Registered Nurse - Women's Health

Goldbelt Glacier is accelerating healthcare delivery and providing superior force health readiness across the military, federal, and civilian landscapes. Goldbelt Glacier is committed to providing transformative and comprehensive health operational capabilities to support customers across scientific, clinical, technological, and program management areas.

As a part of the Goldbelt Glacier Team, you will be supporting the Naval Logistics Command with medical services for active-duty military personnel, their dependents, eligible DoD civilian employees, and other eligible beneficiaries designated by the Government. As a HealthCare Worker (HCW), you will be assigned to either a Military Treatment Facility (MTF) or other Federal medical treatment facilities in Japan.

• Assess each patient and perform triage duties as assigned.
• Formulate and carry out a goal directed plan of care which based on determined nursing diagnosis and patient outcomes and which is prioritized according to patient needs and available resources including time, personnel, equipment, and supplies.
• Evaluate effectiveness of self-care given by all health team members, and contribution of systems, environment, and instrumentation in progressing patient toward outcomes.
• Provide treatment and discharge instructions upon patient release.
• Perform assessment/data collection in an ongoing and systematic manner, focusing on physiological, psychological, and cognitive status.
• Provide a safe and clean environment for each patient.
• Identify patient/significant other learning needs and implement appropriate measures to meet identified needs.
• Assist in planning, provide clinical direction, and provide instruction to LPNs/LVNs, nursing assistants and ancillary personnel.
• Demonstrate sound knowledge base and action in the care and decision making for designated patient populations. If weaknesses or deficiencies are identified either by peer reviews, quality control reports (QCRs), or evaluations the HCW will be required to complete refresher training (in-services, competency reviews, continuing education, etc.) at contractor expense.
• Perform documentation (manually and/or by use of computer) duties on unit and in-patient record that are timely, accurate, and concise.
• Implement care in a knowledgeable, skillful, consistent, and continuous manner.
• Establish priorities of patient care based on essential patient needs and available unit, command, and community resources including time, personnel, equipment, and supplies.
• Demonstrate competency in medication and intravenous (IV) administration to include blood products and Total Parental Nutrition (TPN) intramuscular (IM) and subcutaneous (SQ) administration and demonstrate competency in phlebotomy as specific to the position.
• Safely administer prescribed medications to include intravenous drips and intravenous push drugs.
• Identify patient/significant other learning needs and implement appropriate measures to meet identified needs.
• Perform documentation (manually and/or by use of computer) duties on unit and in-patient record which are timely, accurate, and concise.
• Complies with requirements and assists clinical programs and treatment teams in preparation for The Joint Commission (TJC), National Committee for Quality Assurance accreditations; the Air Force Inspection Agency Health Service Inspection; Air Force Audit
• Agency audits and other internal or external reviews, as applicable. Implements and monitors follow-up recommendations for corrective actions.
• Maintain a level of productivity comparable with that of other individuals performing similar services.
• Focus on offering primary care services to women of all ages.
• Provide care for acute and chronic health problems, but they are also skilled in offering health counseling services as well as preventative services, and referrals to relevant specialists when necessary.
• Generally work with patients beginning at puberty through their advanced years, providing health care, disease prevention, and health promotion services.
• Provide a full range of Gynecological and Obstetrical services in accordance with privileges granted by the Commanding Officer (e.g. provide general screening and medical care and examinations of patients for routine, acute and chronic conditions involving any and all organ systems; immunizations; diagnose, treat, and counsel patients as indicated).  

• Provide consultation from a nursing standpoint in complex cases and act as a point of contact for professional colleagues involved with patient and patient’s family for the Women’s HealthClinic. The RN will assist in preparation of histories and clinical records, ensure continuity of care of referrals under provider’s guidance, and ensure follow up appointments are made in a timely manner for patients after referrals are completed.  

• Assist in preparation and review of case histories and clinical records as needed.  Under the provider’s guidance, the RN will order diagnostic procedures and imaging studies including radiographs, MRI, CT scans, clinical laboratory tests and other diagnostic imaging studies as appropriate.  The RN will ensure providers are updated of all imaging and lab results. 

• Actively participate in ongoing improvement projects, depending on clinical needs, associated with disease management, prevention, and population-based health management.  Ensures initial and ongoing assessments identify patient needs, issues, resources and care plans in a timely manner including patient health education needs. 

• Assist the HCI and providers to re-assess and refine clinic level prevention programs.  Assist with implementation of new or changing prevention recommendations for the clinic team.  Provide disease management/population health focused in services to team. 

• Educate and counsel at appropriate age levels patient and patients’ family about their potential risk for diseases or injuries, using clinic approved literature or websites.  The RN will ensure the patient/family’s understanding and compliance and make appropriate recommendations and referrals. 

• Triage questions regarding medical necessity, appropriateness of care, and quality concerns for patients using established guidelines from telephone triage protocols.  Use appropriate resources and provider for consult management.  These telephone consults (t-cons) will be generated through AHLTA.  Each t-con will evaluate patient needs and respond to identified needs and/or redirect concerns to appropriate level of care.  The RN will ensure symptom-based t-cons are addressed within 24hours and non-symptom-based t-cons will be addressed within 72 business hours.  If there are problems with computer access, these issues must be clearly documented. 

