An Associate’s Degree in Nursing or equivalent is required.
At least 2 years of experience in community health, acute care, or emergency/urgent care is required.
Experience working with primary care providers on care coordination and disease management is required.
A current Rhode Island Registered Nurse license is required.
Current BLS/CPR certification is required.
Working knowledge of HIPAA, electronic health records, medication administration protocols, care coordination, and disease management protocols is required.
Responsibilities
Conduct comprehensive health assessments to identify patient needs, barriers, and behavioral health concerns.
Provide skilled nursing care, including immunizations, wound care, chronic disease management, and patient education to support treatment adherence.
Handle phone and walk-in triage to direct patients to appropriate care and help avoid unnecessary emergency room visits.
Administer and reconcile medications according to provider orders, and monitor effectiveness and side effects.
Coordinate care across departments and outside providers, including medication reconciliation within 48 hours of a hospital discharge or specialist visit.
Use population health dashboards and registries to contact patients due for chronic disease management, preventive services, or care-gap follow-up.
Manage prior authorizations, records requests, and lab follow-up.
Connect patients with behavioral health, pharmacy assistance, social services, and community resources.
Document in NextGen EHR to meet HRSA, RIDOH, and insurance requirements.
Review transition-of-care documents within 24–48 hours and maintain patient registries, including anticoagulation, diabetes, and hypertension registries.
Support assigned primary care providers across chronic disease management, behavioral health integration, and maternity services.
Follow infection control practices and raise quality or safety concerns.
Help shape EHR workflows, clinical decision support tools, and e-prescribing protocols.
Participate in daily huddles, team meetings, case reviews, and peer quality reviews.
Provide cross-coverage for fellow nurses across pods, teams, and sites.
Build relationships with medical providers across the integrated service network.
Protect patient confidentiality, dignity, and rights in accordance with HIPAA.
Desired Qualifications
A Bachelor’s Degree in Nursing (BSN) is a bonus qualification.
Experience in a Federally Qualified Health Center (FQHC) is a bonus qualification.
Bilingual ability in Spanish, Portuguese, or Cape Verdean Creole is a bonus qualification.
Healthcare works best when every person on the team is pulling in the same direction, and that’s the heart of this role. As a Registered Nurse at our Health Center, you’ll be the steady, caring presence that helps patients feel seen, heard, and well cared for. You’ll also keep the Health Center humming in sync with the rest of East Bay Community Action integrated health and family programs.
You’ll help solve the everyday barriers that keep people from getting the care they need: confusing transitions after a hospital stay, gaps in preventive care, delays in prior authorizations, and missing community supports. Your work moves our mission forward one patient, one handoff, and one follow-up call at a time.
Deliver great care
Conduct comprehensive health assessments that uncover patient needs, barriers, and behavioral health concerns
Provide skilled nursing care: immunizations, wound care, chronic disease management, and patient education that helps people stick with their treatment plans
Handle phone and walk-in triage so patients get to the right care and avoid unnecessary ER visits
Administer and reconcile medications per provider orders, and watch for effectiveness and side effects
Connect the dots
Coordinate care across departments and outside providers, including medication reconciliation within 48 hours of a hospital discharge or specialist visit
Use population health dashboards and registries to reach out to patients who are due for chronic disease management, preventive services, or care gaps
Manage prior authorizations, records requests, and lab follow-up so patients aren’t left waiting
Link patients to behavioral health, pharmacy assistance, social services, and community resources
Keep it all running smoothly
Document in NextGen EHR to meet HRSA, RIDOH, and insurance requirements
Review transition-of-care documents within 24-48 hours and keep patient registries (anticoagulation, diabetes, hypertension, and more) current
Support your assigned primary care provider(s) across chronic disease management, behavioral health integration, and maternity services
Follow infection control practices and speak up about quality or safety concerns
Help shape EHR workflows, clinical decision support tools, and e-prescribing protocols
Be a great teammate
Join daily huddles, team meetings, case reviews, and peer quality reviews
Provide cross-coverage for fellow nurses across pods, teams, and sites
Build relationships with medical providers across our integrated service network
Protect patient confidentiality, dignity, and rights in line with HIPAA
Required
Associate’s Degree in Nursing (or equivalent)
2+ years of experience in community health, acute care, or emergency/urgent care
Experience working with primary care providers on care coordination and disease management
Current RI Registered Nurse (RN) license
Current BLS/CPR certification
Working knowledge of HIPAA, electronic health records, medication administration protocols, care coordination, and disease management protocols
Bonus points
Bachelor’s Degree in Nursing (BSN)
Experience in a Federally Qualified Health Center (FQHC)
Bilingual in Spanish, Portuguese, or Cape Verdean Creole
Who thrives here: People who take ownership, sweat the details, adapt with grace, collaborate across disciplines, listen actively and communicate in a culturally responsive way, and find practical solutions to barriers to care. Above all, the people who thrive bring joy to their work because this is the work they want to do and the place they want to be.