Description: We know there is someone out there that will make an excellent addition to our team. Someone who gets along well with others, is thorough and efficient, can follow company procedures, is able to multi-task and has amazing customer service. Our clinic is a dynamic place to work, practice, and grow. We have 4 primary care health centers and deliver integrated services including Medical, Behavioral Health, Pharmacy, Dental, specialty referrals, chronic disease management, health education, and much, much more.

• Location: Montezuma Creek, Utah
• Full-time Benefits include: Full health insurance, 5% of gross to a 403b retirement account, life insurance, Vacation leave, PTO leave, Holiday pay, Short/Long term disability, wellness benefit
• Wage depends on education and experience

Critical Tasks:

• Perform nursing assessment and identify pertinent information to verbalize to the provider.
• Review and implement primary care provider orders
• Participate in ongoing education and training
• Educate patients regarding their healthcare and the healthcare system for patient/family to effectively care for patients
• Reduce the risk of infections
• Safely administer medications
• Perform nursing evaluation and follow-up with the patient for continued comprehensive care
• Assign and delegate tasks appropriately when necessary and accept assignments when necessary according to Utah Nurse Practice Act
• Prioritize client care and schedule patient as a Triage nurse
• Demonstrates Familiarity with pathophysiology, Epidemiology, and Clinical Guidelines consistent with Diabetes care provider level
• Provides diabetes support and care in a culturally-competent manner across the lifespan.
• Applied principles of teaching and learning and/or behavior change to facilitate self-management skills of individuals with diabetes.
• Works with an interdisciplinary diabetes care team to tailor interventions to individual patient self-management education needs.
• Applied principles of the program and/or business

Requirements:

• Interview patient to determine medical problem/condition
• Address patient telephone inquiries by evaluating and responding to the patient's problems and questions.
• Observe patient(s) and report adverse reactions to medication or treatment to the provider.
• Obtain the patient's vital signs, pain level, and weight.
• Screen patients for depression, changes in tobacco use, caffeine use, diet, health literacy level, the preferred method of learning, and medication allergies.
• Collect samples, such as urine, blood, and sputum, from patients for testing and follow-up needs with patients.
• Dress wounds, apply hot or cold compresses as ordered.
• Assemble and use urinary catheters and oxygen supplies
• Order diagnostic procedures and labs as directed by a primary care provider with verbal order read back
• Attend mandatory monthly meetings
• Locate and attend meetings, online webinars, conferences, and training that emphasize your role/responsibilities
• Locate articles and stay up to date on the latest evidence-based practice regarding your role/responsibilities
• Complete yearly competencies as assigned by supervisor. Address patient telephone inquiries by evaluating and responding to the patient's problems and questions.
• Educate patients about immunizations verbally, and give written Vaccine Information Sheet (VIS)
• Educate patient about the healthcare system, what to expect, how to prepare, and be self-empowered
• Educate patient about medication side-effects, disease, comorbidities, family planning, and wellness
• Ensure patient understands information and instructions given by provider and inform provider if the patient needs further teaching or clarification
• Maintain proper hand-hygiene
• Use personal protective equipment (PPE) according to Center for Disease Control & Prevention (CDC) recommendations
• Perform low-level disinfection of medical equipment, devices, and supplies
• Properly sterilize equipment and supplies.
• Maintain supplies, including stocking and ordering new supplies
• Properly dispose of expired or damaged supplies, medical equipment, and devices.
• Administer medications as prescribed, orally, subcutaneous, intramuscular injection, intravascular, or intraosseous, and document time and amount on patient’s chart.
• Update patients on their immunization schedule according to CDC recommendations
• Remove all expired medication/injectables and products in the crash cart and place an order with the administrator or pharmacist for a replacement
• Write prescriptions at provider request with verbal read-back of order
• Assist patient with scheduling appointments
• Follow up with patients who miss appointments.
• Follow up with patients on lab results, including the scheduling of any additional tests.
• Write referrals with verbal read back of order for patients through insurance and other physician offices and follow-up.
• Confirm medical records are available in the patient chart before follow-up appointments
• Ensure that a delegated task is non-complex and personnel is adequately trained for the task before delegating a task
• Ensure that personnel has effectively demonstrated a delegated task as learned
• Ensure that personnel can perform a delegated task safely and the patient is safe for personnel to carry out the task
• Ensure appropriate supervision is available during implementation of a delegated task
• Evaluate the effectiveness of the nursing plan of care from the delegation and modify the plan as needed
• Assign as necessary to other Registered Nurses (RNs) or Licensed Practical Nurse (LPNs), delegate to unlicensed assistive personnel [UAP (including medical assistants)] and Certified Nursing Assistants (CNAs)
• Complete highest priority/urgent tasks whenever possible during triage of patients
• Identify first level (highest priority/urgency) patient problems that may threaten the patient’s immediate survival or safety and respond appropriately
• Identify second level concerns and schedule with provider’s walk-in slots, giving preference to the patient primary care provider if available within a timely manner
• Identify third level patient concerns and schedule patient with primary care providers next available appointment slot or within reasonable time frame according to patient care need
• Know the needs and priorities of each patient and reassess patient according to patient priority level as necessary

