Position Summary:
Under the general supervision of the Clinical Nurse Lead and in collaboration with the Director of Nursing, the Licensed Practical Triage Nurse provides care coordination and performs professional nursing functions to assess the severity of patients’ health concerns, using TAPM-established Adult and Pediatric telephone protocols and clinical algorithms in collaboration with the RN and provider. The Licensed Practical Nurse (LPN) practices under the supervision of a Registered Nurse (RN) or licensed provider (physician, nurse practitioner, or physician assistant), in accordance with the North Carolina Nursing Practice Act (N.C. Gen. Stat. § 90-171.20 et seq.) and the North Carolina Board of Nursing (NCBON) rules and guidelines.
Job Responsibilities:
• Triage Nurses manage nurse-directed patient telephone calls and from walk-in patients requesting health care services
• Evaluate and assesses patient’s health care needs based on patient’s signs and symptoms
• Obtain appropriate input and direction from the provider as needed to determine best clinical course of action and recommendations for specific patient health care needs
• Coordinate and schedule same-day and walk-in appointments on the provider schedule
• Maintain a nurse only schedule
• Assist providers with special procedures as needed
• Manage prescription refills per protocol
• Provides clinical support on the floor as needed to ensure adequate coverage and continuity of patient care.
• Serve as a clinical resource and professional role model for other nursing staff.
• Prioritize work tasks and services to ensure timely and efficient completion.
• Maintains accurate, clear, and concise documentation, including progress notes, problem lists, and medication lists, in accordance with clinical and organizational standards.
• Communicates appropriately and tactfully with staff, consultants, patients, significant others, and community.
• Participate in staff planning, in-service, and other meetings as needed.
• Administers medications and performs medical and nursing procedures as ordered within the scope of practice.

Administrative Responsibilities:
• Document symptoms/complaints, nursing assessment, advice provided and patient/caller response. Follows policies, procedures, and protocols to ensure consistency and departmental effectiveness as well as improve health care outcomes of patients/callers and their access to appropriate health care.
• Completes all patient-related documentation, including but not limited to prior authorizations, home health forms, and other required medical paperwork in a timely and accurate manner.
• Provide patient education: e.g. chronic disease, preventive and family
• Participate in quality improvement programs
• Assure that pertinent medical information is forwarded to proper departments as needed for continuity of patient care
• Document in electronic health record (EHR), triage assessment, plan, implementation, and evaluation, follow-up
• Must have knowledge of disease processes, normal growth and development of all age groups
• Must possess community health knowledge and theory
• Must operate with culturally sensitivity with respect to working with persons and groups of diverse racial, ethnic, economic and social backgrounds

Clinical Responsibilities:
• Administer certain medications, injections, immunizations, and family planning options as ordered by a provider and within LPN scope of practice.
• Under the direction of the Clinical Nurse Lead (RN), DON, or provider, assist with monitoring patient flow in the clinic to ensure that patients receive all recommended services in a timely manner.

The LPN MAY NOT perform the following (outside LPN scope of practice):
• Independently assess, diagnose, or develop a nursing care plan without RN or provider oversight.
• Perform the initial nursing assessment for new patients independently (must be completed or supervised by an RN).
• Independently determine final patient disposition for complex or high-acuity triage calls without RN or provider consultation.
• Supervise or direct Registered Nurses (RNs).
• Administer IV push medications or initiate IV therapy without appropriate certification and provider order
• Perform any procedure or task not covered by a current, approved TAPM protocol or provider order.
• Practice beyond the current North Carolina LPN scope of practice as defined by the NCBON.

Minimum Qualifications
• Must hold a current, valid North Carolina LPN license.
• Currently CPR certified.
• At least one 2-3 years of triage or clinical nursing experience is preferred.
• High school diploma or GED required; completion of an accredited LPN program required.
• Associate’s Degree or further education preferred.

