Registered Nurse - (RN)

Location : Oakland, CA

Job Type : Temp/Contract

Reference Code : Hu/Lowe/Kaing

Required Years of Experience : 1 year

Required Education : High School or GED

Job Industry : Healthcare - Health Services

Job Description :

Pay Rate Range: $54.00 - $56.00

We are looking to hire confident Registered Nurses (RN) to work at a Clinic in Oakland, CA, that is dedicated to serving the Asian community.

Chinese/Mandarin speaking REQUIRED

JOB SUMMARY:

The Registered Nurse – Care Transition is focused on the coordination of care for patients in the transition between hospital and primary care. The position’s primary responsibility is working closely with hospitals, health plans, and clinic-based care teams to coordinate patient transitions between levels of care to reduce unnecessary admissions and readmissions and to ensure appropriate follow-through between systems of care. This position will also work closely with QI staff in the development of utilization management systems for care transitions.

With supervision from the Clinic Site RN Manager, performs routine clinical sills and nurse visits, including clinical procedures and participating in patient education.

ESSENTIAL JOB FUNCTIONS:

1. Effectively communicate with appropriate staff from the clinics, hospitals, health plans, service organizations, and other community agencies to enable the efficient and timely exchange of clinical information and patient care coordination between points of care.

2. Ability to access the clinic EPM and EHR system, i2i Tracks registry, refTrak, one-E-app, appointment schedules, and other confidential portals to exchange information.

3. Maintain access to the established lists of high-risk clients through a health plan portal or another confidential site.

4. Maintain a hospital roster for patients in acute facilities for all sites.

5. Make appointments or referrals as needed for hospital follow up (psychosocial, behavioral, or medical).

6. Order labs, treatments, and other client need based on organizationally approved standing orders, or refer to site team members who can use/implement the standing orders.

7. Assist with the completion of forms/paperwork necessary for adequate patient care in the transition between hospitalization and resumption of outpatient care.

8. Conduct medication reconciliation. Compare transfer orders to previous hospital orders as well as the client’s list of home medications, bringing discrepancies to the attention of the patient’s PCP/care team.

9. Communicate clearly with patients about care plans and assure understanding by the patient and/or their family, caretakers(s), or surrogate decision-makers.

10. Ensure patients and PCPs are well prepared for the hospital to follow up visits.

11. Document in the medical record all communications and patient care outcomes.

12. Coordinate with the Medical Director, Quality Improvement Analyst, and CHCN to organize, track, and report data, maintain data integrity, and use data to improve patient care outcomes.

13. Collaborate with the CHCN Utilization department to identify high-risk patients to proactively improve care and prevent waste.

14. Track the health outcomes of the clients in an Excel spreadsheet, medical record, or another tool.

15. Pull simple reports by disease, provider, and preventive health measures, etc. for review as appropriate.

Required Qualifications :

MINIMUM QUALIFICATIONS:

1. Requires graduation from an accredited school of nursing and possession of a valid RN license in the state of California

2. Bilingual in English and Chinese/Mandarin

PREFERRED QUALIFICATIONS:

1. Master’s degree (M.A.) preferred, with a minimum one years’ medical office experience incomparable

2. Valid California Driver’s License, insurance, and ability to travel as required to perform duties.

3. Two or more years of clinical experience in the areas of adult medicine, chronic care, and/or triage.

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Registered Nurse - (RN)