Registered Nurse-CNOHC

Cherokee Nation•Tahlequah, OK

About The Position

Provides care management in the ambulatory health care setting according to Cherokee Nation standing orders, policies, and guidelines. Participates as a member of a care team that may include a provider, licensed practical nurse, medical assistants, and the patient panel. Provides health care services to eligible individuals in accordance with the self-governance compact and funding agreement between the Cherokee Nation and the United States under the Indian Self-Determination and Education Assistance Act. The role includes care coordination, patient education, triage, follow-up, documentation, and direct nursing care as needed. Depending on assignment, the nurse may provide Cancer Care Case Management or Purchased and Referred Care (PRC) Case Management, including eligibility reviews, program monitoring, reporting, referral coordination, and tracking patients with abnormal screening results.

Requirements

Associate degree in Nursing from a two-year college or technical school; no substitutions.
No additional experience required.
Current Registered Nurse license from the Oklahoma Board of Nursing or a multistate RN license accepted by the Oklahoma Board of Nursing; no substitutions, and must maintain the license throughout employment.
Basic Life Support (BLS) certification and maintenance throughout employment; certification may be obtained during orientation.
Advanced Cardiac Life Support (ACLS) certification and maintenance throughout employment; if not certified, must obtain certification within six months of hire.
Ability to read, analyze, and interpret business periodicals, professional journals, technical procedures, and governmental regulations.
Ability to write reports, business correspondence, and procedure manuals, and present information and respond to questions effectively.
Ability to calculate figures and amounts and apply basic algebra and geometry concepts.
Knowledge of database, spreadsheet, and word-processing software.
Ability to follow written, oral, or diagrammatic instructions and address problems involving several concrete variables in standardized situations.
Must not be under sanction or listed as excluded by the U.S. Department of Health and Human Services Office of Inspector General or the General Services Administration.
Must meet and maintain pre-employment and periodic background investigation and adjudication requirements for child care.
Must be educated on and comply with HIPAA regulations and maintain strict confidentiality of client information.

Nice To Haves

For Surgical Clinic assignments: ACLS, Pediatric Advanced Life Support (PALS), and National Institutes of Health Stroke Scale (NIHSS) certifications.
For Interventional Radiology assignments: ACLS, PALS, NIHSS, and a Dysrhythmia Course.
A valid driver's license may be required in some departments; where required, driving history must meet Cherokee Nation underwriting rating requirements.

Responsibilities

Provide care management and health care services in accordance with Cherokee Nation standing orders, policies, guidelines, and applicable agreements.
Complete pre-visit planning for scheduled patients.
Communicate patient needs and recommended treatment to the care team.
Maintain and update the team's patient panels, including identifying and maintaining panels of high-risk subpopulations for care management.
Track monthly performance measures and share them with the team, staff, and patients.
Participate in ongoing quality improvement activities using the Model for Improvement.
Contact patients about follow-up diagnostic tests, referrals, appointments, and medical follow-up as appropriate.
Schedule nursing visits for follow-up and track and follow up on referrals.
Provide patient education and self-management support.
Triage patients on the team's panels who call or walk in and direct them appropriately.
Document observations, assessments, nursing interventions, treatments, and referrals according to Cherokee Nation documentation standards.
Provide direct nursing care backup as team needs dictate.
Provide Human Resources with copies of licensures and certifications, including renewals, upon receipt.
For Cancer Care Case Management: review patient records to determine eligibility for grants and other programs; plan, develop, and implement assurance monitors; ensure valid, quality, and timely reporting; and track patients with abnormal screening results, assessing needs and coordinating resources and goals with the health care provider.
For Purchased and Referred Care Case Management: review patient records and PRC referrals for program eligibility; plan, develop, and implement quality assurance monitors as assigned; seek alternate resources for provider-recommended services; consult with staff and multidisciplinary providers to support referral decisions; screen authorizations for potential catastrophic cost and report them to the appropriate parties; and enter orders received from the Orders Management Team.
Maintain required licenses and certifications throughout employment and comply with HIPAA and confidentiality requirements.