About Central City Concern:
Central City Concern is an innovative nonprofit agency providing comprehensive services to single adults and families in the Portland metro area who are impacted by homelessness, poverty and addictions. We hire people who are skilled and passionate to meet our mission through outcome-based strategies which support personal and community transformation.
*Open Until Filled*
TITLE: Hansen Shelter Clinic RN
DEPARTMENT: Primary Care
REPORTS TO: Associate Director of Primary Care
SCHEDULE: .70 FTE, Monday - Friday daytime, flexible to be .80 or .90 fte if preferred
SUMMARY: The Hansen Shelter Clinic RN works collaboratively as a member of a multi-disciplinary team providing medical and behavioral health services, care coordination, and care access support for medically vulnerable adults experiencing homelessness and living in the Hansen Shelter. The Hansen Shelter Clinic is operated in partnership with Transition Projects, Inc.
The Hansen Shelter Clinic RN is responsible for maintaining the smooth clinical operation of the Hansen Shelter Clinic and Health Connections program. The Hansen Shelter Clinic RN works closely with and reports directly to the Director of Nursing and Associate Medical Director of Primary Care. In their capacity as a nurse, the Hansen Shelter Clinic RN provides nursing and clinical support as delegated by Hansen Shelter Clinic providers, as well as supporting navigation, facilitation and coordination of services for Health Connections program participants.
ESSENTIAL DUTIES & RESPONSIBILITIES
- Provide regular triage for participants experiencing acute and sub-acute illnesses for the purpose of coordinating care.
- Provide non-invasive medical treatments, including taking vital signs, performing limited wound dressings, etc.
- Provide medication monitoring, in partnership with OTC pharmacy, in accordance with participant’s care plan.
- See patients who need nursing clinical interventions as dictated by their chief complaint as well as care plans.
- Conduct assessments and present findings to provider via remote electronic connection to address acute medical needs of shelter residents.
- Provide initial assessment, determine chief complaint, and ensure that patients meet the established criteria for provision of clinical services.
- When possible, provide screening and comprehensive assessment of on-going health issues (e.g. HIV, depression, diabetes, asthma, wound and pain management, and other chronic diseases.)
- Complete prescribed care and orders as necessary, documenting using established nursing process whilst complying with standards of care.
- Assure completion of referrals and coordinate care with clinical specialists.
- Recommend changes to medications and medical care plan as needed, change the nursing care plan as progress dictates.
- Perform basic patient observation including vital signs and report significant changes in patient condition.
- Update and appropriately document in participant records in a timely manner with participant interactions, appointments, and encounters.
- Practice phlebotomy, draw and prepare lab specimens for analysis
- Manage patient flow in clinic, including but not limited to:
- Rooming patients per standard workflow, including but not limited to:
- Collection, documentation and reporting of patient’s vital signs per clinic protocols.
- Completion of preventive screening questions.
- Medication reconciliation with patients.
- Completing and documenting provider orders.
- Assisting providers and other team members in scheduling of outside referrals.
- Administer injectable medications per provider order, with appropriate documentation according to clinic protocols.
- Maintain medical/lab equipment and records in compliance with State and Federal regulatory requirements.
- Provide instruction, training, and health information on self-care and health maintenance as per the clients care plan.
- Respond to emergency events in the shelter.
- Administer medical treatments such as cleaning and dressing wounds, ear irrigations, suture removal, catheterizations, IV medication administration, as well as splinting.
Health Connections Team Lead:
- Review clinical assessments to determine program eligibility for referred participants.
- Provide TPI Health Connections and Hansen Shelter staff education and support around basic medical knowledge.
- Develop relationships and workflows with external primary care clinics to increase understanding of recuperative care continuum and maximize PCP engagement during participants’ respite care stay.
- Support and partner with Health Connections and Hansen Shelter staff.
- Collaborate with multidisciplinary team on development of medical recuperation care plans.
- Evaluate enrolled participants for medical stability, collaborating with the Hansen Shelter Clinic providers.
- Participate in and facilitate collaborative multi-disciplinary care coordination, including case conferences and care coordination huddles.
- Participate in admission and discharge planning for any participant needing hospitalization or subacute level of care.
- Participate in population health activities, including participant chart and ALERT system reviews to ensure that participants have received appropriate vaccination for influenza and pneumonia.
- Develop and maintain standardized protocols and programmatic interventions based on most common diagnoses of enrolled participants, in collaboration with participants and relevant care providers.
- Collaborate with Hansen Shelter staff, RCP team, Quality and Data Specialist, and Program Directors on the implementation of quality improvement initiatives and care coordination.
- Support community partners in furthering understanding of the medical and psychosocial sequelae of homelessness and the systems and processes used to help complex and medically vulnerable participants secure and maintain stable housing, healthcare, and other social services.
SKILLS AND ABILITIES
- Demonstrated ability to adhere to trauma-informed care principles.
- Ability to exhibit good nursing judgment in the care of complex participants and knowledge of
nursing theory and practice.
- Working knowledge of principles, practices and procedures of outpatient care and programs and
services available to participants.
- Ability to be flexible and to coordinate and relate effectively with members of several
interdisciplinary teams, participants, supervisors and co-workers.
- Ability to update and appropriately document in participant records in a timely manner with
participant interactions, appointments, and encounters.
- Successful completion of a course of accredited study that leads to the AD, or BS or AA degree in Nursing from OSBN or State Board approved course.
- Current RN license in the State of Oregon.
- Wound care experience preferred.
- Must meet CCC privileging requirements as required by FTCA.
- Must have an understanding of the causes of homelessness and poverty, the medical and psychosocial sequelae of homelessness and the systems and processes used to help complex and medically vulnerable participants secure and maintain stable housing, healthcare, and other social services.
- Must have experience working with high-risk participants.
- Must have a high tolerance for ambiguity and change.
- Must be able to document nursing interventions and responses to care and do so in an accurate, legible, and intelligible manner.
- Must have excellent reading and comprehension skills.
- If in recovery, must be currently clean and sober.
- Must have or be willing to obtain Healthcare Provider CPR/AED certification.
- Must possess a current driver’s license and qualify as an Acceptable Driver as designated in Central City Concern’s Fleet Safety policy. Must pass an initial drivers training within 60 days of being an approved driver and continued recertification training. Must maintain vehicle insurance coverage of a minimum of $100,000/$300,000 personal auto liability coverage.
Central City Concern offers an incredible benefits package to our employees!
- Generous paid time off plan beginning at 4 weeks per year. Accrual increases with longevity.
- Amazing 403(b) Retirement Savings plan with an employer match.
- 10 paid Holidays PLUS 2 Personal Holidays to be used at the employee’s discretion.
- Comprehensive Medical, Vision, and Dental insurance coverage.
- Employer Paid Life, Short Term Disability, AND Long Term Disability Insurance!
- Sabbatical Program offering extended time off at years 7, 14 and 21.
This description is intended to provide a snapshot of the work performed and is not designed to contain a comprehensive inventory of all duties, responsibilities, and qualifications required of the position.
CCC values and celebrates diversity in race, heritage, ethnicity, gender identity and expression, sexual orientation, religion, age, and disability. We are an Equal Opportunity Employer and we prioritize active inclusion of diverse staff.
As an agency deeply rooted in recovery, part of our policy and commitment to a drug and alcohol-free workplace includes post-offer, pre-employment drug screens. Please note we follow Federal Guidelines regarding prohibited substances, even for those legal at the state level.