Description

SUMMARY:

Applicant must possess a Bachelor’s degree in Nursing (BSN) from an accredited school. A minimum of 3 years’ experience as a clinical case manager, or a similar healthcare role; or Associates of Science in Nursing (AND) with 5 years case management or related healthcare experience. Must have or willing to obtain current CPR Certification from the American Heart Association or Red Cross prior to orientation. The Registered Nurse Case Manager (RNCM) is responsible for helping those with chronic illness, mental health issues, or life-altering conditions to gain access to clinic services, rehabilitation programs, and other community services. Duties include meeting with clients and their families, connecting clients with professional services, and maintaining consistent communication with clients to assess their wellbeing. The RNCM evaluates treatment plans and collaborates with the multidisciplinary team to suggest and make changes as needed based on patient progress or changes in condition. Must be able to work with the Indian community, and be sensitive to the Indian Culture and its needs.

MAJOR DUTIES AND RESPONSIBILITIES: 

Duties of this position include, but are not limited to the following:

• Assessment of the patient’s physical, mental wellness, needs, preferences, financial status, and abilities. The RNCM uses this information to develop individualized care plans.
• Works collaboratively with patients, families, medical providers, nurses, Tribal entities, and all members of the multidisciplinary healthcare team to provide high quality and patient-driven care.
• Collaborates and communicates with patients, families, support networks, and health care professionals to establish and implement the plan of care.
• Documents patient progress in NextGen electronic health record (EHR) related to the plan of care, including charting referrals, home visits and other notable interactions.
• Evaluates patient progress using nationally/local recognized guidelines at established intervals, and as needed, while collaborating with the multidisciplinary care team to adjust the plan of care to improve outcomes.
• Documents intake information, reassessment information, referrals, case reports and home visits within the EHR.
• Determines the need for medical, therapeutic, psycho-social, or psychiatric evaluations based on patient progress. May initiate referrals based upon RSBCIHI standardized protocols in collaboration with the medical team.
• Coordinates and provides patient care based on an approved treatmentplan.
• Ensures that patients are active participants and decision makers in their treatment plan, answering any questions they may have.
• Determines case closure by evaluating patient progress toward established goals.
• Builds strong relationships with various health care discipline teams throughout the case management process. 
• Assists patients and families with necessary financial assistance referrals and eligibility determination.
• Establishes and provides ongoing communication between RSBCIHI and patients who would benefit from referral to community social resource agencies.
• May be tasked to cover RN clinical duties, including Charge Nurse, in various RSBCIHI clinics during critical staffing shortages.
• Other duties as assigned.
• This position may require working weekends and evenings as needed.

Qualifications

Education:

Bachelor’s degree in nursing (BSN) from an accredited school preferred; or Associates of Science in Nursing (ADN) with 5 years case management or related healthcare experience.

Experience:

A minimum of 3 years’ experience as a clinical case manager, or experience in a similar healthcare role.

License:

Current California RN License required.

Certification:

Current CPR Certification that meets the guidelines from the American Heart Association or Red Cross (Can be obtained prior to orientation).

Skill:

Must have excellent knowledge of case management principles and practices. Ability to act as an advocate for patients in need.

Superior communication skills (written/verbal) with healthcare professionals including medical providers, nurses, and allied health staff.

Ability to:

Ability to work with patients with disabilities, mental illnesses, or challenging behaviors. Ability to be compassionate, empathetic, patient, and calm when working with patients. Ability to remain up to date with emerging medical knowledge and technology

Must be able to work with the Indian Community and be sensitive to the Indian culture and its needs.

Physical Demands:

Work is primarily performed in clinic office spaces and may require the routine risks and discomforts of traveling.