The position is located in the Branch of the Outpatient Department at the Crow Service Unit. The purpose of this position is to improve the quality of care to the empanel patient by coordination of medical care among primary and specialty teams, ensuring all patients receive standard of care, promoting self-management of chronic disease through helping patients to identify barriers to making healthful choices, helping patients providing coaching and guidance on positive health behaviors.

Duties

Assess the patient care needs for the Primary Care Medical Home (PCMH) patients to include triage of acute issues for determination of appropriate level of care. Asses the delivery of nursing care to the panel of patients to proactively identify problems and opportunities for improvement in care to panel of patients. Utilizes population health concepts to promote improved care for all patient on the panel. This includes use of iCare panels of patients to identify and stratify patients who would benefit from chronic disease management. Provides direct care during face to face visits, telephone visits, and through secure messaging. This may include nurse only visits for the purpose of coaching and education, share medical visits with the provider, group education visits and group medical visits in collaboration with a provider. Provides leadership in the implementation of planned changes to improve nursing services. Consults with primary care providers and other healthcare professionals on patients to coordinate diagnostic and therapeutic regimens for patients. Provides patient and family education which include counseling and assisting the patient/family to understand and accept implications of care, diagnosis and treatment.

Requirements

Qualifications

DIRECT HIRE AUTHORITY JOB OPPORTUNITY ANNOUNCEMENT: These positions are eligible to be filled through Office of Personnel Management's delegated Direct Hire Authority [DHA]. The Direct Hire Authority has been authorized by the Homeland Security Act of 2002 and Part 337, Subpart B, Title 5 of the Code of Federal Regulations [5 CFR]. If filled utilizing DHA, the following is applicable: all applicants who meet the basic qualification requirements will be forwarded to the Selecting Official for consideration. The "rule of three," Veteran's preference and traditional rating and ranking of applicants do not apply to the Direct Hire process. Indian Preference does apply. To qualify for this position, your resume must state sufficient experience and/or education, to perform the duties of the specific position for which you are applying. Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religious; spiritual; community; social). You will receive credit for all qualifying experience, including volunteer and part time experience. You must clearly identify the duties and responsibilities in each position held and the total number of hours per week. BASIC REQUIREMENT(S): Nurse Series 0610 (opm.gov) In addition, to the Basic Requirements, you must also meet the Minimum Qualifications stated below- MINIMUM QUALIFICATIONS: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the next lower grade level (GS-9) in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: Promote self-management of chronic disease through helping patients to identify barriers to making healthful choices. Help patient identify barriers to adhere to the prescribed regimen, providing coaching and guidance on positive health behaviors and providing chronic disease management. Assess, plan, implement and evaluate the care of patients with medical, surgical, pediatric, newborn, obstetric, ambulatory and emergency conditions in the primary care clinic. Provide chart review to identify patients at risk for increased morbidity and mortality and recommended interventions. Provide patient and family education to assist in understanding and accept implications of care, diagnosis and treatment. Time In Grade: Federal employees in the competitive service are also subject to the Time-In-Grade Requirements: Merit Promotion (status) candidates must have completed one year of service at the next lower grade level. Time-In-Grade provisions do not apply under the Excepted Service Examining Plan (ESEP). You must meet all qualification requirements within 30 days of the closing date of the announcement.

Education

This position has an education requirement. You are strongly encouraged to submit a copy of your transcripts or a list of your courses including titles, credit hours completed, and grades. Unofficial transcripts will be accepted in the application package. Official transcripts will be required from all selectees prior to receiving an official offer.

Only attendance and/or degrees from schools accredited by accrediting institutions recognized by the U.S. Department of Education may be credited. Applicants can verify accreditation at the following website: https://www.ed.gov/accreditation.

If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit https://sites.ed.gov/international/recognition-of-foreign-qualifications/.

Contacts

• Address Crow Service Unit PO Box 9 10110 South 7650 East Crow Agency, MT 59022 US
• Name: Erika Honey
• Phone: 2072178773
• Email: [email protected]