RN Heart and Lung Specialists

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Pay range: $46.00 - $69.00 Relief Differential - 15% Heart & Lung Specialist - Bend, Oregon ST. CHARLES HEALTH SYSTEM JOB DESCRIPTION TITLE: Registered Nurse - Heart and Lung Specialists Cardiology Clinics REPORTS TO POSITION : Clinic Manager or Supervisor DEPARTMENT: Heart and Lung Specialists DATE LAST REVIEWED: April 2026 OUR VISION: Creating America's healthiest community, together OUR MISSION: In the spirit of love and compassion, better health, better care, better value OUR VALUES: Accountability, Caring , Teamwork , and Safety DEPARTMENT SUMMARY: St. Charles Health System encompasses practices in Central Oregon counties and numerous specialties including, family care, internal medicine, obstetrics and gynecology, pediatrics, immediate/urgent care, cardiology, pulmonology, rheumatology, general surgery, cancer care, and sleep medicine. We encourage collaboration between clinical and non-clinical staff to assure we are providing our community with comprehensive and compassionate health care. POSITION OVERVIEW: The Registered Nurse (RN) - Heart and Lung Specialists provides quality patient and family centered care as a member of the health team in accordance with St. Charles Health System mission, philosophy, policies, and procedures. The RN applies standards of professional nursing practice and focuses clinical care to enhance the experience for the patients, families, and all others. They use nursing skills to make appropriate patient health assessments. This position functions as primary liaison between patients, staff, and providers. This position supports Cardiology in an outpatient environment. This position does not directly manage any other caregivers. ESSENTIAL FUNCTIONS AND DUTIES: Provides comprehensive nursing care for patients in an outpatient clinic environment. This role extends beyond episodic triage functions and serves as an actively engaged clinical partner within a multidisciplinary outpatient care team, providing ongoing assessment, intervention, coordination, and monitoring for complex and medically fragile patients as needed. Conducts in‑clinic and telephone triage, including urgent and emergent walk‑ins; assesses patient stability, clinical risk, and symptom burden; initiates timely interventions using approved standing orders and protocols; and collaborates with providers to escalate care or transition patients to higher levels of care when indicated. Provides direct clinical care for high‑acuity patients within the clinic setting, including medication administration (including intravenous as needed), outpatient therapies, post‑intervention monitoring, symptom management, and evaluation of clinical response. Performs peripheral IV insertions using aseptic technique, ensuring patient safety, comfort, and adherence to clinical protocols. Conducts ongoing IV site and vascular assessments to identify complications, evaluate patency, and document findings accurately. Coordinates care for high‑risk cardiology patients across the continuum, including collaboration with cardiologists, advanced practice providers, inpatient teams, emergency departments, pharmacy, and community partners to support continuity of care, safe transitions, and reduction of avoidable emergency department visits and hospitalizations. Uses critical thinking and clinical judgment to support protocol‑driven medication management, medication titration, treatment administration, monitoring for therapeutic effectiveness and adverse effects, and timely communication with providers regarding patient status. Performs comprehensive patient assessments using clinical judgment and available diagnostic data; implements evidence‑based nursing interventions; collaborates with interdisciplinary team members to address physical, emotional, and psychosocial needs; and evaluates ongoing patient response to care. Develops, implements, documents, and monitors individualized, evidence‑based plans of care in partnership with patients, families, and the multidisciplinary care team; revises plans based on patient goals, clinical progression, and response to treatment. Provides patient and caregiver education focused on disease management, medication adherence, symptom recognition, and self‑management strategies to support safe care and early intervention between visits. Performs EKGs, patient education, follow‑up, and basic rhythm interpretation as required to support cardiology and heart failure care pathways. Assists with scheduling urgent and routine appointments and diagnostic testing; communicates abnormal results; reinforces treatment plans; and ensures timely follow‑up for patients with complex and evolving clinical needs. Demonstrates independent critical thinking, situational awareness, and the ability to manage competing priorities in a fast‑paced, high‑acuity outpatient clinic environment. Acts as a clinical resource to internal care teams, acute care departments, and referral partners by supportin

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