Lyon Martin Community Health Services

Bilingual Spanish/English Registered Nurse (RN)

Pay: $51.74 per hour ($107,625.00/year at 40 hours/week) Hours: 32-40 hours/week FSLA Status: Non-Exempt Primary Location: Lyon-Martin Community Health Services Address: 1735 Mission Street San Francisco, CA 94103 Reports To: Director of Nursing

Organization Mission

The mission of Lyon-Martin Community Health Services is to provide high quality, compassionate and trauma-informed medical, gynecological, and mental health care services to trans, non-binary, gender non-conforming, and intersex communities and cis-gender women with specific sensitivity to LGBQ sexual orientation, disability, size, race, ethnicity, and language, regardless of immigration status or ability to pay.

We aim to address and eliminate health inequities for our communities by rooting our clinical practice in core foundational intersectional frameworks of anti-racism, self-determination, harm reduction, and reproductive and disability justice. As a community clinic, we believe our communities are best served by and for us; that's why community outreach, engagement, and leadership development are central to our mission of community care and mutual aid. Lastly, we commit to increasing access to culturally responsive care beyond our walls through provider training and education, and policy advocacy.

Job Summary

The Registered Nurse (RN) is responsible for providing clinically appropriate nursing care to Lyon-Martin clients within the scope of their license and credentials through clinic and telehealth visits, and phone communication. We expect the RN to act as a clinical leader, promoting holistic care, helping to grow the overall practice, and collaborating to optimize therapeutic outcomes. They are a critical member of the medical team, providing complex care management for patients with multiple chronic medical illnesses and behavioral health concerns, promoting team functioning and efficiency, and championing team-based care. The RN, along with all staff at Lyon-Martin, are expected to uphold and imbue in others a commitment to addressing racism, ableism, fatphobia, gender and sexual discrimination within the organization and our clinical practice.

Key Responsibilities

Clinical Care Responsibilities

• Possesses strong clinical knowledge of and commitment to healthcare for trans, non-binary gender non-conforming, and intersex people, LGBQ communities, and cis-gender women
• Provides patient care in accordance with clinical protocols and standing orders, guided by trauma-informed and harm reductionist principles
• Applies motivational interviewing techniques to engage escalated patients and facilitate their care
• Provides triage and nursing guidance to patients presenting in person or by phone with medical concerns
• Facilitates clinic functioning and efficiency by taking responsibility for additional patient assessments or medical assistant functions (e.g., phlebotomy, rooming, vitals, etc.)
• Works as part of a patient panel team with Primary Care Provider, Medical Assistant and Care Coordinator
• Provides timely care coordination and management for medically complex patients (e.g., hospital transfer care coordination, procedure coordination)
• Assists with prescription issues, including submitting and following up on prior authorizations and helping trouble shoot pharmacy issues
• Complies with all aspects of Lyon-Martin Policies and Procedures applicable to Staff members as well as all agreements with insurers and other entities that contain provisions applicable to or affecting the duties and responsibilities of Medical Staff; and all applicable statutes, regulations, governmental agency guidelines, and non-governmental oversight body requirements that place requirements on Lyon-Martin

Leadership Responsibilities:

• Provides clinical leadership to support staff, including medical assistants, patient care coordinators, front office staff, and receptionists
• Participates in training medical assistants, nursing students, fellows, and volunteers as needed
• Incorporates constructive feedback into behavior change; participates as an active member of the care team through case-conferencing and other collaborative work
• Demonstrates comfort in changing systems, champions change, and leads change processes

Performance and Quality Improvement Responsibilities:

• Attends continuing professional education programs, at the request or with the approval of supervisor
• Completes mandatory trainings within deadlines
• Assists in continuous quality improvement through on-going problem/needs identification and problem solving and as requested, acts as change champion or lead in improvement activities
• In conjunction with Director of Nursing, Director of Clinic Operations, and Medical Director, assures organizational readiness for accreditation surveys and ongoing monitoring and reporting of conformance to quality within the clinic
• Works closely with staff collecting and reporting contractual data as necessary
• Meets benchmarks for applicable quality indicators as noted in the annual quality management plan, including the maintenance of current productivity standards, cycle times, no-show rates, and landing times
• Supports the quality assurance of medication supply, vaccine management, dispensary, point of care testing, laboratory, infection control

Organizational Responsibilities:

• Acts as a liaison between clinical and non-clinical staff
• Keeps up to date with operational and procedural requirements
• Supports the interpretation of standards and processes to meet best practice standards established in the health services program
• Supervises students and volunteers as appropriate; maintains availability for various administrative/clinical duties as requested by supervisor (e.g., case presentations; in-service training to staff; represents Lyon-Martin at and/or attends professional conferences; leadership/consultation to committees; attendance/speaking at fundraising/community events, etc.)

And other duties as assigned

Competencies:

Cultural Humility: Ability to work with a diverse population while withholding judgment. Willingly open to learn and understand different perspectives

Tolerance for Stress, Ambiguity, and Change: Maintains composure even while under great pressure; handles complex problems and change with minimal supervision; demonstrates flexibility and versatility in achieving key goals and priorities

Integrity and Ethics: Actively models the highest ethical standards; is honest and accountable; maintains confidentiality and appropriate boundaries at all times; handles sensitive information and issues with discretion and tact

Teamwork: Accountable to team; participates effectively in group work; collaborates positively with other team members; gives and accepts constructive criticism

Relationship Orientation: Establishes rapport easily with others; listens attentively to others' perspectives; uses good judgment when sharing information and maintaining confidentiality; appropriately expresses empathy

Interpersonal Skills: Uses active listening and discussion skills to identify issues, ensure understanding, and facilitate problem solving; works cooperatively with diverse groups; deals with others in a pleasant and professional manner; accurately assesses verbal and non-verbal cues

Communication, written: Delivers written communications that have clarity and impact, including emails

Communication, verbal: Listens effectively; clearly and thoughtfully communicates with others in person and on the phone

Reliability: Accountable; maintains focus; punctual; good attendance record; meets deadlines

Accountability and follow through: Makes and meets commitments; accepts responsibility for behavior and outcomes; monitors status of projects and tasks; thoroughly deals with project details; delivers clear, accurate depiction of status

Decision Making: Collects, organizes, and analyzes information before making decisions. Takes a thoughtful approach when considering options; may seek supervision and/or input from others

Attention to Detail: Strives to eliminate errors; makes accurate work a priority; seeks opportunities to improve performance

Time Management: Organizes and establishes priorities; gets the job done in a timely manner

Customer Service: Persists in efforts to solve issues even when faced with internal barriers; takes personal responsibility for customer service outcomes; responds quickly and effectively to requests for assistance and support whether internal or external

Computer Literacy: Skilled computer-based work tasks; uses technology to enhance job performance.

Presentation Skills: Adapts presentation techniques to fit audience level and technical needs; develops and delivers communications that have clarity and impact; conveys confidence, presence, and professionalism; uses appropriate visual aids to illustrate key points and enhance learning

Requirements:

• Graduation from an accredited school of nursing
• Possession of a valid California license as a registered nurse
• Bilingual in Spanish and English
• Two years of direct patient care experience; one year in ambulatory care and/or a community health center preferred
• Possession of BLS/CPR certification
• Experience with electronic medical records
• Comfortable working with, and committed to serving, safety net populations