PLEASE NOTE - This position may require temporarily relocation to other TONHC Facilities: Sells Hospital, Santa Rosa Health Center, San Simon Health Center, and San Xavier Health Center.
Position Summary:
Incumbent provides comprehensive nursing care to acutely ill medical, obstetric, and pediatric patients of the Tohono O'odham Nation Health Care Sells Hospital.
Scope of Work: This position is within the Tohono O'odham Nation Health Care at the Sells Hospital in the Division of Nursing Services as assigned. This position involves providing direct care to patients in hospitals. In addition, the employee is assigned to the inpatient unit and works under the general supervision of the Supervisory Clinical Nurse.
Essential Duties and Responsibilities: (Depending on the area of assignment, an incumbent may not be required to perform some of the duties listed below):
Under the Supervisory Nurse Specialist's direction, the RN provides comprehensive nursing care to acutely ill and long-term or medical, obstetric, and pediatric patients.Observes patients ' changing conditions to formulate and update plans for care consistent with recognized nursing standards and in accordance with prescribed medical treatments.Record all patient care in the electronic health record and other data relevant to the patient's care accurately, efficiently, and timely.Share all appropriate clinical measures, pertinent patient information with the inpatient care team.Consult with Charge RN or provider on all unusual findings to determine an appropriate plan of care.Interpret data obtained from observations, examinations, monitored findings, and lab values.Discriminates between normal and abnormal findings and provides appropriate care interventions established by licensure, standards of practice, and clinic Proactive in communicating with the multidisciplinary care team members in assessing, planning, implementing, and evaluating care needs.Administer prescribed oral medications, hypodermic injections, Intravenous (IV) fluid, blood transfusions, and oxygen therapy.Performs intravenous cannula insertion for IV therapy and venipuncture for blood draws.Prepares, administers, and monitors prescribed IV medications, utilizing the regulatory infusion pumps as appropriate.Supervises the serving of meals and nourishments and ensures that dietary needs are met for each patient.Perform nursing procedures such as nasal-pharyngeal and gastric suction, the insertion of an NG tube, urinary catheterization, chest physical therapy, non-stress test, fetal monitoring, Ensure patient data collection and documentation, including temperature, pulse, respiration, blood pressure, intake and output, medication effects, and subjective and objective symptoms.As appropriate, report all pertinent information to the Medical Officer, Charge Nurse, Nurse Specialist, and inpatient Nursing Coordinator.Supervise the preparation of patients for tests, examinations, treatments, and surgery.Prepares and reviews records for completeness and performs necessary patient teaching.Utilizes diversified professional concepts and practices while performing procedures, treatments, and tasks related to specialty areas, such as orthopedics, neurosurgery, pediatrics, urology, neurology, hematology, oncology, Ensure consults and referrals follow through a system for approval and appointments are scheduled in a timely manner.Participates in discharge planning by assessing patient needs, making necessary referrals, and involving the family in the process.Complies and Participates with mandatory educational programs, unit in-services, and staff meetings.Participates in committees such as infection control, quality council, and safety as assigned.Performs other duties as assigned.Knowledge, Skills, and Abilities:
Knowledge of the Tohono O'odham culture, customs, and traditions.Knowledge of professional nursing principles, practices, concepts, and procedures applied to ambulatory Care and the Inpatient Department.Knowledge and experience in anatomy and physiology, basic pathophysiology, and the ability to work independently in completing nursing care assignments. Skill and ability to utilize a standardized body of knowledge to provide patient care for the critically ill; pre-natal; post-partum; pediatric; internal medicine; and other patients. Knowledge of procedural and treatment techniques of Basic life support and ability to provide expert assistance to the physician performing the procedures.Knowledge of the biological aspects of the disease process and illness to recognize complications and therapeutic interventions required. Knowledge of pharmaceuticals to recognize desired effects, side effects, and complications of their use.Knowledge of effective teaching methods in planning, developing, evaluating, and implementing patient education.Knowledge of patient care services provided by other clinical units and other patient care services: (i.e., pharmacy, dental, CSR, and community resources).Knowledge of the accreditation process and standards; legal and ethical aspects of professional nursing; the Performance Improvement Process, Infection Control standards and Safety standards.Knowledge of health records and ability to accurately and completely document related clinical data.Knowledge of diabetes and how it affects mental health.Knowledge of the use of the Electronic Health Record, proficient in computer usage.Knowledge of a full range of established nursing concepts, principles, and practices to perform professional assignments of moderate difficulty.Knowledge of HIPAA-related rules and regulations.Skill required to develop Nursing Care Plans to meet the individual needs of patients with consideration of physical, emotional, social, and cultural factors through the life span continuum.Skill in the use of various medical equipment in the care of the patient.Skill in providing superior customer service to external and internal customers.Skill in providing care in reacting promptly to emergency situations.Ability to react appropriately to stressful situations and exercise emotional control, tact, patience, and reliability in inpatient care.Ability to analyze various medical procedures' results and translate them into appropriate nursing actions, i.e., react promptly in emergencies, including implementing life-saving procedures. Ability to communicate and interact with various personnel (tribal staff, other health care professionals, individuals in the community) of varying function, levels of knowledge, and care requirements to provide optimal care for the patient population.Ability to be compassionate and have good communication skills.Ability to carry out instructions furnished in verbal or written format.Ability to communicate efficiently and effectively both verbally and in writing.Ability to exercise independent judgment.Minimum Qualifications:
Degree or diploma from a professional nursing program approved by the legally designated State Accrediting agency at the time the program was completed by the applicant.Licenses, Certifications, Special Requirements:
One (1) year of experience in Inpatient Care is preferred.Must have an active, current, and unrestricted license as a professional nurse in a State, District of Columbia, the Commonwealth of Puerto Rico, or a United States territory.Must have a current Healthcare Cardio Pulmonary Resuscitation (CPR), Automated External Defibrillator (AED).Advanced Cardiac Life Support and Pediatric Advanced Life Support certification is preferred upon hire or obtained within six (6) months of employment.Must have a current immunization statement to include proof of a non-reactive tuberculosis skin test within the last year, proof of immunity for Hepatitis B (Documentation of immunization does not prove immunity, only a titer with a positive result is proof), within three months of hire.Upon recommendation for hire, a criminal background and a National FBI fingerprint check are required to determine suitability for employment, including a 39-month driving record. May require possessing and maintaining a valid driver's license (no DUIs or major traffic citations within the last three years). If required, must meet the Tohono O'odham Nation tribal employer's insurance requirements to receive a driver's permit to operate program vehicles.Based on the department's needs, incumbents may be required to demonstrate fluency in both the Tohono O'odham language and English as a condition of employment. Read LessPLEASE NOTE - This position may require temporarily relocation to other TONHC Facilities: Sells Hospital, Santa Rosa Health Center, San Simon Health Center, and San Xavier Health Center.
Position Summary:
The incumbent is responsible for administering the Purchased/Referred Care (PRC) program. Responsibilities include allocating PRC funds and alternate healthcare resources to provide complete comprehensive health services for Tohono O'odham Nation Health Care's user population.
Scope of Work:
This position is located within Tohono O'odham Nation Health Care's Purchased Referred Care (PRC) Branch or Administrative Office. It may be situated organizationally and duty stationed at any TONHC facilities: Sells Hospital, Santa Rosa Health Center, San Simon Health Center, and San Xavier Health Center.
