Health Registered Nurse

The Employee Health Registered Nurse provides and coordinates occupational health services for employees and other covered workforce members. The RN promotes a safe and healthy workforce through pre-placement and periodic health screening, immunization, communicable disease and exposure management, work‑related injury and illness follow‑up, respiratory protection activities, education, surveillance, and confidential record management. The RN reports administratively to the Director of CR‑RISQ and practices under applicable law, organizational policy, and physician‑approved standing orders and clinical protocols.

A designated physician provides medical direction, consultation, and escalation support.

* All duties listed below are essential unless noted otherwise*

• Provides evidence‑based occupational health nursing services within RN scope of practice, organizational policy, and physician‑approved protocols; promptly escalates findings or decisions that require diagnosis, prescribing, medical clearance, or physician judgment.
• Coordinates with the medical director or designated physician to maintain standing orders, clinical pathways, referral criteria, and timely consultation for complex or urgent cases.
• Completes post‑offer, pre‑placement, transfer, and periodic health assessments that are job‑related and consistent with policy, including review of immunization, tuberculosis, and other occupational health requirements.
• Assesses immunization status and administers or coordinates vaccines and testing in accordance with current CDC and ACIP recommendations, applicable requirements, informed consent, and physician‑approved orders; documents contraindications, declinations, and follow‑up needs.
• Provides immediate nursing assessment and coordinates time‑sensitive post‑exposure evaluation after needle sticks, sharps injuries, blood or body‑fluid exposures, and other potentially infectious exposures, including source‑patient processes, baseline testing, referral for post‑exposure prophylaxis, counseling, and follow‑up under the exposure‑control plan.
• Evaluates and manages reported communicable‑disease exposures and illnesses among healthcare personnel in collaboration with Infection Prevention and the physician; applies current guidance and organizational protocols for testing, monitoring, work restriction, and return to work.
• Provides first‑line nursing assessment and case coordination for work‑related injuries and illnesses; initiates appropriate first aid, referral, documentation, follow‑up, and workers' compensation communication without exceeding RN scope or making claim determinations.
• Coordinates work‑status and fitness‑for‑duty processes. Communicates only necessary functional limitations or restrictions to authorized leaders and Human Resources, based on provider or qualified clinician documentation; does not make employment or accommodation decisions.
• Supports the respiratory protection program by maintaining confidential medical‑evaluation information, confirming clearance before required use or fit testing, conducting or coordinating fit testing when trained and assigned, and referring concerns to the physician or other qualified PLHCP.
• Maintains complete, accurate, timely, and confidential employee health records in systems separate from general personnel records, with access and disclosure limited to authorized purposes and retention consistent with applicable requirements and policy.
• Maintains required logs, rosters, reminders, and follow‑up systems for immunizations, screening, exposures, injuries, respiratory protection, and other occupational‑health requirements; monitors overdue items and communicates compliance status without disclosing unnecessary medical…