Rural Health Group, Inc., a thriving multi-location Community Health Center located in scenic northeastern North Carolina, is seeking FM/IM/Med-Ped physicians to provide excellent quality patient-centered health care in an outpatient-only setting. No hospital call. Flexible scheduling options. Residents are welcome to apply. Practicing providers must be BC/BE.

RHG is a well-established primary medical care practice founded in 1974. We are searching for individuals committed to a rural practice with the desire to establish roots in the community. Our positions qualify for NHSC Scholars, Loan Repayment Program (LRP), and Students to Service (S2S). No outstanding medical student loans? Ask us about a potential state high needs bonus option.

As a Community Health Center, we see everyone – those with NC Medicaid, NC Health Choice, Medicare, private insurance, and the uninsured. RHG is a Federally Qualified Health Center and Patient Centered Medical Home dedicated to serving our region’s underserved through:

18 FM/IM offices, pediatrics office, OB/GYN office, school based health center program
3 dental offices
4 in-house pharmacies and 340b pharmacy services
Integrated Behavioral Health – Psychiatrists and LCSWs
Case Management, RN ACO Care Managers, Community Health Workers
Community-Based Outreach Department, including Migrant/Seasonal Farm Worker, Infectious Disease, Cancer, Diabetes, etc.
Our Providers include: Family Physicians, Internists, Physician Assistants, Nurse Practitioners, Pediatricians, OB/GYNs, Dentists, Clinical Pharmacists, and Licensed Clinical Social Workers.

In addition to competitive salary & benefits, we offer:

Signing bonus and (if applicable) relocation allowance
Quality and Production incentives
Annual CME allowance of up to $3000 & up to 40 hours
Malpractice insurance covered through Federal Tort Claims Act (FTCA) coverage
Paid Time Off (PTO)
Closed on major holidays
403(b) retirement plan (employer contribution starts after 2 years)
Professional fees and dues are reimbursed
FQHC Benefits:
Primary care/medical HPSA score of 22
National Health Service Corps (NHSC) Loan Repayment Program
North Carolina has a High Needs Service Bonus program for physicians with no loans

Rural Health Group, Inc., a thriving multi-location Community Health Center located in scenic northeastern North Carolina, is seeking FM/IM/Med-Ped physicians to provide excellent quality patient-centered health care in an outpatient-only setting. No hospital call. Flexible scheduling options. Residents are welcome to apply. Practicing providers must be BC/BE.

RHG is a well-established primary medical care practice founded in 1974. We are searching for individuals committed to a rural practice with the desire to establish roots in the community. Our positions qualify for NHSC Scholars, Loan Repayment Program (LRP), and Students to Service (S2S). No outstanding medical student loans? Ask us about a potential state high needs bonus option.

As a Community Health Center, we see everyone – those with NC Medicaid, NC Health Choice, Medicare, private insurance, and the uninsured. RHG is a Federally Qualified Health Center and Patient Centered Medical Home dedicated to serving our region’s underserved through:

18 FM/IM offices, pediatrics office, OB/GYN office, school based health center program
3 dental offices
4 in-house pharmacies and 340b pharmacy services
Integrated Behavioral Health – Psychiatrists and LCSWs
Case Management, RN ACO Care Managers, Community Health Workers
Community-Based Outreach Department, including Migrant/Seasonal Farm Worker, Infectious Disease, Cancer, Diabetes, etc.
Our Providers include: Family Physicians, Internists, Physician Assistants, Nurse Practitioners, Pediatricians, OB/GYNs, Dentists, Clinical Pharmacists, and Licensed Clinical Social Workers.