Essential Duties and Responsibilities: (Depending on the area of assignment, an incumbent may not be required to perform some of the duties listed below):
Maintains collaborative measures with the clinical teams to assure initial and process follow-up patient referrals according to the current PRC mapping process for the health care facility.Responsible for determining patient eligibility, scope, and priority for the PRC program.Responsible for entering necessary referrals into the RCIS system.Assists patients in the scheduling of referred appointments.Provide education to patients on special instructions for referred visits.Follows up on referred visits scheduled to ensure the referring facility receives the visit records.Follows up with patients after referred visits to coordinate follow-up primary care visits as necessary.Respond to PRC inquiries and requests for PRC assistance from the clinic staff and patients.Respond to inquiries and requests within the TONHC Healthcare facilities, including medical, social service, dental, and private sector health resources regarding PRC referral status.Responsible for implementing decisions made for the provision or denial of services.Responsible for effective and maximum utilization of PRC funds and maintaining a follow-up system that will assure adequate funds are set aside for all authorized referrals, emergency notifications, and follow-up care referrals per policy and clinic mapping process.Assures obligation of all funds by the end of the funding period.Assures the cancellation of all unused obligations on a timely basis.Assures all outstanding authorizations over 30 days old are valid.Assures authorizations are only processed when funds are available.Assures transactions affecting funds are promptly processed; this includes obligations, disbursements, cancellations, reconciliation, and recording allocations.Assures effective communication with fiscal intermediaries and Finance, responding to all pending claims.Maintains the Nation's commitment to registering for PRC funds for medical and dental services.Responsible for maintaining a register for all requests for additional funding.Compiles statistical and fiscal data reports necessary to determine funds required to meet the PRC program's needs. Prepare all PRC financial status reports, budget needs, forecasts, and other required PRC reports for the Hospital.Reconciles with Financial Management Reports and Fiscal Intermediary, keeping supervisor and Hospital and clinic staff advised on current fund status.Assist with reporting Catastrophic Health Emergency Fund (CHEF) cases. Works closely with PRC staff and medical officers to report, manage and monitor the high-cost cases funded through the CHEF program established by P.L. 100-173 Section 202.Responsible for keeping up-to-date pending and completed PRC patient files with a documented status of all written and verbal transactions.Performs periodic spot reviews and audits of completed authorization forms and other documents to ensure the consistent, correct use of allotment, object, sub-object, and sub-activity coding required.Works with Hospital and Clinic professional and para-professional staff, local providers, tribal health committees; serves as a representative at meetings to create and understand the PRC programs and promote consumer and provider satisfaction.Incumbent must know computer applications relating to the PRC Program, including the responsibility for key entering and verifying all PRC service authorization, payments, cancellations, and supplements.Responsible for adding, deleting, changing, and verifying information in both the patient file and vendor.Contribute to a team effort.Other duties as assigned.Knowledge, Skills, and Abilities:
Knowledge of the Tohono O'odham culture, customs, and traditions.Knowledge of applicable federal, state, tribal laws, regulations, and requirements. Knowledge of legal regulations and requirements on confidentiality, specifically the Privacy Act of 1974 and the Health Insurance Portability and Accountability Act of 1996 (HIPAA).Knowledge of the various TONHC program functions related to the Purchased/Referred Care program.Knowledge of funds control techniques to account for the funds allotted to the Purchased/Referred Care Program; a comprehensive ability to prepare financial statements and reports.Knowledge of medical codes derived from the Indian Health Service Standard Code Book and the Contract Medical Care System Handbook.Skill in communicating with people from varied backgrounds and cultures, including communicating effectively with a wide variety of people, especially interaction with irate patients.Ability to learn Purchased/Referred Care guidelines and regulations necessary to assure that the prescribed procedures are appropriately applied.Ability to obtain in-depth knowledge of all computer operations and sequence execution of Purchased/Referred Care programs and the online peripheral devices' relationship to the computer system.Ability to define PRC services, determine eligibility, how PRC supports direct care, federally recognized Indian Tribe, reservation, residency, descendancy, tribal affiliation, CHSDA, close social and economic ties, elderly, disabled, alternate resources, and medical priority levels.Ability and skill to coordinate the PRC office with others (i.e., vendors, physicians, support services, state agencies, etc.)Ability to prepare good oral and written communication to interact with referral program personnel, contract care facilities, and providers.Ability to work independently, use sound judgment, and meet deadlines.Minimum Qualifications:
High School Diploma or General Education Diploma and one year of work experience in a medical business office function, or an equivalent combination of training, education, and work experience demonstrate the ability to perform this position's duties.Licenses, Certifications, Special Requirements:
Must possess and provide a copy of an official record that verified the training received with the employment application.Must possess a certification of completing an approved medical assistant training program accredited by the Commission on Accreditation of Allied Health Education Programs (CAAHEP), the Accrediting Bureau of Health Education Schools (ABHES), or any accrediting agency recognized by the United States Department of Education. OR;A current and active Certified Medical Assistant (CMA) or Registered Medical Assistant (RMA) from The American Association of Medical Assistants (AAMA) or the American Medical Technologists (AMT). OR;The completion of a medical services training program of the Armed Forces of the United States. Must provide a copy of an official record that verifies the training received. Must obtain an Arizona Notary Public Commission certificate within six months of hire.Upon recommendation for hire, a criminal background and a National FBI fingerprint check are required to determine suitability for employment, including a 39-month driving record. May require possessing and maintaining a valid driver's license (no DUIs or major traffic citations within the last three years). If required, must meet the Tohono O'odham Nation tribal employer's insurance requirements to receive a driver's permit to operate program vehicles.Based on the department's needs, the incumbent(s) may be required to demonstrate fluency in both the Tohono O'odham language and English as a condition of employment. Read LessPLEASE NOTE - This position may require temporarily relocation to other TONHC Facilities: Sells Hospital, Santa Rosa Health Center, San Simon Health Center, and San Xavier Health Center.
Position Summary:
The incumbent provides comprehensive nursing care and patient services in a clinic or ambulatory care setting and assists physicians and patients.
Scope of Work:
This position is within the Tohono O'odham Nation Health Care, including Sells Hospital, San Xavier Health Center, Santa Rosa Health Center, and San Simon Health Center. The position involves providing direct care to patients in hospitals and clinics. The employee is assigned to the outpatient unit and works under the Supervisory Clinical Nurse's general supervision.
