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Registered Nurse (Denver, CO)

JOB TITLE: Registered Nurse
REPORTS TO: Manager of Nursing Services
PRIMARY WORK LOCATION: Stout Street Health Center (SSHC)
EMPLOYMENT CLASSIFICATION: Full time/Non-exempt, Hourly
TYPICAL WORK SCHEDULE: 40 hours per week

Coalition Mission

The Mission of the Colorado Coalition for the Homeless is to work collaboratively toward the prevention of homelessness and the creation of lasting solutions for families, children, and individuals who are experiencing or at-risk of homelessness throughout Colorado.

The Coalition advocates for and provides a continuum of housing and a variety of services to improve the health, well-being, and stability of those it serves.

Our Philosophy of Service

We believe all people have the right to adequate housing and healthcare. We work to remove the barriers that restrict access to these rights. Society benefits when adequate housing and healthcare are available to everyone.

We create lasting solutions to homelessness by:

  1. Honoring the inherent dignity of those we serve, affirming their capabilities, and fostering their hope that a better life is possible;
  2. Building strong, caring, and trauma-informed communities through the integration of housing, healthcare, and supportive services;
  3. Advocating for social and racial equity, inclusivity, and diversity and challenging the status quo in partnership with our workforce members and those we serve;
  4. Achieving excellence through continuous quality assurance, innovation and professional development; and
  5. Using resources judiciously and effectively.

Job Summary

The Registered Nurse works collaboratively within an Integrated Health Care for the Homeless team.  The RN in this position is responsible for performing both independent and delegated duties in the provision of providing comprehensive health care to all Colorado Coalition for the Homeless (CCH) patients.

Essential Job Functions

Employee must be able to perform essential job duties with or without reasonable accommodation and without posing a direct threat to safety or health of self or others. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Employee will perform job according to applied laws. The primary job functions listed are representative of the knowledge, skill, and/or ability required to perform this job and do not represent an exhaustive list of job functions. Reasonable accommodations may be made to enable individuals with disabilities to perform essential job functions.

  1. Provides skilled nursing care according to accepted community standards of quality healthcare.
  2. Provides patient-centered care within an integrated, trauma-informed, harm-reduction model
  3. Performs quick and accurate triage assessments with appropriate recommendations of care as outlined in SSHC nursing protocols via telephone or in-person.
  4. Empowers patients by providing appropriate health education and information, including but not limited to addressing common chronic and acute health conditions in this population, such as diabetes management, hypertension management, nutrition, wound care, and disease prevention.
  5. Administers medications in a safe, evidence-base manner following written protocols or direct provider order, including but not limited to immunizations, antibiotics, insulin, normal saline, Depo-Provera and testosterone injections.
  6. Enters patient data and numbers and retrieve that data on a weekly basis for analysis with the Nurse Manager, Director of Nursing, Medical Director, and Revenue Cycle team as appropriate.
  7. Collaborates with other members of the multi-disciplinary health care teams including but not limited to medical assistants, primary care medical providers, behavioral health providers, psychiatric providers, peer specialists, dental assistants and hygienists, pharmacists, patient navigators, case managers, client access representatives, inventory and lab coordinators, and nurse educators.
  8. Coordinates care with internal programs including but not limited to Health Outreach Program, Housing First, Assertive Community Treatment, Respite, and Medication Assisted Treatment Program.
  9. Provides treatment services such as case management, crisis services, initial intake program screenings, individual medication assisted treatment (MAT) counseling, and administering scales to assess withdrawal, as a member of an OBH licensed Substance Use Disorder (SUD) treatment team.
  10. Provides transitional, chronic, and complex care management.
  11. Provides nursing services as needed for CCH programs external to SSHC, including but not limited to, Health Outreach, Samaritan House, Beacon, and Hospital-based Respite and TCM, West End Health Center, Fort Lyon, Housing First, and SIB.
  12. Documents appropriately in Safetyzone for internal reporting of client or staff events.
  13. Completes required onboarding, orientation, annual competencies, and assigned continuing education.
  14. Participates in team-based or interdisciplinary quality improvement initiatives.
  15. Attends required disciplinary, inter-disciplinary, suite, quality improvement, and all-staff meetings.
  16. Maintains EHR core competencies:
    1. Records complete and pertinent patient information into Nextgen in appropriate templates for communications (telephone template), nursing visits (billable nursing services), nurse-supported provider-visits and co-visits (shared visits with providers), and skilled nursing services (procedures, education, etc.) within provider visits.
    2. Uses inbox to manage tasks.
    3. Records vital signs and updates allergies in Nextgen.
    4. Completes HPI, ROS, Assessment, and SOAP note for submission of superbill in Nextgen to billing for RN services.
    5. Enters immunizations into Nextgen.
    6. Utilizes EHR appropriate workflows to provide bi-directional communication with CIIS.
    7. Ability to enter current patient medications and sig into the medication template as well as performing medication reconciliation under SOAP template as needed.
    8. Maintains EPM core competencies if indicated and follows standards of scheduling and patient check-in provided by Operations Manager.