In addition to competitive salary & benefits, we offer:

Signing bonus and (if applicable) relocation allowance
Quality and Production incentives
Annual CME allowance of up to $3000 & up to 40 hours
Malpractice insurance covered through Federal Tort Claims Act (FTCA) coverage
Paid Time Off (PTO)
Closed on major holidays
403(b) retirement plan (employer contribution starts after 2 years)
Professional fees and dues are reimbursed
FQHC Benefits:
Primary care/medical HPSA score of 22
National Health Service Corps (NHSC) Loan Repayment Program
North Carolina has a High Needs Service Bonus program for physicians with no loans

Rural Health Group, Inc., a thriving multi-location Community Health Center located in scenic northeastern North Carolina, is seeking FM/IM/Med-Ped physicians to provide excellent quality patient-centered health care in an outpatient-only setting. No hospital call. Flexible scheduling options. Residents are welcome to apply. Practicing providers must be BC/BE.

RHG is a well-established primary medical care practice founded in 1974. We are searching for individuals committed to a rural practice with the desire to establish roots in the community. Our positions qualify for NHSC Scholars, Loan Repayment Program (LRP), and Students to Service (S2S). No outstanding medical student loans? Ask us about a potential state high needs bonus option.

As a Community Health Center, we see everyone – those with NC Medicaid, NC Health Choice, Medicare, private insurance, and the uninsured. RHG is a Federally Qualified Health Center and Patient Centered Medical Home dedicated to serving our region’s underserved through:

18 FM/IM offices, pediatrics office, OB/GYN office, school based health center program
3 dental offices
4 in-house pharmacies and 340b pharmacy services
Integrated Behavioral Health – Psychiatrists and LCSWs
Case Management, RN ACO Care Managers, Community Health Workers
Community-Based Outreach Department, including Migrant/Seasonal Farm Worker, Infectious Disease, Cancer, Diabetes, etc.
Our Providers include: Family Physicians, Internists, Physician Assistants, Nurse Practitioners, Pediatricians, OB/GYNs, Dentists, Clinical Pharmacists, and Licensed Clinical Social Workers.

In addition to competitive salary & benefits, we offer:

Signing bonus and (if applicable) relocation allowance
Quality and Production incentives
Annual CME allowance of up to $3000 & up to 40 hours
Malpractice insurance covered through Federal Tort Claims Act (FTCA) coverage
Paid Time Off (PTO)
Closed on major holidays
403(b) retirement plan (employer contribution starts after 2 years)
Professional fees and dues are reimbursed
FQHC Benefits:
Primary care/medical HPSA score of 22
National Health Service Corps (NHSC) Loan Repayment Program
North Carolina has a High Needs Service Bonus program for physicians with no loans

Rural Health Group, Inc., located in scenic northeastern North Carolina, is seeking experienced Advanced Practice Providers (Family Nurse Practitioners and Physician Assistants) to provide excellent quality patient-centered health care in an outpatient primary care setting. We seek individuals committed to a rural practice with the desire to establish roots in the community.

RHG is a well-established primary care practice founded in 1974. We need individuals committed to a rural practice with the desire to establish roots in the community. Our positions qualify for NHSC Scholars, Loan Repayment Program (LRP), and Students to Service (S2S).
No outstanding medical student loans? Ask us about a potential state high needs bonus option.

As a Community Health Center, we see everyone – those with NC Medicaid, NC Health Choice, Medicare, private insurance, and the uninsured. RHG is a Federally Qualified Health Center and Patient Centered Medical Home dedicated to serving our region’s underserved through:

15 FM/IM primary care offices plus pediatrics office, OB/GYN office, school based health center program
3 dental offices
4 in-house pharmacies and 340b pharmacy services
Integrated Behavioral Health – Psychologists and LCSWs
Case Management and RN ACO Care Managers
Community-Based Outreach Department, including Migrant/Seasonal Farm Worker, Infectious Disease, Cancer, Diabetes, etc.
Our providers include: Family Physician, Internist, Physician Assistant, Nurse Practitioner, Pediatrician, OB/GYN, CNM, Dentist, Clinical Pharmacist, Psychologist, and Licensed Clinical Social Worker.

