Nurse Case Manager Department Primary Care Program Health Systems
Reports to: RN Supervisor
Employment Status: Full-Time FLSA Status: Non-Exempt Schedule: 40 Hours, 52 Weeks
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 the health status of assigned panels in order to assure quality care and meet unina 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
• Assess the health care needs of assigned panels by utilizing the Dene Model of Care and health care management tools. • Prioritize and advocate for unina 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 System and other healthcare facilities. • Assist and guide unina in navigating the health care system when more specialized assistance is needed. • Utilize data to assess and monitor panel of unina 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 unina and family members to health and well-being through education. • Advocate for comprehensive and collaborative unina 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 unina 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.
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.
Physical Requirements:
• Stand or Sit: Stationary position • Walk: Move • Traverse: Use hands, fingers to handle or feel • Operate: Activate • Prepare: Inspect • Place: Detect • Position: Climb stairs, ladders, or balance • Ascend/Descend: Work atop • Stoop, kneel, crouch, or crawl: Position self to • 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
OSHA Categories: Category I - Duties performed routinely require exposure to blood, body fluid, and tissue.
In-State Qualifications
Education: Associates degree in nursing required; Bachelors degree preferred.
Experience: Three years clinical experience; patient population health management experience preferred.
Knowledge and experience working with cultural diversities.
License/Certification:
• RN license required • Basic Life Support certification • Valid Alaska Driver License and must remain insurable under the Kenaitze Indian Tribes policy.
Special 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 unina • Strong oral and written communication skills • Knowledge and experience working with cultural diversities