Public Health Nurse Case Manager - $10K Sign on

Navajo Preference Employment Act


In accordance with Navajo Nation and federal law, TCRHCC has implemented an Affirmative Action Plan pursuant to the Navajo Preference in Employment Act. Pursuant to this Plan and corresponding TCRHCC Policy, applicants who meet the necessary qualifications for this position and (1) are enrolled members of the Navajo Nation, Hopi Tribe, or San Juan Southern Paiute Tribe will be given preference in hiring and employment for this position, (2) are legally married to enrolled members of the Navajo Nation, Hopi Tribe, or San Juan Southern Paiute Tribe and meet residency requirements will be given secondary preference, and (3) are enrolled members of other federally-recognized American Indian Tribes will be given tertiary preference.
Overview

POSITION SUMMARY

The incumbent will provide quality comprehensive public health nursing services to individuals, families, communities and schools supported by evidence based practice. The Public Health Nurse Case Manager will be responsible to assist with development and coordination of services with a multi-disciplinary care team to positively impact services to high-risk groups to contain communicable disease outbreaks including foodborne illnesses, immunization preventable illnesses, TB, Sexually Transmitted Infections (STIs) and Coronavirus. The role of the Public Health Nurse Case Manager includes home visits in the areas of STI case investigation and field treatment.Under the direction of the Director of Public Health Nursing, the Public Health Nurse Case Manager will provide program support by assessing, planning, implementing and evaluating a comprehensive community health nursing program to meet the care needs of the patients and clients in the assigned area.


Qualifications

NECESSARY QUALIFICATIONS

Education:

Bachelor of Science degree from an accredited school of Nursing


Certification:

• A valid, current, full, and unrestricted Professional Nursing License to practice nursing in any state of the United States of America, the Commonwealth of Puerto Rico, or a territory of the United States.
• Must have and maintain a current Basic Life Support (BLS) certification by the American Heart Association (AHA)

Experience:

Two (2) years of acute care hospital or public health nursing experience

Other Skills and Abilities:

A record of satisfactory performance in all prior and current employment as evidenced by positive employment references from previous and current employers. All employment references must address and indicate success in each one of the following areas:

• Positive working relationships with others
• Possession of high ethical standards and no history of complaints
• Reliable and dependable; reports to work as scheduled without excessive absences
• Ability to multi-task efficiently and effectively.
• Excellent customer service skills and telephone etiquette
• Strong organizational and interpersonal skills.
• Knowledge and ability to apply Nursing concepts and principles.
• Proficient in the use of Microsoft Suite applications.
• Must have a current and valid state driver's license with no restrictions maintained throughout employment
• Knowledge and ability to investigate and evaluate case and contacts, identification of source exposure, medical evaluation and management of actual and potentially exposed individuals.
• Good working knowledge and skills with computers including use and application of Microsoft Word, PowerPoint, Excel, and MS Teams.
• Completion of and, above-satisfactory scores on all job interviews, demonstrating to the satisfaction of the interviewees and TCRHCC that the applicant can perform the essential functions of the job
• Successful completion of and positive results from all background and reference checks, including positive employment references from authorized representatives of past and current employers demonstrating to the satisfaction of TCRHCC a record of satisfactory performance and that the applicant can perform the essential functions of the job
• Successful completion of fingerprint clearance requirements, physical examinations, and other screenings indicating that the applicant is qualified to be employed by TCRHCC and demonstrating to the satisfaction of TCRHCC that the applicant can perform the essential functions of the job
• Submission of all required employment-related documents, applications, resumes, references, and other required information free of false, misleading, or incomplete information, as determined by TCRHCC

MENTAL AND PHYSICAL EFFORT

The physical and mental demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.

Physical:

The work requires extensive driving between communities, and ability to drive in all types of roads in adverse weather conditions. Involves sitting, standing, walking within schools, clinics, and homes for ¾ day. It requires the ability to maintain balance and reach ¾ day. The position requires the ability to frequently bend, climb, kneel, crouch, and twist. 1/2 of workday. The incumbent must have the ability to lifting, pushing, and pulling up to 34 pounds ¾ day; up to 50 lbs ½ day and up to 100 lbs occasionally using appropriate body mechanics and proper lifting techniques is required. Sensory requirements are prolonged ability (3/4 day) far vision, near vision, color vision, depth perception, seeing fine details, hearing normal speech, hearing overhead pages and telephone use. Must have ability of simple grasping, firm grasping and fine manipulation of both hands as well as use of keyboard for prolonged periods of the workday.