Education and Work Experience

  1. AD, BSN, or MSN in nursing from an accredited college or university.
  2. Current licensure from the State of Colorado to practice as a Registered Nurse.
  3. Certification in Basic Life Support.
  4. Successful completion of the privileging and credentialing process for RNs at the Coalition.
  5. Preferred experience in ambulatory, public or community nursing.
  6. Preferred experience in mental health, emergency room, urgent care, or critical care.
  7. Bilingual, English-Spanish preferred.

Knowledge, Skills and Abilities

  1. Sound critical thinking and decision-making skills.
  2. Ability to workday or evening clinic as scheduled or appropriate.
  3. Consistently superb customer service skills; excellent interpersonal/assertive communications skills demonstrating a high degree of emotional intelligence.
  4. Knowledge of homeless issues and demonstrated sensitivity to and a desire to work with underserved populations.
  5. Can perform treatments and laboratory procedures independently and/or as requested by the health care provider.
  6. Adheres to Universal Precautions per CDC guidelines and OSHA regulations.
  7. Adheres to HIPAA regulations per standards developed by the Department of Health and Human Services.
  8. Provides appropriate patient education that is tailored to both the individual’s learning style, education and or reading level, and is sensitive to their health beliefs.
  9. Possesses excellent crisis intervention skills.
  10. Possesses the initiative to learn and practice nursing protocols.
  11. Can triage patient, either in person or via telephone according to current triage protocols at SSHC.
  12. Ability to assess and provide urgent/emergent care for patients when necessary.
  13. Ability to assess and provide wound care for patients in accordance to current evidence-base best practice, with consultation available and education provided by a wound care certified RN
  14. Helps monitor and facilitate patient flow.
  15. Conducts communication to patients requiring follow-up care.
  16. Utilizes Microsoft Office applications, such as Sharepoint, Intranet, E-mail, and Calendar
  17. Follows communication standards and expectations with client and team communications, including but not limited to using telephone and voicemail systems, Vocera, e-mail, and patient portal.

Physical Requirements

Percentage of work time spent on activity → 0% – 24% 25% to 49% 50% to 74% 75% to 100%
SEEING: Must be able to read computer screens and printed documents. x
HEARING: Must be able to hear well enough to communicate with employees and others. x
FINGERING/GRASPING/FEELING: Must be able to write, type and use telephones. x
DRIVING: Must have valid driver’s license and clean driving record. X

Working Conditions

Works primarily in a climate-controlled office environment with possible exposure to patient diseases/conditions and bodily fluids common to a medical clinic setting.

This job description is intended to describe the general nature of work performed. It is not intended to be a complete list of all responsibilities, duties, and skills required for employees performing this job. This job description does not represent or establish a contract of employment. The Coalition may change job descriptions at any time, with or without notice, as service needs require.

The Colorado Coalition for the Homeless is committed to delivering services, making employment-related decisions, selecting volunteers, and selecting vendors without regard to age over 40, race, sex, color, religion, creed, national origin, ancestry, disability, genetic information, marital status, sexual orientation, gender identity, gender expression, pregnancy, health condition related to pregnancy, military status, or any other applicable status protected by law.

Click HERE to apply.

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