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RN Lead
Job Code:2019-04-051
Department:Primary Care
FT/PT Status:Regular Full Time
Salary Minimum28.81
Salary Midpoint33.86
  
Position Closes:
10/17/2019

Job Responsibilities & Qualifications:
PRIMARY FUNCTION: 
The Clinical Lead RN is a role developed to work in coordination with the nursing leadership in 
the primary care department to ensure the work is accomplished effectively. The Clinical Lead 
RN is the first line support for staff, physicians and other related providers on specific clinical 
issues. The Clinical Lead RN is generally a long-term role, requiring clinical and interpersonal 
skills. The Clinical Lead RN collaborates with the manager on clinical and non-clinical issues 
(employee relations, individual behaviors, physician relationships, etc.). The Clinical Lead RN is 
the support for the department when the manager is unavailable. The Clinical Team Leader is 
responsible for supervising, directing, coaching and mentoring their assigned core group of staff. 
The intent of this job description is to provide a representative and level of the types of duties 
and responsibilities that will be required of positions given this title and shall not be construed as 
a declaration of the total of the specific duties and responsibilities of any particular position. 
Employees may be directed to perform job-related tasks other than those specifically presented 
in this description. 
Job Description: 
? Duties and responsibilities include all those required of the primary care teams as well as: 
? Plan and coordinate clinical requirements for staff and ensure that all competencies and 
requirements for primary care staff is current utilizing best practice models to identify, 
incorporate or develop best practices for panel management. 
? Plan and assist with coordination of clinic staff schedules and submit for manager 
approval. 
? Coordinate clinical requirements with staff regarding equipment and supplies. 
? Consult with preceptors and orientees on a regular basis to provide support and determine 
how orientation should proceed on an individual basis. 
? Collaborate with the manager for issue resolutions and projects to improve work flow 
processes throughout the department utilizing a quality improvement/LEAN approach. 
? Collaborate with different departments (pharmacy, radiology, lab, registration) to resolve 
issues and improve work flow processes throughout the department. 
? Collaborate with the nurse managers in the interview process for new applicants. 
? Collaborates with other teams to share and establish best practice for health promotion 
and disease prevention strategies.  
? Mentor/coach staff to enhance their professional development. 
? Assesses the performance of assigned new hires and orientees including entry level 
nurses, RN/Case managers, Case Management Support and Clerks and provides ongoing 
feedback and coaching. 
? Understand and communicate potential clinical equipment or supply issues to appropriate 
team members (Materials, Biomed, Sterile Processing, etc) and manager. 
? Mentor and monitor the preceptors for all new employees. 
? Provide clinical/education updates and skill check-offs to primary care staff on a regular 
basis ensuring Utilizes iCare to track, monitor, and assure the appropriate follow-up of 
clients targeting specific indicators.  
? Coordinates and follows up on referrals to outside specialty providers, recent ED visits, 
and ICC visits. Emphasis is placed on ensuring treatment notes are available to the PCP 
timely. Provides immediate support and education on policy, procedures, equipment and 
supplies. 
? Responsible for learning, implementing and teaching new technology/procedures. 
? Demonstrates awareness of current problems and basic plan for all patients within 
primary care. 
? Provides clinical consultation and guidance as needed to facilitate patient care. 
? Gives assistance and/or direction to staff to facilitate quality patient flow. 
? Assess staffing needs according to workload and staff competency; Re- assigns and 
adjusts staffing based upon patient care needs. 
? Delegates responsibilities within the scope of practice and validated competencies in 
order to meet the workload demands of the shift. 
? Facilitates assignments that support learning for the orientee or nursing staff. 
? Promotes an atmosphere of open communication that facilitates staff input into decision-making,
resolution of conflict, quality improvement and collegiality among all health 
team members. 
? Communicates in an effective, professional manner. 
? Facilitates staff performance audits related to attitude, team performance, GPRA 
indicators and Diabetes Standards of Care. 
? Facilitates and encourages staff participation in departmental and hospital quality 
improvement efforts and committees. 
? Attends departmental and hospital committee meetings as assigned. 
? Coordinates, facilitates, participates and directs departmental projects with follow-through
and appropriate follow-up. 
? Other projects and duties as directed by the department managers. 
 
EDUCATION, LICENSURE, CERTIFICATION, AND EXPERIENCE: 
 
CIHA programs are established for the purpose of serving the Eastern Band of Cherokee Indians.  
All employees should have a thorough understanding of the culture and the needs of the EBCI 
members, and of the general culture and needs of American Indians.   
 
? Bachelor Degree in nursing from an accredited program required. Four years of nursing 
experience preferred. At a manager’s discretion internal employees with three years of 

experience who have past history of high performance are eligible.  
? Applicant must have an unrestricted valid Registered Nurse license within the state of 
North Carolina or a state that is accepted as reciprocity. 
? Current Basic Life Support (BLS) minimally required. Can be acquired through the 
facility within 6 months following appointment to position. 
 
Proficiency rated at 2 years for a new graduate. 
 
JOB KNOWLEDGE 
Knowledge of principles, practices, techniques, and theories of professional nursing in order to 
plan and provide nursing care to meet the physical, emotional, spiritual, and socio-cultural needs  
of patients of all ages; specifically, Infancy (Birth-1 year), Toddler and Early Childhood (2 
years), Latency (6-9 years), Preadolescence (10-12 years), Early Adolescence (13-15 years), 
Adolescence (16-20 years), Adult (21-64 years), and Elderly (65-+ years). 
 
