Nurse Case Manager

Kenaitze Indian Tribe•Kenai, AK

About The Position

The Nurse Case Manager uses the Dene' Model of Care and advanced health process and individual patient case-management skills to assess, plan, implement, and evaluate care processes for assigned panels. The role aims to improve health status and ensure quality care that meets un'ina's comprehensive care needs. The Nurse Case Manager also oversees and develops processes for coordinating health care services. The role works with patients, families, providers, wellness teams, organizational colleagues, the Alaska Native Tribal Health System, and other health care and referral organizations. It includes assessing and monitoring panel needs, supporting patients as they navigate the health care system, following up on specialist recommendations, and promoting health and well-being through education. The position also participates in staff meetings, training, continuous improvement, and planning committees. The position is in the Primary Care Department and Health Systems Program, reports to the RN Supervisor, and is full-time, non-exempt, with a 40-hour-per-week schedule for 52 weeks. Preference is given under TERO Ordinance 2017-01 and P.L. 93-638.

Requirements

  • Associate degree in nursing.
  • Three years of clinical experience.
  • Registered Nurse (RN) license.
  • Basic Life Support certification.
  • Valid Alaska driver's license and continued insurability under the Kenaitze Indian Tribe's policy.
  • Strong analytical and critical-thinking skills and attention to detail.
  • Clear understanding of nursing scope of practice and ability to delegate tasks appropriately.
  • Good listening skills to understand patients' medical and social needs.
  • Strong oral and written communication skills.

Nice To Haves

  • Bachelor's degree in nursing.
  • Patient population health management experience.
  • Knowledge of and experience working with cultural diversities.

Responsibilities

  • Assess the health care needs of assigned panels using the Dene' Model of Care and health care management tools.
  • Prioritize and advocate for un'ina needs.
  • Use critical thinking to interpret complex information.
  • Use the Nurse Case Management Competency tool to guide performance and support independent practice.
  • Work with designated health care providers and/or wellness teams to establish measures addressing targeted health indicators.
  • Collaborate with organizational team members, the Alaska Native Tribal Health System, and other health care facilities.
  • Assist and guide un'ina in navigating the health care system when specialized assistance is needed.
  • Use data to assess and monitor panels, review needs, and determine which health care needs to address.
  • Notify providers of identified needs in a timely manner.
  • Follow up on specialist recommendations with primary care providers as needed.
  • Educate un'ina and family members to support health and well-being.
  • Advocate for comprehensive, collaborative care by participating in staff meetings, information sharing, continuing education and training, and continuous improvement efforts.
  • Participate in planning committees as a liaison for comprehensive un'ina care.
  • Build working relationships and rapport with organizational team members, the Alaska Native Tribal Health System, and other referral agencies.
  • Ensure compliance with Tribal, federal, state, and local employment laws and regulations, Tribal policies, and the TERO ordinance.
  • Perform other duties and tasks requested by the supervisor that are consistent with the position, department, and Kenaitze Indian Tribe objectives.
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