Registered Nurse

Position Definition:

Under the direction of designated nursing and clinical leadership, the Registered Nurse (RN) provides professional nursing services in accordance with the California Nursing Practice Act, organizational policies, evidence-based standards, and authorized provider orders. The RN independently applies the nursing process, exercises clinical judgment, performs comprehensive assessments, develops and evaluates nursing care plans, coordinates care, and supports safe, timely, patient-centered services across outpatient specialties. The RN collaborates with interdisciplinary teams and provides clinical guidance within assigned responsibilities.

Qualifications:

Required: Current, active, unrestricted California Registered Nurse license; current Basic Life Support (BLS) certification from an organization-approved provider.

Required: Demonstrated competence in outpatient assessment, triage, medication administration, clinical procedures, infection prevention, and accurate documentation.

Required: Effective clinical judgment, communication, patient education, cultural responsiveness, teamwork, and electronic health record proficiency (Epic preferred).

Required: Ability to work both clinical sites and the flexibility to work at each site with advanced notice.

Preferred: At least 2 years of nursing experience, preferably in outpatient or ambulatory care, and experience with electronic health records, preferably Epic.

Comprehensive Assessment and Direct Patient Care:

Conduct and document comprehensive and focused nursing assessments, including history, vital signs, symptoms, risk factors, and changes in condition; prioritize care using professional nursing judgment.

Establish individualized nursing goals and plans, implement nursing interventions, and evaluate patient responses and outcomes.

Perform telephone and in-person nursing triage within approved workflows; identify red flags, initiate appropriate escalation or emergency response, and arrange timely follow-up.

Provide authorized nursing treatments and procedures, specimen collection, wound care, injections, and other clinical services consistent with RN scope, demonstrated competency, orders, and policy.

Educate patients and caregivers on diagnoses, medications, preventive care, self-management, warning signs, and follow-up using teach-back and appropriate language resources.

Medication and Vaccine Safety:

Administer medications, injections, and vaccines valid orders, and organizational policy; verify patient, medication, dose, route, time, indication, allergies, and required documentation.

Apply clinical judgment to identify contraindications, potential interactions, adverse effects, and administration concerns; hold and clarify unsafe or unclear orders.

Monitor patient response, manage and escalate adverse reactions, maintain cold-chain and medication safety practices, and support reconciliation as assigned.

Patient Safety and Emergency Preparedness:

Recognize clinical deterioration, activate emergency response procedures, provide BLS and other interventions within training and authorization, and coordinate transfer to a higher level of care.

Participate in emergency drills, equipment readiness checks, infection prevention, hand hygiene, and transmission-based precautions; report safety events and near misses.

Clinical Documentation and Electronic Health Records:

Maintain accurate, complete, timely Epic documentation of assessments, nursing diagnoses, interventions, care plans, patient teaching, clinical communications, and response to treatment.

Review relevant clinical information and orders before care; document escalation, provider notification, follow-up instructions, and closure of clinical concerns.

Protect confidentiality and comply with HIPAA, organizational documentation standards, and applicable retention requirements.

Care Coordination and Patient Education:

Coordinate care across primary care and specialty services; facilitate referrals, diagnostic follow-up, transitions of care, and communication of clinically significant results within policy.

Collaborate with providers, LVNs, medical assistants, and other team members; use appropriate delegation, supervision, and follow-up based on law, task complexity, competence, and patient stability.

Identify barriers to adherence, health literacy, and access; connect patients with appropriate services and reinforce individualized education.

Clinical Operations and Team Collaboration:

Organize and prioritize assigned nursing activities, support patient flow, and communicate workload and staffing concerns to leadership.

Serve as a clinical resource to LVNs and medical assistants; provide direction, coaching, and competency support when assigned, without exceeding authorized supervisory responsibilities.

Support safe workflows, supply readiness, and clinical standardization across departments and clinic locations.

Quality Improvement and Regulatory Compliance:

Comply with California RN practice requirements, organizational policies, infection prevention standards, workplace safety rules, and applicable accreditation expectations.

Participate in audits, quality improvement, safety reviews, regulatory survey preparation, and corrective action activities as assigned.

Maintain licensure, certifications, annual training, and validated competencies; identify opportunities to improve patient outcomes and experience.

Professional Standards and Accountability:

Demonstrate integrity, reliability, punctual attendance, respectful communication, sound clinical judgment, and accountability for nursing decisions and assigned duties.

Recognize limits of competence and authority, seek consultation when appropriate, and escalate unsafe situations or orders promptly.

Maintain collaborative relationships, adapt to changing priorities, and participate in continuing professional development.

Scope of Practice and Supervision:

The RN practices professional nursing under the California Nursing Practice Act (Business and Professions Code, Division 2, Chapter 6), including assessment, nursing diagnosis, planning, implementation, evaluation, patient advocacy, and health education. RN functions may include independent nursing interventions and implementation of authorized medical orders. Medical diagnosis, prescribing, and other advanced-practice functions are not included unless separately authorized by law and applicable credentials. Delegation and supervision must comply with California law, organizational policy, patient needs, and the qualifications of assigned personnel.

Physical and Work Environment Requirements:

Perform clinical duties involving standing, walking, bending, patient positioning, and mobility assistance using appropriate safety techniques and equipment.

Use outpatient medical equipment and electronic systems; follow occupational safety precautions for infectious materials, bloodborne pathogens, and other hazards.

Essential functions may be performed with or without reasonable accommodation in accordance with applicable law.

Must have flexibility in location scheduling. On occasion may have to go to other sites as assigned.

About Baywell Health

There’s healthcare and then there’s Baywell Health: your trusted partner in enhancing the health and dignity of the Bay Area’s Black community. We are dedicated to promoting optimal health and well-being through compassionate, comprehensive care that values and supports every individual and family we serve. Our services span Gynecology & Women’s Reproductive Adult Medicine Optometry Pediatrics Behavioral Health Oral Health Assisted Treatment Pharmacy Healthy Communities Covid-19 Services We welcome you to apply here and join our team delivering healthcare to the community.