Community Base - Community Health Nurse (RN)

Job Title: Community Health Nurse (CHN) (RN)
Department: Community Base
Salary: $65K - $70K

The Community Health Nurse (CHN) plays a vital role in advancing Care Ring’s mission to improve health outcomes for uninsured and underserved populations. This role combines direct clinical outreach via The Bridge Mobile Health Unit with nurse case management responsibilities for patients enrolled in Care Ring’s Access to Care programs. The CHN conducts health screenings and provides medical education in community settings (The Bridge Mobile Unit and other events) while also coordinating care plans, referrals, and patient advocacy for community and Care Ring Access to Care patients. This position ensures continuity of care, promotes health equity, and supports patients in navigating complex healthcare systems and social determinants of health.

Responsibilities:

Mobile Health Unit Support

• Conduct health screenings (e.g., blood pressure, A1c and other appropriate Point of Care testing) and provide preventive health education

• Collaborate with Program Coordinator and Community Health Worker to ensure efficient client flow and follow-up

• Identify patients in need of further care and facilitate warm handoffs to appropriate Care Ring programs and other community referral partners

Nurse Case Management

• Serve as Nurse Case Manager for patients enrolled in Physicians Reach Out and Care Ring Clinic

• Conduct comprehensive assessments and develop person-centered care plans addressing clinical, social, and environmental needs

• Coordinate referrals to specialty care, home health, therapy, long-term care, and community resources

• Liaise between patients, providers, and insurers to ensure continuity and access to care

• Advocate for patient needs and support navigation of healthcare systems and insurance coverage

Patient Education & Advocacy

• Educate patients and families on chronic disease management, medication adherence, and health literacy

• Promote self-management and independence through coaching and resource sharing

• Provide culturally sensitive education and materials tailored to diverse populations

Documentation & Communication

• Maintain accurate and timely documentation in electronic health records and care management systems

• Participate in case conferencing, staff meetings, and interdisciplinary planning sessions

• Communicate effectively with clinic staff, CHWs, and administrative teams to ensure coordinated care

• Ensure confidentiality and compliance with HIPAA and organizational policies

Qualifications and Education Requirements

• BSN preferred (RN with an Associate degree considered with relevant experience)

• Current RN license in good standing in North Carolina

• Minimum 2-year clinical nursing experience, preferably in community health, primary care, or FQHC settings

• Experience in case management or care coordination preferred

• Experience working with underserved populations and maternal/child health preferred

• Current CPR/BLS certification

• Covid 19 vaccination and proof is required

• Valid driver’s license and insured automobile

• Proficiency in Microsoft Office Suite and electronic health record systems

• Strong organizational and time management skills with the ability to work independently and collaboratively

• Cultural competency and sensitivity to diverse patient populations

• Must be able to work a flexible schedule, including some evenings and weekends

• Ability to lift up to 25 pounds and perform physical tasks associated with mobile unit operations

Preferred Skills

• Bilingual (Spanish/English)

• Knowledge of services available in the Charlotte-area community

• Experience in mobile health or outreach settings

• Familiarity with trauma-informed care and motivational interviewing

• Strong clinical judgement, problem-solving, and crisis intervention skills

• Commitment to serving uninsured and Medicaid patients and addressing social determinants of health

• Experience using Epic for clinical documentation

  Benefits: Major Medical, Dental, Vision, Employer Paid Benefits to include Basic Life and AD&D, Short-term & Long-term Disability, Accident and Critical Illness Plans, Hospital Indemnity, Paid Holidays, and up to 20 vacation days your first year.