Registered Nurse-Primary Care-CNOHC

Cherokee Nation•Tahlequah, OK

About The Position

Provides care management in an ambulatory health care setting according to Cherokee Nation standing orders, policies, and guidelines. Serves 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 individuals eligible under the applicable self-governance compact and funding agreement between the Cherokee Nation and the United States. The role also includes specialized case management duties for Cancer Care and Purchased and Referred Care (PRC) programs. These include determining program eligibility, monitoring quality and reporting, following up on abnormal screening results and referrals, identifying alternate resources, and coordinating with providers and staff.

Requirements

Associate degree in Nursing from a two-year college or technical school; no substitutions.
No additional experience required.
Registered Nurse license from the Oklahoma Board of Nursing or a multistate RN license accepted by the Oklahoma Board of Nursing; must be maintained throughout employment.
Basic Life Support (BLS) certification; must be maintained throughout employment. May be obtained during orientation.
Advanced Cardiac Life Support (ACLS) certification; must be 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.
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 address 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 the specified exclusion lists.
Must meet and maintain pre-employment and periodic background investigation and adjudication requirements for child care.
Must comply with HIPAA regulations and maintain strict confidentiality of client information.

Responsibilities

Provide health care services to eligible individuals in accordance with the Cherokee Nation self-governance compact and funding agreement.
Complete pre-visit planning for scheduled patients.
Communicate patients’ needs and recommended treatment to team staff.
Maintain and update the team’s patient panels.
Identify, create, and maintain 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, or medical follow-up as appropriate.
Schedule nursing visits for follow-up.
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 patient records to determine eligibility for grants and other programs under applicable rules and guidelines.
For Cancer Care Case Management, plan, develop, and implement assurance monitors for designated grants or other programs.
For Cancer Care Case Management, ensure validity, quality, and timely submission of grant and program reports.
For Cancer Care Case Management, track patients with abnormal screening results and, with the health care provider, assess needs, issue resources, and establish goals.
For PRC Case Management, review patient records and PRC referrals to determine program eligibility.
For PRC Case Management, plan, develop, and implement assigned quality assurance monitors.
For PRC Case Management, seek alternate resources for services recommended by the provider.
For PRC Case Management, consult with staff and multidisciplinary health care providers to facilitate decision-making about referral services.
For PRC Case Management, screen authorizations and report those with potential catastrophic costs to the appropriate parties.
Enter orders received from the Orders Management Team.