Clinical Care Manager - Pediatrics

Cherokee Indian Hospital Authority•Cherokee, NC

21d•Onsite

About The Position

The incumbent performs nursing procedures to patients of all ages independently within the framework of established policy. The Registered Nurse is a licensed professional nurse responsible for assessment of patients, development, implementation and evaluation of a patient plan of care; administration of therapeutic measures; teaching and counseling of patients and families; and participating in the development of nursing policies and procedures and quality assurance standards. The Registered Nurse is responsible for the delivery of comprehensive health care to patients of all ages, utilizing standards of care and practice, policies, protocols, and procedures. The purpose of the work is to perform the full range of the nursing process from assessment to evaluation. The work affects the physical and psychosocial well being of the patients and their families. Utilizes best practice models to identify, incorporate or develop best practices for panel management. Collaborates with other teams to share and establish best practice for health promotion and disease prevention strategies. Manages panel by addressing and resolving acute care needs and chronic care needs through a team-based approach. Incumbent will be responsible for leading their pod and assisting the Primary Care Provider in panel management that results in meeting facility, national, and regulatory quality indicators. Utilizes iCare to track, monitor, and assure the appropriate follow-up of clients targeting specific indicators. Utilizes the care management platform for documentation of care management functions such as a care needs screening, Comprehensive assessment, and care planning. Also utilizes the dashboards, within the care management platform for population health and related interventions and innovations Utilizes NC Health connects for information gathering and data collections for management of care needs or gaps in care Coordinates and follows up on referrals to outside specialty providers, recent ED visits, and ICC visits. Emphasis is placed on ensuring treatment notes are available to the PCP timely. Participates in the continued development of the role of Case Management in the Patient Centered Medical Home (PCMH) and Advanced Medical Home (AMH and AMH+). Provides standard nursing care for patients throughout the age continuum. Develops implements and evaluates care plans. Promotes health care outcomes with currently accepted clinical practice guidelines. Provides patient education, advice and information on health assessment, disease processes, medications, treatment plans and available community resources. Assesses patient needs using established clinical guidelines, protocols, and pathways. Provides appropriate follow up as directed or per established guidelines. Provides nursing care in accordance with established nursing care standards, participates in routine and specialty clinics, curative, rehabilitative, and preventive nursing care. On rare occasions may be required to participate in emergency care. The incumbent will be evaluated annually on his/her ability to identify, assess, analyze, and evaluate data and solve problems through the CIH Performance Appraisal System. Performs ongoing assessment by actively participating in the determination of meeting the nursing care needs based upon collection and interpretation of data relevant to the health status of the client. Collects data from relevant sources (patient, family, or caregiver) regarding the biological, psychological, social and cultural factors that might influence and impact the health status of the individual and utilizes this data in patient center care plan development. Collects data through observations of appearance and behavior, measurements of physical structure and physiological function, and other information in an effort to place consultations and/or referrals to the correct internal and external resources (Nutrition, Tsali Manor, etc). Interprets data and recognizes existing relationships between data collected and the client’s health status and treatment regimen and determines the client’s need for immediate nursing interventions. Reviews the patient’s health records and health summary, interviewing patients and family members, documenting the chief complaints, medical history, physical and clinical findings, identifying learning needs of the patient and family, and determining priority of care required. Assessment for health prevention, health promotion, restorative, and health maintenance needs is emphasized. The nurse will plan patient care according to individual assessed patient needs and established hospital policies and procedures. Functions as charge nurse when assigned by the Outpatient Administrator; assigns nursing staff according to staff competency and patient complexity and provides technical supervision for staff members, including reviewing procedures; anticipates problems and acts to resolve problems. Develops individualized plan of care with input from the patient, patient’s family, pod members, and anyone else the patient requests to be included for those patients considered “high risk.” Initiates individualized care plan based on assessment of the patient for specific illnesses, injuries, and diseases Social Determinants of Health (SDoH) and human behavior while adhering to appropriate standards of care. Develops expected patient outcomes that are observable and within an adequate period, and are congruent with the patient’s present and potential physical capabilities and behavioral patterns. Implements nursing care according to the established health care plan. May be required to change work schedule to assist in covering for periodic “late clinics.” May be subject to on-call and callback. May be required to rotate between nursing departments including inpatient, satellite clinics, and the emergency department. Participates in cross training of services within the nursing department. Performs nursing interventions including, but not limited to: Detects changes in the patient’s condition and takes appropriate action. Recognizes, identifies and interprets serious situations and immediately decides proper action. Initiates appropriate resuscitative measures in an emergency. Initiates appropriate action when safety measures are required to protect patients. Documents observations, nursing interventions, patient progress, needs, treatments, diagnoses, possible side effects of treatment, teaching, patient response, effectiveness, complications and communicates information to the physician, co-workers and other health personnel. Administers and documents medications per manufacturer guidelines, hospital policy and established protocols and according to State Board of Nursing regulations. Documents all known drug allergies on the medical record and according to protocol. Assures that all medications, treatments and tests are done appropriately and in a timely manner, detects, and reports medication errors. Provides counseling, teaching, and anticipatory guidance to patients and families on preventive, curative and rehabilitation measures involved in health care. Documents all patient education activities within the patients/family’s level of understanding. Provides guidance, leadership, and training to other nursing personnel. Coordinates health care needs through referrals to support services, community, and tribal resources to promote continuity of care. Maintains a safe environment through the practice of Universal Precautions and Body Substance Isolation, medical waste/chemical management and containment. Isolates infected patients. Cleans patient contact areas and equipment according to policies and OSHA regulations. Participates in the development and implementation of performance improvement activities. Identifies and reports risk management issues. Assumes responsibility for the adequacy and appropriateness of supplies and ensures proper functioning of all medical equipment. Maintains cleanliness and orderliness of work areas. Promotes patient advocacy and confidentiality. Serves on Committees as appointed. Maintains and promotes positive and constructive communications and activities within Nursing services, other departments, tribal, and community agencies for purposes of coordinating and understanding of goals and objectives relevant to the population served. Functions appropriately during disasters. Updates and maintains currency/competency in nursing practices and standards by attending training and in-services. Evaluates patient care provided. Directly observes and evaluates patient care. Revises nursing care and care plans to reflect changes in patient needs. Documents nursing care and patient progress according to hospital policy. Participates in ongoing nursing quality assurance program. May be necessary to work when administrative leave is granted if patient care would be compromised.

