Job Summary :To provide nursing care that is patient and family centered in an environment that exemplifies best practice, fosters relationship based care, and maintains the integrity of professional nursing standards. Nursing care guidelines are based on the ANA Code of Ethics (1), Indiana Nurse Practice Act (2), and regulatory agency standards by which the LPN provides patient care and shared leadership for the department.
Serves the needs of patients and physicians through effective and efficient monitoring, education and coaching of patients to assure that services rendered are appropriate and cost effective for our internal HRH wellness programs as well as with corporate wellness initiatives (including employer-sponsored clinics). The Wellness Nurse will assist in the facilitation of the overall coordination of wellness patient care in conjunction with wellness program development manager and wellness clinic physicians. The Wellness Nurse will be responsible for individual and group wellness clinic plans and quality reviews of internal wellness program participants, as well as patients at her/his assigned clinic(s). The Wellness Nurse will interact daily with patients to promote patient satisfaction and positive health behavior change by ensuring comprehensive communication of wellness recommendations tailored for the patient by the patient’s physician and/or other appropriately licensed care providers. Likewise, the Wellness Nurse will proactively work to develop and implement new wellness programming to assist in the effective use of internal HRH and corporate resources.
Wellness Nurse understands that flexibility in work hours is an important component of this position. Interaction with wellness clients and participation at community or corporate based events may require early morning, evening, and, occasionally, week-end work hours. However, there are no “on call” requirements.
*Note: While these are considered essential responsibilities of the position, alternatives or
accommodations may be considered, if the situation requires.
*Note: These responsibilities may be divided up as necessary between multiple roles as staffing requires:
Ensures efficient delivery of healthcare services throughout the duration of the patient visit in employer wellness visit setting.
- Initiates patient contact and prepares patient for examination. Obtains vital signs, weight, age, temperature, blood pressure, pulse, respiratory, history and chief complaint.
- Observes patients with abnormal signs and symptoms, communicates their condition to the physician and documents the same in the medical record.
- Ensures patient understanding of physician instruction upon discharge.
- Documents patient’s medical record entries into eCW.
- Assists with patient scheduling tool and follow-up appointments.
- Follow-ups with referrals and pre-certifications when needed.
- Assists in delivery of prescribed medication.
On as-needed basis only: assist with testing and treatment procedures under a
- Provides general nursing care in accordance to nursing standards.
- Performs and follows through in all indicated orders from physician.
- Assists with labeling medications and proper documentation in wellness pharmacy setting. Documents medication release to patient in eCW and performs all safety procedures for medication distribution.
- Arranges and administers any necessary patient testing or admission. Obtains appropriate referrals patient.
- Assists physician in preparing physicals.
- Obtains appropriate consents before all invasive procedures or immunizations are performed.
- Distributes patient education materials as directed. Assists in patient instruction and ascertains patient understanding regarding treatment and medication usage.
- Performs laboratory tests and treatments as prescribed.
- Assists in maintaining laboratory log.
3. Ensures all patient care areas, equipment and materials are appropriately stocked and
Maintained for corporate and community screenings.
- Maintains and organizes adequate supply of patient education materials.
- Orders and maintains required supplies and equipment for clinical care areas ensuring exam rooms are stocked appropriately.
- Keep exam rooms clean, free of waste and organized in accordance with cleaning protocol. Ensures that instruments are sterile and equipment is in working order.
4. Provides exceptional patient care for wellness clients- in the community, clinic, corporate and associate health setting.
- Maintains medical records according to policy and procedures guidelines & physician practice parameters. Enters patient information into various software programs (eCW, associate health software, Excel programs, etc).
- Serves as official contact employer contact when clinical manager is unavailable. Assists in data entry in various wellness programs and monitoring (TB testing reminder database, health risk assessment reporting, etc.)
Serves as a primary contact for employer-sponsored clinic coaching clients, clinic physicians and clinic patients. This role includes, but is not limited to, the following:
Interaction with clinic physicians or other licensed practitioners to facilitate care coordination of clinic patients with wellness coaching needs.
