Description
FIRST POSTING TO ENROLLED ONEIDA TRIBAL MEMBERS ONLY
After successful completion of the probationary period, employee will receive off probation wage increase.
Summary:
Provide professional nursing care to members of the Oneida Community utilizing the nursing process in the community health setting. Acting as Case Manager, the Registered Nurse evaluates and treats patients in accordance with orders from the physician. Plans, organizes, and directs home care services to ensure positive patient outcomes. Conduct regular visits to monitor patient's condition, provide individualized care and patient education. Utilizes resources from the community to plan and direct services to meet the needs of individuals and families within their homes and communities. Managed the delivery of care throughout the course of treatment and delegate appropriate components of care to the Licensed Practical Nurses and Home Care Workers and or Community Health Representatives under his/her supervision. Participates as a member of the interdisciplinary team to provide support and information within the area of skilled nursing. Continuation of this position is contingent upon funding allocations.
Responsibilities:
The RN Community Health Case Management position performs the following essential functions within the framework of the Public health Core Competencies (PHCC) and Home Health Regulations. The duties and responsibilities are not an all-inclusive list but rather a general representation of the duties and responsibilities associated with this position. The duties and responsibilities will be subject to change based on organizational needs and or deemed necessary by the supervisor.
Data Analytics and Assessment Skills
1. The ability to describe factors affecting the health of Oneida and surrounding communities as it relates to (e.g., equity, income, education, environment, and social disparities as in relates to Indian Country).
2. Assess patient's condition and nursing needs; set goals and utilize appropriate nursing actions to achieve goals.
3. Review available patient information and patient's history to conduct and document a thorough assessment of patient current and previous illness(es).
4. Complete physical assessment of patient to include but not limited to obtaining vital signs.
5. Assess for and ensure that arrangements for equipment and other necessary items and services are available.
6. Comply with evaluation, treatment, and documentation guidelines.
Policy Development and Program Planning Skills
7. Influence policies, programs, and services external to the Oneida Comprehensive Health Division and to the Oneida Nation that affect the health of the Oneida and surrounding communities. (e.g., zoning, transportation routes).
8. Development of ongoing strategies for continuous quality improvement of the department.
9. Advocate for the use of evidence in decision making that affects the health of Oneida.
10. Adhere to all Tribal Personnel Policies and Procedures, Tribal Standard Operating Procedures, and Area and Program Strategic Plans and Policies.
11. Ensure program compliance by completing necessary reports as required.
Communication Skills
12. Ability to inform and communicate verbally and in writing in diverse and challenging situations with the ability to process information effectively, identify and define problems and make objective decisions.
13. Ability to operate business computers and office equipment, including in a Windows environment, specifically Word, Excel, Access, SharePoint, Teams, and Presentation software.
Health Equity Skills
14. Interact with customers, community partners and co-workers with fairness and equity and deliver services free of bias and prejudice.
15. Support and encourage the development and incorporate Oneida Nation culture, tradition, and values into program practices.
Community Partnership Skills
16. Network with internal and external programs to obtain and maintain appropriate in-home services.
17. Arrange and/or attend multi-disciplinary treatment meetings when necessary.
18. Coordinate communication among team members to ensure the appropriate care.
19. Prepare reports, presentations, memorandum, and letters as needed.
20. Provide public health related nursing services to individuals, families, and the general community to promote wellness and prevent illness. Organize and facilitate health education programs for the Oneida Community.
21. Nursing activities provided in home/field will focus primarily on wellness and prevention services with an emphasis on empowering individuals and families toward greater self-sufficiency.
22. Advocate for the Oneida Individual, family, and/or community as needed to assist in voicing or expressing health concern cases on their behalf.
23. Practice excellent customer service skills always to include, but not limited to addressing customer and employee needs courteously and promptly.
24. Encourage patients to actively participate in their own care by asking questions and educating them on treatment or situations that they don't understand.
25. Provide counseling to increase individual and/or family capacity for self-care and coping with illness.
26. Assist in other Community Health Nursing Programming as needed.
27. Contribute to a team effort and accomplishes related results as required.
28. Adhere to all Tribal Personnel Policies and Procedures, Tribal Standard Operating Procedures, and Area and Program Strategic Plans and Policies.
Public Health Sciences Skills
29. Seek out and use evidenced based and best practices in programming.
30. Participate in State Tribal and Federal I.H.S. (Indian Health Services) sponsored public health initiatives as needed.
Management and Finance Skills
31. Ensures that required documentation is completed thoroughly and accurately to facilitate maximum reimbursement for services required and completed.
Leadership and Systems Thinking Skills
32. Participate in all required and necessary training in clinical procedures; coordinate in-service training, continuing education, orientation, competency reviews and other related training.
33. Participate in the continuing education and skills training needs to maintain and expand professional knowledge, skills, and public health nursing duties.
34. Ensure referral and follow up to assist individuals, families, groups, organizations, and community to utilize necessary resources to prevent, resolve problems and/or concerns.
35. Knowledge and skill and ability to work effectively under pressure or conditions that may be challenging due to deadlines and emergency situations.
36. Ability to work with minimal supervision.
Home Health Agency & Case Management Skills
37. Promotes Home Health Referrals in the health care community.
38. Provide and document nursing care with proper service coding.
39. Develops a care plan using health assessment data, which establishes goals based on nursing diagnosis and incorporates therapeutic, preventative, and rehabilitative nursing actions.
a. Includes the patient and the family in the planning process.
