and population health tools to identify significant care gaps and take steps to facilitate patient and population management to improve clinical outcomes as identified by clinical quality measures (CQM).
  2. Notifies patients, per provider instruction, of abnormal test results and follow plan.
  3. Assists the team in monitoring and responding to the Refill Line, per organizational Refill Policy and Protocol.
  4. Will be responsible for on-going care coordination of patients as requested by patient (or designated proxy), Medical Provider and other referral entities/diagnostic centers/agencies involved in care of the patient.

General Clinical Responsibilities

  1. Provides nursing triage.
  2. Medication and vaccine administration.
  3. Responds to phone calls in a timely manner and per protocol.
  4. Responds to life threatening situations within the scope of licensure.
QUALIFICATIONS
Education:
  • Graduate of an accredited school of Licensed Professional Nursing
  • Licensed in the State of Hawaii as a Register Nurse.
Experience:
  • 2 years’ experience as a Registered Nurse, preferred.
  • Experience or training in case management, preferred.
  • CPR/AED certification  
Skills:
  • Computer knowledge related to word processing, data input, graphs using Microsoft Word and Excel.
  • Ability to make accurate assessments and prioritize work to be done.
  • Demonstrated excellent assessment skills and performance.
  • Ability to solve problems.
  • Provide excellent customer services to our clients including demonstration of the organizational value that patient needs are the first and central priority and the belief that patients come first.
  • Willingness to assist co-workers.
  • Fluency in Tagolog, Ilocano and/or South Pacific Island language a plu

Mālama I Ke Ola Health Center (Community Clinic of Maui) is an equal opportunity employer and prohibits discrimination and harassment of any kind. We are committed to the principle of equal employment opportunity for all employees and to providing employees with a work environment free of discrimination and harassment. We embrace a friendly, warm, and welcoming environment so that we can deliver on our promise to provide quality care to our community. E komo mai.

Equal Employment Opportunity Statement
We are an equal opportunity employer. We do not discriminate on the basis of age, race, sex, religion, color, national origin, ancestry, marital status, disability, sexual orientation, lactation, arrest and court record or any other protected category recognized by state and federal laws.

This is a non-management position
This is a full time position

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