Provides certified wellness coaching to clinic patients in person, electronically, and over the phone. Must obtain certification within 1 year of position.
Helps develop, schedule, and promote client specific wellness programs such as Health Risk Assessments, on-site education programs, and client update meetings.
Works collaboratively with all members of the Wellness Program team to facilitate wellness programs at all sites, including, but not limited to:
HRH Wellness Fairs or other events, including immunization clinics
Corporate and community health fairs and other outreach events.
Coordination of wellness referral services with the Hendricks Regional Health YMCA branch and building.
Serve as liaison and cooperative partner with other departments inside HRH to extend wellness services (build community services & population programming as well)
Community & corporate group coaching programs
Internal wellness program educational campaigns and potential HR collaborations..
Continued development and expansion of tracking tools and electronic enhancements of health communications- internally and with corporate wellness programs
Follow-up of corporate screening services with recommendations for further wellness programming
Potential screening/educational programming in conjunction with Occupational Health and Associate Health clinicians
Care coordination and patient notification of results/services
Follow-up activities- phone notifications/counseling following: associate,
corporate, community screening or additional wellness programming.
Wellness Case Management & Patient Assessment
Performs age specific comprehensive assessments and re-assessments. Collaborates with patients and other healthcare providers to obtain complete medical history, when needed. Interact with all patients on patient specific basis, reinforcing the patient’s understanding of the wellness plan and maintains in-person, electronic and telephonic contact with the patient through the wellness plan period.
Wellness Plan of Care Analysis Identifies actual or potential physical, psychosocial, cultural, and religious, safety, infection control and environmental and/or learning needs. Prioritizes wellness care plan according to physician assessment findings. Responds to physician assessment findings, dictated by patient condition or treatment plan provided within 1 week of initial physician assessment and referral for identified services. Planning/Outcome Collaborates with other health care providers regarding the plan of wellness care and behavior change. Develops individualized plan of care based on standards of care/standards of practice to achieve optimal outcomes. Revises plan of care based on patient physical and emotional changes and/or needs.
3. Conducts concurrent review of patients for appropriate level of wellness care and prevention, documentation of medical necessity, and clinical review in ECW system, communicating issues of concern directly to the wellness manager and attending physician.
1. Provides age specific patient care based on wellness plan, patient needs, and priorities.
2. Utilizes evidence-based interventions and treatments specific to the diagnosis or problem.
3. Utilizes community and hospital resources and systems to implement the plan of wellness management and coordinates access to the appropriate resources.
4. Collaborates with wellness, physician and nursing colleagues and others to implement the plan of wellness care.
5 Dialogues continually with nursing and professional support staff to ensure
progression of wellness plans of care and execution of physician orders.
6. Maintains and utilizes ECW and Care Tech scheduling and documentation systems-documenting interventions and communications to facilitate collaboration in wellness planning and coaching.
1. Evaluates and documents the effectiveness of wellness and behavior change interventions.
Evaluates and documents patient response in relation to expected outcomes
Shares evaluation feedback as appropriate with physician, wellness manager
and clinic clients.
Evaluates and documents patient response to other health care provider interventions. Revises plan of wellness care based on evaluations of coaching interventions/treatments.
5. Evaluates and documents patient/significant other response to wellness coaching.
6. Gathers quality/utilization data as appropriate and in aggregation of data for statistical reports on utilization patterns of internal and external wellness programs.
