RN Case Manager - KidsFirst/MCH

RiverStone Health•Billings, MT

6d•Hybrid

About The Position

This is a combined position for KidsFirst and Maternal Child Health Registered Nurse Case Manager, serving pregnant individuals, children, and families across Yellowstone County. The KidsFirst Program focuses on coordinated care for children in foster care, working with systems like foster care, physical and behavioral healthcare, and families/caregivers to ensure healthcare needs are met. The Maternal Child Health (MCH) Program provides comprehensive nursing services to pregnant individuals and/or children up to age 18, adhering to department guidelines for education, connection, referrals, and resources. RiverStone Health has been serving the Yellowstone County community and south-central Montana for nearly 50 years, providing essential personal and public health services. Their mission, 'Health, Education, Leadership and Protection – HELP is what we do,' encompasses medical, dental, behavioral healthcare, home care, hospice, public health services (immunizations, WIC, health promotion, restaurant inspections), and educating future health professionals. They operate with underlying principles of access, affordability, compassion, and quality to improve life, health, and safety. The Family Health Services (FHS) division offers programs for pregnant individuals, families with infants, preschool-age children, and children up to 18 with special healthcare needs. A team of nurses and resource workers assists families in achieving their goals for improved life, health, and safety. This is a grant-funded program subject to annual renewal.

Requirements

Associate degree in nursing
3-5 years’ experience in patient care
Certification by the American Heart Association (AHA) for Basic Life Support (BLS)
Any combination of experience and training which provide the equivalent scope of knowledge, skills, and abilities necessary to perform the work
Current license as a Registered Nurse in the State of Montana
Valid State of Montana Driver’s License and vehicle insurance
BLS Certificate
Knowledge of principles and processes for providing customer and personal services, including customer needs assessment, meeting quality standards for services, and evaluation of customer satisfaction.
Thorough knowledge of nursing techniques and their relation to medical and surgical practice.
Knowledge of public health principles and practices, preventive measures, and knowledge of community resources.
Knowledge of the skills necessary to provide care appropriate to clients served.
Knowledge and understanding of protected sensitive client health information (HIPAA) and confidentiality.
Strong communication and listening skills.
Ability to work independently to meet needs of clients.
Ability to work collaboratively and maintain a positive work environment.
Customer Service Excellence: Doing things right the first time, Making people feel welcome, Showing respect for each customer, Anticipating customer needs and concerns, Keeping customers informed, Helping and going the extra mile, Responding quickly, Protecting privacy and confidentiality, Demonstrating proper telephone etiquette, Taking responsibility for handling complaints, Being professional, Taking ownership of your attitude toward Service Excellence.
Ability to lift 25 pounds on regular basis.
Create and maintain a safe/secure working environment by adhering to safety, security, and health requirements.
Integrate injury, illness, and loss prevention into job activities by attending any necessary training and implementing best practices.
Works under the direction of the Program Manager and Client Health Services Nursing Director.
Work is structured by public health regulations and established nursing practices.
The position makes independent professional judgments regarding client health.
Decisions directly affect the quality of services provided to the public.
Daily written and verbal communication with clients and other RiverStone Health staff.
Work directly with other team members to provide quality customer service for clients and customers.
Works with community agencies to connect clients with resources.
Analytical/Assessment Skills: Describes factors affecting the health of a community (e.g., equity, income, education, environment), Selects comparable data (e.g., data being age-adjusted to the same year, data variables across datasets having similar definitions), Describes public health applications of quantitative and qualitative data, Contributes to assessments of community health status and factors influencing health in a community (e.g., quality, availability, accessibility, and use of health services; access to affordable housing), Explains how community health assessments use information about health status, factors influencing health, and assets and resources.
Policy Development/Program Planning Skills: Contributes to state/Tribal/community health improvement planning (e.g., providing data to supplement community health assessments, communicating observations from work in the field), Contributes to development of program goals and objectives, Describes organizational strategic plan (e.g., includes measurable objectives and targets; relationship to community health improvement plan, workforce development plan, quality improvement plan, and other plans), Contributes to implementation of organizational strategic plan, Identifies current trends (e.g., health, fiscal, social, political, environmental) affecting the health of a community, Gathers information that can inform options for policies, programs, and services (e.g., secondhand smoking policies, data use policies, HR policies, immunization programs, food safety programs), Describes implications of policies, programs, and services, Implements policies, programs, and services, Gathers information for evaluating policies, programs, and services (e.g., outputs, outcomes, processes, procedures, return on investment), Applies strategies for continuous quality improvement.
Communication Skills: Identifies the literacy of populations served (e.g., ability to obtain, interpret, and use health and other information; social media literacy), Communicates in writing and orally with linguistic and cultural proficiency (e.g., using age-appropriate materials, incorporating images), Suggests approaches for disseminating public health data and information (e.g., social media, newspapers, newsletters, journals, town hall meetings, libraries, neighborhood gatherings), Conveys data and information to professionals and the public using a variety of approaches (e.g., reports, presentations, email, letters), Communicates information to influence behavior and improve health (e.g., uses social marketing methods, considers behavioral theories such as the Health Belief Model or Stages of Change Model), Describes the roles of governmental public health, health care, and other partners in improving the health of a community.
Cultural Competency Skills: Describes the concept of diversity as it applies to individuals and populations (e.g., language, culture, values, socioeconomic status, geography, education, race, gender, age, ethnicity, sexual orientation, profession, religious affiliation, mental and physical abilities, historical experiences), Describes the diversity of individuals and populations in a community, Describes the ways diversity may influence policies, programs, services, and the health of a community, Recognizes the contribution of diverse perspectives in developing, implementing, and evaluating policies, programs, and services that affect the health of a community, Addresses the diversity of individuals and populations when implementing policies, programs, and services that affect the health of a community, Describes the effects of policies, programs, and services on different populations in a community, Describes the value of a diverse public health workforce.
Community Dimensions of Practice Skills: Describes the programs and services provided by governmental and non-governmental organizations to improve the health of a community, Recognizes relationships that are affecting health in a community (e.g., relationships among health departments, hospitals, community health centers, primary care providers, schools, community-based organizations, and other types of organizations), Engages community members (e.g., focus groups, talking circles, formal meetings, key informant interviews) to improve health in a community, Provides input for developing, implementing, evaluating, and improving policies, programs, and services, Informs the public about policies, programs, and resources that improve health in a community, Describes the importance of community-based participatory research.
Public Health Sciences Skills: Describes how public health sciences (e.g., biostatistics, epidemiology, environmental health sciences, health services administration, social and behavioral sciences, and public health informatics) are used in the delivery of the 10 Essential Public Health Services, Retrieves evidence (e.g., research findings, case reports, community surveys) from print and electronic sources (e.g., PubMed, Journal of Public Health Management and Practice, Morbidity and Mortality Weekly Report, The World Health Report) to support decision making, Describes evidence used in developing, implementing, evaluating, and improving policies, programs, and services.
Financial Planning and Management Skills: Adheres to organizational policies and procedures, Describes public health funding mechanisms (e.g., categorical grants, fees, third-party reimbursement, tobacco taxes), Provides information for proposals for funding (e.g., foundations, government agencies, corporations), Describes financial analysis methods used in making decisions about policies, programs, and services (e.g., cost-effectiveness, cost-benefit, cost-utility analysis, return on investment), Operates programs within budget, Describes how teams help achieve program and organizational goals (e.g., the value of different disciplines, sectors, skills, experiences, and perspectives; scope of work and timeline), Uses evaluation results to improve program and organizational performance, Uses performance management systems for program and organizational improvement (e.g., achieving performance objectives and targets, increasing efficiency, refining processes, meeting Healthy People objectives, sustaining accreditation).
Leadership and Systems Thinking Skills: Incorporates ethical standards of practice (e.g., Public Health Code of Ethics) into all interactions with individuals, organizations, and communities, Describes public health as part of a larger inter-related system of organizations that influence the health of populations at local, national, and global levels, Describes the ways public health, health care, and other organizations can work together or individually to impact the health of a community, Contributes to development of a vision for a healthy community (e.g., emphasis on prevention, health equity for all, excellence and innovation), Identifies internal and external facilitators and barriers that may affect the delivery of the 10 Essential Public Health Services (e.g., using root cause analysis and other quality improvement methods and tools, problem solving), Participates in professional development opportunities, Describes the impact of changes (e.g., social, political, economic, scientific) on organizational practices, Describes ways to improve individual and program performance.

