This position is located in the Quality Management Department at the Whiteriver Service Unit in Whiteriver, AZ The position reports directly to the Quality Management Director.

Duties

Applies case management essential activities assessment, planning, implementation, coordination, monitoring, evaluation, out comes across the continuum of care. Maintains current knowledge of resources available within the community, maintain supply of resource material to be distributed to patients when needed. Provide support for quality management activities as assigned. Makes rounds of patient care areas to review charts for appropriateness, completeness, and timeline of documentation by providers. Makes daily rounds to meet newly admitted patients for assessment/referral of patient's clinical needs. Serves as the specialty case management manager to ensure the continuity of care for patients through all forms of care including but not limited to the Emergency Department, Family Care Unit, and Outside facilities. Maintains a system of tracking referred patients for admission to other health care facilities to facilitate the return of patients to the whiteriver Service Unit delivery area. Performs appropriate follow up on a timely basis. Coordinating (referred) care with outside vendors, contractors, care systems, and hospitals for patients transferred for services. Discharge Planning Report to medical providers about the best placement of each patient considering the diagnosis, prognosis, and services available. Utilizes Resource and Patient Management System (RPMS), Electronic Health Record (E.H.R), including but not limited to Admission/Discharge/Transfer (ADT) Package to retrieve current patient lists and perform various functions. Documents the activities of the interdisciplinary discharge planning/case management functions in the patient record appropriately and timely. Provides information to patient, family, hospital and service unit staff on resources available in the community to patients after discharge. Utilization Review Participates in PRC for consult, review and seek approval for secondary authorization request. Collaboration with the authorization staff(PRC &UR) to maintain fiscal responsibility and efficiency.

Requirements

Qualifications

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): Education: A graduate or higher level degree, bachelor's degree, associate degree, or diploma from an accredited professional nursing educational program is required. This education must have been accredited by the Commission on Collegiate Nursing Education, Council on Accreditation of Nurse Anesthesia Educational Programs, Accreditation Commission for Midwifery Education, or an accrediting body recognized by the U.S. Department of Education at the time the degree was obtained. Degree from Foreign Nursing School: Official certification from the Commission on Graduates of Foreign Nursing Schools is required for individuals who graduated from foreign nursing schools. Licensure: For all grade levels and positions, applicants must have passed the National Council Licensure Examination. In addition, they must possess a current, active, full, and unrestricted license or registration as a professional nurse from a State, the District of Columbia, the Commonwealth of Puerto Rico, or a territory of the United States. Experience: The work experience must have equipped the applicant with the particular knowledge, skills, and abilities to successfully perform the duties of the position. At the GS-09 and above grade level, many positions may require experience in a specialty area of nursing. 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 the GS-09 grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: Developing a tracking system for patient care coordination and care management across the continuum; independently plans and provides nursing care based on professional nursing practices and medical protocols or guidelines for patients; collaborating with the physicians to develop clinical protocols and guidelines that establish standards of care; providing case management for patients by coordinating services to meet patient's care goals; providing oversight to ensure compliance and appropriateness of care. OR, Successful completion of a PhD or equivalent doctoral degree from a professional nursing educational program or related medical science field. Time In GradeFederal 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 the closing date of the announcement. You must meet all qualification requirements within 30 days of the closing date of the announcement.

Education

When there is a positive education requirement, or you are using education to qualify as a substitution for experience, transcripts (unofficial) are required at the time of application to verify that you meet the educational requirement or substitution. 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: http://www.ed.gov/admins/finaid/accred/index.html

Foreign Education: If you are using education completed in foreign colleges or universities to meet the qualification requirements, you must show that the education credentials have been evaluated by a private organization that specializes in interpretation of foreign education programs and such education has been deemed equivalent to that gained in an accredited U.S. education program; or full credit has been given for the courses at a U.S. accredited college or university. For further information, visit: https://www2.ed.gov/about/offices/list/ous/international/usnei/us/edlite-visitus-forrecog.html.

Contacts

• Address White River Service Unit PO Box 860 White River, AZ 85941 US
• Name: Renee Cunliffe
• Phone: 928-498-7075
• Email: [email protected]