Nurse Case Manager

Dept./Program: Primary Care

Division: Health Systems

Reports To: RN Supervisor

Employment Status: Full Time

FLSA Status: Non-Exempt

Schedule: 40 hours/week

Preference: TERO Ordinance 2017-01, P.L. 93-638

Job Summary

The Nurse Case Manager is responsible for utilizing the Dene' Model of Care to assess, plan, implement and evaluate processes for targeting health status of assigned panel(s) in order to assure quality care to meet un'ina comprehensive care needs. The Nurse Case Manager will utilize advanced knowledge and skills in health process management and individual patient case management. The Nurse Case Manager will provide oversight and development of processes related to coordination of health care services.

Essential Functions

• Will assess the health care needs of assigned panel(s) by utilizing the Dene' Model of Care and health care management tools.
  • Prioritize and advocate for un'ina needs.
  • Utilize critical thinking skills to interpret complex information.
  • Utilize the Nurse Case Management Competency tool to guide performance and support independent practice.
• Establish measures to address targeted health indicators by working with designated healthcare provider and/or wellness team.
  • Collaborate with all team members within organization, to include the Alaska Native Tribal Health Systems, and other healthcare facilities.
  • Assist and guide un'ina in navigating the health care system when more specialized assistance is needed.
• Utilize data to assess and monitor panel of un'ina, review and determine healthcare needs to be addressed.
  • Notify provider of needs as identified in a timely manner.
  • Follow up on specialist recommendations with PCP as needed.
  • Guide un'ina and family members to health and well-being through education.
• Advocate for comprehensive and collaborative un'ina care by participating in staff meetings for information sharing, continuing education and training activities, and participating in continuous improvement efforts.
  • Participate in planning committees as the liaison for comprehensive un'ina care.
• Work collaboratively by building working relationships and creating rapport with all team members within the organization, the Alaska Native Tribal Health System, and other referral agencies

It is the intent of this job description to highlight the essential functions of the position; however, it is not an all-inclusive list. The incumbent may be called upon and required to follow or perform other duties and tasks requested by his/her supervisor, consistent with the purpose of the position, department and/or the Kenaitze Indian Tribe's objectives.

Working Conditions

Lifting Requirements

Light work Exerting up to 20 pounds of force frequently, and/or a negligible amount of force constantly to move objects. If the use of arm and/or leg control requires exertion of forces greater than that of sedentary work and if the worker sits most of the time, the job is considered light work.

Physical Requirements

Stand or Sit (Stationary position)

Walk (Move, Traverse)

Use hands/fingers to handle or feel (Operate, Activate, Use, Prepare, Inspect, Place, Detect, Position)

Climb (stairs/ladders) or balance (Ascend/Descend, Work atop, Traverse)

Stoop, kneel, crouch or crawl (Position self (to), Move)

Talk/hear (Communicate, Detect, Converse with, Discern, Convey, Express oneself, Exchange information)

See (Detect, Determine, Perceive, Identify, Recognize, Judge, Observe, Inspect, Estimate, Assess)

Taste/Smell (Detect, Distinguish, Determine)

Repetitive Motion

Hazards and Atmospheric Conditions

Noise

Biohazard

OSHA Categories

Category II Normal routine involves no exposure to blood, body fluid or tissue, but exposure or potential for exposure may occur

Equipment and Tools

List Equipment used for job: multiple databases, computer-based systems to develop reports, lists. Telephone, fax, and various clinical equipment as needed.

Travel

In-State

Comments: Travel may be required for training.

Qualifications

Education

• Associates degree in nursing required.
• Bachelors' degree preferred.

Experience

• Three years clinical experience.
• Patient population health management experience.

License/Certification

• Registered Nurse license required.
• Basic Life Support certification.
• Valid Alaska Driver License and must remain insurable under the Kenaitze Indian Tribe's policy.

Essential Skills

• Strong analytical and critical thinking skills and attention to detail.
• Clear understanding of the nursing scope of practice and ability to delegate tasks as appropriate.
• Good listening skills to best understand both the medical and social needs of un'ina.
• Strong oral and written communication skills.