Requirements

BACHELOR OR ASSOCIATE DEGREE IN NURSING FROM AN ACCREDITED PROGRAM REQUIRED.
MINIMUM OF TWO YEARS OF NURSING EXPERIENCE PREFERRED
APPLICANT MUST HAVE AN UNRESTRICTED VALID REGISTERED NURSE LICENSE WITHIN THE STATE OF NORTH CAROLINA OR A STATE THAT IS ACCEPTED AS RECIPROCITY.
Current Basic Life Support (BLS) minimally required. Can be acquired through the facility within 6 months following appointment to position.
Applicant must have a valid North Carolina driver’s license.
Knowledge of principles, practices, techniques, and theories of professional nursing in order to plan and provide nursing care to meet the physical, emotional, spiritual, and socio-cultural needs of patients of all ages; specifically, Infancy (Birth-1 year), Toddler and Early Childhood (2 years), Latency (6-9 years), Preadolescence (10-12 years), Early Adolescence (13-15 years),
Adolescence (16-20 years), Adult (21-64 years), and Elderly (65-+ years).
Knowledge of the nursing process and its application to clinical practice.
Knowledge of the biological aspects of the disease process and illness in order to recognize complications and therapeutic interventions required.
Knowledge of medications and dosages in order to recognize desired effects, side effects, and complications of their use.
Knowledge and ability to analyze the results of various medical procedures and translate into appropriate nursing interventions.
Knowledge and ability to independently plan, manage, and organize work in order to meet priorities, accomplish work within established time frames and work in stressful situations.
Knowledge of the occupational functions of multi-disciplinary health care team.
Knowledge of the culture and medical health profile of the patient population.
Knowledge and ability to teach and counsel patient/family on health maintenance and disease prevention.
Knowledge of available health care programs and community resources.
Knowledge of processes and procedures for establishing, revising, continually monitoring, and evaluating standards for the practice of nursing.
Knowledge and skills in operating specialized medical equipment, such as, monitoring devises, suction pumps, oxygen equipment, etc.
Knowledge of problem oriented medical record methods.
Knowledge of legal and ethical aspects of nursing.