Essential Duties and Responsibilities: (Depending on the area of assignment, an incumbent may not be required to perform some of the duties listed below):
Assist the primary provider in gathering patient information for the initial health history of new patients.Conduct follow-up phone calls on behalf of the care team provider. Contact patient to discuss test results, complete referrals, changes in medications or care plan, and follow-up on self-management goals.Serves as primary contact/clinical liaison between referral hospitals, pharmacies, treatment facilities, and patients/families to ensure effective and appropriate treatment per established care plan.Triage patients on the team's panel call or walk in and assist or direct them as appropriate. Ensures the needs of the patient are met in a safe and timely manner with the available resources.Facilitates, schedules, and participates in various patient care coordination activities to provide patient and family personal and health care needs promptly; proactively identify alternative resources as needed.Maintains and updates the team's patient panels. Identifies, creates, & maintains panels of high-risk sub-populations for care management.Collects and reports clinical measures for a panel of patients.Leads a multi-disciplinary health care team in performance improvement efforts.Provide emergency care as needed to patients.Assesses and provides appropriate support in health promotion and disease prevention and treatment to patients with common chronic illnesses such as diabetes, hypertension, and tuberculosis.Initiates and follows up on patient needs for continuing care or related health services.Provide patient and family counseling, including telephone triage and counseling with proper documentation.Conduct nurse visits per standing orders and current orders in the patient's record.Checks stock of drugs, wound care supplies, linens, medical supplies, and other patient-related supplies necessary for day-to-day operations; advises appropriate staff of need. Works closely with other members of the health care team in developing patient care visit plans. Maintains patient records by completing thorough and accurate documentation of all patient encounters.Administers medications as prescribed by the primary physician or provider in compliance with policies.Lead/coordinate pre-visit planning for scheduled patients.Assists in the clinical area by performing treatments and procedures.Participates in Quality Improvement teams and other committees as assigned.Acts in the absence of the supervisor.Performs other job duties as assigned.Knowledge, Skills, and Abilities:
Knowledge of the Tohono O'odham culture, customs, and traditions.Knowledge of HIPAA-related rules and regulations.Knowledge of a full range of established nursing concepts, principles, and practices to perform professional assignments of moderate difficulty.Knowledge of the pharmacology of various drugs to include desired action, dosage, use, and potential adverse side effects.Ability to interpret illness to the patient, explain purpose and outcomes of therapies, and provide instruction in proper self-care techniques such as customer care, medication administration, insulin injection techniques.Knowledge and skill are necessary to conduct staff and patient/family education classes and participate in the hospital-wide in-service education program.Knowledge of and ability to apply professional nursing principles, procedures, and techniques to outpatients with a wide variety of conditions.Skill in providing care and in reacting promptly to emergencies.Ability to provide individual and family counseling, guidance, and health instruction to help patients (and their families) understand how to prevent disease and maintain good health.Skill required to develop Patient Visit Plans to meet patients' individual needs with consideration of physical, emotional, social, and cultural factors throughout the life span continuum. Knowledge of professional nursing principles and procedures as applied in an outpatient setting. Skill in the use of medical equipment utilized in the area of assignment.Ability to be compassionate and have good communication skills.Ability to carry out instructions furnished in verbal or written format.Ability to communicate efficiently and effectively verbally and in writing.Ability to exercise independent judgment.Ability to maintain privileged, confidential information. Ability to establish and maintain positive and effective working relationships with other employees and the general public. Ability to work independently and meet strict timelines.Computer skills are essential to utilize and document in the Electronic Health Record.Minimum Qualifications:
Degree from a professional nursing program approved by the legally designated State-accrediting agency when the applicant completed the program.Licenses, Certifications, Special Requirements:
One (1) year of experience in ambulatory care or clinic setting is preferred but not required.Must have an active, current, and unrestricted license as a professional nurse in a State, District of Columbia, the Commonwealth of Puerto Rico, or a territory of the United States.Must have current certification in Cardio Pulmonary Resuscitation (CPR), Automated External Defibrillator (AED).Must have a current immunization statement to include proof of a non-reactive tuberculosis skin test within the last year, proof of immunity for hepatitis B (Documentation of immunization does not prove immunity, only a titer with a positive result is proof), within three months of hire.Upon recommendation for hire, a criminal background and a National FBI fingerprint check are required to determine suitability for employment, including a 39-month driving record. May require possessing and maintaining a valid driver's license (no DUIs or major traffic citations within the last three years). If required, must meet the Tohono O'odham Nation tribal employer's insurance requirements to receive a driver's permit to operate program vehicles.Based on the department's needs, incumbents may be required to demonstrate fluency in both the Tohono O'odham language and English as a condition of employment. Read LessPLEASE NOTE - This position may require temporarily relocation to other TONHC Facilities: Sells Hospital, Santa Rosa Health Center, San Simon Health Center, and San Xavier Health Center.
Position Summary:
The Emergency Room Clinical Nurse position is located in the Emergency Room under the Division of Nursing Service Branch of the Tohono O'odham Nation Health Care Sells Hospital. It provides care to patients presenting for emergency services.
Scope of Work:
Under general supervision, provides appropriate Emergency care to patients presenting to the Emergency Room involved in an injury and/or illness. Discharges patients from the Emergency Room in an orderly and safe manner. Communicates appropriately with the patient and all parties and agencies involved in the patient's care as needed, under the emergency department's Supervisory Nurse Specialist's general supervision.
Essential Duties and Responsibilities: (Depending on the area of assignment, an incumbent may not be required to perform some of the duties listed below):
As a health care team member, the Emergency Room nurse can work independently performing professional nursing care duties of emergent/ urgently/acutely ill and injured patients in an emergency care setting.Develops plans to provide direct care to clients, which involves assessing and evaluating applicable to emergent care, determining the nursing procedures and practices to be included, and periodic review of the plans to ensure achieved results.Interviews patient's family members, consult with attending physicians (when time permits), and ER physicians determine and evaluate appropriate/quality care for patients in life-threatening situations.Reviews and interprets findings to distinguish between normal and abnormal conditions during patient screening/triage.Interpret data obtained from observations, examinations, monitored findings, and lab values. Differentiates between normal and abnormal results and provides appropriate care interventions established by licensure, standards of practice, and clinic policy related to emergency care.Administer prescribed oral medications, hypodermic injections, intravenous (IV) fluid, blood transfusions, and oxygen therapy.Performs intravenous cannula insertion for V therapy and venipuncture for blood draws.Carries out emergent procedures and treatments as ordered/required; administers medication; observes and documents patient's conditions, changes, reactions, and results to medications and medical treatment.When assigned and as requested, provides guidance, direction, and training to other nursing personnel, EMTs, and paramedics.Maintains health records by documenting observations, interventions, and therapeutic measures administered in the Electronic Health Record or required patient care forms.To provide counseling and discharge instructions to patients and families or surrogates on preventive, curative, and rehabilitative measures involved in health care.Participate in the development and evaluation of standards of care and audit procedures required.Maintains professional knowledge and proficiency in nursing through applicable certification, continuing education, staff meetings, workshops, and serving on committees.Maintains professional knowledge by conducting research, attending seminars, educational workshops, classes, and conferences; reviewing professional publications; establishing networks; participating in professional societies; conferring with representatives of contracting agencies and related organizations.Performs other duties as assigned.Knowledge, Skills, and Abilities:
