Ambulatory Care Nurse, Medicine-Nephrology

North Carolina, United States
24 Sep 2018
End of advertisement period
24 Nov 2018
Contract Type
Full Time

Job Description

General Description of the Job Class:

  • Provide professional nursing care for ambulatory patients via telephonic or electronic systems in accordance with approved physician protocols and established nursing policies and procedures.
  • Identify actual or potential health problems, provide education, advice, emotional support, health promotion and coordination of care.
  • Nursing care is provided in accordance with the scope of the Registered Nurse as defined by the North Carolina Board of Nursing, the American Academy of Ambulatory Care Nursing Telehealth Nursing Practice Standards and applicable specialty nursing organization standards.

Duties and Responsibilities of this Level:

  • Following established policies and procedures, the Telehealth RN is responsible for managing incoming and outgoing communication with patients in an office, clinic or call center environment.
  • Records the patient’s demographic and medical information 
  • Performs nursing assessment to determine chief complaint / reason for call
  • Appropriately identifies level of service needed and makes appropriate disposition
  • Provides appropriate instructions, education, advice and support
  • Documents actions taken, advice provided, protocols used and plan of care
  • Reviews plan of care with patient or caregiver/ caller, including immediate and preventive care measures
  • Assures and documents caller’s understanding of and intention to follow plan of care
  • Communicates as appropriate with physician, advanced practice provider (APP) and other members of the interdisciplinary team as appropriate.
  • Provides follow up as needed per approved guidelines and protocols
  • Assists in the development and implementation of general policies and procedures designed to effect quality and efficiency of telehealth nursing operations. 
  • Participates in own professional development by maintaining required competencies, identifying learning needs and seeking appropriate assistance or educational offerings.
  • Acts as preceptor where appropriate, supporting the development of new staff
  • Participates in the identification of clinical or operational performance improvement activities.
  • Demonstrates commitment to patient safety by reporting safety concerns and incidents related to safety in the Safety Reporting System.


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Minimum Qualifications:

Duke University is an Affirmative Action/Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex,sexual orientation, or veteran status.

Duke aspires to create a community built on collaboration, innovation,creativity, and belonging. Our collective success depends on the robust exchange of ideas—an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes.

To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values.

Essential Physical Job Functions: Certain jobs at Duke University and Duke University Health System may include essential job functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.


Work requires graduation from an accredited Bachelors of Science in Nursing, Associate Degree in Nursing or Nursing Diploma program. State of North Carolina licensure is also required.All registered nurses without a Bachelor's degree in Nursing (or higher)will be required to enroll in an appropriate BSN program within two years of their start date and to complete the program within five years of their start date.


Requires 1 year of nursing experience

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