NURSE CASE MANAGER

Public Health Nurse

This position is responsible for comprehensive nursing services that promote the health and well-being of residents in Marion County, with a special focus on vulnerable populations, refugees, and immigrants. Works with a multi-disciplinary team to promote health and wellness through assessments, health education, coordination of care, planning, implementing, clinical services, counseling, and preventative services. Responsible for managing services for the individual diagnosed with or suspected of having TB or latent TB infection, from initiation to completion of treatment, change in diagnosis, or death. Responsible for inventory management and staffing Clinics. Working with diverse populations, with varying language and cultural backgrounds, this position must be flexible and adaptive in providing continuity of care. There will be travelling in Marion County to visit community sites.

Essential Duties:

• Provides care coordination, case management, referral, and follow-up care to individuals and families who are members of a vulnerable population and/or high-risk groups.
• Collaborates with MCPHD departments, resettlement agencies, Indiana State Department of health (ISDH), and other community agencies to provide necessary services
• Performs appropriate diagnostic procedures, treatment regimens, and administers injections, administers vaccinations, and medications according to physician orders and/or MCPHD protocols and policies.
• Adheres to applicable Occupational Safety and Health Administration (OSHA) standards, such as exposure to blood borne pathogens, toxic substances, airborne pathogens, or exposure to other hazards during routine assignments or assignments during public health emergencies.
• Documents patient assessment and intervention data in medical records.
• Facilitates TARC and Refugee Clinics as needed. Includes inventory management, scheduling, referrals, and clinic management.
• Assume responsibility for professional self-growth and continued development in nursing, disease case management, and epidemiology.
• Case manages individuals diagnosed with or suspected of having TB or latent TB infection.
• Provides support and education to all clients and contacts.
• Maintains working files of reported cases, suspects and individuals with latent tuberculosis infection, active tuberculosis, and other clients as needed.
• Monitor treatment regimen, including ongoing assessment, response to treatment, HIV status, positive and negative motivational factors influencing adherence and any unmet educational needs of the patient.
• Ensure contact investigation is completed, and provide education about TB infection and disease.
• Refers clients needing medical evaluation and/or treatments to appropriate Clinics, such as TARC, primary care, Bellflower, Infectious Disease, etc.
• Communicate current communicable disease status through monthly report summaries.
• Evaluate outcomes of direct patient care, educational programs, and research.
• Participate in community meetings, health forums, and board meetings to review community services available, and share services available.
• Provides technical assistance to Public Health Nurses (PHNs) and external providers.
• Recommend TB skin test certifications for nurses in school or office settings.
• Evaluate effectiveness of community interventions and individual case management when indicated.
• Plans and implements annual homeless shelter fairs.
• Participates in TB Case Finding. Meetings/In-services/Seminars.
• Participates in a minimum of two H.O.P.E. events totaling a minimum of eight (8) hours annually.

Associated Job Duties:

• Other duties as assigned

Employee will protect and maintain confidentiality of each client's/patient's and each employee's medical and personal information that may be obtained in the course of job related provision of care or employment.

Employee may need to remove confidential information from work place setting to transport to another designated setting or to make a home visit. If the information is removed, it must be protected and secured.

Employee must complete National Incident Management System (NIMS) training 100 and 700.

In the event of a public health emergency, employee must be available to work on weekends or a schedule that would differ from a normal assigned workday.

Participates in public health emergency preparedness exercises and in the response to public health emergencies, as directed.

Qualifications:

• Bachelor's degree in nursing from a NLN accredited college/program with emphasis on epidemiology, infectious diseases, microbiology, statistics, or related courses.
• 2 or more years of previous nursing experience, including at least one year of hospital practice is preferred.
• Computer skills including typing skills of a minimum of 30 words per minute.
• Experience in creating and generating data sets and reports for epidemiological use preferred.
• Experience working with refugee and immigrant population preferred.
• Experience working in TB or infectious disease clinic preferred.

Licenses/Certifications Required:

• Current Indiana license as a Registered Nurse (RN)
• Valid Indiana Driver's license
• Access to own vehicle and current automobile insurance
• CPR certified
• TB skin test certified (training provided)

Knowledge, Skills & Abilities:

• Bilingual preferred
• Ability to function independently, set priorities, flexibility
• Ability to work effectively in stressful situations
• Ability to interpret laboratory data
• Basic statistical methods
• Requires excellent organizational skills and attentiveness to detail
• Considerable decision-making, good judgment, problem-solving, assessment ability, and prioritization skills
• Ability to compile pertinent information and prepare/present oral and written technical reports to all levels of the organization and the public
• Must be able to read, write, and follow written/verbal instructions in English
• Requires ongoing knowledge of Microsoft Office Suite (Word, Excel, PowerPoint, Outlook, etc.)
• Ability to interact in a professional manner and effectively deal with the demands of clients/patients, agencies, community partners, and government entities
• Must be flexible in working with a variety of community partners
• Requires skills in effective interpersonal communication in a multi-cultural setting
• Work collaboratively and diplomatically with colleagues, personnel, and the public
• Requires ongoing knowledge of Marion County communities and agencies
• Requires ongoing knowledge of disease etiology/treatment modalities and public health principles/concepts
• Requires ongoing knowledge of local/state/federal laws, regulations concerning communicable diseases and the foreign-born population
• Must maintain confidentiality of information per HIPPA guidelines

Working Environment:

Contacts – Internal/External: Department/program area staff, MCPHD organization wide staff Client's/patient's in clinic or homes Medical community (i.e., hospitals, physician offices) Government agencies (i.e., ISDH, FSSA, other health departments) Community and/or other Agencies (i.e., resettlement agencies, schools)

Mental/Visual/Physical Strain: May be required to travel in and/or of state (related to work conferences and/or community sites) Unconfined sitting – client interviews, computer data entry (charting), etc., standing or walking to and from community sites; climbing stairs; steady use of hands or fingers; lifting, carrying, etc. with arms and legs (possibly as much as 20 pounds) May be exposed to substandard and unsanitary living conditions May be exposed to allergens of all types (i.e., pets, dust, smoke, etc.) May be exposed to communicable disease (s), blood, and other bodily fluids Must be able to work under pressure of deadlines and respond to immediate needs of communicable disease prevention/containment activities Required to wear N-95 masks in situations where client is considered infectious Visual abilities include close vision, distance vision, color vision, peripheral vision, depth perception, and accommodation Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions required for this position All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or veteran status.