Knowledge of the Tohono O'odham culture, customs, and traditions.Knowledge of applicable federal, state, tribal laws, regulations, and requirements.Knowledge of Emergency Medical Treatment and Labor Act (EMTALA), Joint Commission, and the Center of Medicare and Medicaid Services (CMS). Knowledge of professional nursing care principles, practices, and procedures related to emergency patient care to assess and provide for patients' needs also involves considering the physical, emotional, spiritual, and socio-cultural aspects of health care. Knowledge of advanced trauma life support and cardiac life support care, practices, and skill to provide quality patient care and serve as a patient advocate.Knowledge of how the body systems relate to one another in restoring health.Knowledge of the pathologic conditions associated with a wide variety of health problems, conditions, and injuries. Knowledge of specialized assessments applicable to emergent care.Knowledge of highly developed nursing care management skills with potentially life-threatening health problems, conditions, and injuries. Knowledge of the health records aspect of patient care and accurately complete documents relating to clinical data. Knowledge of various specializations, including specialty care related to prenatal, postpartum, pediatric, trauma, cardiac, and emergency nursing, applies across the age continuum. Knowledge of diseases to recognize complications and required therapeutic interventions. Knowledge of pharmaceuticals and dosages to recognize their desired effects, side effects, and complications for their use. Knowledge of human behavior to exercise emotional control, tact, patience, and reliability in patients' care.Knowledge of available resources and processes designated for primary care and referral services.Skill in operating specialized medical equipment such as resuscitation, positive pressure machines, monitoring devices such as suctions pumps, intravenous infusion pumps, and any medical equipment used in the Emergency Room. Skill in computer use and Electronic Health Record applications.Ability to recognize adverse signs and symptoms that are not always apparent and promptly react in emergencies, including implementing life-saving procedures. Ability to develop and design care plans for emergent care patients.Ability to develop or participate in developing care plans to meet the patient's needs.Ability to provide individual and family counseling, guidance, and health instructions to help patients understand how to prevent disease and maintain good health.Knowledge of HIPPA and Privacy Act-related rules and regulations.Ability to be compassionate. Ability to carry out instructions furnished in verbal or written format.Ability to communicate efficiently and effectively verbally and in writing.Ability to exercise critical thinking skills.Ability to establish and maintain positive and effective working relationships and other employees.Ability to develop and maintain positive and effective working relationships with other employees and the general public.Ability to work independently and be a team player.Ability to work extended hours and various work schedules.Ability to travel within the interior/exterior boundaries of the Tohono O'odham Nation.Minimum Qualifications:
Education: Degree or diploma from a professional nursing program approved by the legally designated State-accrediting agency where the applicant completed the program.One year of experience in an emergency room or critical care nursing is required.Licenses, Certifications, Special Requirements:
Must have an active, current, and unrestricted license as a professional nurse in a State, District of Columbia, the Commonwealth of Puerto Rico, or a territory of the United States. Must have current Healthcare Cardio Pulmonary Resuscitation (CPR) and Automated External Defibrillator (AED) certifications.Current certification in Advanced Cardiac Life Support (ACLS) is required upon hire.Pediatric Advanced Life Support (PALS) and Trauma Nursing Core Course (TNCC) certification is preferred upon hire; if not certified, must obtain certification within six months of employment.Must have a current immunization/statement, including proof of a non-reactive tuberculosis skin test within the last year, proof of immunity of hepatitis B proof (Documentation of immunization does not provide immunity, only a titer with a positive result) within three months of hire. Upon recommendation for hire, a criminal background and a National FBI fingerprint check are required to determine suitability for employment, including a 39-month driving record. May require possessing and maintaining a valid driver's license (no DUIs or major traffic citations within the last three years). If required, must meet the Tohono O'odham Nation tribal employer's insurance requirements to receive a driver's permit to operate program vehicles.Based on the department's needs, incumbents may be required to demonstrate fluency in both the Tohono O'odham language and English as a condition of employment. Read LessPLEASE NOTE - This position may require temporarily relocation to other TONHC Facilities: Sells Hospital, Santa Rosa Health Center, San Simon Health Center, and San Xavier Health Center.
Position Summary:
The Nurse Specialist (Case Management) (NCM) provides outpatient case management and self-management education to persons with chronic disease and special healthcare needs. Other duties include assisting with the planning and implementation of community-based prevention and education activities.
The NCM serves a vital role within the primary care team. Knowledge of the community, understanding the obstacles patients face to receive care, and being flexible and resourceful are critical attributes needed to navigate the ever-changing healthcare system. Additionally, the NCM often assists in addressing and resolving social issues of the patients and families served. Occasionally, the NCM provides services for an entire family as a relationship of trust develops, and people become more likely to return for additional assistance when needed.
Scope of Work: This position is located within TONHC and serves in the ambulatory care setting. It may be situated organizationally in TONHC Sell hospital or any TONHC health centers. The NCM works under the general supervision of the Clinical Director, who provides administrative oversight. The incumbent functions with considerable independence in coordinating with care teams and performing case management duties.
Essential Duties and Responsibilities: (Depending on the area of assignment, an incumbent may not be required to perform some of the duties listed below):
Works alongside the primary care team to assist individuals in promptly accessing needed specialty medical care.Problem-solving multiple obstacles to care for patients and families face when dealing with complex health problems in various socioeconomic contexts.Provide care coordination for persons with specialized and complex healthcare needs.Educate patients and families regarding the recommended services, their expected benefits, risks, and alternatives.Facilitates scheduling of the specialty appointments and ensures transportation to and from is arranged.Follows up to verify appointment attendance and obtain visits, procedures, and test reports for the patient's medical records.Ensure the primary care team is aware of test results, treatments, and consultants' recommendations.Connects the patient/family with appropriate resources by referral to community services for which they may be eligible, including programs within and outside the Tohono O'odham Nation.Monitor progress, condition, and discharge plan to TONHC beneficiaries hospitalized in and outside Tucson, Casa Grande, and Phoenix facilities.Provides information to primary care teams to ensure the client receives hospital discharge follow-up in a timely manner to decrease hospital readmissions.Conducts chart reviews of patients whom NCM follows.Fields inquires via incoming calls regarding services available at TONHC.Follow-ups and attends scheduled clinic visits with patients followed by NCM.Assist with scheduling specialty appointments, including entering referrals and faxing documents needed for transportation.Assist with scheduling transportation for medical appointments.Perform task-oriented work based on patient needs.Communicate with patients and families in person, by phone, or by correspondence.Frequently communicates with specialty schedulers within the TONHC referral network and with local community partners.Communicates with Community Health Representatives and Home Health Nurses to contact difficult-to-reach patients and families and obtain useful clinical reports.Attends community events to share information about services available to TONHC.Reviews area hospital admissions via remote access for TONHC beneficiaries and communicates relevant information to the primary care team.Compile a listing of beneficiaries discharged from area hospitals or transferred to area hospitals from the Sells ER or TONHC ambulatory clinics.Coordinate weekly conference calls among all Clinical Nurse Team Leaders, Social Work Services, and TON Home Health Nursing to improve coordinated continuity of care and reduce risk of hospital readmission.Participates in TONHC care conference - a collaborative meeting with Adult Care, Senior Services, Behavioral Health, Home Health Nursing, and Community Health Representatives putting action plans in place for vulnerable individuals followed by the various programs.Coordinates the Monthly Collaboratively Meeting with our Community Partners, including creating an agenda and arranging a program presentation to update attendees about local services to community members and scheduling the meeting by the video conference to all TONHC clinical sites.Participate in the Monthly Ambulatory Care Committee Meetings.Conducts patient assessments and provides appropriate case management and referral for persons with chronic disease.Use