We are seeking a primary care nurse (RN) to join an innovative team that is committed to improving care for underserved patients with complex-needs. Reporting to the Field Team Physician, the Field Team Primary Care RN will be based in our office in Detroit but will include travel throughout the local area.
The Field Team Primary Care RN, in a role designed to optimize RN scope of practice, provides emergent telephonic and in-person triage, chronic condition management, complex care coordination, patient education and wellness promotion, and select procedures that may include IV therapy, catherization, and complex wound care for a panel of complex-needs and homebound patients.
Our schedules allow providers to spend extended amounts of time with patients, allowing them to excel at relationship-based care, which is key to our care model. The Field Team Primary Care RN will work with members of a core field-based team (physician, advanced practitioner, clinical field team coordinator, patient engagement specialist) to address the social determinants of health, ensure safe transitions of care, maximize health outcomes, and prevent avoidable healthcare utilization. The Field Team Primary Care RN employs a propriety population health platform to close preventive care gaps per standing order, perform medication reconciliation, and support seamless patient care coordination.
This is an ideal position for a RN who has professional alignment to complex-need patients and underserved populations, enjoys a collaborative team-based work environment, and desires a challenging position that provides professional growth by allows practicing to the top of the RN license.
The Field Team Primary Care RN performs all duties in a manner that reflects the mission, vision, and core values of the Concerto Health care model. He or she demonstrates dedication to and an aptitude for innovation, quality improvement, role optimization, and team-based care. This individual demonstrates versatility, flexibility, and a willingness to work with constantly changing priorities with enthusiasm and a positive attitude and promote this same attitude among team members.
Essential Duties and Responsibilities