REGISTERED NURSE - 0917 Salary
$44,803.00 - $69,451.00 Annually
10/13/2017 11:59 PM Eastern
- Job Description
Brief Description of the Job:
Serve as a team member of the City of Greenville Employee Health Center. Work collaboratively with Occupational Health Clinic staff to provide comprehensive health and wellness services to approximately 925 City employees. Coordinate and complete pre-placement, annual safety sensitive, and DOT physicals. Provide direct patient care and health coaching. Use nursing skills to evaluate patient care needs, prioritize treatment, and maintain patient flow. Evaluate and provide initial first aid/triage for work related injuries and illnesses. Complete First Report of Injuries (FROI) and provide data to Workers` Compensation TPA. Monitor workers` compensation case management. Assist in drug and alcohol testing. Coordinate annual Fire stress testing, labs, and test results. Facilitate, coordinate, design, delivery, and evaluation of health and wellness initiatives through health education/promotion for the City`s onsite wellness program in collaboration with the Health Clinic Administrator. Promote positive health behaviors through planning, education and training. Ensure compliance of OSHA, DOT, FTA, Worker`s Compensation, Nurse Practice Act, EEOC, FMLA, ADA, GINA, NFPA, and FMCSA. Provide for HIPAA compliance with all medical records. Conduct training and provide consultation to managers and employees regarding health policies and regulations to ensure compliance. Maintain required recordkeeping for medical data, office visits, drug testing, physicals, blood work, encounter notes, etc. in compliance with City policy and regulatory requirements. Serve as the interim Health Clinic Administrator in her absence. Provide treatment within scope of practice as defined by state law.
- Job Duties
Provide Direct Patient Care (50%): Conduct Pre-Placement and Annual Employee Safety Sensitive Physicals. Send notification to departments in advance for physicals. Conduct pre-placement and annual safety sensitive physicals (medical history, vital signs, weight, height, BMI, dipstick urinalysis, electrocardiogram (ACC/AHA ASCVD % and HgbA1c > 8), vision, hearing screening, and spirometry as required by OSHA. Review immunization status and provide vaccines, as needed. Coordinate, prepare, and review fasting lab work. Utilize appropriate forms for the specific physical requirements. Discuss assessment findings with employee/applicant and provide results. Use health coaching skills to make suggestions for follow-up/referrals as necessary. Coordinate scheduling for psychological exams and stress testing for Fire and Police job candidates. Review completed SC Criminal Justice Academy (SCCJA) Medical Form and Fire Brigade Clearance form. Schedule Physical Part 2 with City Physician.
Coordinate Annual Fire stress testing. Coordinate annual stress testing, cardiology referrals, lab work for all Fire Fighters with outside provider and Fire Department. Verify Fire Brigade Clearance status. Review and analyze results. Notify Fire Administration and Health Clinic Administrator of any restrictions. Ensure make up appointments are scheduled and attended by employees.
Support and Conduct Drug and Alcohol Testing. Cross train with Occupational Health and Wellness Coordinator to be able to operate monthly drug testing program in his/her absence. Be knowledgeable of all aspects of DOT, FTA, and NON-DOT drug testing through Human Resource Substance Abuse and Drug & Alcohol Policy #7.6. Provide secondary assistance for monthly drug testing. Scheduling Medical Review Officer (MRO) appointments for NON-DOT positive drug tests and obtaining MRO results.
Provide Direct Care and Health Coaching Employee Services. Provide service for daily walk-ins and dispense OTC medications. Provide nursing assessment and care for non-occupational and occupational illnesses/injuries following the Standing Orders of the Medical Director. Provide direct patient care through first aid, physician referral, and follow up care to all injured and ill employees. Document accurately all elements of nursing assessment, treatments, medications administered, discharge instructions, and follow-up care arranged. Maintain all medical records in using electronic Medical Records (EMR). Identify emergency situations and provide care within legal scope of practice. Provide TB skin testing and TB skin test reads. Provide services such as blood pressure and blood glucose checks, requests for medical information. Offer vaccinations for tetanus, and influenza vaccines. Provide Hepatitis B vaccines and titers to employee with exposure to blood-borne pathogens per OSHA. Document vaccine data into SCIAPPS (SC DHEC) and EMR. Follows infection control procedures.
Process Occupational Injuries and Illnesses (20%): Support the provision of first aid to all work related injured and ill employees, complying with all government guidelines. Obtain necessary information for completion and submission of First Report of Injury (FROI) to the Workers` Compensation TPA and Risk Manager. Ensure appropriate signatures are received for required HIPAA signed releases and consents. Maintain communication (written and oral) between employee, physician, supervisor and Workers` Compensation TPA. Make initial physician referral for work related injuries requiring more than first aid. Enter workers compensation data into OHM or applicable software to support maintenance of the OSHA log. Maintain the OSHA 300 and produce the 300-A report for signature and posting annually. Responsible for OSHA electronic recordkeeping. Support the implementation of Return to Work for employees returning to work with work restrictions (e.g. Transitional Work Agreements/Extensions, Return to Work Authorizations, etc.) Obtain medical statements for clearance related to return to work status. Maintain the Workers` Compensation program with communication between employees and W/C TPA. Notify Risk Manager of any potential claim problems. Monitor work related blood-borne pathogen exposures to completion.