reliable, evidence-based, culturally relevant education material or curricula for providing comprehensive patient self-management education.Documents educational assessment, topics covered, and evaluation of the patient's understanding in the medical record.Uses patient and family education codes in documentation; develops a process to assist the patient with establishing a goal-orientated plan for behavior change.Use teaching strategies that include various approaches and methods that incorporate theories and concepts related to adult learning, readiness for change, empowerment, and motivational interviewing.Collaborates with the multidisciplinary team to develop and implement a patient care plan that meets relevant standards of care, evaluates the educational process and clinical outcomes, and makes appropriate referrals.Uses case management techniques to monitor education and clinical interventions for individual clients, routinely monitors group data for performance improvement activities.Procures, organizes, evaluates, updates, and develops patient education materials for health care professionals, patients, and family members.Maintains continuing education in chronic disease treatment, case management, patient education, teaching strategies, behavior change, and other topics related to the scope of work.Assists in the development of protocols and procedures according to relevant guidelines.Assists in the development of a realistic, measurable work plan for project activities.Ensure that all case management and patient education activities performed are with the utmost attention to patient confidentiality and HIPAA requirements.Participates actively in case management training.Maintains collaborative relationships with members and tribal and community partners.Performs other job-related duties as assigned and contributes to a team effort.Knowledge, Skills, and Abilities:
Knowledgeofthe Tohono O'odham traditions, language, history, geography, and culture.Knowledge of applicable federal, state, tribal laws, regulations, and requirements.Knowledge of health-related issues, medical terminology, and health and child care education.Knowledge of case management skills such as tracking, recall, identification of clinical needs, and communication.Strong working knowledge of chronic disease (including but not limited to: diabetes, cardiovascular disease, hypertension, dyslipidemia, depression, and rheumatoid arthritis); physiology, and pathophysiology, multidisciplinary clinical treatment, TONHC clinical care policies, medication protocols, and patient self-management education.Knowledge of clinic policy and procedures, including but not limited to quality control measures for blood glucose monitoring equipment, universal precautions, patient education standards, and confidentiality issues.Ability to identify essential case management functions and provide needed intervention.Ability to assess patients' learning self-care and behavior change needs and develop and implement individualized care plans.Knowledge in adult learning behavioral change and lifestyle counseling techniques, the ability and skill to enhance learning and behavior change.Ability to accomplish targeted goals through multidisciplinary teamwork.Ability to communicate effectively, verbally and in writing, with patients, community members, professional and non-professional staff.Skills that integrate an understanding of the social and cultural context and needs of the people who receive care at TONHC.Knowledge of professional nursing principles, practices, procedures, standards of care, and concepts applied to case management.Ability to independently develop, implement, maintain, and evaluate a comprehensive care management program and patient and provider education.Ability to independently adjust teaching methods for unique patients and families, paraprofessionals, professionals, and special situations.Ability to independently perform a clinical assessment, implement needed care, and report and document findings.Ability to use computer programs such as Microsoft (MS) Word, MS Outlook, internet information acquisition, and accessing RPMS data.Ability to operate medical equipment includes blood pressure machine, Accu-check and glucose machine, sphygmomanometer, and other related equipment.Ability to work extended hours and various work schedules.Ability to work independently and meet strict timelines.Ability to operate a department vehicle.Minimum Qualifications:
Registered Nurse License.One year of clinical experience as a registered nurse, case management, or an equivalent combination of training, education, and work experience that demonstrates the ability to perform the duties of this position.Licenses, Certifications, Special Requirements:
Must possess an unrestricted license as a Registered Nurse.Must possess and maintain certification in Basic Life Support (BLS)/Cardio Pulmonary Resuscitation (CPR).Upon recommendation for hire, a criminal background and a National FBI fingerprint check are required to determine suitability for employment, including a 39-month driving record. May require possessing and maintaining a valid driver's license (no DUIs or major traffic citations within the last three years). If required, must meet the Tohono O'odham Nation tribal employer's insurance requirements to receive a driver's permit to operate program vehicles.Based on the department's needs, incumbents may be required to demonstrate fluency in both the Tohono O'odham language and English as a condition of employment. Read LessPLEASE NOTE - This position may require temporarily relocation to other TONHC Facilities: Sells Hospital, Santa Rosa Health Center, San Simon Health Center, and San Xavier Health Center.
Position Summary:
Serves as the Inpatient Department Services supervisor within the Tohono O'odham Nation Sells Hospital and assumes a leadership role in professional practice, staff development and education, and performance improvement.
Scope of Work:
The position is located within the Tohono O'odham Nation Health Care Sells Hospital in Sells, Arizona. The work aims to provide professional expertise in program development and implementation of inpatient services and ensure quality nursing care. Works under the general supervision of the Chief Nurse Executive.
Essential Duties and Responsibilities: (Depending on the area of assignment, an incumbent may not be required to perform some of the duties listed below):
Responsible for general managerial duties with planning, organizing, directing, and evaluating a comprehensive inpatient care nursing program, staff development, and performance improvement program for the inpatient nursing department.Supervises a group of at least three or more professional licensed and registered nurses in providing direct nursing services and patient care.Ensure compliance with standards such as HIPAA, Privacy Act, Infection Control, and national accrediting bodies (TJC, CMS, OIG). Ensure the timely performance of satisfactory quality and quantity of work.Plans work to be done by subordinates, sets priorities, and establishes schedules and deadlines.Assign work based on anticipated difficulties and capabilities of available employees.Advises, counsels, and instructs employees on technical and administrative issues.Advises employees of their performance requirements, evaluates employee performances and prepares formal assessments.Recommends personnel actions such as promotion, reassignment, or termination.Interviews candidates for vacancies and recommends selections.Hears and resolves employee complaints and concerns. Refers more complex matters to the appropriate person or department or elevates them to the next level in the chain of command.Determines and establishes individual training and development needs. Then, seeks out resources to meet these needs.Actively participates in assigned committees.Prepares and submits reports as appropriate.Prepares and submits Inpatient quality assurance reports as required to Quality Management.Develops and manages a comprehensive Inpatient Department Service and nursing performance improvement, including defining overall program purposes and goals. Evaluate the impact of the Inpatient Services on the Hospital Unit's mission and makes adjustments and modifications as necessary.Monitor and evaluate patient care provided, ensuring compliance with nursing practice standards, emergency nursing standards, develops standards and recommendations to resolve problems.Coordinates interdisciplinary team conferences and discharge planning, ensuring continuity of care once a patient is discharged from the medical facility.Develops and implements Inpatient Services operating budget, including data addressing costs or facilities, nursing care, patient care per acuity level, etc.Determines resources, staffing needs, material, and equipment needed to carry out program responsibilities. Determines the need for, develops, and presents training and Inpatient Services (and other) staff. Participate in collaboration with the Chief Nurse Executive Team to recruit and retain qualified and experienced professional nursing staff. Participates with the Chief Nurse Executive and supervisory nursing staff to form strategic planning that incorporates long-term and short-term goals. Maintain clinical competence and expertise in the specialty area. Provide skilled and comprehensive nursing care to the patients in the ambulatory care setting. Closely observe patients for conditions that may require emergency measures. Exercises sound judgment in interpreting observations to the physician and initiates emergency measures. Rotates supervisory call-back duties within the Division of Hospital Nursing Branch as scheduled.Acts on behalf of the Chief Nurse Executive when delegated.Contribute to a team effort.Performs other job-related duties as assigned.Knowledge, Skills, and Abilities:
