Licensed Vocational Nurse II

Under the direction of the Medical Director, or designee, the LVN provides direct patient care in an ambulatory family medicine setting. The LVN provides clinical expertise to ensure that patients receive high quality primary care. They will provide patient education and medical care coordination as necessary to support patients with self-management of chronic diseases and maintenance of health prevention activities. He/she may assist with a variety of procedures that are within the scope of the professional practice for Licensed Vocational Nurse in the state of Texas. This position will require some evening hours.

The population being served is within an Ambulatory Care Clinic that provides primary care, psychiatry, some podiatry and some vision services. Excellent Customer Service and Communication skills are essential. Previous experience with or openness to working with mental health disorders and/or substance use is also helpful.

• Rooms patients while collecting vital signs, family medical history, social history, and screening questions.
• Performs phlebotomy on clients of all ages.
• Administers vaccines for clients of all ages.
• Participates in quality improvement initiatives.
• Assists pharmacist in maintaining policies/procedures in Class D pharmacy.
• Assists tracking of patient pharmaceutical assistance program medications.
• Communicates with medical provider to ensure appropriate triage of patient medical concerns.
• Follows infection control policies and guidelines within clinic.
• Serves as a resource for teams of MA and Provider as part of an extended team that consists of other support staff to provide patient education in areas such as self-care, such as taking medications appropriately, use of nebulizers and inhalers, diabetic education, wound care, and self-injections. 
• Oversees the intake of patient telephone calls:  Following established telephone and departmental guidelines, provides advice regarding treatment of certain minor acute problems. Refers questions to the PCP or APC as needed. • Provides on-going assistance to support staff, MA’s and supervisors in areas such as proper and thorough message taking and emergency telephone protocols. Provides clinical follow up support via telephone after significant office visits.
• Participates in patient follow-up activities such as reporting diagnostic test results, arranging for prescription refills, expediting referrals, performing prior authorizations. Prepares information for prescription renewals at the request of the PCP/APC.
• Participates in the on-going management of patients with stable chronic diseases, as designated by and in consultation with the PCP/APC. Communicates with patients over the telephone regarding issues concerning management of their chronic disease, coordination of treatment plan changes, as well as coordination of services. Maintains chronic disease rosters for the practice. 
• Triages walk-in/same-day patients and manages the intake and monitoring of patients with acute medical conditions. Monitors patients in the absence of the PCP/APC. Provides necessary nursing intervention when appropriate. 
• Provides tracking and support for Patient Assistance Program (PAP) drugs to ensure applications are submitted and tracked until medication arrives, provides notification to patients and providers of availability of medications. Working with organizational partners for delivery of care for hepatitis C patients and treatment utilizing PAP medications. Assist in coordinating care in regards to PAP medications.
• Supports the Class D pharmacy by tracking inventory and assists the Pharmacist in Charge in weekly medication counting and labeling.
• Serves as a training resource for clinical support staff and assists in developing training material as needed. Performs chart audits of clinical support staff to identify opportunities for training.
• Participates in patient care quality improvement projects as requested.
• Assists in maintaining stocks of clinical supplies, medications (in an administrative role) along with Lead MA.
• Reviews published clinical reminder lists and act according to established protocols, e.g. Flu vaccine reminders, overdue mammograms, pap smears, and immunizations.
• Performs all job functions in compliance with applicable federal, state, local and company policies and procedures.
• Leads Safety Net Vaccine program (audits, orders, reports).

• High School diploma or G.E.D and graduated from an approved licensed practical nurse/vocational nurse (LPN/LVN).
• Two years of relevant experience as a Licensed Vocational Nurse (LVN) or as a Licensed Practical Nurse (LPN).
• Current license as a Licensed Vocational Nurse (LVN) or as a Licensed Practical Nurse (LPN) by the State of Texas Board of Nurse Examiners.
• Basic Life Support certification (BLS).

• Experience in family medicine (all ages) ambulatory care.
• Experience with homeless individuals, or in a nonprofit environment.
• The population being served is within an Ambulatory Care Clinic that provides primary care, psychiatry, some podiatry and some vision services. Excellent Customer Service and Communication skills are essential. Previous experience with or openness to working with mental health disorders and/or substance use is also helpful.

Baylor College of Medicine requires employees to be fully vaccinated -subject to approved exemptions-against vaccine-preventable diseases including, but not limited to, COVID-19 and influenza.

Baylor College of Medicine is an Equal Opportunity/Affirmative Action/Equal Access Employer.

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CA