Job Description

NOTICE TO THE APPLICANTS: The start date for this position will be MAY 2024.

Location-Hilo

JOB TITLE: Street Medicine Outreach Program Manager

FLSA STATUS: Exempt

DEPARTMENT: Street Medicine Outreach

SUPERVISED BY: Director of Street Medicine Outreach

I. POSITION FUNCTION SUMMARY

Under the direction and supervision of the Director of Street Medicine Outreach (SMO), the Street Medicine Outreach Program Manager is responsible for the oversight and management of SMO programs and events providing a variety of patient care services outside of routine clinical visits. The SMO Program Manager coordinates scheduling supplies and adequate staffing for billable healthcare services provided off-site including Department of Education COVID and BH programs, Mobile Health Unit(s) at homeless sites, affordable housing units and coffee farms, school-based care, mass vaccines/testing programs, multidisciplinary group visits, and other outreach events. The SMO Program Manager is responsible for the supervision and leadership of all SMO program staff, permanently assigned and during temporary assignments for specific events.

II. ESSENTIAL DUTIES AND RESPONSIBILITIES

This position may have various work assignments within HICHC. This description is intended to be generic in nature, and as such it does not detail all duties and responsibilities of the job assignment. Various duties, responsibilities and accountabilities may be assigned to an incumbent in this position depending on clinic needs, and may include but not be limited to the following:

Supervisory Duties

•Works with the Director of Street Medicine Outreach, Director of Clinical Operations (DCO), Medical Director, Director of Nursing and Director of Health Equity to ensure there is an integrated healthcare delivery system that is efficient, effective, and timely with appropriate response to patient and community needs in a variety of settings.

•Plans and oversees health service delivery by Street Medicine Outreach team, makes staffing assignments and supervises and evaluates the quality of care delivered.

•Coordinates and schedules events in collaboration with a variety of internal and external partners to meet the needs of the community and to support the HICHC clinical teams.

•In coordination with Quality Improvement team provides leadership for continuous quality improvement efforts. Implement and/or update processes for data collection, tracking and documenting activities.

•Provides leadership to ensure the highest standards of excellence in customer service by anticipating and responding to needs of internal and external partners; proactively work to improve the quality of customer service.

•Provides support for clinical activities performed by the Street Medicine Outreach team by acknowledging, adhering to, and implementing organizational, nursing, and medical policies and standard operating procedures.

•Ensures timely and accurate documentation as required in medical software applications for scheduling, charting, and billing for HICHC as well as additional documentation in external databases as required for program management and grant funding.

•Actively seeks continuing education and training tools to support best practices for program and staff development and shares information through staff in-service training and individual performance improvement training. Conduct and document regular team meetings.

•Manages inventory to ensure that necessary supplies are ordered and available, are properly stored and maintained, while seeking ways to reduce waste of resources and supplies.

•Maintains compliance with State licensure by enforcing Quality Assurance protocols are adhered to in all patient care areas.

•Ensures regulatory compliance of HIPAA by monitoring the workplace environment, on- and off-site staff activities and patient care services provided. Identify areas where improvement or training is needed.

•Handles patient complaints and/or questions related to assigned program areas and address appropriately or forward to Director of Street Medicine Outreach expeditiously.

•Collects and compiles data and submits all reports required for grant funding utilized to maintain the Street Medicine Outreach department.

•Develops, reviews and updates policies, standard operating procedures and documentation tools as required to perform services in a variety of settings in collaboration with the Director of SMO, DCO, Medical Director and QI team.

•Attends budget and grant-related meetings, completes grant reports as required and works with leadership and finance department to appropriately utilize grant funds and resources.

•Completes other projects and duties as assigned by direct supervisor, DCO, COO, and CEO.

Nursing Duties

•Follows Nursing Practice Standards to evaluate patient needs and provide nursing services within designated scope of practice.

•Documents all patient care provided including assessments, interventions, preventative care, and education, follow up and recommendations.

•Communicates with a medical provider regarding patient needs, nursing assessments, interventions, and patient education in a timely manner.

•Acts as a patient advocate. Coordinates interdisciplinary services and referrals to HICHC and other community resources as indicated.

•Educates patients by disseminating patient information and literature relating to the SMO program including but not limited to disease prevention, family planning, pre-natal care, tobacco cessation and health promotion for all age categories.

•Performs direct patient care, utilizing established procedures, policies, and standards as evidenced by client/staff feedback and physician observation.

oAssesses, collects, and documents the patient’s current health status and medical history. Makes accurate initial and ongoing nursing assessments and responds appropriately. This may occur in person, at outreach events, scheduled appointments, and via telephone calls.

oDemonstrated ability and appropriate technical skills when administering medications, IV’s, medical/nursing treatments, and nursing procedures in accordance with medical provider's orders, standing operating procedures and HICHC policies. Assesses and documents response to treatment and compliance with clinical regimens.

oDemonstrates necessary skills and knowledge to provide care for patients of all ages according to policy and procedure and primary care nursing competencies.

oDemonstrates ability to handle emergencies in a prompt, precise, professional manner per nursing training and HICHC protocol.

oPerforms patient care in a manner to provide comfort and well-being to the patient, acknowledging physiological and psychological needs.

