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Job description
We are seeking a Clinical Nurse who will support the Outpatient Parenteral Antimicrobial Therapy (OPAT) Program across Johns Hopkins Hospital and Johns Hopkins Bayview Medical Center, including providing support and, on occasion, training to patients on antibiotic use and follow-up. The Clinical Nurse will assist OPAT team members with contacting nursing facilities, infusion pharmacies/suites, and hemodialysis centers to request weekly safety labs. They will also consult with treating providers and OPAT pharmacists as well as provide facilities and infusion pharmacies with treatment changes.
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nThe Clinical Nurse will provide support and coordinate outpatient start of care by requesting benefits checks and discussing out-of-pocket costs with patients, arranging central line placement within and outside of JHHS when needed, providing home infusion and laboratory orders, and arranging skilled nursing services when not delegable to the infusion pharmacy of record.
nThe Clinical Nurse will provide crisis intervention by communicating critical lab values in a timely fashion that could result in significant toxicity and hospital readmissions for patients. They will independently assess laboratory results for abnormalities in a timely fashion; communicate abnormalities to ID medical providers and implement intervention plans when clinically warranted.
nIn addition to supporting the OPAT service, the position involves providing general support to the Infectious Disease and Internal Medicine clinics at our Rockland Physician Practice. This includes, but is not limited to: responding to patient messages and requests, including nurse triage calls; submitting prior authorization requests for prescriptions, imaging procedures, or other outpatient services; assisting with testing and treatment of sexually-transmitted illnesses, including the administration of intramuscular injections; ordering and overseeing the vaccine inventory; initiating Cabenuva therapy plans and liaising with JH partners to facilitate Cabenuva injections at various sites of administration; providing after-visit reminders/follow up calls to patients; providing back-up assistance with appointment scheduling; assessment, maintenance, and removal of central lines; assisting physicians in coordinating direct admissions to JHH.
nSpecific duties & responsibilities:
nnnCoordinate the clinical activities for and provide nursing case management services to patients seen at the Rockland Green Spring Infectious Disease outpatient clinic.
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nnCounsel, support, educate, and coordinate resources needed by patients and their family members during each stage of their disease.
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nnCoordinate clinical activities for patients with adherence problems related to medical appointment keeping and HIV therapy. Clinical activities include: triaging patient calls directed from office support staff, lab review, coordination of home care, and coordination with skilled nursing facilities and outpatient dialysis centers. Complete appropriate documentation of patient care interactions (nursing visits, patient education, telephone contacts, medication refills) in the electronic medical record.
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nnConduct educational training sessions with patients to review medication knowledge, medication adherence, and other related issues as clinically/medically warranted.
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nnProvide nursing support to the assigned population of clinic patients and provide backup coverage to other clinical staff. Nursing begins with the first encounter with the patient and continues throughout the course of care.
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nnIndependently assess daily laboratory reports for abnormalities; communicate abnormalities to medical providers and implement intervention plans when clinically warranted in collaboration with providers.
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nnClinically assess the need for patient diagnostic testing prior to evaluation by a medical clinician.
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nnTriage calls from the Emergency Department, Infectious Disease Fellows, home infusion agencies, skilled nursing facilities, dialysis facilities, patients and caregivers, and other health care providers. Determines and implements follow-up plans for patients requiring medical treatment.
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nnProvide patients with one-on-one education on disease management and medication adherence. Develop tailored care plans for patients with the input of the provider and other adherence staff to address individual medication adherence issues.
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nnAssess acute patients as ordered by the provider. When needed, ensures access to phlebotomy, IV insertion, and related services to assist the provider or clinical support staff.
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nnServe as a knowledgeable and available resource to clinical support staff on medical protocols, procedures, and safety initiatives. This position is responsible for maintaining an appropriate vaccine supply in the GSS practice.
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nnMonitor and collaborate with external agencies and community-based organizations to maintain continuity of care and prudent use of resources.
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nnOversee case management activities of home care nurses and facilitate communication between family, home care nursing, physician, and patient.
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nnLiaise with clinic providers to determine orders for home care nursing of patients in the community. Communicate home care orders to appropriate home care agencies and coordinate care.
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nnMaintain current knowledge of all JHH, JHU, the OPAT Program, and Green Spring's policies and procedures related to the unit's operation and assume responsibility for appropriate application and compliance. Assist with implementing Infection Control procedures for Green Spring.
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nnSupport quality assurance/quality control initiatives.
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nnAttend all relevant on- and off-site nursing meetings and provide a formal report when requested.
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nnAssist with conducting internal environmental rounds by collecting data for process improvement discussions.
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nnSuccessfully manage a fast-paced clinical environment with frequent interruptions in planned work.
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nnRegularly interfaces with patients and a multidisciplinary care team.
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n nMinimum Qualifications
nnnThe individual must be a registered nurse, licensed in the State of Maryland or the state where practicing.
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nnCurrent American Heart Association or American Red Cross CPR Certification.
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nnMust maintain current licensure and certification throughout the duration of employment.
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nnCompletion of the JHH Credentialing process.
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nnAdditional education may substitute for required experience, and additional related experience may substitute for required education beyond a high school diploma/graduation equivalent, to the extent permitted by the JHU equivalency formula.
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n nPreferred Qualifications
nnnBachelor's Degree in nursing or related discipline preferred.
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nnStrong interest in and/or knowledge of infectious diseases care, including HIV/AIDS, viral hepatitis, IV antibiotics, or General Infections preferred.
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nnStrong interpersonal, organizational, and managerial skills to interact with healthcare providers from many disciplines and diverse patient populations.
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nnDemonstrated clinical assessment skills with experience in taking independent action to care for patients who are ill while they await evaluation by the medical provider.
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n nClassified Title: Clinical Nurse
nRole/Level/Range: ACRP/03/ME
nStarting Salary Range: $64,600 - $113,300 ($86,390 targeted; Commensurate w/exp.)
nEmployee group: Full Time
nSchedule: M-F 8:30am-5pm
nFLSA Status: Exempt
nLocation: JH at Greenspring Station
nDepartment name: DOM Infectious Diseases
nPersonnel area: School of Medicine
nEqual Opportunity Employer
nAll qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
Worksite address
lutherville timonium, MD, 21094, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.