Job Description

What You Can Expect:

Our Registered Nurses love Grand Itasca for the stability, meaningful work and great team. If you are looking for professional growth and development with hands on experience caring for a diverse patient population, Grand Itasca is where you belong!

We're glad you are thinking about joining us

Grand Itasca is a great place for Registered Nurses. We're a non-profit organization with a clear vision of being the leader in transforming rural health care by achieving the highest levels of quality, access, and value. Our strength stems from teamwork and collaboration among a talented and diverse group of professionals. With over 700 employees in hundreds of different roles, Grand Itasca can offer a variety of career opportunities.

Let's talk about benefits

• Competitive pay
• Tuition reimbursement and scholarship/grant opportunities
• Health, dental, vision, & life insurance kick in on the first of the month after 30 days of employment
• Generous paid time off package to maintain a healthy home-work balance
• STDB (short term disability bank)
• 401K with employer contributions
• Experience Pay Given
• Employee Referral Program

About the Position

POSITION: Registered Nurse - Rheumatology/INR

EMPLOYMENT TYPE: .6 FTE (48 hours a pay period)

WORK SCHEDULE: Days

DEPARTMENT: Clinic Nursing

Internal Posting Through 2/18/2026

The Clinic Rheumatology and INR RN works in the outpatient clinic setting and plays a critical role in managing the care of patients with chronic rheumatic diseases, autoimmune conditions, additionally patients receiving services for anti-coagulation; these roles are typically played out during separate shifts. The RN helps patients manage symptoms, prevent disease progression, and improve their quality of life through skilled clinical care, patient education, and support while being a general advocate for the patient. The position involves thorough care coordination, knowledge and integration of standards, resource utilization, data collection and critical thinking to ensure that patients receive appropriate treatments and follow-up care. The clinic RN role provides triage over the phone, provider in basket management and MyChart message management for patients.

Here's what you'll do when you join us

1. Follows the RN process for nursing assessment, diagnosis, planning, implementation of care, and evaluation of patient progress to function in a full scope RN role to support providers in the clinic, rheumatology, and INR patients.
2. Works collaboratively with cardiologist, physicians/providers and pharmacy to manage patients on anti-coagulant therapy in accordance with organizational policies and protocols.
3. Works collaboratively with clinic personnel/departments and hospital personnel/departments to support smooth patient transitions.
4. Acts as a resource and team lead to LPN and CMA staff in assigned unit in accordance with the Minnesota Nurse Practice Act (NPA).
5. Provides patient education following clinic visits.
6. Manage Rheumatology providers' in-baskets, including phone calls, MyChart messages, refills, and relays some test results per Rheumatology provider.
7. Completes patient chart preparation, including: medication, allergy, problem list, and immunization reconciliation; pending standing lab orders and medication refills; reference last office visit note and anything new since that visit (medication changes, tests, ED visits, hospitalizations, etc.); record last labs, dates of any other tests, and any referral visits; make note of ROI forms that need signing; and work with patient to obtain records needed prior to consult.
8. Works collaboratively with physicians/providers and nursing personnel to triage patients over the phone, directing them appropriately with best clinical judgement.
9. Works collaboratively with clinic personnel/departments and hospital personnel/departments to support smooth patient transitions.
10. Provides evidence-based patient and staff education relating to clinical care.
11. Completes Transitional Care Management (TCM) calls for hospital and emergency department discharged patients, when directed, ensuring patients are contacted to reduce risk of readmission and obtain TCM payment.
12. Provides direction to LPN/CMA or Clinic Nursing Leader on supplies and patient education materials that need stocking.
13. Follows-up with patients after visits and assists to coordinate follow-up appointments with primary or specialty care.
14. Knows the key staff available to help patients with financial and emotional support; arranges for patients to meet with these resources people, if needed.
15. Manages scheduled medication contracts for unit patients.
16. Other duties in support of unit patient's plan of care and consistent with full scope RN practice in accordance with Minnesota Nurse Practice Act.

If you have these qualifications, we'd love to chat:

• Registered Nurse with an active RN license in the state of Minnesota.
• 1 year experience in chronic disease management in an outpatient setting is required.
• Knowledge of autoimmune diseases, musculoskeletal conditions, and pharmacology is preferred.
• Demonstrated knowledge of the Minnesota Nurse Practice Act and the Scope of Ambulatory Care Nursing.
• Demonstrates clinical competence in providing direct patient care and patient and family education as well as assisting the physician in the delivery of patient care.
• Has current BLS certification (or is willing to obtain within two months of employment.)
• Demonstrated ability to manage the complex needs of a family medicine practice.
• Demonstrated competence in managing patients using Patient Care Protocols.
• Ability to manage change in a positive patient centered manner.
• Demonstrated ability to follow and adhere to Grand Itasca Clinic and Hospital policies, vision, and mission.
• Maintains reliable and consistent attendance.

About Grand Itasca:

Grand Itasca brings the benefits of a large and respected health system to our local community. We are a non-profit, state-of-the-art, integrated clinic and hospital that is proud to offer a range of high-quality providers, specialties and services to our community. Enjoy our patient-centered, comprehensive approach, close to home without venturing from the beauty of northern Minnesota.

*The posted compensation range corresponds to the minimum and maximum pay rates outlined in your union agreement for the respective job classifications at the time of job posting. An individual's pay rate within this range may be influenced by various factors, including FTE, skills, knowledge, educational background, and qualifying experience as specified in the contract.

EEO/AA Employer/Vet/Disabled All qualified applicants will receive consideration without regard to any lawfully protected status.