Shelter Outreach Care Management - RN

Hunter Health provides all-encompassing care for the Wichita community, including medical, dental, behavioral, vision, laboratory, radiology and pharmacy services, all in one place. We pride ourselves in providing the support patients need to take control of their health and their whole wellbeing. Our Hunter Health team is at the heart of our operations. From the initial interaction with a new patient to empowering individuals with the knowledge to manage their health - it begins with each member of our staff. Regardless of role or responsibility, every team member is a valuable part of living our mission and upholding our positive work environment with our Standards of Culture. 

We exist to improve the health and wellbeing of everyone in our community. 

Schedule: Monday through Friday, 40 hours per week, 10:30AM - 7:00PM (schedule may adjust based on operational need)

4

Full Time Benefits:

20 days of PTO per year, plus 10 paid holidays.

Employer-paid Benefits include:

• Basic life insurance
• Short-term disability
• Long term disability
• Employee Assistance Program with 12 free sessions per year
• Continuing Education Opportunities

Optional Benefits include:

• Medical
• Dental
• Vision
• Supplemental life insurance
• Accident and critical illness insurance
• Identity Theft Insurance
• 401k with Safe Harbor Plan match

Summary: The Shelter Outreach Care Management – RN provides scheduled on-site nursing outreach at Second Light and other designated community locations and supports Hunter Health’s Care Management program when not assigned to shelter coverage. The role assesses health needs, delivers nursing services within an RN scope of practice, coordinates care across Hunter Health Clinic’s (HHC) services and community partners, and helps patients establish ongoing care. In collaboration with the Director of Population Health, Shelter Nurse, and Care Management team, the Shelter Outreach Care Management – RN is also responsible for maintaining compliance with all federal grants, HRSA, FTCA, HIPAA, and HHC policies and procedures.

Essential Functions:

• Provides nursing services in accordance with HHC’s clinical policies and protocols through standing orders from providers, to include:
  • Completes nursing assessments, triage, medical screenings, and risk identification. 
  • Administers immunizations, TB tests, and therapeutic injections as ordered.
  • Conducts infectious disease and preventive health screenings.
  • Assesses vital signs and other health monitoring. 
  • Performs wound assessment, cultures, and care. 
  • Provides clinic-approved over-the-counter medications and education, as clinically appropriate. 
  • Coordinates patient care with Second Light staff and other onsite medical providers.
• Performs essential functions of Care Management Specialists, to include:
  • Coordinates post-emergency room and/or hospital discharge transition of care follow-up.
  • Reviews patient records from hospitals and other resources.
  • Assists patients with enrollment and scheduling in a variety of programs including chronic care management, remote monitoring of hypertension control program, transportation services, Prescription Assistance Program (PAP), etc., based on program requirements.
  • Collaborates with providers on chronic care case management and care planning.
  • Coordinates care across HHC service lines to include scheduling and completing designated visits, connecting patients with programs based on social drivers of health and overall need, and outside referrals.
  • Provides evidence-based health education to patients, as directed.
  • Assists care teams with quality care gaps and their closure.
• Documents all clinical interactions and attribution-based patient data into electronic health record (EHR) and value-based care platforms, as directed.
• Participates in meetings with accountable care organizations and similar companies, Second Light leadership and staff, homeless service provider work groups, and internal HHC teams as needed for coordination, reporting, and quality improvement.
• Maintains job knowledge by participating in educational opportunities, reading professional publications, maintaining personal networks, and participating in professional organizations.
• Travels to shelter(s) and other community organizations, as directed.
• Performs all other duties as assigned.

Qualifications:

• Current Registered Nurse (RN) license in the state of Kansas is required.
• Minimum of three years of clinical nursing experience is required, with preference given to experience in community health, primary care, emergency care, behavioral health, care management, case management, or homeless healthcare.  
• Current Basic Life Support (BLS) is required within 30 days of hire.
• Experience facilitating chronic care management is preferred.
• Experience coordinating care across multiple healthcare and community organizations is required.
• Bilingual abilities are preferred, but not required.

Skills:

• Listens, identifies, and responds quickly and effectively to internal and external needs.
• Communicates effectively with all patients.
• Displays organizational skills, the ability to multitask, and uses time and resources effectively.
• Displays good judgment and decision-making skills.
• Effectively collaborates, seeks clarification, and confirms accuracy as needed.
• Utilizes teamwork to achieve desired results and contributes to projects while developing positive working relationships.
• Pursues goals with commitment and shows initiative.
• Demonstrates accuracy, thoroughness, and reliability; manages time and priorities; develops and follows work procedures.
• Evaluates own performance and accepts constructive feedback to continue learning.
• Displays passion for serving the underserved and vulnerable populations.
• Ability to maintain appropriate clinical privileges.

Physical and Mental Demands of the Job:

All employees, including those who become disabled, must be able to perform the essential job function listed below, either unaided or with the assistance of a reasonable accommodation. The functions listed below are intended only as illustrations of the various types of work that may be performed. The omission of specific statements of duties does not exclude them from the position if the work is similar, related or a logical assignment to the position. This essential functions document does not constitute an employment agreement between the employer and employee and is subject to change by the employer as the needs of the employer and requirements of the job change.

• Talking: The ability to speak clearly and effectively.
• Average Hearing: The ability to hear average conversations and respond accordingly.
• Repetitive Motion: The ability to sit, stand, walk and use hands to handle, feel and reach.
• Finger Dexterity: The ability to use fingers to make small movements such as typing, picking up objects and pinching fingers together.
• Average Visual Abilities: The ability to focus on items clearly, including close vision, color vision and the ability to adjust focus.
• Working Conditions: The ability to work in a well-lit, climate-controlled environment, with a noise level that is occasionally high. There is potential exposure to infectious diseases.
• Physical Strength: The ability to occasionally lift and/or move up to 35 pounds.
• Mathematical Ability: The ability to add and subtract two-digit numbers and to multiply and divide with 10's and 100's.

The above statements are intended to describe the general nature and level of work being performed by people assigned to this job.  This is not an exhaustive list of all duties and responsibilities associated with this job. Hunter Health Clinic Inc. reserves the right to amend and change responsibilities to meet business and organizational needs. 

Hunter Health provides equal employment opportunities to persons without regard to race, religion, color, ancestry, genetic information, sex, pregnancy, marital status, national origin, age, disability or veteran status, and any other status protected by federal, state, or local laws. HHC is committed to taking affirmative action to employ, and advance in employment, disabled persons and veterans.

As an Urban Indian Health Program, Hunter Health Clinic, Inc. (HHC) adheres to the Indian Preference in Employment as stated in the Federal Acquisition Regulations System (48 C.F.R. § 326.501–505). Training and employment preferences and opportunities shall be provided to Native Americans regardless of age

(subject to existing laws and regulations), sex, religion, or tribal affiliation. Applicants claiming Indian Preference may be asked to provide documentation of eligibility.

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