The Cardiovascular Associates of Victoria Lead Nurse works as an integral member of  the clinical team to deliver high quality care to Cardioavascular Associates of Victoria (CVA) patients, assists managers in developing and implementing clinical policies, procedures and competencies, serves as primary preceptor in the training and development of nursing staff, provides oversight for CMS Quality Payment Program (QPP) Incentive Merit-Based Incentive Payment System initiative, assists in developing and monitoring practice initiatives that increase efficiency and support practice goals.

Job Specific:

Provides safe, effective nursing care in the clinic setting.  Plans, implements and evaluates the nursing care needs of each patient. (EF)
Demonstrates critical thinking skills, decisive judgment and the ability to work with minimal supervision in a fast-paced environment. (EF)
Interviews patients, measures vital signs, completes medication reconciliation and documents patient medical history. (EF)
Provides condition-specific patient education and anticipatory guidance, as well as care coordination, under the guidance of the provider. Recommends community resources to meet patient and family      needs. (EF)
Prepares treatment room for patient’s examination, inventories and orders medical supplies. Keeps all areas stocked and neat in appearance. (EF)
Performs EKGs with precision and accuracy; evaluates patients presenting to INR clinic; facilitates titration of prescribed medication; assists in establishing and maintaining quality control processes. (EF)
Triages patient phone calls, consults with provider as appropriate, responds promptly to patient         questions, calls patients with test results and facilitates appropriate prescription refills. (EF)
Completes all documentation associated with daily responsibilities promptly and accurately. (EF)       

Lead Nurse -Additional Duties:

Assists Office and Practice Managers in developing and implementing clinical policies/procedures and competencies.
Serves as Primary Preceptor in the training and development of nursing staff.
Assists Office Manager in daily/weekly nursing assignments.
Monitors clinical supplies and pharmaceuticals and ensures adequate supplies are maintained and expiration dates are current. Provides oversight in the ordering of supplies to avoid excess.
Responsible for maintaining any required clinical logs and records (i.e., INR QM logs, CLIA License, etc.) in accordance with organization’s policies.
Plans and facilitates Nursing Staff Meetings at least monthly. Composes agenda and meeting minutes.
Serve as a key driver, resource and example to other staff members in customer service and iCARE values.  Models and champions customer service and teamwork skills.
Recognizes and formulates solutions to service opportunities in clinic.
Uses effective leadership and organizational skills for problem solving, mentoring and directing staff, and reporting issues to managers in a timely manner.
Assists in developing and monitoring practice initiatives that increase efficiency and support practice goals.
Provides oversight for CMS Quality Payment Program (QPP) Incentive Merit-Based Incentive Payment System initiative. Coordinates with IT Systems Analyst, nursing staff, physicians, and managers to ensure QPP goals are met.


Adheres to organization-wide and other applicable policies and procedures.
Day-to-day performance complies with the hospital’s Service Excellence Behavioral Expectations.
Performs within the prescribed limits of the hospital’s Ethics, Compliance and Confidentiality Program guidelines.
Performs within his/her professional Scope of Practice at all times.
Minimum Requirements 


Graduate of an accredited school of nursing
Current License as a Registered Nurse in the state of Texas
Healthcare Provider CPR               
Experienced with Microsoft Office Applications including Word, Excel, Power Point
Consistently exhibits behavior and communication skills that demonstrate commitment to superior customer service with each internal and external customer


Additional education and/or training specific to the care of cardiac patients
At least one year of  experience in the care of cardiac patients:  ER, ICU, Telemetry, Cardiac Cath Lab, or Cardiology Clinic


Citizens Medical Center is a not-for-profit, community hospital known for compassionate patient care, clinical expertise, and bringing advanced medical services to the South Texas region since 1956. Today, Citizens is a 317-bed acute care hospital with over 1,200 employees. Voted “Best of the Best” hospital in Victoria for 11 consecutive years, Citizens Medical Center is a level III Trauma Center, currently renovating its 24/7 Emergency Department that includes an onsite medical helicopter. Citizens has a comprehensive Community Cancer Program that includes two linear accelerators and HDR brachytherapy. Citizens is recognized for its outstanding cardiology program which includes a nationally accredited Chest Pain Center and is a Primary Stroke Center. Citizens also includes a comprehensive, accredited Bariatric Surgery program, Birth Center with labor and delivery, an imaging and surgery center, sleep study center, state-of-the-art rehabilitation and fitness center, urology center and daVinci robotics minimally invasive surgery options, a home health agency, and has a long history of providing continuing education for healthcare providers and the community. 

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Citizens Medical Center is guided by its Mission – “to provide quality medical services at a reasonable cost to the citizens of the region.”