Registered Nurse Women's Clinic - Claremore

Cherokee Nation•Claremore, OK

About The Position

The Registered Nurse provides care management in an ambulatory health care setting according to Cherokee Nation standing orders, policies, and guidelines. The RN participates as a crucial member of the care team, which may include a provider, licensed practical nurse, medical assistants, and the patient panel. Routine services are provided to individuals eligible under the self-governance compact and funding agreement between the Cherokee Nation and the United States, executed under the authority of the Indian Self-Determination and Education Assistance Act. Depending on assigned duties, the position may include Cancer Care Case Management responsibilities, such as determining eligibility for grants and other programs, monitoring program assurance, supporting required reporting, and following patients with abnormal screening results. Purchased and Referred Care (PRC) Case Management duties may include reviewing records and referrals for program eligibility, monitoring quality assurance, identifying alternate resources, coordinating referral decisions, screening authorizations for potential catastrophic costs, and entering orders received from the Orders Management Team. The role requires an associate degree in Nursing, an Oklahoma RN license or qualifying multistate RN license, and BLS and ACLS certifications. ACLS may be obtained within six months of hire if not already held. The employee must comply with HIPAA requirements, maintain confidentiality, and satisfy applicable background investigation and adjudication requirements.

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 the license must be maintained throughout employment.
Basic Life Support (BLS) certification, maintained throughout employment; it may be obtained during orientation.
Advanced Cardiac Life Support (ACLS) certification, maintained throughout employment; if not already certified, it must be obtained within six months of hire.
Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, and governmental regulations.
Ability to write reports, business correspondence, and procedure manuals, and to present information and respond to questions from groups, clients, customers, and the public.
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 diagrammed instructions and solve problems involving several concrete variables in standardized situations.
Must not be under sanction by the U.S. Department of Health and Human Services Office of Inspector General or the General Services Administration, or listed on their specified sanctions or exclusions lists.
Must meet and maintain pre-employment and periodic background investigation and adjudication requirements for child care.
Must be educated on and compliant with HIPAA regulations and maintain strict confidentiality of client information.

Responsibilities

Complete pre-visit planning for scheduled patients.
Communicate patients’ 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 regarding 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, certifications, and renewals upon receipt.
For Cancer Care Case Management, review patient records to determine eligibility for grants and other programs according to applicable rules and guidelines.
For Cancer Care Case Management, plan, develop, and implement assurance monitors and ensure valid, quality, and timely program reporting.
For Cancer Care Case Management, track patients with abnormal screening results and collaborate with providers to assess needs, issue resources, and establish goals.
For PRC Case Management, review patient records and referrals to determine program eligibility.
For PRC Case Management, plan, develop, and implement quality assurance monitors as assigned.
For PRC Case Management, seek alternate resources for services recommended by providers.
For PRC Case Management, consult with staff and multidisciplinary health care providers to support appropriate referral-service decisions.
For PRC Case Management, screen authorizations and report those with potential catastrophic cost to the appropriate parties.
Enter orders received from the Orders Management Team.
Maintain required licenses and certifications throughout employment and comply with HIPAA and confidentiality requirements.