Chronic Care Nurse, Full Time

Wellpath Big Spring , TX 79721

Posted 3 weeks ago

Here at Wellpath, everything that we do is about taking care of people - our patients, our staff and our partners. We are committed to making a difference by providing hope and healing to vulnerable patients in challenging clinical environments. Our talented, compassionate team thrives in an autonomous environment, is empowered and supported by education, training and the resources to practice healthcare the way it is meant to be and strives to "Always Do The Right Thing!"

Our Chronic Care Nurse (RN) is responsible for the overall tracking, management, and timely care provisions for patients with chronic medical conditions. This position works closely with on-site physician and mid-level providers to ensure chronically ill patients are seen on a routine and scheduled basis dictated by their disease process.


  • Must be a graduate of an accredited school of nursing


  • Three (3) years of relevant clinical experience is required

  • Prior medical/surgical or emergency/trauma experience is preferred

  • Previous Corrections experience preferred


  • Currently licensed as a Registered Nurse in the state within which services are provided

  • Current CPR Certification

  • Maintaining a comprehensive log of all patients with a chronic illness that includes appointment schedule, disease(s) of interest, and diagnostic testing schedule.

  • Assessing patients as directed by Physician or Mid-level Providers.

  • Preparing patients for chronic care provider visit, ensuring all required diagnostic testing is complete and results are available to provider upon visit.

  • Providing relevant patient education during clinic visits or as otherwise ordered.

  • Ensuring any and all special needs are addressed on a patient-specific basis per provider order.

  • Scheduling off-site specialty consultations as ordered by provider.

  • Ensuring off-site specialty recommendations are presented to on-site provider(s), and ensure corresponding orders are achieved.

  • Maintaining chronic care statistical data as directed by on-site Medical Director and develop all corresponding reports as requested; i.e., HbA1c monitoring.

  • Reviewing all ER or inpatient hospitalization aftercare recommendations for chronic patients, present such to the provider, and ensure orders are carried out.

  • Conducting medication compliance studies for chronic patients as requested.

  • Working with provider team and Director of Nursing to maximize use of Facility Infirmary or Medical Observation Unit for chronically ill patients in lieu of off-site hospital services.

  • Ensuring Facility chronic care program remains in compliance with standards published by the National Commission on Correctional Health Care.

  • Must be able to obtain and maintain security clearance.

  • Must be able to apply principles of critical thinking to a variety of practical and emergent situations and accurately follow standardized procedures that may call for deviations.

  • Must be able to apply sound judgment beyond a specific set of instructions and apply knowledge to different factual situations.

  • Must be alert at all times; pay close attention to details.

  • Must be able to work under stress on a regular or continuous basis.

  • Post orders, if applicable, per site contract.

  • Perform other duties as assigned.

Wellpath is an EOE/Minorities/Females/Vet/Disability Employer

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