Support Wellness Program Development and Implementation (20%): In coordination with the Health Clinic Administrator and Human Resources Director, evaluate, develop and implement the City`s wellness strategy and programs to promote healthier life styles and in, turn, help reduce the City`s medical expenditures. Address the health education /promotion needs of employees through health coaching, training and instruction. Administer the implementation of the City`s wellness programs, lunch and learns, etc. Administer wellness programs within the approved budget. Monitor the effectiveness of wellness programs and recommend changes. Collaborate with Health Clinic Administrator and other designated personnel to provide leadership in program strategy, design, evaluation, data collection and analysis of health and wellness outcomes. Develop reporting metrics on wellness programs. Monitor and report participation, satisfaction and outcomes from each onsite program and activities. Implement wellness programs at off site locations. Develop wellness communication strategy and supports the development of a health and wellness communications, including city-wide wellness program announcements, health information, and the wellness intranet page. Conduct health and wellness presentations. Serve as the liaison with wellness vendors/presenters. Stay abreast of wellness best practices, using this information to improve current wellness programming. Attend webinars and review professional journals on worksite wellness trends.
Perform Compliance and Other Administrative Tasks (10%): Ensure compliance of OSHA, DOT, FTA, Workers` Compensation, Nurse Practice Act, EEOC FMLA, ADA, GINA, NFPA, and FMCSA. Provide for HIPAA compliance with all medical records. Conduct training and provide consultation to managers and employees regarding health policies and regulations to ensure compliance. Refer potential FMLA and ADA cases to Health Clinic Administrator. Communicate return to work status to supervisors. Obtain medical statements for clearance and return to work status.
Document accurately all elements of nursing assessment, treatments, medications administered, and follow-up care arranged. Perform daily data entry into EMR for encounters. Evaluate medical/office supplies and place supply orders. Cross train with Occupational Health and Wellness Coordinator on all non-medical administrative tasks. Keep an updated clinic procedures notebook to aid in cross training. Pull medical charts and file, as needed. Copy medical files related to subpoenas as needed. Attend departmental and City meetings and trainings as required. Participate in the presentations of new employee orientation (NEO), as needed.
Perform other duties and responsibilities as assigned.
Overall Strength Demands: Medium strength demands include exerting 20-50 pounds occasionally, 10-25 pounds frequently, or up to 10 pounds constantly.
Physical Demands: Continuously requires using vision and hearing. Frequently requires fine dexterity, sitting, handling, twisting, and talking. Occasionally requires standing, walking, lifting, carrying, reaching, and pushing/pulling. Rarely requires kneeling, climbing, using foot controls, bending, and crouching. Must be able to perform CPR and provide first aid while kneeling on the floor
Machines, Tools, Equipment, and Work Aids: Equipment utilized includes: AED, Ambu bags, automatic and manual sphygmomanometers, body fat analyzer, calculator, copier, desk telephone diagnostic testing supplies, digital camera, digital and doctor scales, digital thermometers, DVD players, electro acoustic ear, electrocardiogram, fax, glucometer, head set, hemostats, keyboards, needles, OPTEC vision screener, otoscope, oxygen, personal automobile, personal cell phone, pulse oximeter, RA 500 audiometer, scanner, scissors, staple and suture removal devices, stethoscope, syringes, television, tweezers, and various bandages.
Computer Equipment and Software: Desktop computer, laptop computer, I-Pad. Software: Excel, PowerPoint, Word, MS Outlook, PDF, OHM (Occupational Health Manager) or EMR, NaviLine, NEO.Gov, SCIAPPS, e-mail, internet, and LabCorp Beacon. Must cross train with duties Occupational Health Wellness Coordinator for payment of invoices, NEO.GOV. Must be proficient in Excel, MS Outlook, Word, EMR, and internet.
Overall Working Conditions: Satisfactory: Occasional exposure to unpleasant environmental conditions and/or hazards.
Environmental Factors: Seasonal exposure to respiratory hazards.
Health and Safety: Constant exposure to chemical hazards and communicable diseases. Rare exposure to nonaggressive prisoners.
Primary Work Location: Office environment.
Protective Equipment Required: Gloves, CPR face mask, safety glasses, syringes and needles with safety guards, sharps containers, and face protection.
Frequently requires time pressures, frequent change of task, performing multiple tasks simultaneously, working closely with others as part of a team, tedious or exacting work, and noisy/distracting environment. Occasionally requires irregular schedule/overtime and emergency situations.
Formal Education: Bachelor`s degree or equivalent in Nursing is required.
Experience: Over five years of nursing and wellness experience. Experience with wellness/health promotion and certification in Occupational Health Nursing is preferred.
Driver`s License Required: South Carolina Class D Driver`s license.
Certifications and Other Requirements: RN License (Current Registered Nurse with active unrestricted state license in SC). Certified in BLS (Adult)/AED CPR. CAOHC (Certification in Occupational Hearing Conservation) and NIOSH certificate in Spirometry preferred or obtained within 9 months. Certification in hair drug test collection within 30 days. Regular, predictable, full time work is an essential job function.
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The City of Greenville will provide reasonable accommodations for otherwise qualified individuals. The City of Greenville does not discriminate on the basis of race, color, national origin, sex, religion, disability status or age in employment or provision of services.