Impact Lives, Impact Community

Family Health Centers of San Diego (FHCSD) is passionate about providing exceptional health care to all, especially underserved communities with limited health care options. Founded by a Latina grandmother/community advocate over 50 years ago in Barrio Logan, FHCSD has grown into one of the largest community health systems in the country. With over 90 sites, over 227,000 patients, and over 1.1 million healthcare visits last year, we provide a wide variety of health care and outreach services to a very diverse patient population. We are proud of our mission, our lasting community impact, and the cultural and individual diversity of our staff.

General Job Description

*Performs a wide variety of patient care activities and accommodative services for assigned clinic patients, as direct by the Clinic Director and/or Nursing Director, in order to facilitate the delivery of prompt, quality care.

Job Roles

*Addresses routine messages in EHR within 2 days, urgent messages within 1 day.

*Attends Nursing in-services or completes make-up assignments within 2 weeks of assignment.

*Builds positive relationships, inspires others to perform at a higher level, prepares career development plans and retains an accountable workforce.

*Coaches and counsels staff and administers appropriate disciplinary action in a timely manner.

*Communicates effectively with interdisciplinary care team and support services, including Physicians, PSRs, Medical Assistants, and others. Attends department meetings.

*Completes all required documentation accurately, in a timely manner, and thoroughly in accordance with department standards; in addition, documentation complies with patients' insurance requirements. Includes documenting patient history.

*Consistently follows Policies and Procedures to ensure positive patient outcomes.

*Ensures MAs document patient Vital Signs and pre-assessment questions.

*Keeps clinic work-flow moving, focusing on productivity and efficiency, including assigning lunch times and breaks, ensuring exam room is set up, ordering supplies and vaccines to ensure correct supply is on hand, supporting provider productivity, reviewing patient problem list prior to visit with provider, and calling in refills to pharmacy.

*Keeps site in compliance with TJC, DHS, CHDP, and Medi-Cal Managed Care requirements.

*Participates in continuous improvement activities and ensures appropriate Lean tools (i.e., 5S, A3) are deployed and results are evaluated and/or measured.

*Performs nursing tasks, demonstrating Clinical Competency, including: Measures height, weight, and vital signs accurately; Performs hearing and vision screenings appropriately; Administers IM medications or immunizations correctly; Administers PO medications or immunizations correctly; Administers subcutaneous immunizations correctly; Administers medications via inhalation correctly; Administers PPD tests correctly; Reads PPD results correctly; Performs EKGs correctly; Assesses immunization records accurately; Performs ear lavage correctly; Sets up sterile field correctly; Performs equipment disinfection and sterilization correctly; Hooks up Oxygen tubing correctly; Suctions patients correctly using appropriate suction equipment; Performs straight cath correctly; Starts IVs correctly. Completes standing orders as directed by provider.

*Performs other duties as assigned.

*Performs Waive Testing and Phlebotomy if appropriate training has been completed.

*Provides/ensures staff receive all new hire and annual trainings on time.

Education/Certifications/Licenses/Registrations

*At least 3 years of experience in an ambulatory care setting or similar setting preferred.

*California State Board LVN License required.

*Current CPR for Healthcare Providers certification required.

*Graduation from a recognized practical nurse program or equivalent.

*High School Graduate (or GED equivalent).

Experience/Specialized skills (including Language)

*Ability to participate collaboratively with multi-disciplinary care team.

*Ability to work effectively with patients from diverse social, cultural and economic groups.

*Able to maintain good working relationships with employees, coworkers, and departments.

*Basic computer literacy ability to comply with department needs and expectations (i.e., electronic medical record documentation, obtaining background information and reports on patients, following up on appts, etc.).

*Bilingual in Spanish/English strongly preferred; may be required depending on assignment.

*Effective training and coaching skills; ability to drive results and achieve objectives through others.

*Knowledge of child, adolescent, and adult health care issues.

*Knowledge of, and ability to perform, clinic-based nursing tasks.

Physical Requirements/Working Environment

Bending (neck): OCCASIONALLY (1 - 3 HRS)

Bending (waist): OCCASIONALLY (1 - 3 HRS)

Carrying 0 - 10 lbs: OCCASIONALLY (1 - 3 HRS)

Carrying 11 - 25 lbs: OCCASIONALLY (1 - 3 HRS)

Carrying 25 - 50 lbs: RARELY (0-1 HRS)

Carrying 51 - 75 lbs: NEVER

Carrying 75 lbs: NEVER

Climbing (ladder): NEVER

Climbing (stairs): RARELY (0-1 HRS)

Driving: To drive from one clinic or another, or in the community: Never

Exposure to blood borne pathogens and biohazards: NO

Exposure to dust, gas, fumes, or chemicals: Office Supplies and Medical Clinic chemicals.

Fine manipulation: FREQUENTLY (3 - 6 HRS)

Kneeling: FREQUENTLY (3 - 6 HRS)

Lifting 0 - 10 lbs: OCCASIONALLY (1 - 3 HRS)

Lifting 11 - 25 lbs: OCCASIONALLY (1 - 3 HRS)

Lifting 25 - 50 lbs: RARELY (0-1 HRS)

Lifting 51 - 75 lbs: NEVER

Lifting over 75 lbs: NEVER

Power Grasping: OCCASIONALLY (1 - 3 HRS)

Pulling 0 - 10 lbs: OCCASIONALLY (1 - 3 HRS)

Pulling 11 - 25 lbs: RARELY (0-1 HRS)

Pulling 25 - 50 lbs: NEVER

Pulling 51 - 75 lbs: NEVER

Pulling over 75 lbs: RARELY (0-1 HRS)

Pushing 0 - 10 lbs: OCCASIONALLY (1 - 3 HRS)

Pushing 11 - 25 lb: OCCASIONALLY (1 - 3 HRS)

Pushing 25 - 50 lbs: RARELY (0-1 HRS)

Pushing 51 - 75 lbs: NEVER

Pushing over 75 lbs: NEVER

Reaching (above shoulder level): FREQUENTLY (3 - 6 HRS)

Reaching (below shoulder level): FREQUENTLY (3 - 6 HRS)

Repetitive use of hand: FREQUENTLY (3 - 6 HRS)

Simple Grasping: FREQUENTLY (3 - 6 HRS)

Sitting: FREQUENTLY (3 - 6 HRS)

Standing: FREQUENTLY (3 - 6 HRS)

Twisting: OCCASIONALLY (1 - 3 HRS)

Use of Personal Protective Equipment: : Yes

Walking: FREQUENTLY (3 - 6 HRS)

Working around equipment and machinery: Office equipment; EKG, Nebulizer, Autoclave

Ages of Patients Served: All Ages