Community Based Nurse
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Portland, ME 04104
A Community Based Nurse, at Martin’s Point, provides comprehensive, person-centered, longitudinal, community-based, advanced preventive care and care management (CM) interventions for participants and families enrolled in the Comprehensive Care Program. Our (CB) nurses effectively engage, assess, monitor, educate, coordinate, and provide interventions for participants and families to improve the quality of care and participant health outcomes. This role reduces unnecessary health care utilization. If you have experience collaborating with physicians, hospitals, skilled nursing facilities, home health providers and community services to advocate for participant-centered goals and needs, to promote better health, and to prevent unnecessary hospital utilization…we would like to meet you! Don’t delay…please submit your application today for immediate consideration!
Independently completes comprehensive advanced level nursing assessments that include focused physical examinations with attention to common geriatric syndromes. Practice incorporates a sophisticated knowledge of evidence-based, best practice standards of care for chronically ill older adults. Uses clinical knowledge and sound judgment to identify subtle changes in participants’ status, and anticipates and intervenes to prevent problems and complications.
Effectively engages, assesses and provides interventions and support to participants, their families and caregivers to address medical, health, social, psychological, environmental and lifestyle issues; with the goal of improving health and preventing unnecessary hospital utilization. Interventions are delivered through one on one direct contact with participants and families in their home, in physician offices, in group programs, and through follow-up monitoring by telephone.
Collaborates with physicians, hospitals, skilled nursing facilities, home health care providers and community service agencies to improve the care for participants. Effectively communicates with healthcare providers and advocates for participants from an individualized person-centered perspective.
Demonstrates extraordinary teamwork skills that include flexibility, adaptability and accountability to meet the dynamic needs of the participants and of the team and program, in a fast paced, dynamic and learning environment.
Bachelor or Master of Science in Nursing preferred
10 years of current clinical experience, ideally in one or more of the following areas or specialty practice: medical-surgical, home care, hospice, community health, rehabilitation, long term care, cardiovascular, diabetes, and or pulmonary diseases, oncology and geriatrics.
Knowledge of Scope of Nursing Practice in states where licensed
Required License(s) and/or Certification(s):
Unrestricted state licensed registered nurse license required: BSRN or MSRN preferred
Valid unrestricted driver’s license
Demonstrates an understanding of and alignment with Martin’s Point Values.
Current clinical knowledge in geriatrics, chronic diseases, heart failure, heart disease, COPD, diabetes and other co-morbidities.
Demonstrated ability to function independently with sound clinical and professional judgment
Must be a self-initiator with high energy/productivity and a strong work ethic
Proven history as a team player
Flexibility and adaptability in managing multiple priorities, changing schedule
Excellent communication skills (written and verbal)
Excellent organizational and time management skills
Must have own vehicle for daily travel throughout the MPHC service region
Must maintain and provide proof of a valid driver’s license
Must have, maintain and provide proof of automobile insurance coverage as required by law
We are an equal opportunity/affirmative action employer.