40. Initiates appropriate preventive and rehabilitative nursing procedures.
b. Instructs, supervises, and evaluates home health aide care provided every two weeks.
41. Instruct Licensed Practical Nurses and Home Health Aides in treatment procedures to be utilized and provide supervision.
c. Assess competency on an annual basis and as needed.
d. Provide patient specific training to enhance patient outcomes.
42. Administers medications and treatments as prescribed by the physician.
43. Demonstrates competence and ability to provide care including but not limited to wound care, catheter care, blood draws and IV medications as well as medication assessment, patient education for disease management, and prevention of rehospitalization.
44. Participates in on-call duties as defined by the on-call policy.
Skills:
* Ability to work independently with minimal supervision.
* Skill in analyzing problems, projecting consequences, identifying solutions, and implementing recommendations.
* Maintain quality, safety, and/or infection control standards
* Observe, assess, and record symptoms, reactions, and progress
* Knowledge of patient care charts and patient histories
* Knowledge of related accreditation and certification requirements
* Preparing and maintaining patient records
* Ability to clearly communicate medical information to professional practitioners and/or the general public
* Knowledge of AAAHC, HIPAA, Workers Compensation, OSHA, Federal, State and Local regulations
* Knowledge of emergency medical procedures
* Must be willing and able to obtain additional education and training to stay updated on emerging technologies
* Knowledge of health education theory and practice
* Ability to demonstrate excellence and continually seek improvement in results
* Ability to educate patients and/or families as to the nature of disease and to provide instruction on proper care and treatment
* Ability to exercise sound judgment in decision making
* Knowledge of applicable federal, state, county, and local laws, regulations, and requirements
* Ability to communicate effectively in the English language both verbally and in writing with staff and the general public.
* Skill in interpersonal relationships.
* Must adhere to strict confidentiality in all matters.
* Knowledge of current principles, methods, and procedures for the delivery of nursing procedures and quality of care.
* Knowledge of current and emerging trends in technologies, techniques, issues, and approaches in area of expertise.
* Knowledge of clinical operations and procedures of program services.
* Assists with coordinating and participates in interdisciplinary meetings.
* Skill in operating business computers and office machines, including in a Windows environment, specifically Word, Excel, , and presentation software (such as PowerPoint).
* Ability to establish and maintain professional relationships with individuals of varying social and cultural backgrounds and with vendors and co-workers at all levels.
* Ability to learn and operate the applicable Wisconsin Department of Health Services Software applications necessary to provide program services, i.e. WAMS (Web Access Management System), LTCFS (Long Term Care Functional Screen).
Education Requirement - Or A Closely Related Field:
Education with Equivalent Qualifications:
Essential:
* Bachelor's Degree in Nursing
Credentials:
Essential:
* Driver's License Personal & Tribal Vehicle
* Insurance Required
* Wisconsin's Licensed Registered Nurse
Nonessential:
* Driver Safety Training
* Cardiopulmonary Resuscitation (CPR) within six weeks of employment. Must maintain certification during tenure of employment.
* Child Abuse Reporting Policy (CARP), training within ninety (90) days of employment.
* Health Insurance Portability (HIPAA) Accountability, training within thirty (30) days of employment and annually thereafter.
Working conditions:
Essential:
* Stand frequently
* Walk frequently
* Sit frequently
* Bend/stoop occasionally
* Kneel frequently
* Crawl occasionally
* Reach frequently
* Push/pull occasionally
* Lift 31-50 pounds occasionally
* Move 31-50 pounds continuously
* Medical office setting with potential patient exposure
* Exposure to dangerous materials and situations
* Exposure to potentially dangerous materials and situations that require following extensive safety precautions
* Wear protective clothing
* Exposure to blood borne pathogens
* Extreme weather conditions
* Exposure to latex products
* Environment may not be smoke free
* Evening and weekend work may be required
* Work extended hours
* Work irregular shifts
* Varicella vaccine required
* Measles mumps rubella vaccination required
Experience:
Nonessential:
* One (1) year patient care experience in a home health setting as an RN.
Other information:
EQUAL EMPLOYMENT OPPORTUNITY STATEMENT - The Oneida Nation does not discriminate based on race, color, national origin, sex, religion, age or disability status in employment or the provision of services. However, individuals of Indian ancestry and Veterans will be given preference by law in employment.
Continuation of this position is contingent upon funding allocations.
Must maintain strict security, confidentiality, and quality to meet professional standards of the department.
Must adhere to all Oneida Nation Personnel Policies and Procedures, Oneida Nation Standard Operating Procedures, and Area and Program Strategic Plans and Policies.
Must pass a background check to meet Employment Eligibility Requirements. If applicable, must pass a background check to meet Oneida Nation/State Compact and/or Oneida Nation Gaming Ordinance, and may be required to obtain a temporary license and/or Gaming license as a condition of employment.
Must be willing and able to obtain additional related education and training.
Must pass a pre-employment drug screen and adhere to the Nation Drug and Alcohol-Free Workplace Policy.
A Tuberculosis (TB) Screening and/or a 2 step TB Skin Test is required within thirty (30) days of employment.
Must provide a copy of diploma/degree, license, or certification upon employment.
ITEMS TO BE SUBMITTED:
1. Employees' are required to have proof of seasonal influenza vaccination; ;medical or religious exemption may be requested upon hire.
2. Three (3) Current letters of references (personal, professional, and past employment).
3. Background information disclosure (BID) form.
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