Responsibilities

Utilizes best practice models to identify, incorporate or develop best practices for panel management.
Collaborates with other teams to share and establish best practice for health promotion and disease prevention strategies.
Manages panel by addressing and resolving acute care needs and chronic care needs through a team-based approach.
Incumbent will be responsible for leading their pod and assisting the Primary Care Provider in panel management that results in meeting facility, national, and regulatory quality indicators.
Utilizes iCare to track, monitor, and assure the appropriate follow-up of clients targeting specific indicators.
Utilizes the care management platform for documentation of care management functions such as a care needs screening, Comprehensive assessment, and care planning.
Utilizes the dashboards, within the care management platform for population health and related interventions and innovations
Utilizes NC Health connects for information gathering and data collections for management of care needs or gaps in care
Coordinates and follows up on referrals to outside specialty providers, recent ED visits, and ICC visits.
Participates in the continued development of the role of Case Management in the Patient Centered Medical Home (PCMH) and Advanced Medical Home (AMH and AMH+).
Provides standard nursing care for patients throughout the age continuum.
Develops implements and evaluates care plans.
Promotes health care outcomes with currently accepted clinical practice guidelines.
Provides patient education, advice and information on health assessment, disease processes, medications, treatment plans and available community resources.
Assesses patient needs using established clinical guidelines, protocols, and pathways.
Provides appropriate follow up as directed or per established guidelines.
Provides nursing care in accordance with established nursing care standards, participates in routine and specialty clinics, curative, rehabilitative, and preventive nursing care.
Performs ongoing assessment by actively participating in the determination of meeting the nursing care needs based upon collection and interpretation of data relevant to the health status of the client.
Collects data from relevant sources (patient, family, or caregiver) regarding the biological, psychological, social and cultural factors that might influence and impact the health status of the individual and utilizes this data in patient center care plan development.
Collects data through observations of appearance and behavior, measurements of physical structure and physiological function, and other information in an effort to place consultations and/or referrals to the correct internal and external resources (Nutrition, Tsali Manor, etc).
Interprets data and recognizes existing relationships between data collected and the client’s health status and treatment regimen and determines the client’s need for immediate nursing interventions.
Reviews the patient’s health records and health summary, interviewing patients and family members, documenting the chief complaints, medical history, physical and clinical findings, identifying learning needs of the patient and family, and determining priority of care required.
Functions as charge nurse when assigned by the Outpatient Administrator; assigns nursing staff according to staff competency and patient complexity and provides technical supervision for staff members, including reviewing procedures; anticipates problems and acts to resolve problems.
Develops individualized plan of care with input from the patient, patient’s family, pod members, and anyone else the patient requests to be included for those patients considered “high risk.”
Initiates individualized care plan based on assessment of the patient for specific illnesses, injuries, and diseases Social Determinants of Health (SDoH) and human behavior while adhering to appropriate standards of care.
Develops expected patient outcomes that are observable and within an adequate period, and are congruent with the patient’s present and potential physical capabilities and behavioral patterns.
Implements nursing care according to the established health care plan.
Performs nursing interventions including, but not limited to:
Detects changes in the patient’s condition and takes appropriate action.
Recognizes, identifies and interprets serious situations and immediately decides proper action.
Initiates appropriate resuscitative measures in an emergency.
Initiates appropriate action when safety measures are required to protect patients.
Documents observations, nursing interventions, patient progress, needs, treatments, diagnoses, possible side effects of treatment, teaching, patient response, effectiveness, complications and communicates information to the physician, co-workers and other health personnel.
Administers and documents medications per manufacturer guidelines, hospital policy and established protocols and according to State Board of Nursing regulations.
Assures that all medications, treatments and tests are done appropriately and in a timely manner, detects, and reports medication errors.
Provides counseling, teaching, and anticipatory guidance to patients and families on preventive, curative and rehabilitation measures involved in health care.
Provides guidance, leadership, and training to other nursing personnel.
Coordinates health care needs through referrals to support services, community, and tribal resources to promote continuity of care.
Maintains a safe environment through the practice of Universal Precautions and Body Substance Isolation, medical waste/chemical management and containment.
Participates in the development and implementation of performance improvement activities.
Assumes responsibility for the adequacy and appropriateness of supplies and ensures proper functioning of all medical equipment.
Promotes patient advocacy and confidentiality.
Serves on Committees as appointed.
Maintains and promotes positive and constructive communications and activities within Nursing services, other departments, tribal, and community agencies for purposes of coordinating and understanding of goals and objectives relevant to the population served.
Functions appropriately during disasters.
Updates and maintains currency/competency in nursing practices and standards by attending training and in-services.
Evaluates patient care provided.
Directly observes and evaluates patient care.
Revises nursing care and care plans to reflect changes in patient needs.
Documents nursing care and patient progress according to hospital policy.
Participates in ongoing nursing quality assurance program.