• Ensures coordination of care delivery processes to enhance patient’s health and wellness, safety, productivity, and quality of life, to include alternate care settings and the home environment. 

• Demonstrate strong customer service skills and foster development of those skills throughout entire PCM team. 

• Furnish procedures compatible with the medical facility's operating capacity and equipment.  New medical procedures/services shall not be introduced without prior recommendation to, and approval of, the MTF Commander or authorized representative.  The RN should be proficient in or willing to train on the following procedures: IV placement and medication administration, IM medication administration, oral mediation administration, physical assessments, vision assessments, optoacoustic emissions test, nebulizer treatments, vaccination administration, ear irrigation, venipuncture, bladder catheterizations, Pulmonary Function Tests. 

• Histories and exams performed by the RN will be pertinent and clearly documented in a timely fashion in AHLTA or electronic health record.  Documentation must be clear, concise and complete for all patients.  Nursing diagnosis will be accurate with appropriate action and follow-up.  Referrals will be appropriate for diagnosis and assessment and age-appropriate preventive screenings will be demonstrated. 

• Document evaluation of pain, medication administration and re-assessment of pain.  Medication reconciliation will be documented for all encounters.  Correctly use and document Clinical Practice Guidelines (CPGs) and Staff Support Protocols (SSP) per facility standards.  Follow up abnormal vital signs and document actions.  All clinic procedures will be documented accurately and in a timely manner. 

• Assist the HCI and providers to re-assess and refine clinic level prevention programs.  Assist with implementation of new or changing prevention recommendations for the clinic team.  Provide disease management/population health focused in services to team. 

• Support providers on transport of patients on an as needed basis during regularly scheduled hours.  Patient will be monitored during transport per MTF protocol, documentation will be clear and concise and with warm hand-off to accepting nurse. 

• Must have graduated from a baccalaureate degree program in nursing (BSN) accredited by a national nursing accrediting agency recognized by the US Department of Education.
• Must have minimum of one (1) year of licensed nursing practice within the last five (5) years.
• RN must have at least two (2) years of clinical experience in a primary care setting to include; outpatient clinic, inpatient hospital, emergency room or urgent care.
• HCWs shall be in good standing, and under no restrictions, with the state licensure board in any state in which a license is held or has been held within the last 10 years.
• Each HCW shall possess and maintain current certification in either the American Heart Association BLS for Healthcare Providers or American Heart Association Healthcare Provider Course.
• HCWs who do not hold current certification must acquire certification prior to initiating contract performance. Web based classes do not meet these standards. Other certification maybe acceptable as specified in the task order.
• Certification card must display the American Heart Association or MTN emblem.
• HCWs shall be current with and have completed all continuing education requirements specified by their professional licensure or certification.
• The HCW must maintain a valid, unrestricted, current registered nurse license (with no limitations, stipulations or pending adverse actions) in one of the 50 states, the District of Columbia, the Commonwealth of Puerto Rico, Guam or the U.S. Virgin Islands. It is the contractor’s responsibility to maintain current licensure.
• Contractor personnel must complete all required training and license certifications due before their expiration.
• The contractor must be in good standing and under no restrictions, with the state licensure board in any state.
• Must be a US citizen.

• A thorough understanding of the military lifestyle and experience working with military family members.
• Working knowledge of relevant military, state, federal, and local laws and resources.
• Highly developed written, oral, and presentation communication skills.
• An active security clearance is preferred.

Pay and BenefitsAt Goldbelt, we value and reward our team's dedication and hard work. We provide a competitive base salary commensurate with your qualifications and experience. As an employee, you'll enjoy a comprehensive benefits package, including medical, dental, and vision insurance, a 401(k) plan with company matching, tax-deferred savings options, supplementary benefits, paid time off, and professional development opportunities.

• Function with an awareness and application of safety procedures.
• Apply an awareness of legal issues in all aspects of patient care and strive to manage situations in a reduced risk manner.
• Proficiency in Microsoft Office software applications including Word, Excel, Access, PowerPoint, and Outlook.
• Able to read, write, speak, and understand the English language fluently and maintain good communication skills with patients and other health care personnel.
• Highly developed written, oral, and presentation communication skills.
• HCWs shall be physically capable of standing and/or sitting for extended periods of time and capable of performing all services required under the task order.
• HCWs shall be in good standing and under no sanction or suspension by the Federal Government.
• HCWs shall represent an acceptable malpractice risk to the government.

• Knowledge of professional care theories, principles, practices, and procedures. Experience in assessing pediatric, adolescent, adults, obstetrics, and geriatric patients, as appropriate.

• Knowledge of a wide range of medical disorders/conditions and disease processes across the lifespan, as appropriate.  Knowledge of preventive health schedules, procedures, processes and education methods as well as knowledge of disease management and population health principles. 

• Knowledge of a variety of pharmacologic agents used in patient treatment, the desired effects, and complications of their use as well as the accurate administration of the pharmacologic agent, including dosage calculation as required.  Knowledge of the administrative requirements for proper documentation of patient conditions including disease progress, acknowledgment of teaching, and follow up care.