Ambulatory Care Nurse - RN Job Smyrna area,Delaware USA,Nursing

Position: Ambulatory Care Nurse - RN *$5000 Signing Bonus*

Westside Family Healthcare is a nonprofit organization that provides high‑quality primary medical care without regard to ability to pay. The Ambulatory Care Nurse (RN) is an on‑site RN serving as an integral member of the patient‑care team, supporting assigned care teams by managing high‑ and rising‑risk patients, coordinating services throughout the continuum of care, and serving as the in‑office nurse. The Ambulatory Care Nurse supports patients by facilitating the implementation of the prescribed medical treatment plan through patient‑centered education of disease processes and wellness opportunities, and through patient self‑management skill development.

Mission

To improve the health of our communities by providing equal access to quality healthcare, regardless of ability to pay

Vision

Achieve health access for all

Values

Compassion: Lead with compassion
Service: Serve with humility
Excellence: Be exceptional
Empowerment: Empower all people

Benefits

Our benefit package includes medical insurance (two plans to choose from), dental insurance (through Guardian Dental), vision insurance, life insurance paid by Westside with the option to purchase additional coverage, short‑term disability paid for by Westside, long‑term disability paid by the employee, a 401(k) retirement plan with a match, and supplemental insurances. We offer a generous PTO package and flexibility to provide work/life balance.

Westside Family Healthcare is an Equal Opportunity Employer that values diversity.

Key Incentives

$5,000 sign‑on bonus. Loan repayment program available.

Responsibilities

Manage a caseload of patients identified as at risk for health deterioration, sentinel events, or poor outcomes using the nursing process and established protocols/workflows. Ongoing evaluation of care coordination efforts by measuring intervention effectiveness and fostering a continuous improvement mentality. Partner with the patient and family, the primary care provider, and other team members to implement an interdisciplinary plan of care.

Participate in daily huddles with the Clinical Operations team and other team meetings/trainings as scheduled.

Proactively and continuously review patient medical records to identify any care needs requiring intervention or follow‑up during patient interactions.

Work with patients and families to ensure both medical and psychosocial needs are met, promoting health and well‑being and identifying any barriers that inhibit the patient from adhering to the prescribed plan of care.

Assess and document progress toward goals based on the provider’s plan of care; utilize clinical judgment, established protocols, review of patients’ self‑monitoring tools, and trends in clinical data (e.g., HbA1c, LDL, BP).

Promote timely access to appropriate care, increasing utilization of preventative care and healthy behaviors to improve the health of the population at risk.

Provide ambulatory care support as a member of the care team, which may include walk‑in and/or telephone triage utilizing established protocols.

Minimum Objective Qualifications

Graduate of an accredited nursing program with an associate degree in Nursing.

Active RN licensure in the State of Delaware (or compact state) with no restrictions or disciplinary action.

Current BLS certification.

Active Ambulatory Care Certification (AMB‑BC) – must commit to obtaining within one year of hire.

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