Case Manager Nursing

Job Summary

Incumbent in this position will be responsible for the coordination and continued evaluation of patient care across the health care continuum. This care includes planning, coordinating, tracking, and evaluation of the care of patient populations identified by the clinical staff as being at high risk, of high volume, or requiring special care coordination.

May be occasionally asked to assist in clinical patient care as needed.

Job Duties & Responsibilities

• Identify patient populations known to be at high risk due or in need of close monitoring: Elders, Hypertension (HTN) patients, Diabetes (DM) patients, Cancer related chemotherapy, HIV/AIDS, Asthma, Hepatitis, Chronically-ill and at-risk pediatric patients, other as deemed appropriate.
  
• Identify patients who could benefit from case management assistance, such as: Team conferences, Care planning, Patient contracting, Family meetings.
  
• Assist the team in development, implementation, and evaluation of tracking systems to assure continuity of care and follow-up according to KIC, American Association of Ambulatory Health Care (AAAHC) accreditation, State, Federal, and Indian Health Service (IHS) standards of care.
  
• Serve as team liaison within KICTHHC and outside agencies to assist in communication and collaboration of healthcare, including disease screening referral processes.
  
• Participates in case management related quality improvement activities upholding AAAHC standards.
  
• Other related duties as assigned
  

Necessary Knowledge, Skills, and Abilities

• Knowledge of professional nursing principles, practices and procedures for age appropriate basic to the ambulatory setting.
  
• Knowledge of a wide variety of medical disorders, their normal course, anticipated complications, and therapeutic interventions for patients of all ages.
  
• Knowledge of critical thinking skills as needed for the position such as problem solving, time management, priority setting, planning, creativity, ethics, resource allocation, clinical reasoning, reflective practice, learning, and change management.
  
• Strong understanding and sensitivity to American Indian/Alaska Native (AI/AN) Tribal culture and lifestyle, working effectively with AI/AN populations.
  
• Effective oral and written communication skills with sensitivity to the lifestyles of targeted participants.
  
• Skills in administering, implementing, and documenting therapeutic measures in a correct and safe manner.
  
• Skills in operating personal computers using a variety of computer software.
  
• Ability to perform routine treatments such as inhalation therapy, catheterization, dressing changes, venipuncture, IV therapy, CLIA waived point-of-care (POC) lab testing, and other procedures within scope of nursing practice and as ordered by the practitioner.
  
• Ability to conduct age appropriate patient assessment to determine nursing diagnosis, plan of care, and ongoing data reflecting patient outcome and changing conditions.
  
• Ability to establish and maintain cooperative working relationships with management, coworkers, and outside contacts.
  
• Ability to maintain strict confidentiality and comply with all applicable federal and tribal privacy laws and KIC policy (HIPAA, HITECH, etc.).
  
• Ability to learn and apply program/agency operating policies and procedures.
  
• Ability to manage multiple priorities and tasks concurrently and meet deadlines.
  
• Ability to work independently as well as with teams.
  

KIC Competencies

Cultural Competency: To be respectful and responsive to the health beliefs, practices, and cultural and linguistic needs of KIC Tribal Members. Developing cultural competence is an evolving, dynamic process that takes time and occurs along a continuum.

Commitment: To serve Tribal Members and set a high standard for yourself in your performance; strive for results and success; convey a sense of urgency and bring issues to closure; and stay persistent despite obstacles and opposition.

Customer Service: Meet/exceed the expectations and requirements of internal and external customers; identify, understand, and monitor the needs of both internal and external customers; always talk and act with customers in mind; and recognize working colleagues as customers.

Effective Communication: Ensure important information is passed to those who need to know; convey necessary information with respect, clearly and effectively orally or in writing

Responsiveness and Accountability: Demonstrate a high level of conscientiousness; hold oneself personally responsible for one's own work; and do the required fair share of work.

Working Conditions

The physical demands described here are representative of those that an employee must meet to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform these functions.

While performing the duties of this Job, the employee is regularly required to use hands to finger, handle, or feel; reach with hands and arms; and talk or hear. The employee is frequently required to stand and/or sit. The employee is occasionally required to walk, sit, climb, or balance. The employee must frequently lift and/or move up to 10 pounds and occasionally lift and/or move up to 25 pounds. Specific vision abilities required by this job include close vision, peripheral vision, and depth perception. The noise level in the work environment is usually average.

Conditions of Hire

• May be required to possess and maintain a valid driver's license or capable of obtaining one, as well as be insurable by KIC�s company insurance.
  
• KIC is a Drug-Free Workplace. All employees must adhere to KIC drug and alcohol policies and procedures to ensure a safe workplace. Employees must pass a pre-employment and subsequent random and/or for-cause drug and alcohol screening to be eligible for and maintain employment.
  
• KIC has several positions that must comply with the P.L. 101-630 Indian Child Protection and Family Violence Protection Act (ICPA); all employment offers in the "covered" classification are conditional until KIC has received a Federal criminal background check verifying eligibility to work in these programs.
  

This Job Description describes the essential duties and qualifications. It is not an exhaustive statement of all the job duties, responsibilities, or qualifications; management has the exclusive right to alter or add to this job description at any time without notice. Incumbent(s) may not be required to perform all duties listed and may be required to perform additional related duties as assigned.

Minimum Education & Experience Required

• Graduate Degree in nursing from an accredited school of Nursing.
  
• Registered Nurse in the State of Alaska or eligible to practice in the United States as a commissioned officer of the U.S. Public Health Service.
  
• Must possess a current BLS Certification and ability to obtain ACLS/PALS certification.
  
• Proof of valid driver's license with acceptable driving record.
  

Preferred Education & Experience

• Bachelor�s Degree in Nursing.
  
• Experience in community clinic preferred and a strong commitment to multi-disciplinary teamwork.