III. POSITION SPECIFICATIONS

Requirements of Position

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Education and Experience

•Bachelor’s degree in nursing required.

•1 year of supervisory nursing experience (charge nurse experience is applicable) required; 3 years progressive experience in a community health center and working within a clinical health care setting preferred.

•In lieu of a bachelor’s degree, the incumbent must have an associate degree in nursing and possess sufficient prior work experience in progressively responsible positions during which the skills and abilities to perform all the essential functions have been amply demonstrated at a consistently competent level.

Licenses and Certifications

•Current Nursing license for the State of Hawaiʻi is required, and documentation of education, experience and licensure is required and must be maintained; incumbent must be insurable under the policies and requirements of HICHC.

•Current BLS certification is required and must be maintained.

•Valid Hawaiʻi driver's license and current auto insurance required.

Knowledge, Skills and Abilities

The Street Medicine Outreach- Registered Nurse must be familiar with the community health care field and must have a sound understanding of and ability to apply leadership and management principles and methods. Additional knowledge and skills important to this position include but are not limited to:

•Demonstrate knowledge of the principles of growth and development over the life span and incorporate them in program development, patient care and health education.

•This position requires advanced knowledge of patient scheduling, intake procedures, and laboratory, pharmacy, and billing protocols.

•Interpersonal relations and customer service skills; facilitating interdepartmental operations.

•Knowledge of the applicable administrative standards, rules and regulations affecting provision of healthcare services provided in off-site events.

•Good organizational and self-management skills, including time management, document processing and reporting, and management of a broad scope of responsibilities.

•Must be able to work on multiple tasks within established deadlines.

•Must be able to work independently under the general direction of a provider and follow instructions for work completion.

•Working knowledge of computer systems including but not limited to word processing, spreadsheet, database, and electronic communication software applications.

•Able to travel to and from clinic locations and in the community, with a valid driver's license, working vehicle and current insurance.

Language Skills

•Ability to read and interpret documents such as patient records, operating and maintenance instructions, procedure manuals, etc.

•Ability to write at an above average level of competence, including internal reports and memoranda.

•Ability to communicate with diverse groups of people to include staff and providers and patients.

•Ability to communicate effectively with patients and their families to make their visit a pleasant experience.

•Sensitivity to the multicultural nature of the service area population and may be required to communicate in another language.

Physical Requirements

•Prolonged periods of sitting at a desk and working on a computer

•Must be able to lift up to 20 pounds at times

Personal Characteristics

Personal characteristics include: being a team player, self-starter working well with minimal supervision, high integrity, good personal habits, regular work attendance, courteous and friendly, able to work well with diverse groups of people, organization of multiple tasks and projects, and gain and maintain respect of others, both inside and outside HICHC and the communities it serves.

Confidential and Sensitive Information

Because the employee has access to personal and professional data regarding individual employees and their families, personal data regarding individual patients and the families, and/or sensitive company financial data, an essential job result is the maintenance of a high level of confidentiality of the information processed by the employee. Violation of this confidence may result in disciplinary action, including termination of employment.

IV. PHYSICAL CHARACTERISTICS/WORKING CONDITIONS

General Remarks: The work environment described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform essential tasks and functions.

Environment: The noise level in the work environment is usually moderate. There are no known environmental hazards on the premises. Work environment is often stressful. Work is in the office. Travelling off site may be required. Incumbent will be exposed to patients' conditions and some-unpleasant sights, smells and contagious diseases including virus, disease and infection from patients and specimens in working environment. All employees are offered the opportunity to receive the Hepatitis B vaccination series.

OSHA: This position performs tasks that involve exposure to blood, body fluids, or tissues; normal medical safety precautions and practices are required

Work Hours: 40 hours per week, schedule may vary to accommodate events and program needs. Incumbent will be scheduled based on operational need (rotate shifts, standby, on call). This position is exempt under the provisions of the Fair labor Standards Act (FLSA) and is not subject to the policies and procedures pertaining to overtime hours and premium pay. The foregoing position description is not all-inclusive of the duties that may be assigned to the employee. In order to ensure maximum flexibility and efficiency and to encourage cross training, employees will be assigned additional duties as deemed necessary or desirable by HICHC.

Mental Demands: Duties require attention to detail, alertness, problem solving, tolerance to stress and exercising sound judgment. Duties require high tolerance and adequate coping skills for dealing with loss, grief and bereavement. Good stress reduction and management skills are essential.

Travel: Frequent travel may be required off site or to other HICHC clinical sites. Frequency may vary, based on need, and as assigned.

V. REMARKS

The foregoing position description is not all-inclusive of the duties that may be assigned to the employee. To ensure maximum flexibility and efficiency and to encourage cross training, employees will be assigned additional duties as deemed necessary or desirable by HICHC.