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This description is intended to describe the essential job functions and the essential requirements for the performance of this job. It is not an exhaustive list of all duties, responsibilities and requirements of a person so classified. Other functions may be assigned, and management may, with or without notice, add or change the duties at any time. Employees are employed “at will”.

Notice to Applicants: 
All applicants offered employment with Chugachmiut will be subject to a background investigation. Offers of employment are contingent on the successful completion of a background investigation conducted in accordance with Chugachmiut policy and Public Law 101-630. Every offer of employment with Chugachmiut will be made contingent on a background investigation. The nature and extent of the investigation will depend on the job duties of the position for which an offer is made.

USE OF INFORMATION OBTAINED IN A BACKGROUND INVESTIGATION

Information obtained from a background investigation will be considered for employment purposes as permitted by federal and state law and in accordance with Chugachmiut’s policy. Information will be reviewed to determine:

  • Whether an individual made false statements or material omissions on an application for employment or during an interview;
  • Whether an applicant or employee, based on the job duties of the position in question, poses a threat to security and/or employee safety in the workplace; and
  • The likelihood of an applicant or employee being successful and productive on the job.
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RN Case Manager (Seward)
Job Code:02-24-10-001
Location:Seward
Salary:DOE
Opening Date:2/16/2024
Closing Date:Open Until Filled
  

Summary:

The RN Case Manager will be responsible for coordinating activities related to clinical quality improvement, medical home, and care coordination activities. This position will be responsible for working collaboratively with the healthcare team to provide case management, care coordination, documentation, follow-up patient care plans, education, and recall for follow-up. Focus should be placed on preventative care services and necessary follow-up on various individuals with acute and chronic conditions across the region.  


Major Responsibilities:
  • Creates, develops, and nurtures culturally appropriate interactions and connections with each other, patients, and community.
  • Responsible and works together with the integrated care team and patient/family with a focus on maximizing health outcomes. Participates in care conferences for patients.
  • Acts as an advocate for the patient/family at the service-delivery and policy-making levels, fostering the patient/family's decision-making, independence, and growth and development.
  • Applies best practice model to identify, incorporate, or develop best practices for panel management. Collaborates with other teams to share and establish best practices for clinic and division.
  • Manages patient's health maintenance, meeting or exceeding clinic expectations for health maintenance standards.
  • Integrates quality, safety, efficiency, and cost-effectiveness factors in planning, delivering, monitoring, and evaluating patient care, promoting the most effective and efficient use of human and financial resources.
  • Utilizes patient-based tracking systems or clinical databases to track, monitor, and assure the appropriate follow-up of patients. Utilizes other software packages and applications for ordering, scheduling, and tracking patient care.
  • Works closely with our tribal healthcare partners across the state to coordinate care across the continuum for our patients. Acts as a liaison between referral provider and PCP, supports health care providers, schedules diagnostic tests, clinic appointments, and provides support as needed.
  • Creates rapport within the integrated care team and members of the organization.
  • Respond to emergency situations and coach/mentor all clinical team members to build capability and competency.
  • Collaborates with the patient, family, and other health care providers to formulate the plan of care and goals and assists the patient and family in identifying and obtaining the appropriate and available services for their health care needs.
  • Interacts with and contributes to the professional development of peers and others practicing in a Shared Governance model of nursing practice.
  • Makes decisions and takes actions on patients' behalf, is determined ethically, and delivers care in a nonjudgmental and nondiscriminatory manner that is sensitive to patient diversity, preserving patient autonomy, dignity, and rights.
  • Performs nursing assessments, interventions, and evaluations.
  • Provides services via telehealth.
  • Educates patients in a wide variety of health care subjects such as disease prevention, lifestyle issues, basic health care maintenance, and self-administration of medications.
  • Performs patient follow-up, including notifying patients of laboratory results, medication refills, scheduling referral appointments, maintaining charts and records, and responding to patient telephone calls.
  • Travels to remote village clinics as needed to provide direct care.
  • Provides nursing support to include patient intake, vital signs, vaccine/medication administration, and assists with procedures.
  • Utilizes the ANA Scope and Standards of Practice and code of Ethics for Nurses.
  • Effectively communicates with patients and families in a culturally sensitive manner.
  • Assists with Performance Improvement initiatives.
  • Serves as a resource on case management for Chugachmiut Health Services.
  • Initiates and develops in-service training to keep staff updated on issues pertaining to health wellness, disease management, and coordination of care.  
  • Attends and participates in clinical service team meetings, staff meetings, and other committee efforts as appropriate.
  • Prepares patient education materials as needed.
  • As requested, participate in and/or provide health education opportunities for beneficiaries and communities in conjunction with other Chugachmiut staff. Activities may include providing health education and screening services at schools, health events, and other community events.
  • Ensures the maintenance of timely and accurate patient records to reflect each patient's health status and risk factors and participates in training for Electronic Health Records;
  • Complies with all Chugachmiut personnel and Health Services Division policies, licensed provider policies, regulations, and guidelines for patient care and maintains credentials in good standing and appropriate to the level of practice.
  • Complies with statutes and regulations from the State of Alaska, Division of Occupational Licensing, for Registered Nurses.
  •  Conforms to safety policies and general housekeeping practices.
Education Requirements:
  • Alaska license in good standing as a Registered Nurse
  • Current BLS certification required
  • Experience in primary care and emergency services preferred
  • Experience in rural health care setting preferred
  • Experience in tribal health setting preferred
  • Experience with Cerner, AFHCAN, and Zoom preferred

Hours of Work:

Hours of work are Monday through Friday, 8:30 a.m. to 5:00 p.m. with an hour for lunch. This is a full-time position working 37.5 hours per week and 1950 hours per year. Chugachmiut maintains a drug/alcohol free and non-smoking environment.

Benefits: Chugachmiut offers its employees a generous and robust benefits package. Please visit www.chugachmiut.org for a complete list of our benefits.

Relocation Expenses:Up to $5,000 for legitimate moving expenses per IRS regulations, for additional information on moving expenses, please visit the following:  https://www.irs.gov/pub/irs-pdf/p521.pdf