In addition to competitive salary & benefits, we offer:

Signing bonus and (if applicable) relocation allowance
Annual CME allowance of up to $3000 & up to 40 hours
Malpractice insurance covered through Federal Tort Claims Act (FTCA) coverage
Paid Time Off (PTO)
Closed on major holidays
403(b) retirement plan with employer contribution at 2 years
Professional fees and dues are reimbursed
As an FQHC with a medical HPSA score of 20, our medical provider positions qualify for the National Health Service Corps (NHSC) Loan Repayment Program, S2S, and Scholars. Our NP positions also qualify for NURSE Corps.

Rural Health Group, Inc., located in scenic northeastern North Carolina, is seeking experienced Advanced Practice Providers (Family Nurse Practitioners and Physician Assistants) to provide excellent quality patient-centered health care in an outpatient primary care setting. We seek individuals committed to a rural practice with the desire to establish roots in the community.

RHG is a well-established primary care practice founded in 1974. We need individuals committed to a rural practice with the desire to establish roots in the community. Our positions qualify for NHSC Scholars, Loan Repayment Program (LRP), and Students to Service (S2S).
No outstanding medical student loans? Ask us about a potential state high needs bonus option.

As a Community Health Center, we see everyone – those with NC Medicaid, NC Health Choice, Medicare, private insurance, and the uninsured. RHG is a Federally Qualified Health Center and Patient Centered Medical Home dedicated to serving our region’s underserved through:

15 FM/IM primary care offices plus pediatrics office, OB/GYN office, school based health center program
3 dental offices
4 in-house pharmacies and 340b pharmacy services
Integrated Behavioral Health – Psychologists and LCSWs
Case Management and RN ACO Care Managers
Community-Based Outreach Department, including Migrant/Seasonal Farm Worker, Infectious Disease, Cancer, Diabetes, etc.
Our providers include: Family Physician, Internist, Physician Assistant, Nurse Practitioner, Pediatrician, OB/GYN, CNM, Dentist, Clinical Pharmacist, Psychologist, and Licensed Clinical Social Worker.

In addition to competitive salary & benefits, we offer:

Signing bonus and (if applicable) relocation allowance
Annual CME allowance of up to $3000 & up to 40 hours
Malpractice insurance covered through Federal Tort Claims Act (FTCA) coverage
Paid Time Off (PTO)
Closed on major holidays
403(b) retirement plan with employer contribution at 2 years
Professional fees and dues are reimbursed
As an FQHC with a medical HPSA score of 20, our medical provider positions qualify for the National Health Service Corps (NHSC) Loan Repayment Program, S2S, and Scholars. Our NP positions also qualify for NURSE Corps.

Rural Health Group, Inc., located in scenic northeastern North Carolina, is seeking experienced Advanced Practice Providers (Family Nurse Practitioners and Physician Assistants) to provide excellent quality patient-centered health care in an outpatient primary care setting. We seek individuals committed to a rural practice with the desire to establish roots in the community.

RHG is a well-established primary care practice founded in 1974. We need individuals committed to a rural practice with the desire to establish roots in the community. Our positions qualify for NHSC Scholars, Loan Repayment Program (LRP), and Students to Service (S2S).
No outstanding medical student loans? Ask us about a potential state high needs bonus option.

As a Community Health Center, we see everyone – those with NC Medicaid, NC Health Choice, Medicare, private insurance, and the uninsured. RHG is a Federally Qualified Health Center and Patient Centered Medical Home dedicated to serving our region’s underserved through:

15 FM/IM primary care offices plus pediatrics office, OB/GYN office, school based health center program
3 dental offices
4 in-house pharmacies and 340b pharmacy services
Integrated Behavioral Health – Psychologists and LCSWs
Case Management and RN ACO Care Managers
Community-Based Outreach Department, including Migrant/Seasonal Farm Worker, Infectious Disease, Cancer, Diabetes, etc.
Our providers include: Family Physician, Internist, Physician Assistant, Nurse Practitioner, Pediatrician, OB/GYN, CNM, Dentist, Clinical Pharmacist, Psychologist, and Licensed Clinical Social Worker.