Mental:

The work involves assessing the health of communities, individuals, families, and schools. Must be able to prioritize and use good judgment; coordinate a variety of issues while being frequently interrupted; The incumbent must have the ability to concentrate, handle a high degree of flexibility, work alone, demonstrate a high degree of patient and work in areas that are close and crowed ¾ of workday. Incumbent must be to cope and manage stressful situations, make decisions under high pressure and cope with anger/ fear/ hostility of others in a calm way, handle priorities in stressful situation and adapt to work shift frequently and will be able to manage altercations ¾ of day.


Environmental:

Incumbent may continually be exposed to infectious diseases, to chemical agents, dust, fumes, gases, extremes in temperature or humidity, hazardous moving equipment as well as frequent exposure to loud noises frequently. This position may occasionally have exposure to unprotected heights.


Responsibilities

ESSENTIAL FUNCTIONS:

1. Assists with direct patient care and related tasks; provides nursing services and education to patient's one-to-one, group, or in a community setting. Independently makes home visits, elicits or explains medical information, provides basic care and education to patients with a variety of conditions, illnesses and/or injuries. Responsible for obtaining and recording patient information as assigned by PHN policies (i.e., vital signs, blood sugar, pain assessment, medication information, etc.).
2. Assigns STI cases to staff PHNs and Public Health Technicians for case investigation and field-based treatment. Follows quality assurance protocols to ensure high-quality services with documented outcomes.
3. Trains others in a case management model of infectious disease nursing care. Ensures adherence to case management model in public health response to infectious disease.
4. Assists in the implementation of the Express STI testing, also known as 'golden ticket', through promotion to result notification to treatment completion for patients testing positive for a STI.
5. Coordinates and participates in the planning and delivery of health care services through collaboration with various resources to include TCRHCC clinicians, case management, various Tribal, State, and County agencies. Communicates utilizing a variety of tools to effectively convey ideas, updates regarding program goals and objectives to appropriate entities. Develops and maintains knowledge of regulatory agencies within the geographic service area.
6. Coordinates and leads multi-disciplinary care team in the planning and implementation of care for high risk group (Food Borne Illnesses, TB, STD, Vaccine Preventable disease, COVID-19 testing and vaccinations for homebound patients). Collaborates and coordinates care activities with existing County, State and Navajo Nation Tribal programs (TB Technician, Social Hygiene Technician, Community Health Representatives, Community Health Educators, State and County Disease Investigation Specialists).
7. Conduct contact investigations for communicable Disease and provide appropriate testing, treatment and referrals in the clinic and/or in the field within the respective Service Area.
8. Serve as a resource person for staff, physicians, local community programs, and tribal, county and state Health Departments to work collaboratively with these entities to manage, control and prevent the spread of communicable diseases.
9. Attends the STI weekly case review meetings comprised of local, state, county and tribal health programs. Performs investigation, prevention, control, and reporting of diseases to local, state, and tribal health programs.
10. Conducts and coordinates epidemiological surveys and investigation with appropriate personnel, surveillance of index case and contacts. Provides and participates in Epi-response/emergency preparedness in the community in collaboration with all local, Tribal, State, County, and National Emergency Preparedness Programs.
11. Provides/coordinates nursing assessment in home setting for newborns, infants and children; prenatal, postpartum, and other gynecological and obstetrical conditions. Identifies and prioritizes care to clients with high-risk conditions and refers to appropriate resources.
12. Coordinates needs assessment survey, identifies community resources in assigned area, gathers/complies community profile data and prioritizes health needs, related to infectious disease.
13. Provides expertise and knowledge of public health principles, including population-based services, evidence-based practice, prevention and community assessment.
14. Patient/Client documentation reflects appropriate Nursing process in the "S.O.A.P" format submitted in timely manner. Responsible for documenting patient care encounters. Adheres to confidentiality TCRHCC policies, and HIPAA regulations. Documents actions and activities by completing required forms, reports, logs, and patient records.
15. The incumbent will assist the Director of Public Health Nursing and the Public Health Director to develop short and long-term program goals and objectives based upon the community needs assessment, and National Healthy People initiatives.
16. Keeps vehicle and equipment operating by following operating instructions; daily observations and documentation, troubleshooting breakdowns; maintaining supplies; performing preventive maintenance; calling for repairs.
17. Ensure proper PPE is always worn while on duty including but not limited to, face mask, gloves, gown, isolation gown, NIOSH-approved N95 filtering facepiece respirator or higher, if available), and eye or face shield.
18. Complete all donning and doffing tasks in a safe acceptable method and discard of used PPE accordingly. (see CDC website for most current updates)
19. Complete task training for all routine cleaning and decontamination processes for all surfaces contaminated by a communicable disease to ensure a high level of patient, visitor, employee and external customer satisfaction.
20. Performs other related duties as assigned.