Community Base - Community Health Nurse (RN)

Mobile Health Unit Support 

• Conduct health screenings (e.g., blood pressure, A1c and other appropriate Point of Care testing) and provide preventive health education 

• Collaborate with Program Coordinator and Community Health Worker to ensure efficient client flow and follow-up 

• Identify patients in need of further care and facilitate warm handoffs to appropriate Care Ring programs and other community referral partners 

Nurse Case Management 

• Serve as Nurse Case Manager for patients enrolled in Physicians Reach Out and Care Ring Clinic 

• Conduct comprehensive assessments and develop person-centered care plans addressing clinical, social, and environmental needs 

• Coordinate referrals to specialty care, home health, therapy, long-term care, and community resources 

• Liaise between patients, providers, and insurers to ensure continuity and access to care 

• Advocate for patient needs and support navigation of healthcare systems and insurance coverage 

Patient Education & Advocacy 

• Educate patients and families on chronic disease management, medication adherence, and health literacy 

• Promote self-management and independence through coaching and resource sharing 

• Provide culturally sensitive education and materials tailored to diverse populations 

Documentation & Communication 

• Maintain accurate and timely documentation in electronic health records and care management systems 

• Participate in case conferencing, staff meetings, and interdisciplinary planning sessions 

• Communicate effectively with clinic staff, CHWs, and administrative teams to ensure coordinated care 

• Ensure confidentiality and compliance with HIPAA and organizational policies 

Qualifications and Education Requirements 

• BSN preferred (RN with an Associate degree considered with relevant experience)  

• Current RN license in good standing in North Carolina  

• Minimum 2-year clinical nursing experience, preferably in community health, primary care, or FQHC settings  

• Experience in case management or care coordination preferred  

• Experience working with underserved populations and maternal/child health preferred  

• Current CPR/BLS certification  

• Covid 19 vaccination and proof is required  

• Valid driver’s license and insured automobile 

• Proficiency in Microsoft Office Suite and electronic health record systems  

• Strong organizational and time management skills with the ability to work independently and collaboratively  

• Cultural competency and sensitivity to diverse patient populations  

• Must be able to work a flexible schedule, including some evenings and weekends  

• Ability to lift up to 25 pounds and perform physical tasks associated with mobile unit operations  

Preferred Skills 

• Bilingual (Spanish/English)  

• Knowledge of services available in the Charlotte-area community  

• Experience in mobile health or outreach settings 

• Familiarity with trauma-informed care and motivational interviewing  

• Strong clinical judgement, problem-solving, and crisis intervention skills 

• Commitment to serving uninsured and Medicaid patients and addressing social determinants of health  

• Experience using Epic for clinical documentation 
  
  Benefits: Major Medical, Dental, Vision, Employer Paid Benefits to include Basic Life and AD&D, Short-term & Long-term Disability, Accident and Critical Illness Plans, Hospital Indemnity, Paid Holidays, and up to 20 vacation days your first year.