In addition to competitive salary & benefits, we offer:

Signing bonus and (if applicable) relocation allowance
Annual CME allowance of up to $3000 & up to 40 hours
Malpractice insurance covered through Federal Tort Claims Act (FTCA) coverage
Paid Time Off (PTO)
Closed on major holidays
403(b) retirement plan with employer contribution at 2 years
Professional fees and dues are reimbursed
As an FQHC with a medical HPSA score of 20, our medical provider positions qualify for the National Health Service Corps (NHSC) Loan Repayment Program, S2S, and Scholars. Our NP positions also qualify for NURSE Corps.

Rural Health Group, Inc., located in scenic northeastern North Carolina, is seeking experienced Advanced Practice Providers (Family Nurse Practitioners and Physician Assistants) to provide excellent quality patient-centered health care in an outpatient primary care setting. We seek individuals committed to a rural practice with the desire to establish roots in the community.

RHG is a well-established primary care practice founded in 1974. We need individuals committed to a rural practice with the desire to establish roots in the community. Our positions qualify for NHSC Scholars, Loan Repayment Program (LRP), and Students to Service (S2S).
No outstanding medical student loans? Ask us about a potential state high needs bonus option.

As a Community Health Center, we see everyone – those with NC Medicaid, NC Health Choice, Medicare, private insurance, and the uninsured. RHG is a Federally Qualified Health Center and Patient Centered Medical Home dedicated to serving our region’s underserved through:

15 FM/IM primary care offices plus pediatrics office, OB/GYN office, school based health center program
3 dental offices
4 in-house pharmacies and 340b pharmacy services
Integrated Behavioral Health – Psychologists and LCSWs
Case Management and RN ACO Care Managers
Community-Based Outreach Department, including Migrant/Seasonal Farm Worker, Infectious Disease, Cancer, Diabetes, etc.
Our providers include: Family Physician, Internist, Physician Assistant, Nurse Practitioner, Pediatrician, OB/GYN, CNM, Dentist, Clinical Pharmacist, Psychologist, and Licensed Clinical Social Worker.

In addition to competitive salary & benefits, we offer:

Signing bonus and (if applicable) relocation allowance
Annual CME allowance of up to $3000 & up to 40 hours
Malpractice insurance covered through Federal Tort Claims Act (FTCA) coverage
Paid Time Off (PTO)
Closed on major holidays
403(b) retirement plan with employer contribution at 2 years
Professional fees and dues are reimbursed
As an FQHC with a medical HPSA score of 20, our medical provider positions qualify for the National Health Service Corps (NHSC) Loan Repayment Program, S2S, and Scholars. Our NP positions also qualify for NURSE Corps.

Job Type
Full-time
Description
High Country Community Health (HCCH) is a federally funded Community and Migrant Health Center with medical locations in Watauga, Avery, Burke, and Surry Counties. The mission of HCCH is to provide comprehensive and culturally sensitive primary health care services that may include dental, mental and substance abuse services to the medically under-served populations.

This position requires medical training for family practice, general practice or other primary care practice orientation,

with understanding and interest in preventive and community health.

II. RESPONSIBILITIES:

A. Examine and treat patients in the office.

B. Refer patients for specialist services, as required.

C. Provider will answer telephone calls from HCCH’s Nurse Triage when scheduled.

D. Maintain electronic medical records.

E. Review lab, x-ray, and emergency reports daily and supervise medical support personnel.

F. Provide back-up, supervision and development of standing orders for provider extender.

G. Participate in special screening, training, and community outreach activities as determined.

H. Develop cooperative arrangements with other health providers in the area.

I. Participate in the drafting of medical policies in conjunction with HCCH Medical Director, C.E.O., and board representatives.

