Occupational Medicine Nurse Case Manager

QUALIFICATIONS

Clearance:

  • In accordance with DoD contract, employees must have ability to obtain necessary Security Clearance.

Education: BSN required, must have proof of graduation from an accredited educational institution.  A Master’s Degree in Nursing and/or Case Management or closely related field is highly desired.

Certification: BLS, RN Case Management Certification (certification must be obtained within 12 months of placement in position).

License: RN license for the state of Utah or any US Jurisdiction (Jurisdiction must allow the holder to legally and independently practice without the supervision of another licensed professional)

Experience:  Minimum of four years recent experience, in professional nursing or Case Management.  Experience in Case Management is highly desirable.  The RNCM shall have professional OHN experience, COHN desirable.  Working knowledge of the OWCP is preferred.  Demonstrates expert competency in performance of core activities of case management and RTW planning e.g., patient advocacy, assessment, planning, implementation, coordination, monitoring, and evaluation.

The purpose of this position is to facilitate the efficient, rapid provision of appropriate quality care to the civilian and qualified tenant population served by the OMS clinic. This will minimize limited duty and lost work days and assist in the safe return the employee to the worksite.

Knowledge:

  • Demonstrates expert competency in performance of core activities of case management and RTW planning e.g., patient advocacy, assessment, planning, implementation, coordination, monitoring, and evaluation.
  • RNCM must have advanced knowledge in area of Case Management and application of professional skills to the full range of occupational health related problems in the provision of case management services.
  • Knowledge of human behavior/dynamics and motivation; healthcare service delivery; professional ethics; clinical standards and outcomes.
  • The RNCM should have sufficient clinical knowledge and breadth of patient care experiences to be able to identify the clinical rationale for procedures or tests.
  • The RNCM should be able to gather necessary information and determine the medical necessity of the services and appropriateness of certain levels of care.
  • Good communication skills are imperative.
  • Knowledge of the potential hazards and the dangers from those potentials hazards the HAFB employees could be exposed too.
  • Knowledge of health hazards in the workplace and their preventive measures sufficient to establish evaluation methodologies, provide consultative services, and to develop and model programs suitable for specialized and clinical problems.
  • Knowledge of an extensive range of professional OHN principles, practices, and procedures to perform occupational nursing assignments in caring for complex, occupational injury and illness patients requiring special care or referrals.
  • Knowledge of a variety of pharmacological agents used in patient treatment, the desired effects, side effects, and complications of their use.
  • Knowledge of the administrative requirements for proper documentation of patient’s condition including injury/illness progress, acknowledgement of teaching, and follow up care.
  • Knowledge of DoD, Federal, State, DP, ICPAs, and regional and local support services.
  • Knowledge of diseases and immunizations sufficient to counsel information/findings for employees.
  • Knowledge of information management system sufficient to enter and retrieve occupational health data; review and analyzed health care statistics; and depict trends and tendencies.
  • Knowledge of Microsoft Office programs, Outlook, and Internet familiarity is required.

TYPE OF WORK

The duties include but are not limited to the following:

  • Use current case management industry standards
  • Participate in a continual process improvement and strive for excellence.
  • Perform data/metric collection and analysis as directed by the RN Supervisor or the COM to identify areas requiring intensive management or areas for improvement.
  • Track employees on light and limited duty from the time the medical restriction is identified until the time the employee is RTW full duty. The RNCM shall research cases as required to provide guidance for designing chronology of events.
  • Track all limited and lost duty days associated with occupational illness or injury. The RNCM shall ensure workers are appropriately cleared for duty by private medical doctors and OMS prior to RTW.  This activity requires extensive follow-up with OMS, employees, supervisors, DP, and other base agencies that may receive notice of limited duty and lost time schedules.
  • Maintain the OMS I+I database. The RNCM shall enter employees with medical restrictions into the database.  PH and OMS staff may access OMS I+I for analysis of specific employees’ medical status, individual, group, and program needs.
  • Provide timely updates to supervisors on the status of their medically restricted employees to assist them in their decision making process to minimize lost productivity associated with chronic/long-term absenteeism due to occupationally related illness and injury.
  • Respond to worker/supervisor questions regarding limitations, services available, forms, job completion or no-shows.
  • Identify cases that appear to have exceeded the standard of care for resolution and investigate them to determine if case management is appropriate. Develop guidelines in coordination with the COM to identify appropriate Plan-of-Care review.
  • Maintain open, professional communication and working relationships, demonstrating excellent customer service skills, with all members of the 75 MDG. Provide timely, descriptive feedback regarding case management issues and patient care to the appropriate 75 MDG personnel.
  • Coordinate treatment with OMS providers and off-base physicians, PT, ICPAs, and DP to facilitate the expeditious and appropriate care of civilians and qualified tenants employees to minimize limited duty, lost work days, and cost. The purpose of coordination is to facilitate and expedite returning medically restricted employees to work as they are able, without additional harm to employee or worksite.
  • Coordinate with ancillary services in an effort to improve medical management and treatment strategies and to reduce medical costs.
  • Prepare reports and briefings based on data analysis to identify overall adverse trends.
  • Meet all suspense dates and manage workload to maximize productivity/resources.
  • Perform PFTs, hearing/vision, screening, immunizations, EKG’s, and lab procedures IAW 75 MDG instructions.
  • Maintain a list for the program of providers and identify specialty healthcare services, CHPS, and all other available community healthcare resources for appropriate referral purposes.
  • Serve as a liaison between PH, OMS, DP, and ICPA for coordination and compilation of medical data. Also serve as the POC for the POWER Program.
  • All PII shall be safeguarded by the RNCM IAW the Privacy Act and HIPAA.
  • Prepare all documentation to meet 75 MDG instructions. All RNCM program activities, processes, documents, and procedures must meet all confidentiality, privacy, security, and disclosure requirements IAW applicable laws and regulations.
  • Comply with all 75 MDG infection control and safety procedures, practices, and standards.
  • Respect and maintain the basic rights of patients, demonstrating concern for personal dignity and human relationships.
  • Attend the OEHWG, Federal Employee Compensation Act (FECA), and other meetings as assigned by the RN Supervisor.
  • Ensure patients understand their responsibilities under various medical directives, FECA, and other compensation programs. Provide health services that include patient health teaching and counseling for patients to off base providers.
  • Follow and comply with AF, 75 MDG, and section Instructions when providing patient care.
  • Maintain medical records; complete various forms for inclusion in medical records. Review all tests for abnormalities prior to assembling medical records.
  • Meet all applicable AAAHC and HSI standards.
  • Obtain training on the use of GENESIS, OMS I+I database, ADS, and other systems as deemed necessary by the 75 OMRS/CC.
  • Advanced knowledge of health hazards in the workplace and their preventive measures sufficient to establish evaluation methodologies, provide consultative services, and to develop and model programs suitable for specialized and clinical problems.
  • Advanced knowledge of regulatory guidelines such as OSHA Act of 1970 and FECA in order to ensure content of job-related medical surveillance of workers exposed to regulated hazards as required by law.
  • Advanced knowledge of OHN principles, theories, concepts, and clinical practices in order to serve as a technical authority, provide expert advice and direction, an assist in the development of various health programs.
  • Advanced knowledge of an AF clinic’s operations and guidance. Able to follow and interpret rules and regulations to maintain compliance with standards as they are published.
  • Cover for RN Supervisor as needed

 

GCI is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, disability, or national origin.  GCI gives preferential treatment to veterans.

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