Nurse Care Manager

NHBP•Battle Creek, MI

3d•Onsite

About The Position

The Nurse Care Manager manages outpatient health care delivery and quality improvement activities for patients with chronic diseases, supports Medical Providers in delivering quality care, and works collaboratively with other healthcare team members. The position is supervised by the Clinical Manager/Advance Practice Clinician and serves as a clinical support team leader, guiding and collaborating with clinical support staff to meet patient needs. The role is based in Battle Creek, Michigan, and is scheduled for five eight-hour day shifts Monday through Friday. The Nurse Care Manager develops and maintains disease-specific registries, reviews charts and collects data, manages and prioritizes a patient caseload, and coordinates care with healthcare professionals and community agencies. The role includes patient and family education and coaching; care assessments and referrals; medication administration and other individualized interventions; accurate medical record documentation; support for the Vaccines for Children program; and in-home evaluations when mobility or living circumstances call for them. The position also researches best practices and implements program changes accordingly. Applicants must hold a valid Michigan Registered Nurse license and have at least two years of nursing experience. The position requires a valid driver's license and ability to travel, CPR/First Aid certification or the ability to obtain it, confidentiality and HIPAA knowledge, strong communication skills, and advanced Microsoft Office knowledge. Applicants must pass a background investigation and drug screening. Indian preference applies in accordance with the NHBP Indian Preference in Employment Code.

Requirements

Valid Registered Nurse license issued by the State of Michigan.
At least two years of nursing experience.
Knowledge of general clinical and public/community health nursing principles.
Valid driver's license with a good driving record; must be GSA-certifiable and able to travel.
Ability to successfully complete and pass a comprehensive background investigation and drug screening in accordance with NHBP standards.
CPR/First Aid certification, or ability to become certified through offered training.
Ability to maintain strict confidentiality and knowledge of HIPAA requirements.
Ability to adjust schedule as needed or required.
Excellent verbal and written communication skills.
Professional demeanor and appearance.
Advanced knowledge of Microsoft Office, including Word and Excel, and ability to learn other position-related software.
Ability to understand and appreciate Native American culture and customs, and willingness to develop understanding of Trauma Informed Care and apply it in daily work.
Understanding of nursing care management within a multidisciplinary team and family practice environment.
Comprehensive understanding of integrated care models, or willingness to develop that understanding and apply it in an integrated health facility.
Understanding of, willingness to learn, and ability to support culturally specific, cultural, and culturally focused programs and services.
Ability to work independently and collaboratively in a team-oriented environment.
Ability to develop and maintain cooperative working relationships with healthcare providers within and outside the tribal community.
Ability to comprehend and comply with Tribal, federal, and other relevant environmental regulations and codes.
Ability to organize and maintain electronic and physical files and develop proficiency with various EMR software.
Ability to multitask in a fast-paced environment and adjust quickly to changing priorities.
Ability to provide health counseling, coaching, and promotion.
Ability to recognize and report abusive or neglectful situations.
Ability to collect and analyze data, draw logical conclusions, and make appropriate recommendations.
Ability to foster a positive work environment.

Nice To Haves

Bachelor of Science in Nursing.
Five years of care management/family practice nursing experience.
Knowledge of Indian Health Service rules and regulations.
Good working knowledge of community services, including social service agencies, physicians, and external medical facilities.

Responsibilities

Develop and maintain disease-specific registries for patients with chronic illnesses.
Perform chart reviews and other data collection.
Manage and prioritize a caseload of clients requiring care, and ensure coverage during short absences.
Educate and coach patients and families in health maintenance, health promotion, and disease prevention.
Coordinate patient care with other health professionals and refer patients to appropriate internal and community agencies.
Collaborate with the Community Health Representative to coordinate patient care delivery needs.
Maintain and coordinate referral orders related to Nurse Care Manager services.
Assist with obtaining insurance prior authorizations for patient care coordination.
Conduct comprehensive needs assessments related to Nurse Care Manager services.
Interpret patient information and make critical decisions about needed actions.
Administer medications, set up medication packs, provide wound care, and deliver other personalized interventions related to Nurse Care Manager services.
Provide health education presentations.
Document patient information accurately in the medical record according to current guidelines.
Provide backup support to Vaccines for Children coordinators, including maintaining logs and providing program reports.
Attend required trainings to maintain compliance with role requirements.
Provide clinical backup assistance as needed to meet direct patient care needs.
Research best-practice standards and implement program changes based on best practices.
Guide and collaborate with clinical support staff as team leader to meet patient needs.
Conduct in-home evaluations and assessments when patient mobility or living circumstances necessitate them.

Benefits

Medical, dental, and vision insurance with minimal employee cost sharing for eligible team members.
Flexible Spending Account for medical reimbursement.
Employer-paid short-term and long-term disability insurance, life insurance, and accidental death and dismemberment insurance.
Dependent Care FSA.
401(k) plan with eligible employer match and vesting on day one.
Paid time off accrued beginning immediately upon hire.
Tuition reimbursement program with educational release time after 12 months.
Up to 14 paid holidays.
Employee wellness and fitness programs.
Opportunities to participate in NHBP-sponsored activities.
Public Student Loan Forgiveness eligible employer.