Clinic Nurse II, Primary Care/LGBTQIA+ Care Center

We are so glad you are interested in joining Sutter Health!

Organization:

SPMF-Sutter Pacific Medical Foundation - South

Position Overview:

The Registered Nurse provides comprehensive ambulatory nursing care in a busy, collaborative primary care setting, including patient assessment and triage, critical laboratory result follow-up, patient education, clinical coordination, support for HIV prevention and treatment services, and support for LGBTQIA+ care. The RN works closely with the interdisciplinary care team and performs delegated activities under approved Nursing Standardized Procedures after completing all required training and competency validation, while providing inclusive, culturally responsive, and affirming care to a diverse patient population.

Job Description:

Provides direct and indirect patient care to clinic patients and their families, utilizing the nursing processes of comprehensive patient assessment, development and implementation of nursing care plans, patient education, and ongoing evaluation. Delivers holistic and individualized care to all patients in the assigned area. Develops, implements, and coordinates an optimal interdisciplinary plan of care that incorporates psychological, sociocultural, spiritual, economic, and lifestyle factors.

This RN position supports our busy and collaborative primary care clinic at 45 Castro Street in San Francisco. The clinic operates across four suites, Suites 125, 402, 421, and 432, and includes 11 providers caring for a diverse patient population, with a strong focus on LGBTQIA+ health, HIV prevention and treatment, sexual health, and inclusive primary care.

The RN works closely with providers, medical assistants, licensed vocational nurse, patient service representatives, and other members of the interdisciplinary care team. Key responsibilities include in-person RN triage, follow-up and communication of critical laboratory results, patient assessment and education, and support for specialty clinical services and treatments.

The RN also supports HIV-related clinical services, including injectable HIV prevention and treatment medications such as Apretude, Cabenuva, and Yeztugo, as well as rapid HIV testing and sexually transmitted infection testing. The role requires comfort discussing sensitive health information and providing respectful, culturally responsive, and affirming care to patients of diverse sexual orientations, gender identities, backgrounds, and life experiences.

Fosters and maintains collaborative relationships among patients, their families and support systems, physicians, and other healthcare providers through timely and effective communication. Adheres to policies, industry standards, best practices, and applicable laws, regulations, and codes to promote a safe, high-quality, and highly reliable patient experience. Engages in continuous growth and development in professional nursing practice.

Clinic-Specific Responsibilities

• Performs RN-level patient assessment, triage, treatment, medication management, ordering, and other delegated clinical functions under applicable Sutter Health Nursing Standardized Procedures. Maintains required initial and annual education, competency validation, and documentation for all standardized procedures assigned to the role. Applicable procedures may include Triage and Advice, treatment of gonorrhea and chlamydia, primary care medication renewal, preventive health maintenance and orders, dispensing of sample medications, and emergency interventions for anaphylaxis.

• Utilizes approved Nursing Standardized Procedures to support timely, evidence-based care within the RN scope of practice, including independent action when authorized by the applicable procedure and prompt consultation or escalation to a provider when a patient’s presentation falls outside established criteria.

• Provides in-person RN triage and assessment for patients presenting with urgent or time-sensitive clinical concerns.
• Evaluates patients within the RN scope of practice, provides appropriate nursing interventions, and collaborates with providers regarding escalation and next steps.
• Reviews critical laboratory results and completes timely patient notification and follow-up telephone calls in accordance with established protocols.
• Documents patient assessments, interventions, education, communications, and follow-up plans accurately and promptly in the electronic health record.
• Supports the administration, coordination, monitoring, and patient education associated with HIV prevention and treatment medications, including Apretude, Cabenuva, and Yeztugo.
• Supports clinic workflows for rapid HIV testing and sexually transmitted infection testing, including patient education, collection coordination, result follow-up, and linkage to appropriate care.
• Provides inclusive, respectful, and affirming nursing care to LGBTQIA+ patients and other diverse patient populations.
• Communicates sensitive clinical information clearly, compassionately, and professionally.
• Collaborates with the clinic’s 11 providers and multidisciplinary support teams across Suites 125, 402, 421, and 432.
• Assists with clinical coverage and nursing needs across all four clinic suites based on patient care priorities and operational needs.
• Provides patient education regarding medications, treatment plans, test results, follow-up care, and when to seek urgent or emergency evaluation.
• Recognizes changes in a patient’s condition and initiates appropriate clinical escalation using established policies, procedures, and standardized nursing protocols.
• Participates in continuous workflow improvement, staff education, quality initiatives, and efforts to improve access and the overall patient experience.

 

Education

• Graduate of an accredited school of nursing.

 

Certification and Licensure

• Current California Registered Nurse license.
• Current Basic Life Support Healthcare Provider certification.

 

Typical Experience

• Two years of recent relevant nursing experience.
• Ambulatory care, primary care, telephone or in-person triage, HIV care, sexual health, infectious disease, or LGBTQIA+ health experience is preferred.

 

Skills and Knowledge

• Demonstrated knowledge and competence regarding nursing theories, concepts, and practices; medical terminology; anatomy; and physiology.
• Clinical assessment and triage skills, including the ability to identify changes in patient condition and determine when concerns require provider review or a higher level of care.
• Ability to communicate critical and sensitive laboratory results clearly, compassionately, and in accordance with established clinical protocols.
• Knowledge of, or willingness to develop competency in, HIV prevention and treatment, injectable HIV medications, rapid HIV testing, and sexually transmitted infection testing.
• Ability to provide culturally responsive, trauma-informed, and affirming care to LGBTQIA+ patients and other diverse populations.
• Working knowledge of the healthcare industry, safety precautions, patient privacy requirements, and best practices related to ambulatory patient care.
• Strong written and verbal communication skills with the ability to explain sensitive or complex health information clearly and professionally to patients and non-medical audiences.

• Knowledge of Nursing Standardized Procedures and the ability to complete and maintain all required education, competency validation, chart audits, and annual renewals associated with assigned procedures.

• Basic knowledge of Microsoft Office applications, including Word and Outlook, and experience using an electronic health record.
• Ability to prioritize assignments and work within standardized policies, procedures, protocols, and evidence-based practices to achieve objectives and meet deadlines.
• Ability to work independently and collaboratively while managing multiple responsibilities in a busy clinical environment with frequent interruptions.
  

Job Shift:

Days

Schedule:

Full Time

Shift Hours:

8

Days of the Week:

Monday - Friday

Weekend Requirements:

None

Benefits:

Yes

Unions:

No

Position Status:

Non-Exempt

Weekly Hours:

40

Employee Status:

Regular

Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans.

Pay Range is $86.27 to $120.77 / hour

The posted pay range is based on the position's primary work location. Candidates who reside and work outside of that location may be subject to a different pay range based on their work location. Candidate starting salaries consider multiple factors, including, but not limited to a candidate’s experience, education, skills, licensure, certifications, departmental equity, training, and organizational needs. Base pay is only one component of Sutter Health’s comprehensive total rewards program. Eligible positions also include a comprehensive benefits package.