Knowledge of supervisory principles and methods to ensure accomplishment of the assigned mission through efforts of subordinate staff.Knowledge of supervisory personnel management responsibilities including recruitment and staffing, training, incentive awards, discipline, position classification, pay administration, labor management relations and equal employment opportunities.Knowledge in managerial principles and methods of planning, organizing, directing, reviewing the work of subordinate staff, and developing and managing a program.Knowledge of health nursing principles, practices, and processes, standards of emergency nursing standards, including physical and emotional assessment, establishing health and nursing care goals, developing and implementing the Emergency Department Services program, and evaluating results.Knowledge in a wide range of professional nursing theories, procedures and techniques used in the care and treatment of patients.Knowledge of Health Insurance Portability and Accountability Act of 1996, Public Law 104-191 (HIPAA).Knowledge of regulatory agencies, such as The Joint Commission, CMS, OHSA.Knowledge of and skill in using personal computers, various software, RPMS database, and related computer equipment to maintain databases, prepare reports, and track program activities.Skill in making nursing diagnoses, choosing, initiating, and modifying selected therapies, and providing emergency treatment as appropriate.Skill in analytical techniques. Ability to communicate effectively both orally and in writing.Minimum Qualifications:Bachelor or higher degree from a professional nursing program approved by the legally designated State-accrediting agency at the time the program was completed by the applicant and;One year of supervisory experience.Two years of experience in nursing care.Licenses, Certifications, Special Requirements:Must have an active, current, and unrestricted license as a registered nurse in a State of the United States.Must have current Healthcare Cardio Pulmonary Resuscitation (CPR) and Automated External Defibrillator (AED).Current certification in Advanced Cardiac Life Support (ACLS) is required upon hire. Upon recommendation for hire, a criminal background and a National FBI fingerprint check are required to determine suitability for employment, including a 39-month driving record. May require possessing and maintaining a valid driver's license (no DUIs or major traffic citations within the last three years). If required, must meet the Tohono O'odham Nation tribal employer's insurance requirements to receive a driver's permit to operate program vehicles.Based on the department's needs, incumbents may be required to demonstrate fluency in both the Tohono O'odham language and English as a condition of employment. Read LessPLEASE NOTE - This position may require temporarily relocation to other TONHC Facilities: Sells Hospital, Santa Rosa Health Center, San Simon Health Center, and San Xavier Health Center.
Position Summary:
The incumbent provides comprehensive nursing care and patient services in a clinic or ambulatory care setting and assists physicians and patients.
Scope of Work:
This position is within the Tohono O'odham Nation Health Care, including Sells Hospital, San Xavier Health Center, Santa Rosa Health Center, and San Simon Health Center. The position involves providing direct care to patients in hospitals and clinics. The employee is assigned to the outpatient unit and works under the Supervisory Clinical Nurse's general supervision.
Essential Duties and Responsibilities: (Depending on the area of assignment, an incumbent may not be required to perform some of the duties listed below):
Assist the primary provider in gathering patient information for the initial health history of new patients.Conduct follow-up phone calls on behalf of the care team provider. Contact patient to discuss test results, complete referrals, changes in medications or care plan, and follow-up on self-management goals.Serves as primary contact/clinical liaison between referral hospitals, pharmacies, treatment facilities, and patients/families to ensure effective and appropriate treatment per established care plan.Triage patients on the team's panel call or walk in and assist or direct them as appropriate. Ensures the needs of the patient are met in a safe and timely manner with the available resources.Facilitates, schedules, and participates in various patient care coordination activities to provide patient and family personal and health care needs promptly; proactively identify alternative resources as needed.Maintains and updates the team's patient panels. Identifies, creates, & maintains panels of high-risk sub-populations for care management.Collects and reports clinical measures for a panel of patients.Leads a multi-disciplinary health care team in performance improvement efforts.Provide emergency care as needed to patients.Assesses and provides appropriate support in health promotion and disease prevention and treatment to patients with common chronic illnesses such as diabetes, hypertension, and tuberculosis.Initiates and follows up on patient needs for continuing care or related health services.Provide patient and family counseling, including telephone triage and counseling with proper documentation.Conduct nurse visits per standing orders and current orders in the patient's record.Checks stock of drugs, wound care supplies, linens, medical supplies, and other patient-related supplies necessary for day-to-day operations; advises appropriate staff of need. Works closely with other members of the health care team in developing patient care visit plans. Maintains patient records by completing thorough and accurate documentation of all patient encounters.Administers medications as prescribed by the primary physician or provider in compliance with policies.Lead/coordinate pre-visit planning for scheduled patients.Assists in the clinical area by performing treatments and procedures.Participates in Quality Improvement teams and other committees as assigned.Acts in the absence of the supervisor.Performs other job duties as assigned.Knowledge, Skills, and Abilities:
Knowledge of the Tohono O'odham culture, customs, and traditions.Knowledge of HIPAA-related rules and regulations.Knowledge of a full range of established nursing concepts, principles, and practices to perform professional assignments of moderate difficulty.Knowledge of the pharmacology of various drugs to include desired action, dosage, use, and potential adverse side effects.Ability to interpret illness to the patient, explain purpose and outcomes of therapies, and provide instruction in proper self-care techniques such as customer care, medication administration, insulin injection techniques.Knowledge and skill are necessary to conduct staff and patient/family education classes and participate in the hospital-wide in-service education program.Knowledge of and ability to apply professional nursing principles, procedures, and techniques to outpatients with a wide variety of conditions.Skill in providing care and in reacting promptly to emergencies.Ability to provide individual and family counseling, guidance, and health instruction to help patients (and their families) understand how to prevent disease and maintain good health.Skill required to develop Patient Visit Plans to meet patients' individual needs with consideration of physical, emotional, social, and cultural factors throughout the life span continuum. Knowledge of professional nursing principles and procedures as applied in an outpatient setting. Skill in the use of medical equipment utilized in the area of assignment.Ability to be compassionate and have good communication skills.Ability to carry out instructions furnished in verbal or written format.Ability to communicate efficiently and effectively verbally and in writing.Ability to exercise independent judgment.Ability to maintain privileged, confidential information. Ability to establish and maintain positive and effective working relationships with other employees and the general public. Ability to work independently and meet strict timelines.Computer skills are essential to utilize and document in the Electronic Health Record.Minimum Qualifications:
Degree from a professional nursing program approved by the legally designated State-accrediting agency when the applicant completed the program.Licenses, Certifications, Special Requirements:
One (1) year of experience in ambulatory care or clinic setting is preferred but not required.Must have an active, current, and unrestricted license as a professional nurse in a State, District of Columbia, the Commonwealth of Puerto Rico, or a territory of the United States.Must have current certification in Cardio Pulmonary Resuscitation (CPR), Automated External Defibrillator (AED).Must have a current immunization statement to include proof of a non-reactive tuberculosis skin test within the last year, proof of immunity for hepatitis B (Documentation of immunization does not prove immunity, only a titer with a positive result is proof), within three months of hire.Upon recommendation for hire, a criminal background and a National FBI fingerprint check are required to determine suitability for employment, including a 39-month driving record. May require possessing and maintaining a valid driver's license (no DUIs or major traffic citations within the last three years). If required, must meet the Tohono O'odham Nation tribal employer's insurance requirements to receive a driver's permit to operate program vehicles.Based on the department's needs, incumbents may be required to demonstrate fluency in both the Tohono O'odham language and English as a condition of employment. Read LessPLEASE NOTE - This position may require temporarily relocation to other TONHC Facilities: Sells Hospital, Santa Rosa Health Center, San Simon Health Center, and San Xavier Health Center.
