Clinical Nurse; Ambulatory Care

PLEASE NOTE - This position may require temporarily relocation to other TONHC Facilities:
Sells Hospital, Santa Rosa Health Center, San Simon Health Center, and San Xavier Health Center.

The incumbent provides comprehensive nursing care and patient services in a clinic or ambulatory care setting and assists physicians and patients.

This position is within the Tohono O'odham Nation Health Care, including Sells Hospital, San Xavier Health Center, Santa Rosa Health Center, and San Simon Health Center. The position involves providing direct care to patients in hospitals and clinics. The employee is assigned to the outpatient unit and works under the Supervisory Clinical Nurse's general supervision.

(Depending on the area of assignment, an incumbent may not be required to perform some of the duties listed below):

• Assist the primary provider in gathering patient information for the initial health history of new patients.
• Conduct follow-up phone calls on behalf of the care team provider.
• Contact patient to discuss test results, complete referrals, changes in medications or care plan, and follow-up on self-management goals.
• Serves as primary contact/clinical liaison between referral hospitals, pharmacies, treatment facilities, and patients/families to ensure effective and appropriate treatment per established care plan.
• Triage patients on the team's panel call or walk in and assist or direct them as appropriate. Ensures the needs of the patient are met in a safe and timely manner with the available resources.
• Facilitates, schedules, and participates in various patient care coordination activities to provide patient and family personal and health care needs promptly; proactively identify alternative resources as needed.
• Maintains and updates the team's patient panels. Identifies, creates, & maintains panels of high-risk sub-populations for care management.
• Collects and reports clinical measures for a panel of patients.
• Leads a multi-disciplinary health care team in performance improvement efforts.
• Provide emergency care as needed to patients.
• Assesses and provides appropriate support in health promotion and disease prevention and treatment to patients with common chronic illnesses such as diabetes, hypertension, and tuberculosis.
• Initiates and follows up on patient needs for continuing care or related health services.
• Provide patient and family counseling, including telephone triage and counseling with proper documentation.
• Conduct nurse visits per standing orders and current orders in the patient's record.
• Checks stock of drugs, wound care supplies, linens, medical supplies, and other patient-related supplies necessary for day-to-day operations; advises appropriate staff of need.
• Works closely with other members of the health care team in developing patient care visit plans.
• Maintains patient records by completing thorough and accurate documentation of all patient encounters.
• Administers medications as prescribed by the primary physician or provider in compliance with policies.
• Lead/coordinate pre-visit planning for scheduled patients.
• Assists in the clinical area by performing treatments and procedures.
• Participates in Quality Improvement teams and other committees as assigned.
• Acts in the absence of the supervisor.
• Performs other job duties as assigned.

• Knowledge of the Tohono O'odham culture, customs, and traditions.
• Knowledge of HIPAA-related rules and regulations.
• Knowledge of a full range of established nursing concepts, principles, and practices to perform professional assignments of moderate difficulty.
• Knowledge of the pharmacology of various drugs to include desired action, dosage, use, and potential adverse side effects.
• Ability to interpret illness to the patient, explain purpose and outcomes of therapies, and provide instruction in proper self-care techniques such as customer care, medication administration, insulin injection techniques.
• Knowledge and skill are necessary to conduct staff and patient/family education classes and participate in the hospital-wide in-service education program.
• Knowledge of and ability to…