Description:

　　Analytical and Critical Thinking

　　Utilizes assessment skills to evaluate patient needs and formulate a plan of care, as part of the multi-disciplinary care team. Revises outcomes and interventions based on results of ongoing evaluation, collaborating with both the patient and members of the care team.

　　Facilitates individual or group nursing visits with patients to address chronic illnesses, provides education about management and treatment of disease as needed.

　　Identifies patients at risk for poor outcomes and those who may require more intensive services; provides additional outreach and frequent follow up (by phone and in-person) to this population.

　　Provides Complex Case Management, including chronic disease case management, critical diagnosis care coordination, transition care management, high risk clinical tracking, complex medication management and system utilization to appropriate patients.

　　Provides medication reconciliation and adherence counseling, while assessing patient knowledge and barriers to adherence and self-care.

　　Triages patients during walk-in/same day clinic.

　　Teamwork

　　Collaborates with multi-disciplinary team to address both physical and psychological aspects of health to provide care for the whole patient.

　　Works along with the Transition of Care Team to ensure safe and effective transitions of care.

　　Collaborates with provider during appointments or in nursing visit for education on health promotion, disease prevention and/or management of disease.

　　Flexible in scheduling to work the demands of the clinic schedule.

　　Patient Focus

　　Assists patients in the development of self-management goals, evaluates ongoing status of goals along with other members of the interdisciplinary care team; coordinates follow-up as needed.

　　Accesses appropriate resources inside and outside the organization to meet the needs of the caller/patient.

　　Demonstrates awareness of cultural, ethnic, gender, sexual orientation and racial differences and their potential to impact patient outcomes.

　　Communication

　　Teaches patients skills to care for themselves, including medication administration (self-injections, nebulizers and inhalers), wound care and how to check blood sugars and blood pressures. Provides education on the importance of preventative health screening.

　　Delegates clerical and non-nursing clinical tasks to assistive personnel as appropriate.

　　Utilizes interpreter services for patient communication as necessary.

　　Attends nursing departmental, site staff meetings and participates in committee meetings as assigned.

　　Checking, Examining, and Recording

　　Documents both incoming and outgoing calls as they occur and communicates effectively with other team members to provide continuity of care to the patient.

　　Documents telecommunications that reflect care specific to the actual or potential health needs of the caller/patient.

　　Collects health status data relevant to the patient’s present problem in a continuous, systematic and complete manner.

　　Completes review of systems, physical assessment and correlates with patient’s health history to prepare patient for further examination or treatment as appropriate.

　　Additional Skills & Qualifications:

　　Required: Graduate from an Accredited School of Nursing; Current Maryland Nursing License

　　Must hold active Maryland RN License & active CPR

　　4-5 years of experience who have worked in multiple specialties (OBGYN or Labor & Delivery)

　　Nice to have have : RN Care Management experience.

　　MUST: Someone with strong critical thinking skills

　　MUST: Someone who can work autonomously

　　Diversity, Equity & Inclusion

　　At Actalent, diversity and inclusion are a bridge towards the equity and success of our people. DE&I are embedded into our culture through:

　　Hiring diverse talent

　　Maintaining an inclusive environment through persistent self-reflection

　　Building a culture of care, engagement, and recognition with clear outcomes

　　Ensuring growth opportunities for our people

　　Actalent is an equal opportunity employer.

　　About Actalent

　　Actalent connects passion with purpose. We help visionary companies advance their engineering and science initiatives through access to specialized experts that drive scale, innovation, and speed to market. With a network of almost 30,000 engineering and sciences consultants and more than 4,500 clients across the U.S., Canada, Asia, and Europe, Actalent serves many of the Fortune 500. An operating company of Allegis Group, the global leader in talent solutions, Actalent launched as a new specialized engineering and sciences services and workforce solutions brand in 2021.