Position Summary:
The incumbent serves in an ambulatory care setting and is responsible for managing services and nursing staff assigned to the department.
Scope of Work:
This position is located within the Tohono O'odham Nation Health Care Sells hospital and San Xavier, San Simon, or San Simon Health Center. The incumbent is responsible for supervising and managing the ambulatory care department and ambulatory care staff.
Essential Duties and Responsibilities: (Depending on the area of assignment, an incumbent may not be required to perform some of the duties listed below):
General managerial duties with planning, organizing, directing, and evaluating a comprehensive ambulatory care program. Responsible for establishing and implementing long and short-term policies and programs for ambulatory and nursing care services.Monitors the nursing program plans and prepares routine reports based upon program plans. Ensure compliance with standards such as HIPAA, Privacy Act, Infection Control, and national accrediting bodies {TIC, CMS, OIG).Keeps abreast of changing developments, health care policies, directions or practices, and the changing health care needs of the population served.Responsible and accountable for maintaining a significant budget that includes ambulatory care and nursing personnel, FTEs, equipment, supply purchases, travel, and training.Responsible for carrying out the mission, vision, and goals of the Tohono O'odham Nation Health Care.Plans and adjusts work schedules and operations to meet organizational objectives, priorities, deadlines, and standards of care to deliver ambulatory and nursing services.Evaluates operations and services provided concerning patient flow, productivity, and care needs of the population served. Develop an orientation plan for each employee specific to their skills and needs of the unit and agency.Maintain competency file on each employee.Coordinates and assures that qualified staff are available as preceptors for new team members. Ensures that all staff members maintain 100% compliance with licensure requirements. Conducts meetings and conferences with ambulatory care and nursing staff to explain work requirements, methods, and procedures as needed. Give special instructions on complex or different activities and answers technical questions about work assignments.Informs employees about the policies, procedures, and goals of management-related work of the unit.Supervises employees who perform professional nursing care, medical assistant care, and patient registration duties and provides technical and supportive activities in an ambulatory care setting.Determines personnel needs and manages available resources to provide optimal patient care.Evaluates employees' performances; develop work improvement plans as needed, recommend training needs, and suggest awards/recognition.Resolves informal complaints of employees and refers those beyond the unit level to higher management.Responsible for furthering the Equal Employment Opportunity (EEO) goals by taking positive steps to assure the accomplishment of the affirmative action objectives and by adhering to non-discriminatory employee practices regarding race, color, religion, sex, national origin, age, or handicap. Works with other key nursing staff members responsible for participating in top management discussion, decisions, and policymaking and sharing accordingly in management decisions/actions. Participate with the supervisory nursing staff members to formulate policies, programs, and procedures related to nursing care and services and overall clinical services.Develop and implement plans and programs to improve or revise present programs services to meet the changing needs of the patient population.Participates in decisions, which affect the ability of TONHC to provide adequate patient care, thus affecting the life and wellbeing of patients. Provide recommendations relative to performance improvement, safety control, and infection control inspections. Works with tribal groups and university-based nursing programs to promote and understand the hospital programs. Works with a university-based nursing program to develop and strengthen the profession of nursing and individual nursing students (in-state and out of state). Participate in collaboration with the Nurse Executive Team to recruit and retain qualified and experienced professional nursing staff. Participates with the supervisory nursing staff in the formation of strategic planning that incorporates long-term and short-term goals.Rotates supervisory call-back duties within the Division of Hospital Nursing Branch as scheduled. Maintain clinical competence and expertise in a specialty area, provides skilled and comprehensive nursing care to the patients in the clinical/community setting. Closely observe patients for conditions that may require emergency measures. Exercises sound judgment in interpreting observations to the physician and initiates emergency measures.Prepare routine reports to the immediate supervisor.Performs other duties as assigned.Knowledge, Skills, and Abilities:
Knowledge of Tohono O'odham culture, customs, and traditions.Knowledge of established and up-to-date nursing concepts, principles, practices, and procedures required to provide nursing care to potentially high-risk complicated patients.Knowledge of regulatory agencies' documentation requirements and ability to accurately and completely document clinical data.Knowledge of application and use of specialized equipment, including monitors.Knowledge of hospital policy and procedures relating to infection Control and Performance improvement.Knowledge of pharmacology of various medications and their therapeutic and adverse reactions.Knowledge of physical assessment, disease processes, and interventions. Knowledge of age-specific aspects of care. Knowledge of proper practice and procedures in emergency situations, including the implementation of life-saving procedures. Knowledge of human behavior to provide counseling, guidance, and health instruction to create and maintain a positive healing experience for patients and their families.Knowledge of basic management techniques to provide guidance and leadership to other nursing personnel and develop a flexible, individualized, and comprehensive management plan.Knowledge of various cultures, customs of different ethnic groups, and ability to incorporate and appreciate their healthcare delivery efforts.Knowledge of statistical and research methods and applying them as needed to identify and solve problems not susceptible to other methods.Strong leadership skills and abilities, including the ability to motivate people toward accomplishing organizational goals and objectives.Knowledge of Health Insurance Portability and Accountability Act of 1996, Public Law 104-191 (HIPAA).Knowledge of supervisory and managerial skills and applies skills assigned department. Knowledge of and skill in using personal computers, various software, RPMS database, and related computer equipment is required to maintain databases, prepare reports, and track program activities.Organizational skills.Minimum Qualifications:Bachelor or higher degree from a professional nursing program approved by the legally designated State-accrediting agency at the time the program was completed by the applicant, and;One year Ambulatory Care experience in a clinical setting or urgent care setting, and;One year of supervisory experience.Licenses, Certifications, Special Requirements:
Applicants must have an active, current, and unrestricted license as a professional nurse in a State, District of Columbia, the Commonwealth of Puerto Rico, or the United States territory.Must have certifications in Cardio Pulmonary Resuscitation (CPR), Automated External Defibrillator (AED), and First Aid upon hire.Upon recommendation for hire, a criminal background and a National FBI fingerprint check are required to determine suitability for employment, including a 39-month driving record. May require possessing and maintaining a valid driver's license (no DUIs or major traffic citations within the last three years). If required, must meet the Tohono O'odham Nation tribal employer's insurance requirements to receive a driver's permit to operate program vehicles.Based on the department's needs, incumbents may be required to demonstrate fluency in both the Tohono O'odham language and English as employment conditions. Read LessPLEASE NOTE - This position may require temporarily relocation to other TONHC Facilities: Sells Hospital, Santa Rosa Health Center, San Simon Health Center, and San Xavier Health Center.
Position Summary:
The incumbent provides comprehensive nursing care and patient services in a clinic or ambulatory care setting and assists physicians and patients.
