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Community Health Nurse 2- LCHC-OBAT
Salary: $36.94 – $49.64 Hourly
Location: Lincoln County, OR
Job Type: Full-Time
Job Number: 22-115 (502-11)
Department: Health and Human Services
Division: Lincoln Community Health Center
Opening Date: 12/30/2022
Closing Date: Continuous

Position Summary

Your job in the department is to . . .

Work in a community setting, providing quality nursing care in the Lincoln Community Health Center Primary Care.

Your job also involves . . .

Provide direct patient care as the RN for the Office Based Addiction Treatment (OBAT) program, School Based Health Center and VA as needed. Promoting health through education, care coordination and health maintenance.

Essential Functions/Major Responsibilities
JOB FUNCTIONS
ESSENTIAL FUNCTIONS are critical and fundamental responsibilities of the position of all CHN2s. The incumbent must be able to perform these functions with or without reasonable accommodation. Community Health Nurses will follow the six standards of practice:

Assessment – Collect comprehensive data related to the health of the population served. Document assessment data in terms that are understandable to all involved in the care process.
Diagnosis and Priorities – Analysis of the assessment data to derive a nursing diagnosis and priorities. Document diagnoses or concerns in a manner that facilitates the population’s involvement in developing a plan of care.

Outcomes identification – Based on the diagnosis the CHN will identify outcomes that are culturally relevant, health literate, based in evidence and attainable through local resources and policies. Document expected outcomes and measurable objectives.

Planning – Develop a plan that is client-centered and reflects best practices by identifying strategies, action plans and alternatives to meeting expected outcomes.  Document the plan using health literate and culturally competent language that can be understood by care team and population being served.

Implementation – The CHN oversees the implementation of the plan through treatment, case management, referrals to community partners, collaboration with community resources, health promotion and education. Documents activities and status of care coordination.

Evaluation – Apply on-going assessment data to revise plans, interventions and activities as appropriate for ultimate health outcomes for the population. Document changes to enhance effectiveness of interventions.
For Primary Care, School Based Health Center and VA will perform additional job responsibilities: These tasks are performed as part of the primary job functions and are not separately allocated by Frequency and % of Time.
Serve as a liaison for patients in all communications regarding OBAT care rendered in clinic.

Facilitate access to care, gathering information for phone screening, registration, intake reporting paperwork, quarterly reports, and other required data tracking. Assist the Center to meet targeted goals and outcomes. Facilitate communication between nurses, program manager, and providers, internal and external stakeholders to meet the needs of patients.

Provide patient support pre, during and after OBAT services; providing comprehensive Care Coordination that encompasses all relevant information on OBAT, medical, dental and behavioral health.

Identify and/or develop OBAT education and supportive interventions to increase patients’ skills and confidence in managing their health, including regular assessment of progress and setbacks, goal setting, and relapse prevention support.

Educate patients and/or family members on OBAT, including medication administration, storage, safety, responsibilities, program expectations and patient treatment agreements.

The CHN2 may perform additional Primary Care and OBAT responsibilities:
Apply theories and principles of primary care and mental health nursing practices.

Consistently set appropriate priorities in providing quality patient care that is organized and time efficient. Utilize staff feedback in patient care. Maintain and ensure confidentiality of patient’s conditions, records, and other data on a consistent basis.

Perform direct care activities by administering medications, observing and documenting patient responses and/or side effects. Administer interventions according to established standing orders and protocols.

Provide an environment that demonstrates caring, compassion, and respect for all patients and families. Create and maintains a high-performance clinic environment characterized by positive role model, leadership, and a strong team orientation.

Communicate, as necessary, with other clinic and departmental personnel to coordinate efforts, resolve operational problems, and provide high quality, comprehensive patient care.

Meet training requirements and practices according to HRSA, HHS and OHA guidelines.

Participate in on-going quality improvement and reports from data systems to guide and improve practice.
Establish professional rapport with clients, community, and health care partners to promote health.

OTHER JOB FUNCTIONS are those duties that are performed either very infrequently or could be performed by others without altering the underlying reason the job exists.

Attend and participate in team meetings, trainings and activities to further the health of the community.
MINIMUM QUALIFICATIONS

Minimum Education

Associates and/or Professional Certification

Specifics: Associate degree in Nursing from an accredited school of nursing.

 

Minimum Experience

Two – Three years

Specifics: Three years of nursing experience.

 

Substitution Note: Practicums in Nursing programs and lived experience may substitute for years of experience.