Knowledge of the nursing process and its application to clinical practice. 
Knowledge of the RN, LPN, CMA, and CNA scope of practice.  
Knowledge of the biological aspects of the disease process and illness in order to recognize 
complications and therapeutic interventions required. 
Knowledge of medications and dosages in order to recognize desired effects, side effects, and  
complications of their use. 
Knowledge and ability to analyze the results of various medical procedures and translate into 
appropriate nursing interventions. 
Knowledge and ability to independently plan, manage, and organize work in order to meet  
priorities, accomplish work within established time frames and work in stressful situations. 
 
Knowledge of the occupational functions of multi-disciplinary health care team. 
Knowledge of the culture and medical health profile of the patient population. 
Knowledge and ability to teach and counsel patient/family on health maintenance and disease  
prevention. 
Knowledge of available health care programs and community resources. 
Knowledge of processes and procedures for establishing, revising, continually monitoring, and  
evaluating standards for the practice of nursing. 
Knowledge and skills in operating specialized medical equipment, such as, monitoring devises, 
suction pumps, oxygen equipment, etc. 
Knowledge of problem oriented medical record methods. 
Knowledge of legal and ethical aspects of nursing. 
Applicant must have a valid North Carolina driver’s license. 
 
COMPLEXITY OF DUTIES 
The incumbent will be responsible for leading a team (pod) and will be expected to function in a 
leadership role. The RN role requires flexibility and the ability to lead team members who 
possess a variety of personalities. The RN role necessitates the incumbent to always maintain a 
high level of integrity, poise, and control.  
 
The nurse provides a full range of comprehensive nursing care that includes assessing patient 
needs, development of a plan of care, administration of medications and therapeutic measures, 
operation of specialized medical equipment, evaluation of the plan of care to ensure that the 
physical and psychosocial needs of the patient are met and counseling and teaching of patient 
and families.  The nurse must recognize and respond appropriately to patient conditions that 
deviate from normal and identify, analyze, and report on causative factors and reactions. 
 
Guidelines consist of professional standards of practice as determined by the nurse practice act, 
nursing and medical policy and procedures, standing orders, and hospital and agency policies.  
Complies also with federal, state, accrediting and local regulations.  These guidelines are not 
always specifically applicable to the individual patient or situation and independent judgment is 
required in selecting the most appropriate guideline, and applying the intent of the guideline to 
the specific situation at hand.  The nurse receives assistance from the Outpatient Administrator 
with difficult or unusual problems. 
 
SUPERVISION RECEIVED AND SUPERVISORY RESPONSIBILITIES 
The nurse provides supervision for pods ensuring they plan, schedule and provide nursing care in 
coordination with the medical care plan and attempt to solve problems within established 
procedures.  This is done under the supervision of the Primary Care Nurse Manager.  The work 
is evaluated for technical soundness and adherence to professional standards. ?

RESPONSIBILITY FOR ACCURACY 
The incumbent has a positive effect upon the recovery of the patient and is responsible for 
following policies and procedures, which serve as hospital guidelines and prevents errors from 
occurring.  Errors can have a negative patient outcome since the incumbent’s performance 
affects the health, recovery, and rehabilitation of patients, and the quality of care provided.  
Evaluations and observations are used to modify and develop clinically appropriate treatment 
plans.  Work can be verified or checked by the immediate supervisor, other health care providers 
or systems checks, but usually the responsibility for accuracy relies solely on the incumbent.  
 
CONTACTS WITH OTHERS 
Contacts are with patients, families, hospital personnel, and community agencies.  Contacts with 
patients, families, and hospital personnel are to exchange, provide, and obtain information 
concerning the patient’s physical and psychosocial health care problems, and needs.  The nurse 
uses teaching and counseling methods to influence and motivate patient and family behavior.  
Contacts with other health care or related disciplines within the hospital are for the purpose of 
collaboration and consultation. Tact, courtesy, and professional conduct are required to maintain 
positive working relationships. Utmost sensitivity and confidentiality is required when dealing 
with patients and families. 
 
CONFIDENTIAL DATA 
The incumbent has access to highly confidential patient medical and personal information.  The 
Privacy Act of 1974 mandates that the incumbent shall maintain complete confidentiality of all 
administrative, medical, and all other pertinent information that comes to his/her attention or  
knowledge.  The Act carries both civil and criminal penalties for unlawful disclosure of records. 
Violations of such confidentiality shall be cause for adverse action. 
 
MENTAL/ VISUAL/ PHYSICAL 
Work in the various services within the nursing department is mostly sedentary, yet requires 
walking, standing, bending, pushing, and lifting in helping patients to and from beds, 
wheelchairs, and stretchers.  These same activities are required in moving equipment and 
medical supplies. Will be subject to frequent interruptions requiring varied responses, which can 
cause distractions therefore, the incumbent must possess the ability to differentiate and prioritize 
many tasks at once. 
ENVIRONMENT 
Must be flexible in working hours. Work is performed in the clinic setting, which is responsible 
for treating patients with a wide variety of medical problems. Incumbent may be exposed to 
communicable diseases. Incumbent is required to comply with Employee Health Program 
guidelines including current immunization status of identified communicable diseases and safety 
precautions are sometimes necessary, such as use of personal protective equipment as required 
by hospital policy. The work environment involves moderate risks of exposure to infectious 
disease, radiation, electrical hazards, irritant chemicals and explosive gases.   
 
 
CUSTOMER SERVICE 
Consistently demonstrates superior customer service skills to patients/customers by displaying 
Language of Caring skills. Ensure excellent customer service is provided to all 
patients/customers by seeking out opportunities to be of service.