Nice To Haves

Bachelor’s degree in nursing
Maternal or child health experience
Experience working with underserved populations

Responsibilities

Welcome client/family, establish rapport and answer questions regarding treatments, immunizations, beneficial health practices, disease prevention, or care plans.
Respond to client’s questions and comments in a courteous and timely manner.
Accommodate language or literacy barriers and special needs of clients/caregivers to make them feel comfortable and informed about procedures.
Provide case management and health education services to clients and their families in the community, their homes, personal care homes, or specialized programs.
Make initial client evaluation visit and assessment, including taking client medical histories.
Perform regular follow-up assessments of clients’ status and adjust treatments as necessary.
Maintain documentation such as clinical and progress notes, vaccine records, treatment plans, and other appropriate records.
Inform the primary medical provider of any changes in clients’ condition or needs and coordinate any modifications in treatment with other appropriate personnel.
Assess and determine the physical, social, and environmental needs of clients and develop a plan of treatment with other team members.
Provide skilled comprehensive nursing assessment and facilitate health care plans, access to immunizations, and treatments for clients.
Communicate and coordinate regularly with appropriate others to maximize the effectiveness and efficiency of interagency operations and activities.
Participate in program quality improvement projects.
Keep immediate supervisor and designated others accurately informed concerning work progress, including present and potential work problems and suggestions for new or improved ways of addressing such problems.
Attend meetings, conferences, workshops, and training sessions and review publications and audio-visual materials to become and remain current on principles, practices, and new developments in assigned work areas.
Use skilled nursing services to meet requirements of Public Health activities as needed.
Conduct unaccompanied home visits at client/family residences, foster homes or other public settings.
Provide on-going emotional support and act as an advocate for clients with other community support services and organizations.
Assess and determine the physical, social, and environmental needs of clients.
Develop a plan of treatment with other team members.
Complete initial client evaluation visit and assessment, including obtaining client medical histories.
Prepare clinical and progress notes and maintain other appropriate records.
Coordinate the agency’s services with those of other community agencies and make appropriate referrals.
Act as liaison between client and other agencies when client is referred elsewhere.
Perform other duties as assigned in support of the organization’s mission and goals.