RURAL CASE MANAGER

Job Locations US-AK-Klawock
Job ID
2021-5102
Category
NURSING
Type
Regular Full-Time/80hrs (1.0 FTE)

About Us:

 

SEARHC is a non-profit health consortium which serves the health interests of the residents of Southeast Alaska. We see our employees as our strongest assets. It is our priority to further their development and our organization by aiding in their professional advancement.

 

Working at SEARHC is more than a job, it’s a fulfilling career. We offer generous benefits, including retirement, paid time off, paid parental leave, health, dental, and vision benefits, life insurance and long and short-term disability, and more.

 

Job Overview:

This position functions within the SEARHC primary care departments and is responsible for coordinating the delivery of appropriate and timely care for patients, promoting quality and cost-effective health care outcomes.

 

This position will work with at risk populations and those with chronic disease(s) by providing comprehensive care management in clinical and home-based settings within the existing local network of clinical, home and community based services.

 

Must utilize sound medical knowledge and clinical judgement in determining patient referrals, outreach and coordination of care to maintain patient safety and service quality.  Decisions must be made with weighted consideration and awareness of the impact that they have on patient care and outcomes.

Must possess the ability to work autonomously to implement interventions, assess frameworks, and identify solutions at an individual, community and system level.  Will seek supervisor support when indicated and/or necessary.

 

Responsibilities:

  • Coordinate and deliver care that is safe, timely, effective, efficient, equitable, and patient-centered. Assess self-management skills of patients and caregivers and encourage wellness and autonomy through support, training and coordination of community and/or referred services. Communicate regularly with patients and caregivers regarding Plan of Care (POC).
  • Coordinate within and outside of the SEARHC health system to implement a consistent, effective, supportive system of care. Establish patient caseload in target communities.  Track and maintain case management data. Monitor patient progress and track outcomes using SEARHC standards of performance and care
  • Support and strengthen working relationships with home and community-based service providers in rural communities through a coordinated system of care. Promote regular communication and team relationships between home and community based providers, clinic staff and case management staff on a local and regional level.  Maintain working knowledge of existing community services and Collaboratively seek to close gaps.
  • Advocate for patient and patient caregivers at service-delivery level, empower patient decision-making and self-care, and address patient needs in a timely manner.
  • Collaborate with the medical providers and interdisciplinary team members to establish plan of care to maximize patient healthcare outcomes. Coordinate care conferences, manage patient panel for acute, chronic, and health maintenance needs, and coordinate and track patient referrals within SEARHC and outside facilities.
  • Assess, educate, coach and document patient encounters, participate in departmental and clinical improvement efforts, maintain a clean and safe working environment for self, staff, and patients, and maintain compliance with annual competencies.
  • Identify community resources, foster partnerships, and utilize resources effectivel
  • Performs other duties as assigned, including special projects deemed necessary to provide comprehensive health services.

Qualifications:

Education:

  • Graduate of an accredited school of nursing RN or LPN (Bachelor’s degree preferred)
  • Licensed Practical Nurse

Or

  • Bachelor’s degree in social work, social service, health administration or related field.

Experience:

  • At least 1 year of general nursing experience, with at least 6 months employment as a clinical nurse at a SEARHC outpatient clinic OR at least 2 years of general nursing experience with a minimum of 1 year in an ambulatory setting or 1 year case management experience.

Or

  • If non-nursing degree, 3 years healthcare experience

Licensure & Certification:

  • If functioning as an RN, Alaska licensure as a Registered Nurse
  • If functioning as an LPN, Alaska licensure as a license practical nurse
  • Basic Life Support certification preferred.
  • National Case Management certification preferred.

Knowledge, Skills & Abilities:

Knowledge of:

  • Available services at SEARHC, other tribal health organizations in Alaska and community.
  • The nursing process and the ability to apply this knowledge in the working environment.
  • Customer service principles.
  • Safety and infection control principles.

Skills in:

  • Assessment, anticipation of needs, and data collection.
  • The use of equipment such as computers and medical equipment.
  • Oral and written communications.

Ability to:

  • Able to multi-task
  • Ability work at a quick pace.
  • Ability to reassess priorities throughout the work shift

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