Driver’s License

Oregon Driver’s License required.

 

Other Licenses

Professional License required.

 

Specifics: Must possess a valid license to practice in the State of Oregon as a Registered Professional Nurse as defined by statutes or administrative rules, which include but are not limited to ORS 678.010 to 678.360 at the time of appointment.  The employee is required to maintain current and active licensures and certifications, as applicable, and to provide the appropriate verifications at the time of renewals.

 

Desirable Qualifications:

Bachelor of Science degree in Nursing (BSN) from an accredited school of nursing with one year of nursing experience, preferably in a primary care position. Bilingual and/or bicultural competencies for the Latino population are preferred.

 

KNOWLEDGE, SKILLS AND/OR ABILITIES

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The required knowledge, skills and/or abilities are listed below:

Knowledge of:

The principles, practices, methods, and procedures of nursing as applied to community and public health.
The principles, practices, methods and procedures of addiction therapy and counseling to support the OBAT program.

Chronic disease management and education.

The uses and effects of medications, immunizations.

Issues of alcohol and drug abuse.

The “strength-based” model of behavior change.

Problem-solving techniques and negotiation skills in accordance with motivational interviewing and behavior change theory.

Utilization of community resources.

Medical record keeping practices.

Functions and resources of private and public agencies.

Skill or ability to:

Build therapeutic relationships and maintain therapeutic boundaries; engage clients in mutual goal setting.
Provide professional nursing care independently.
Partner with the OBAT Provider and care team for assessing patients and developing a care plan for addiction treatment.

Deliver ongoing care for substance use disorders.

Identify community and individual health problems and to plan and administer solutions.

Administer medications and immunizations.

Interpret and apply written policies, procedures, and guidelines.

Establish and maintain records; learn new information quickly and adapt to changing situations.

Use research, data, and evidence-based practices to inform and improve nursing practice.

Courteously meet and deal with patients.

Act in a professional manner and to understand and commit to a professional code of ethics.
Maintain the confidentiality of privileged information in accordance with HIPAA and Lincoln County policies.

Maintain effective working relationships with staff, supervisors, physicians, other agencies, and the public.
Create a positive work environment that promotes productivity, mentoring, teamwork, and cooperation.
Elicit and consider differing viewpoints when analyzing issues.

Recognize the accomplishments of team members.

Convey information, ideas, and facts both orally and in writing to supervisors, colleagues, and individuals, inside and outside the county, using language and a format the audience will best understand.

Utilize computers and other technology to communicate in written and verbal forms (e.g., word processing, texts, emails, spreadsheets, department-specific software).

Effectively relate well with others, including supervisors, colleagues, and individuals inside and outside the county. Exhibit a professional manner in dealing with others and working to maintain constructive working relationships.

Take personal responsibility for the quality and timeliness of work. Show up to work on time, and follows instructions, policies, and procedures. Meet productivity standards, deadlines, and work schedules.

Job Conditions and Physical Demands
WORKING CONDITIONS

Job Conditions: Normal working hours. Exposure to potentially hazardous conditions due to frequent drawing of blood.

Work Location: Lincoln County

Travel:   This position also requires an insurable driving record and a valid Oregon driver’s license within 30 days of appointment. Some driving for position may be required.

PHYSICAL DEMANDS

The physical demands are typical of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Physical capability to handle high mobility demands and complex personal interactions.

Physical Ability: Tasks involve the ability to exert very moderate physical effort in light work, typically involving some combination of stooping, kneeling, crouching and crawling, and which may involve some lifting, carrying, pushing and/or pulling of objects and materials of moderate weight (12-20 pounds).

Sensory Requirements: Some tasks require visual perception and discrimination. Some tasks require oral communications ability. Some tasks require the ability to perceive and discriminate sounds.

Environmental Factors: Tasks are regularly performed with exposure to adverse environmental conditions, such as dirt, pollen, odors, wetness, humidity, rain, fumes, temperature and noise extremes, machinery, vibrations, electric currents, traffic hazards, animals/wildlife, toxic/poisonous agents, violence, disease, or pathogenic substances.

REASONABLE ACCOMMODATIONS

Lincoln County is committed to providing reasonable accommodations as required by the Americans with Disabilities Act (ADA). This job description indicates, in general, the nature and levels of work, knowledge, skills, abilities, and essential functions expected of the position.   Reasonable accommodations may be made to enable qualified individuals with disabilities to perform essential functions.

To apply for this job please visit www.co.lincoln.or.us.