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Field Nurse, RN - ( So San Francisco, CA ONLY ) - House Calls - Flexible Full-Time; * SIGN-ON BONUS $2000* PLUS *INCREASED PAY RATES*

Company: Landmark Health
Location: Palo Alto
Posted on: June 6, 2021

Job Description:


***SIGN-ON BONUS $2000*** plus Increased Competitive Pay


Evening, night and weekends shifts are eligible for a shift differential pay premium.


This role primarily provides medical care and management to members served by the Landmark program who request urgent visits to the IDT team during daytime and/or swing hours (8 hour shifts). This position also participates in new patient enrollment, post-discharge visits, and gathering clinical information for medical necessity determinations for service requests.  Dedicated to improving the health and well-being of members, this position collaborates within longitudinal Landmark provider and/or the PCP as needed to discuss immediate and ongoing patient care needs.



*Great Benefits Package including money towards CME*


  • Practices in accordance with the respective state laws and regulations governing the practice of registered nurses.
  • During the visit, promptly communicates with the longitudinal provider and/or pod leader to discuss patient assessment and receive/document/implement orders received.
  • Comfortable with basic procedures of nursing care, including IV placement, blood draws, injections, foley catheters, nasal packing, wound care, etc.
  • Competes the required documentation in a timely manner (goal: during or immediately after the visit) allowing the care team access to the care provided and a note to be generated for co-signature.
  • Competency in care for core chronic disease condition of internal medicine and their respective exacerbations (e.g. COPD, Heart Failure, Diabetes, Kidney Disease, Wounds, Infections, etc).
  • Communicates to and participates in discussions with the on-call and other team members regarding urgent call matters that may require close patient follow-up or alteration of the care plan.
  • Completes follow-up and post-hospital assessments according to documented standard operating procedures.
  • Implements appropriate diagnostics and completes interventions received via verbal order (?) from longitudinal provider/pod leader as appropriate, to avoid unnecessary transfers/acute admissions.
  • Consults with hospital physicians following notifications of member transfer.
  • Works with the Regional Medical Director (RMD) and physician pod leaders to develop quality improvement programs and provides feedback regarding needed equipment and training to ensure maximum value to the RN Urgentivist position.
  • Educates members and/or their caregivers in disease processes and ways to manage them effectively
  • Participates in management meetings that include, but may not be limited to:
    • Daily huddle calls
    • Weekly case conference reviews
    • Monthly staff meetings
    • Quarterly Quality Improvement Committee meetings
    • Continuing education/journal club programs
  • On-call for caseload during business hours.
  • Keeps current on relevant medical and nursing research, technology, and related issues by attending continuing education courses, professional meetings and journal reviews.
  • Perform related duties as necessary and other duties as assigned.


To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.  The requirements listed below are representative of the knowledge, skill, and/or ability required.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

  • Completion of Registered Nurse accredited program.
  • Minimum of two (2) years clinical experience; Emergency Room or ICU care experience preferred.
  • Knowledge of inpatient, skilled nursing, community resources and cost-effective alternatives regarding patient care delivery systems. (home health experience and or understanding?)
  • Knowledge of CPT, ICD-10 and HCPC codes – for what purpose? Referrals?
  • Knowledge of clinical standards of care
  • Awareness about CMS guidelines, Milliman guidelines, and Medicare contracts and benefit systems preferred
  • Access to reliable transportation to conduct patient visits required; if you are driving a vehicle, you must comply with all the terms of the Landmark Motor Vehicle Safety policy.


In order to work with potentially vulnerable patient populations and to keep employees healthy while caring for patients, all patient-facing employees of Landmark must provide evidence of the following required immunizations/vaccinations as a condition of employment: TB, MMR, Tdap, and Influenza. Declinations may be accommodated based on your medical history, an allergy or religious beliefs. Please immediately contact HR if you wish to apply for an exemption from our vaccination requirements so that we may determine if you qualify for an accommodation.


  • Problem Solving - Identifies and resolves problems in a timely manner; gathers and analyzes information skillfully; develops alternative solutions; works well in group problem solving situations; uses reason even when dealing with emotional topics.
  • Technical Skills - Assesses own strengths and weaknesses; pursues training and development opportunities; strives to continuously build knowledge and skills; shares expertise with others.
  • Customer Service - Manages difficult or emotional customer situations; responds promptly to customer needs; solicits customer feedback to improve service; responds to requests for service and assistance; meets commitments.
  • Interpersonal Skills - Focuses on solving conflict; maintains confidentiality; listens to others; keeps emotions under control and overcomes resistance when necessary; remains open to new ideas.
  • Oral Communication - Speaks clearly and persuasively in positive or negative situations; listens and seeks clarification; responds openly to questions.  Able to deal with frequent change, delays, or unexpected events.
  • Attendance/Punctuality - Is consistently at work and on time; ensures work responsibilities are covered when absent; arrives at meetings and appointments on time.
  • Dependability - Follows instructions, responds to management direction; takes responsibility for own actions; keeps commitments; commits to long hours of work when necessary to reach goals; completes tasks on time or notifies appropriate person with an alternate plan.
  • Initiative - Volunteers readily; undertakes self-development activities; seeks increased responsibilities; takes independent actions and calculated risks; looks for and takes advantage of opportunities; asks for and offers help when needed; generates suggestions for improving work and workflow.
  • Computer literacy? Experience in electronic health records

Keywords: Landmark Health, Palo Alto , Field Nurse, RN - ( So San Francisco, CA ONLY ) - House Calls - Flexible Full-Time; * SIGN-ON BONUS $2000* PLUS *INCREASED PAY RATES*, Other , Palo Alto, California

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