RN - Anticoagulation Clinic (Virtual Care, Evergreen) - Full-time / Part-time

The RN participates as a member of the health care team in delivering quality health care to patients which supports KP's mission, vision & values. The RN provides a variety of nursing srvs both in person & by phone utilizing the nursing process & leadership skills to address acute & chronic needs of Health Plan members & other patients of the KP Health Care Program. He/she works under the general direction of the designated Sup'v.

Essential Functions:

* Professional Competencies: Demonstrates personal commitment to srv & to socially relevant practice. Demonstrates behaviors that illustrate commitment to KP Promise (quality you can trust, caring w/a personal touch, convenient & easy & affordable). Adheres to Quality of Srv Standards & Behavioral Guidelines.

* Professional Competencies: Demonstrated ethical & legal behavior in all professional activities. Acts as an advocate for individuals, groups & communities. Demonstrates accountability for own ethical behavior concerning own work schedule. Understands & supports KP policies, legal considerations & professional ethics. Adheres to Health Insurance Portability & Accountability Act (HIPAA) & confidentiality policies.

* Professional Competencies: Utilizes a critical thinking approach to problem solve & make decisions. Applies analytical reasoning, reflection & rational problem-solving skills, using verifiable info, & clinical judgment, in order to choose among alternative solutions to clinical problems. Fosters & uses innovative thinking to create alternative solutions. Demonstrates the ability to analyze, synthesize & utilize data to provide optimal nursing care.

* Professional Competencies: Understands & provides competent care to a diverse population. Uses knowledge of cultural differences to provide nursing care that is sensitive to & consistent w/cultural values, beliefs, & customs. Provides culturally sensitive teaching materials to individuals, families & groups.

* Professional Competencies: Practices health care team building & leadership skills. Applies leadership skills to facilitate effective team functioning & operations of the module or Dept. Role models & facilitates change w/in the health care team to respond to health care & organizational needs. Directs, delegates & monitors quality of care delivered by the health care team & brings deviations to the attention of staff involved & Team Leader. Mentors new staff & assists w/orientation & staff development needs. Collaborates w/Team Leader & Mrg in setting quality standards for nursing care & in the development of policies & procedures. Provides input to Team Leader & Mrg about the job performance of other RNs, LPNs & unlicensed personnel in the health care team. Demonstrates commitment to customer srv.

* Professional Competencies: Participates in population-based care activities. Participates in "out reach" & "in reach" activities to meet clinical targets. Effectively identifies needs & provides prevention, early intervention & ongoing health education for panel population, individual patent & family. Assists individuals & groups to learn self-Mgmt skills that promote & protect health. Develops teaching plans for individuals & groups related to health promotion & disease prevention.

* Professional Competencies: Demonstrates technological literacy in using computerized info systems. Access, evaluates & uses data & info from a wide range of resources. Demonstrates effective use of computer-based info & practice Mgmt systems for decision support, provision of care, continuous quality improvement & professional development. Provides input to the development of info systems that impact the provision of patient care. Facilitates the member's use of health care technologies.

* Professional Competencies: Participates in ongoing continuing education activities & shares knowledge w/other health care team members. Demonstrates commitment to continuous learning that advances professional nursing practice. Demonstrates ability to identify own learning needs. Actively works to address personal & professional growth needs. Serves as resource, mentor & role model for other members of the health care team.

* Clinical Competencies: Provides evidence-based, clinically competent nursing care in a culturally sensitive manner. Plans, implements, manages, coordinates & evaluates a plan of care across the care continuum. Facilitates member wellness & function & identifies needs for health care interventions. Utilizes appropriate assessment tools, processes, clinical pathways & guidelines to manage patient care. Integrates theory & research-based knowledge in the provision of direct & indirect nursing care. Performs & modifies therapeutic & preventive nursing measures & administers treatments & medications as authorized by law & determined by the State Board of Nursing. Performs skilled nursing tasks competently & demonstrates operational knowledge of procedures & equipment. Performs triage & telephone advice independently & w/in scope of the Oregon &/or Washington Nurse Practice Acts. Maintains a safe & therapeutic environment for staff, patients & family members. Participates in the research process. Documents the nursing care provided which demonstrates the application of the nursing process & complies w/Dept &/or organizational standards.

* Clinical Competencies: Applies effective oral & written communication skills in interacting w/patients, families & members of the health care team. This includes effective negotiation & conflict Mgmt skills.

* Organizational Competencies: Recognizes the impact of systems on health care delivery. Facilitates coordination of care across all settings w/particular attention to transitional needs. Functions w/in interdisciplinary teams in a manner that promotes coordination, mutual respect & timely response to the patient's health care needs.

* Organizational Competencies: Acts as an advocate for individuals & groups w/unmet health needs.

* Organizational Competencies: Applies the knowledge & tools of continuous improvement in clinical practice & the delivery of health care.

ACCMP Overview:

The Anticoagulation Care Management Program (ACCMP) has been a group within Kaiser Permanente Northwest for over 30 years. Care is provided 7 days a week virtually to patients, with no patients seen in the clinic. This increases the convenience to patients, as they are able to go to any Kaiser lab for their blood work and we are able to reach out with the result. Our staff develops great relationships with patients as they understand their needs. Patients greatly appreciate the care that our staff provides and have a high level of satisfaction. In addition, providers are grateful for the ways in which ACC helps ensure high quality care. The ACCMP is an interdisciplinary team that works together to ensure proper patient care with a high level of teamwork to assure that patient needs are satisfied. This position will be at the Kaiser Permanente West Interstate Campus at 3325 N. Interstate Ave, Portland 97227 on the Lower Level. We continually evaluate our program workflow and our services to our members in order to ensure that we are working to the best of our ability and at the top of each person's license. This is a great time to join the team.

ACC RNs work 8 hours a day, 5 days a week with other RNs, Pharmacists, LPNs, MAs, and Patient Access Specialists (PAS). A majority of shifts will be during daytime clinic hours with a standard schedule, with a rotating Saturday shift that is shared between 12 RNs. Exact shift times may vary slightly based on need, but there is a high level of consistency. The RN carries a load of patients and he/she manages their dosing of warfarin by INR results per protocol, but work is divided at the start of the day and the team helps each other at the end to ensure the work is completed. Nurses assess patient factors that may affect dosing and make decisions to optimize care. It requires a high degree of assessment over the phone, learning the protocols, great communication skills and the ability to work closely with others in a fast-paced team environment, with a large amount of responsibility for patient care. Experience with Epic, our electronic medical record, is highly desirable.

Basic Qualifications:

Experience

* Minimum two (2) years of nursing experience in acute care or ambulatory care/clinic setting within the last five (5) years.

Education

* Graduate of Accredited School of nursing.

* High School Diploma or General Education Development (GED) required.

License, Certification, Registration

* Current Oregon and Washington RN license required. License in state where assigned required upon hire/transfer, application for license in secondary state required within 2 weeks of hire/transfer and must be obtained within 6 months.

Additional Requirements:

* Demonstrates clinical nursing and leadership skills.

* Able to type 20 words per minute.

* Demonstrates effective interpersonal, communication and problem-solving skills.

* Willingness to learn computerized information systems.

* Demonstrates ability to work within teams and within a dynamic work environment.

* Customer focused.

Preferred Qualifications:

* Previous experience with population care/case management, triage and advice.

* Current or future bachelor's degree in nursing or related field.