7. Assists in conducting focused quality and utilization studies as requested to
support quality cost-effective internal and external wellness programs and
III. Additional Skills and Abilities:
Demonstrates excellent communication skills and is able to communicate effectively with physicians and patients in multiple settings and circumstances. Maintains non-judgmental posture in communication with patients and adjusts approach to communication to best meet the needs of the patient. Operates with a high level of autonomy through use of excellent critical thinking and problem solving skills. Highly respects need to be credible, reliable, adaptable and flexible. Demonstrates strong time management skills in ability to prioritize workload and handle multiple demands. Maintains privacy/confidentiality at all times. Understands and demonstrates HRH’s nursing mission, vision, values and philosophy. Participates in shared leadership/councils if requested. Participates in ongoing education and professional development for wellness program and self. Professional certification in health & wellness coaching required within 6 months of hiring. Participates in continuous quality improvement (CQI). Seeks resources to address ethical issues. Participates in nursing research projects/evidence based practice facility. Participates in staff meetings and other meetings as required by department and HRH. Participates in peer review as requested by management. Follows organizational and regulatory guidelines as related to daily responsibilities. Responsibly uses resources, e.g. time, supplies, etc.
IV. Complies with American Nurses Association Code of Ethics
The nurse, in all professional relationships, practices with compassion and respect for dignity, worth, and uniqueness of every individual, unrestricted by consideration of social or economic status, personal attributes, or the nature of health problem. The nurse’s primary commitment is to the patient, whether an individual, family, group or community. The nurse promotes, advocates for, and strives to protect the health, safety, and rights of the patient. The nurse is responsible and accountable for individual nursing practice and determines the appropriate delegation of tasks consistent with the nurse’s obligation to provide optimal patient care. The nurse owes the same duties to self as others, including responsibility to preserve integrity and safety, to maintain competence and continue personal and professional growth. The nurse participates in establishing, maintaining and improving healthcare environments and conditions of employment conducive to the provision of quality healthcare and consistent with the values of the profession through individual and collective action. The nurse participates in the advancement of the profession through contributions to practice, education, administration, and knowledge development. The nurse collaborates with other health professionals and the public in promoting community, national, and international efforts to meet health needs. The profession of nursing, as represented by associations and their members, is responsible for articulating nursing values, for maintaining the integrity of the profession and its practice and for shaping social policy.
IV. Guest Relations:
Exhibits excellent guest relations to patients, visitors, physicians and co-workers; shows
courtesy, compassion and respect; conforms to Service Excellence requirements.
This position requires communication and interaction with the public, co-workers,
administration, contacts from other hospitals, schools and/or other departments.
V. Physical Demands: The physical demands of this position as they relate to the essential
responsibilities require walking, standing, sitting, operating a computer, fax, telephone and other equipment for testing/diagnostics, reading, seeing, hearing, communicating verbally and written.
VI. Mental Demands: The mental demands of this position, as related to the essential
responsibilities require the ability to:
Speak and write clearly. Read and comprehend. Develop, comprehend, retain, and follow oral and written instructions. Be organized and detail oriented related to patient education/data. Demonstrate ability to be self-directed and productive to meet the daily needs of the internal wellness participants & wellness clinic clients. Ability to communicate effectively with patients and physician. Ability to communicate effectively and comfortably with large teaching groups- as well as a one-on-one coaching basis. Ability to manage data as programs require. Follow HIPAA guidelines
VII. Environmental Conditions: The environmental conditions that will affect this position, as
they relate to the essential functions, are clean, well-ventilated and lighted environment with
potential for direct exposure to physical hazards and biological hazards.
Specific Vocational and Educational Preparation: Graduate of diploma, associate, licensed practical nursing Program. BSN preferred. Preference given to graduates of National League of Nursing accredited schools. Computer skills required. Familiarity with ECW software preferred. Physician office experience preferred. Public speaking or large group teaching experiences preferred. Participation and experience with internal HRH wellness programs preferred.
IX. To do this job, you must have the following license or certification before being hired:
Hold a valid Indiana license as a registered nurse through the Indiana State Board of Nursing and Indiana Professional Licensing Agency.
X. To do this job, you must have the following amount of total education and/or experience:
Graduate of diploma, associate, or licensed practical nursing Program. LPN preferred. Continued educational degree expected. Proficient user of computer. Minimum 5 years of clinical nursing experience in hospital or physician practice setting. Area specific required education may be obtained upon hire and is to be maintained. E.g. ACLS, BLS, PALS, etc.
Work Shift :Day Shift (United States of America)
Scheduled Weekly Hours :40