We are seeking a primary care nurse (RN) to join an innovative team that is committed to improving care for underserved patients with complex-needs. Reporting to the RN Practice Manager, the Field Team Primary Care RN will be based in our office in Lakewood but will include travel throughout a 2-county area in South King and Pierce County.
The Field Team is a robust, multi-disciplinary team that provides wrap-around services to patients out of our Lakewood Care Center as well as patient’s home residence to support our delivery of the right care, at the right place, at the right time, with the right care team member. Areas of focus include chronic disease management, safe and effective transitions of care, as well as preventing unnecessary utilization (emergency department visits, inpatient admissions, readmissions).
The Field Team Primary Care RN, in a role designed to optimize RN scope of practice, provides emergent telephonic and in-person triage, chronic condition management, complex care coordination, patient education and wellness promotion, and select procedures that may include IV therapy, catherization, and complex wound care for a panel of complex-needs and homebound patients.
Our schedules allow providers to spend extended amounts of time with patients, allowing them to excel at relationship-based care, which is key to our care model. The Field Team Primary Care RN will work with members of a core field-based team (physician, advanced practitioner, clinical field team coordinator, patient engagement specialist) to address the social determinants of health, ensure safe transitions of care, maximize health outcomes, and prevent avoidable healthcare utilization. The Field Team Primary Care RN employs a propriety population health platform to close preventive care gaps per standing order, perform medication reconciliation, and support patient care coordination.
This is an ideal position for a RN who has professional alignment to complex-need patients and underserved populations, enjoys a collaborative team-based work environment, and desires a challenging position that provides professional growth by allowing one to practice at the top of their license.
The Field Team Primary Care RN performs all duties in a manner that reflects the mission, vision, and core values of the Concerto Health care model. He or she demonstrates dedication to and an aptitude for innovation, quality improvement, role optimization, and team-based care. This individual demonstrates versatility, flexibility, enthusiasm and the willingness and grit necessary to work with constantly changing priorities. Performs other duties as assigned.