Ambulatory Divisional Nurse - Children''''s Pavilion Pediatric Cardiology - Days

The Ambulatory Divisional Registered Nurse provides, develops, coordinates, and manages clinical duties related to the specific service line division. This job will support clinical care across multiple outpatient locations, requiring interdisciplinary partnership with multiple providers within the division. The position collaborates with Ambulatory Leadership, Division Chair, Medical Director, in the development and management of processes to provide safe, timely ambulatory care needs.

The Ambulatory Divisional Registered Nurse will have a working knowledge of outpatient management of patients within a specialty division, including general medical, complex medical, pre-operative and post-operative care.

Essential Job Statements

• Follows documented physician/licensed provider orders, within the boundaries of the Nurse Practice Act, licensure, and established standards, policies, and practice guidelines.
• Triages patient calls and in basket messages in accordance with ambulatory and division specific standards.
• Facilitates training as needed to improve the specialty knowledge base across all ambulatory clinic locations.
• Partners with care team to complete chart prep for return visits; reviews records (lab work, imaging, diagnostic reports) prior to patient visit.
• Completes necessary new patient referrals, ensures outside records are available, performs chart review/prep to ensure patients are scheduled into the correct clinic.
• Provides disease and procedure-specific education to patients in clinic.
• Creates educational materials to support commonly encountered topics within division.
• May assist providers during clinical procedures across the division.
• Partners with providers, Assistant Clinical Manager, Program Coordinators, and Nurse Navigators to ensure continuity of care across clinic sites for division patients with expertise in service, preoperative, postoperative, and medical management to specific patient populations.

Responsibilities

• Performs multi-site nursing visits as directed by providers to include education, treatments, or assessments.
• Supports prior authorization requirements specific to emergent / same day prior authorizations and denial appeals.
• Partners with Assistant Clinical Manager and clinic nursing staff to aid providers in obtaining clinic testing and treatment.
• Consistently monitors patient satisfaction and customer feedback, taking prompt action on issues striving for service excellence.
• Serves as a nursing clinical role model and division subject matter expert for management of ambulatory patients across multiple sites.
• Seeks collaborative relationships that can lead to effective partnerships in research, evidence-based practice or process improvement.
• Contributes to revising and developing clinical practice and/or nursing care guidelines for specific patient populations using current best evidence and shares the synthesis of current best evidence at the department/division level.
• Takes appropriate actions to enhance positive outcomes, even in the most challenging situations.
• Anticipates needs to provide quality and efficient care for patients.
• Maintains professional growth and development in specialty through ongoing process of formal and informal education and training.
• Performs other duties as assigned and/or participates in special projects in order to support the mission of VCUHS and the division.
• Accepts alternate assignments as required.

Patient Population

• Demonstrates the knowledge and skills necessary to provide equitable care appropriate to the age of the patients served on their assigned unit.
• Demonstrates knowledge and related competencies of the principles of growth and development of the life span and possesses the ability to assess data reflective of the patients status and interprets the appropriate information needed to identify each patients requirements relative to their age, specific needs and to provide the equitable care needed as described in departmental policies and procedures.
• Patient population includes: Neonates (0-4 weeks), Infant (1-12 months), Pediatrics (1-12 years), Adolescents (13-17 years), Adults (18-64 years), Geriatrics (65 years and older)

Employment Qualifications

• Required Education: Bachelor's degree in nursing from an accredited program
• Preferred Education: Master's degree in nursing from an accredited program
• Licensing/Certification:
• Licensure/Certification Required: Current Registered Nurse license, BLS Certification
• Licensure/Certification Preferred: Nursing specialty board certification preferred
• Minimum Qualifications:
• Years and Type of Required Experience: Minimum 3 years of nursing experience required. 1-2 years preferred experience in the designated pediatric or adult division
• Other Knowledge, Skills and Abilities:
• Strong communication and time management skills
• Ability to set priorities, make timely decisions, and meet multiple deadlines
• Ability to work collaboratively within a large complex, fast-paced environment

Working Conditions

• Periods of high stress and fluctuating workloads may occur
• General office environment
• May be exposed to physical altercations and verbal abuse
• Required to car travel to off-site locations, occasionally in adverse weather conditions
• Other: Travel between clinic sites is required. Long-distance or air travel as needed - not to exceed 10% travel. May be exposed to high noise levels. May be exposed to limited hazardous substances or body fluids. May be exposed to human blood and other potentially infectious materials. May have periods of constant interruptions. Prolonged periods of working alone.