Metrics:

• Document patient assessment in patient’s health record before patient scheduled appointment or walk-in time slot with the provider.
• Document patient orders with verbal order read back (VORB) to the provider or standing orders (SO) within a 24-hour time frame of the patient’s visit.
• Document nursing interventions, evaluations, and notification to patient-provider to patient’s health record within a 24-hour time frame of patient’s visit.
• Document patient/family and healthcare team communication regarding appointments, labs, referrals, and medical records, including faxed/requested items, in the patient’s health record within a 24-hour time frame of patient/family and healthcare team communication.
• Attend Monthly DCP meetings and provide minutes.
• Maintain a record of certifications and training obtained within a calendar year
• Document assigned room cleaning and expired supply removal and return the document to your supervisor on a monthly basis
• Complete all Educational documentation in a 72-hour time frame.
• Document properly in the patient EMR record all required Diabetes education and follow up as they are completed.
• Obtain and maintain hours needed to complete your CDE education

Experience, Training, and Qualifications needed to perform the job:

• One year certificate from an accredited college or university
• Certification or registration within state of Utah
• Must be able to safely lift, push and pull fifty (50) pounds or more above waist

License/Certification:

• Must possess an American Association of Medical Assistants (AAMA) or American Medical Technologist (AMT) certification
• Must possess a valid driver’s license
• Must successfully pass a criminal background check
• Must obtain and maintain First Aid/Cardiopulmonary resuscitation (CPR) certification
• Must receive annual inoculation of flu vaccine
• Must receive annual tuberculin skin test

As a Tribal Organization the Utah Navajo Health System, Inc. (UNHS) treats patients with high risk and underlying chronic medical conditions. Therefore, UNHS requires its employees to show proof of immunization prior to their employment with UNHS or during their employment. Below is a list of immunizations/vaccinations required to be employed or to continue employment with UNHS.
The immunizations/vaccinations include but not limited to following:

• MMR (Measles Rubeola, Mumps, Rubella): Documentation of two MMR vaccines (OR) Documentation of MMR titers.
• Complete Hepatitis B vaccine series (3 doses), documented proof of titers indicating immunity, or a declination that may be signed upon arrival.
• Proof of up-to-date PPD skin testing, if previously negative (OR) Proof of positive PPD skin test with the most recent chest x-ray and treatment history.
• Tetanus, diphtheria, and pertussis (Tdap).
• Varicella titers, history of varicella or varicella immunization series.
• Influenza vaccine for the current year.
• COVID-19 vaccine
• Any other vaccinations as requested.

UNHS would not be able to achieve our goal of quality equitable healthcare for people living in southeastern Utah without our committed and competent staff. UNHS continually attracts the most devoted healthcare professionals and administrators this region has to offer.We are a NPEA and EEO compliant employer.