Registered Nurse-Same Day-CNOHC

Cherokee Nation•Tahlequah, OK

5d•Onsite

About The Position

Provides care management in an 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 management and follow-up for scheduled patients, high-risk populations, referrals, abnormal screening results, and patients served through Cancer Care Case Management or Purchased and Referred Care (PRC). The nurse also provides direct nursing care as needed and completes required documentation, reporting, and quality assurance activities. The position requires an associate degree in nursing, an active Oklahoma RN license or a multistate RN license accepted by the Oklahoma Board of Nursing, and BLS and ACLS certifications maintained throughout employment. ACLS may be obtained within six months of hire if not already held. The employee must comply with HIPAA and maintain confidentiality, and must meet applicable background investigation and adjudication requirements.

Requirements

Associate degree from a two-year college or technical school in Nursing; no substitutions.
No additional experience required.
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 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.
Oklahoma Board of Nursing Registered Nurse license or a multistate RN license accepted by the Oklahoma Board of Nursing, with the license maintained throughout employment; no substitutions.
Basic Life Support (BLS) certification maintained throughout employment; may be obtained during orientation.
Advanced Cardiac Life Support (ACLS) certification maintained throughout employment; if not already certified, must obtain it within six months of hire.
Must not be under sanction by the U.S. Department of Health and Human Services Office of the Inspector General or the General Services Administration, or listed on their specified exclusion or sanction 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

Provide care management in the ambulatory health care setting in accordance with Cherokee Nation standing orders, policies, and guidelines.
Provide health care services to eligible individuals under the applicable self-governance compact and funding agreement.
Complete pre-visit planning for scheduled patients.
Communicate patient needs and recommended treatment to the team.
Maintain and update team patient panels, including identifying and maintaining panels of high-risk subpopulations for care management.
Track performance measures monthly and share results 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 follow-up visits 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 licenses and certifications, including renewals, upon receipt.
For Cancer Care Case Management, review medical records to determine eligibility for grants and other programs; develop and implement assurance monitors; ensure valid, accurate, and timely reporting; and track patients with abnormal screening results, assessing needs and coordinating resources and goals with the health care provider.
For PRC Case Management, review medical records and referrals to determine program eligibility; develop and implement quality assurance monitors as assigned; seek alternate resources for recommended services; consult with staff and multidisciplinary providers to support referral decisions; screen authorizations for potential catastrophic costs and report them to appropriate parties; and enter orders received from the Orders Management Team.