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.

ESSENTIAL JOB FUNCTIONS

The Case Manager, clinic team and Director of Nursing will identify:

• Patient populations known to be at high risk due or in need of close monitoring:

1. Elders;
2. Hypertension (HTN) patients;
3. Diabetes (DM) patients;
4. Cancer related chemotherapy;
5. HIV / AIDS
6. Asthma
7. Hepatitis
8. Chronically-ill and at-risk pediatric patients;
9.  Others as deemed appropriate

• Patients who could benefit from case management assistance, such as

1. Team Conferences
2. Care Planning
3. Patient Contracting
4. Family Meetings

• Assists the team in the 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 KICTHC and outside agencies to assist in communication and collaboration of health care, including disease screening referral processes.
• Participates in Case Management related Quality Improvement activities upholding AAAHC standards.

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.

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 clinical / technical ski8lls such as cognitive, psychomotor, and technical understanding;
• 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.
• Knowledge of the Health Insurance Portability and Accountability Act (HIPAA);
• Skill in administering, implementing, and documenting therapeutic measurers in a correct and safe manner;
• Skill to operate software programs and specialized medical equipment;
• Ability to conduct an age appropriate patient assessment to determine nursing diagnosis, plan of care, and ongoing data reflecting patient outcome and changing conditions;
• Ability to communicate professionally over the telephone and in person in a positive and clear manner;
• Ability to manage multiple tasks, including telephone, computer operations and in-person visits simultaneously;
• Ability to take verbal instruction and complete assigned project by established deadline;
• Ability to be flexible in order to perform at the highest level as a team player;
• Ability to utilize maximum degree of professionalism and diplomacy with those who may be experiencing a high degree of stress both mentally and/or physically (both patients and co-workers);
• Ability to work independently with minimal supervision and able to prioritize assignments;
• Ability to maintain confidentiality of all KIC operations and staff.

QUALIFICATIONS

• Possess current valid driver's license with a record acceptable to KIC’s Insurance carrier.
• Licensure: 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 have current BLS certification and able to obtain ACLS / PALS certification.
• Education: Degree in nursing, from an accredited school of Nursing, bachelor’s Degree in Nursing preferred.

Benefits

• More than 21 Federal healthcare plans to choose from!
• Dental, Vision, Basic Life, and AD&D are free to employees.
• Time off to enjoy Alaska! Generous PTO 4.5 weeks per year. In addition, there are 13 paid holidays.
• 401(a) retirement plan: KIC will contribute 2.5% of your annual compensation to the plan account each year after 90 days, and;
• 401K, 7.5%, employer contribution after an eligibility period.
• Onsite free 24-hour gym access! And so much more!
• Relocation assistance available for some positions