Community Health RN Coordinator

POSITION SUMMARY:

Under direction of the Community Health and Outreach Director, the Community Health and Outreach Registered Nurse (CH/OR RN) provides support for community health planning activities, agency and community relations, resource development for community health improvement projects; and to do related work as required. This position is responsible for working with the community to support community health planning and/or support activities to improve the health of Native Americans in the NVIH service area.

ESSENTIAL JOB FUNCTIONS: The list that follows is not intended as a comprehensive list, but rather to provide a representative summary of the major duties and responsibilities. Incumbent(s) will be required to perform a variety of duties listed, including but not limited to:

• Provides care management services to patients with complex health care needs and creates a patient-centered self-management plan that ensures access to medical, dental, & behavioral health services and lifestyle interventions to improve health outcomes.
• Monitors caseloads of other CH/OR team members to provide guidance and support for complex cases; facilities and supports case conference meetings.
• Facilitates and participates in program quality improvement projects, as well as Government Performance Results Act (GPRA) activities to improve program workflows and patient health outcomes.

• Provides effective support to patients and works with NVIH staff, and the community to support all phases of public health planning; assessment, planning, implementation and evaluation; applies interpersonal skills to enhance collaboration of NVIH staff, community members and agencies toward common health outcome improvement goals.
• Contributes to the agency’s effort in identifying top priority health issues for NVIH patients by providing education on the importance of preventative and wellness/health-promoting lifestyle interventions, such as:
• immunizations,
• promotion of health screenings,
• smoking prevention and cessation,
• nutritional counseling,
• obesity reduction and prevention,
• increasing physical activity,
• substance use prevention/early intervention and harm reduction and
• promoting independence and skills development related to disease self-management and self-administration of medications.
• Plan and participates, in collaboration with NVIH staff, to obtain input for community health and outreach planning activities, such as health fairs, health events, and health educational programs.

• Assists with preparation of grant applications or funding proposals and to promote the development of resources to support innovative population-based health promotion efforts.
• Other duties as assigned.

All NVIH employees are expected to:

• Provide the highest possible level of service to patients;
• Promote teamwork and cooperative effort among employees;
• Maintain safe practices; and
• Abide by current NVIH’s policies and procedures

Experience and Skills:

The following knowledge, skills, and abilities are required for an employee to successfully perform their duties.

• Valid and current California Registered Nursing License
• BSN or PHN certificate preferred

• Demonstrates clinic knowledge and skills that will be essential in conducting health assessments and developing a patient-centered health plan in accordance with best practice standards.
• Demonstrates ability to collaborate effectively with multidisciplinary team members and community health organizations to ensure effective coordination of patient care.
• Demonstrates understanding of age-related or specialty issues and developmental needs for each population served by adapting style, treatment and plan to each population.
• Ability to use electronic health records and maintain current, accurate medical records, charts and health plans. Familiarity with Microsoft applications, such as Outlook, Excel, Word, & Teams.

• Proficient in case management skills to support patients and collaborate with providers on complex patient cases.
• Demonstrates ability to think creatively and critically to support various initiatives
• Effectively communicate in a clear, concise manner, including but not limited to public speaking

• Work independently under limited supervision, prioritizes work assignments, show excellent organizational skills, and works well under pressure of deadlines.
• Ability to travel and operate GSA vehicle for business purposes.

Indian Preference. Preference in filling vacancies will be given to qualified Indian applicants in accordance with Indian Preference Act (Title 25, U.S. Code Section 472 & 473). In other than the above, Northern Valley Indian Health, Inc., is an Equal Opportunity and At Will Employer.
Job Benefits:

• Medical, Dental, Vision and Life Insurance
• 13 Paid Holidays
• Generous PTO
• Retirement Plan