Scope of Work:
This position is within the Tohono O'odham Nation Health Care, including Sells Hospital, San Xavier Health Center, Santa Rosa Health Center, and San Simon Health Center. The position involves providing direct care to patients in hospitals and clinics. The employee is assigned to the outpatient unit and works under the Supervisory Clinical Nurse's general supervision.
Essential Duties and Responsibilities: (Depending on the area of assignment, an incumbent may not be required to perform some of the duties listed below):
Assist the primary provider in gathering patient information for the initial health history of new patients.Conduct follow-up phone calls on behalf of the care team provider. Contact patient to discuss test results, complete referrals, changes in medications or care plan, and follow-up on self-management goals.Serves as primary contact/clinical liaison between referral hospitals, pharmacies, treatment facilities, and patients/families to ensure effective and appropriate treatment per established care plan.Triage patients on the team's panel call or walk in and assist or direct them as appropriate. Ensures the needs of the patient are met in a safe and timely manner with the available resources.Facilitates, schedules, and participates in various patient care coordination activities to provide patient and family personal and health care needs promptly; proactively identify alternative resources as needed.Maintains and updates the team's patient panels. Identifies, creates, & maintains panels of high-risk sub-populations for care management.Collects and reports clinical measures for a panel of patients.Leads a multi-disciplinary health care team in performance improvement efforts.Provide emergency care as needed to patients.Assesses and provides appropriate support in health promotion and disease prevention and treatment to patients with common chronic illnesses such as diabetes, hypertension, and tuberculosis.Initiates and follows up on patient needs for continuing care or related health services.Provide patient and family counseling, including telephone triage and counseling with proper documentation.Conduct nurse visits per standing orders and current orders in the patient's record.Checks stock of drugs, wound care supplies, linens, medical supplies, and other patient-related supplies necessary for day-to-day operations; advises appropriate staff of need. Works closely with other members of the health care team in developing patient care visit plans. Maintains patient records by completing thorough and accurate documentation of all patient encounters.Administers medications as prescribed by the primary physician or provider in compliance with policies.Lead/coordinate pre-visit planning for scheduled patients.Assists in the clinical area by performing treatments and procedures.Participates in Quality Improvement teams and other committees as assigned.Acts in the absence of the supervisor.Performs other job duties as assigned.Knowledge, Skills, and Abilities:
Knowledge of the Tohono O'odham culture, customs, and traditions.Knowledge of HIPAA-related rules and regulations.Knowledge of a full range of established nursing concepts, principles, and practices to perform professional assignments of moderate difficulty.Knowledge of the pharmacology of various drugs to include desired action, dosage, use, and potential adverse side effects.Ability to interpret illness to the patient, explain purpose and outcomes of therapies, and provide instruction in proper self-care techniques such as customer care, medication administration, insulin injection techniques.Knowledge and skill are necessary to conduct staff and patient/family education classes and participate in the hospital-wide in-service education program.Knowledge of and ability to apply professional nursing principles, procedures, and techniques to outpatients with a wide variety of conditions.Skill in providing care and in reacting promptly to emergencies.Ability to provide individual and family counseling, guidance, and health instruction to help patients (and their families) understand how to prevent disease and maintain good health.Skill required to develop Patient Visit Plans to meet patients' individual needs with consideration of physical, emotional, social, and cultural factors throughout the life span continuum. Knowledge of professional nursing principles and procedures as applied in an outpatient setting. Skill in the use of medical equipment utilized in the area of assignment.Ability to be compassionate and have good communication skills.Ability to carry out instructions furnished in verbal or written format.Ability to communicate efficiently and effectively verbally and in writing.Ability to exercise independent judgment.Ability to maintain privileged, confidential information. Ability to establish and maintain positive and effective working relationships with other employees and the general public. Ability to work independently and meet strict timelines.Computer skills are essential to utilize and document in the Electronic Health Record.Minimum Qualifications:
Degree from a professional nursing program approved by the legally designated State-accrediting agency when the applicant completed the program.Licenses, Certifications, Special Requirements:
One (1) year of experience in ambulatory care or clinic setting is preferred but not required.Must have an active, current, and unrestricted license as a professional nurse in a State, District of Columbia, the Commonwealth of Puerto Rico, or a territory of the United States.Must have current certification in Cardio Pulmonary Resuscitation (CPR), Automated External Defibrillator (AED).Must have a current immunization statement to include proof of a non-reactive tuberculosis skin test within the last year, proof of immunity for hepatitis B (Documentation of immunization does not prove immunity, only a titer with a positive result is proof), within three months of hire.Upon recommendation for hire, a criminal background and a National FBI fingerprint check are required to determine suitability for employment, including a 39-month driving record. May require possessing and maintaining a valid driver's license (no DUIs or major traffic citations within the last three years). If required, must meet the Tohono O'odham Nation tribal employer's insurance requirements to receive a driver's permit to operate program vehicles.Based on the department's needs, incumbents may be required to demonstrate fluency in both the Tohono O'odham language and English as a condition of employment. Read LessPLEASE NOTE - This position may require temporarily relocation to other TONHC Facilities: Sells Hospital, Santa Rosa Health Center, San Simon Health Center, and San Xavier Health Center.
Position Summary:
A seasoned Physical Therapist that will supervise the staff of the physical therapy division at the Tohono O'odham Nation Health Care facility. Assesses physical therapy programs to evaluate the quality of patient care. Provides guidance to and monitors the performance of physical therapy staff. Ensures physical therapy staff follows regulatory compliance requirements and standard procedures. May perform training demonstrations for physical therapists and assistants. May maintain a caseload of patients.
Essential Duties and Responsibilities: (Depending on the area of assignment, an incumbent may not be required to perform some of the duties listed below):
Provide leadership and direction to the physical therapy department, including staff supervision, scheduling, and performance management.Coordinate patient referrals, evaluations, and treatment plans to ensure timely and appropriate care delivery.Conduct assessments and develop individualized treatment programs for patients with physical disabilities, injuries, or conditions.Monitor patient progress, adjust treatment plans as needed, and document treatment outcomes in electronic health records (EHR) systems.Collaborate with interdisciplinary healthcare teams, including physicians, nurses, and other therapists, to coordinate patient care and optimize treatment outcomes.Provide clinical supervision, mentoring, and training to physical therapy staff to promote professional growth and development.Ensure compliance with regulatory requirements, accreditation standards, and professional guidelines governing physical therapy practice.Participate in quality improvement initiatives, program development, and strategic planning activities to enhance the effectiveness and efficiency of physical therapy services.Educate patients, families, and caregivers on treatment goals, techniques, and home exercise programs to support continuity of care and patient self-management.Tohono O'odham Nation is an Indian Preference Employer. Employees are expected to know existing Tohono O'odham Nation policies and know to refer to those policies when necessary.
Based on the department's needs, incumbents may be required to demonstrate fluency in both the Tohono O'odham language and English as a condition of employment.
Upon recommendation for hire, a criminal background and a National FBI fingerprint check are required to determine suitability for employment, including a 39-month driving record. Position may require possessing and maintaining a valid driver's license (no DUIs or major traffic citations within the last three years). If required, must meet the Tohono O'odham Nation tribal employer's insurance requirements to receive a driver's permit to operate program vehicles.
Read Less