Nurse Case Manager
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 System, 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
- Ensures compliance with Tribal, federal, state, and local employment laws and regulations, Tribal policies and TERO ordinance
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:
- 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, 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