J. Ensure appropriate coding for billing purposes

K. Perform all other medically related assigned duties.

L. Maintain ability to order testing with a local hospital.

M. Promote goodwill among and between HCCH employees

N. Maintain respectful and open dialogue with HCCH leadership

Role on Care Team: The physician oversees all aspects of patient care. They will work closely with the other members of the care team to ensure the best care possible. The physician will complete health assessments, make and/or confirm diagnoses, provide referrals to specialists as necessary and may write or refill prescriptions for medications. The physician works closely with

the Patient Health Specialist, Patient Resource Specialist and other support and nursing staff to stay informed about your treatment progress and collaborate on care.

SUPERVISORY RELATIONSHIPS:

Responsible for medical support personnel (NP and PA) regarding patient care.

Responsible to HCCH’s Medical Director
________________________________________________________________________________
PROFESSIONAL STANDARDS: The Provider shall devote their best professional skill and services in practicing medicine in accordance with the customary rules of ethics and conduct set forth by the North Carolina Board of Medical Examiners. The Provider will comply with the bylaws, rules, and regulations of HCCH.

Mental Requirements: Must be able to make sound judgment based on assessment and data available and act accordingly. Must be able to be flexible, innovative, and work independently. Must possess good interpersonal skills and ability to prioritize multiple functions or tasks.

Hours: Must be able to work a flexible work schedule including week days, some weekends, evenings, and holidays if needed.

Physical Requirements: Requires considerable physical effort most of the day. Requires squatting, kneeling, reaching, twisting, walking, and sitting for long periods of time.

Blue Ridge Health is seeking a Medical Assistant/LPN to join our team in Arden, NC (We will train you!)

$18.72 – Entry Level Pay – Opportunities for Salary and Career Advancement Available

$1000 Sign-On Bonus after 90 Days of Employment!

What We Offer You:
• A competitive benefits plan, including Medical, Dental and Vision
• Company sponsored life insurance and short and long-term disability coverage
• 403(b) retirement account with company matching
• Supplemental accident insurance available
• 9 paid holidays per year
• PTO and Personal Day accrual, starting day 1 – (We value a work-life balance!)
• Company Sponsored Medical Assistant Certification Classes – We Help You Get Your Certification!
• Flexible Schedules Available

What You’ll Do:
As a Medical Assistant or LPN you will be an integral member of the BRH medical team assisting with the direct care of patients and clinic activities. We are looking for a team player that can help build a positive environment with a desire to work in an interdisciplinary healthcare team and with a culturally diverse patient population. Responsibilities include:
• Working in a fast-paced medical office setting
• Assisting providers with delivering quality patient care
• Obtaining and recording vital signs (blood pressure, pulse, temperature, etc.)
• Performing basic medical procedures such as blood draws and EKGs
• Collecting and preparing laboratory specimens
• Recording patient information in electronic health records (EHR) systems
• Answering phones, responding to inquiries, and relaying information to providers
• Adhering to HIPAA regulations and patient confidentiality
• Contributing to a positive and cooperative team environment

What We’re Looking For:
• Knowledge of medical terminology and common medical documentation preferred
• High School Diploma or Equivalent (required)
• Medical Assistant Certification or Registered Medical Assistant preferred– Must obtain certification within 18 months of hire date if not currently certified (We can help you get it – ask us how!)
• Licensed Practical Nurses – NC licensure preferred (we will pay for your license renewal!)
• Medical phone triage experience preferred
• Ability to float between nearby clinical sites as needed
• Bi-Lingual (preferred, but not required – we pay extra per hour for your language skills)

About Blue Ridge Health:
At Blue Ridge Health our mission is to improve Health, inspire Hope, and advance Healing through access to Compassionate, Affordable, and Quality Care. We are seeking individuals with a passion for creating an exceptional patient and client care experience to join our team! We are a nonprofit system of Federally Qualified Health Centers (FQHCs) that works closely with communities to meet the ever-changing medical and behavioral healthcare needs of individuals throughout WNC.

We provide equal employment opportunities to all employees and applicants for employment and prohibit discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.