NURSE CASE MANAGER, REFUGEE HEALTH (50080163)

Job Role Summary

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

Essential Duties

• Provides care coordination, case management, referral, and follow-up care to individuals and families who are members of a vulnerable population and/or high-risk groups. Collaborates with MCPHD departments, resettlement agencies, Indiana State Department of health (ISDH), and other community agencies to provide necessary services 
• Collaborate with hospital-based medical personnel, community partners, health care providers, and resettlement agencies to achieve goals and maximize positive client outcomes within a timely manner 
• Performs appropriate diagnostic procedures, treatment regimens, and administers injections , administers vaccinations, and medications according to physician orders and/or MCPHD protocols and policies. 
• Adheres to applicable Occupational Safety and Health Administration (OSHA) standards, such as exposure to blood borne pathogens, toxic substances, airborne pathogens, or exposure to other hazards during routine assignments or assignments during public health emergencies. 
• Documents patient assessment and intervention data in medical records. Uses established medical record forms, databases, and documentation practices 
• Assume responsibility for professional self-growth and continued development in nursing, disease case management, and epidemiology 
• Case manages individuals diagnosed with or suspected of having TB or latent TB infection. 
• Collect demographic information, health history, and extent of illness or infectiousness, and patient’s knowledge and beliefs 
• Provides home visits to conduct a comprehensive home assessment, symptom screen, and directly observed therapy.  Provides support and education to all clients and contacts. 
• Maintains working files of reported cases, suspects and individuals with latent tuberculosis infection, active tuberculosis, and  other clients as needed 

Associated Job Duties

• Monitor treatment regimen, including ongoing assessment, response to treatment, HIV status, positive and negative motivational factors influencing adherence and any unmet educational needs of the patient 
• Ensure contact investigation is completed, and provide education about TB infection and disease 
• Communicate current communicable disease status through monthly report summaries 
• Evaluate outcomes of direct patient care, educational programs, and research 
• Participate in community meetings, health forums, and board meetings to review community services available, and share services available 
• DHO/PHN orientation and training 
• Provides technical assistance to Public Health Nurses (PHNs) 
• Evaluate effectiveness of community interventions and individual case management when indicated 
• Plans and implements annual homeless shelter fairs 
• Meetings/In-services/Seminars 
• Participates in a minimum of two H.O.P.E. events totaling a minimum of eight (8) hours annually.

Qualifications

• Bachelor’s degree in nursing from a NLN accredited college/program
• 2 or more years of previous nursing experience, including at least one year of hospital practice is preferred
• Computer skills including typing skills of a minimum of 30 words per minute

Licenses/Certifications Required

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

Knowledge, Skills & Abilities

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

Working Environment

• May be required to travel in and/or of state (related to work conferences and/or community sites)
• Unconfined sitting – client interviews, computer data entry (charting), etc., standing or walking to and from community sites; climbing stairs; steady use of hands or fingers; lifting, carrying, etc. with arms and legs (possibly as much as 20 pounds)
• May be exposed to substandard and unsanitary living conditions
• May be exposed to allergens of all types (i.e., pets, dust, smoke, etc.)
• May be exposed to communicable disease (s), blood, and other bodily fluids
• Must be able to work under pressure of deadlines and respond to immediate needs of communicable disease prevention/containment activities
• Required to wear N-95 masks in situations where client is considered infectious
• Visual abilities include close vision, distance vision, color vision, peripheral vision, depth perception, and accommodation
• Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions required for this position