Registered Nurse (RN) - Manager
Indian Health Service
Klamath Falls, OR

RN REFERRAL MANAGER

Locations: Klamath Falls, OR Type:Tribal Salary Range:$82,589 to $144,821 / Per Year Open Period:8/30/2024 until filled Summary:Klamath Tribal Health & Family Services is a division of the Klamath Tribes and is responsible for providing healthcare services to the Native American population who reside in Klamath County. Any person living in Klamath County who is able to provide proof of their Native American heritage is eligible to receive healthcare services at The Klamath Tribes Wellness Center. The Indian Health Service (I.H.S.) is an agency within the U.S. Department of Health & Human Services. It is responsible for providing federal health services to American Indians and Alaska Natives. The provision of health services to members of federally-recognized tribes grew out of the special government-to-government relationship between the federal government and Indian tribes. This relationship, established in 1787, is based on Article I, Section 8 of the Constitution, and has been given form and substance by numerous treaties, laws, Supreme Court decisions, and Executive Orders. The IHS is the principal federal health care provider and health advocate for Indian people. The mission of the Indian Health Service is to raise the physical, mental, social, and spiritual health of American Indians and Alaska Natives to the highest level. Under the provisions of Public Law 93-638, The Klamath Tribes contract with the Indian Health Service to administer individual programs and services the I.H.S. would otherwise provide (referred to as a Title I Self-Determination Contract). More info about area: Job Announcement Flyer: Duties:MAJOR DUTIES AND RESPONSIBILITIES 1. Coordinates closely with the referral team, providers, nurses, MAs on ordering referrals and measuring their completion. 2. Responsible for coordination and training of Referral Department staff in KTHFS medical clinic referrals process. 3. Coordination of Referral Department staff on day-to-day work assignments to maintain effective and efficient operation of the Referral Department in collaboration with the Medical Office Manager. 4. Coach Referral Department staff on team building and communication skills. 5. Trains and coordinates KTHFS staff on the Referral policy and procedures. 6. Assists/conducts necessary internal audits for chart completeness - communicates findings with Nurse Supervisor, Medical Office Manager, Lead Primary Care Provider and Health General Manager. 7. Collaborate proactively with all team members and with a patient-focus to facilitate and maximize patient healthcare outcomes. 8. Consistently model appropriate behaviors, attitudes and skills that support the C.L.E.A.R. and H.E.A.R.T. customer-service standards to build positive relationships with patients and KTFHS employees. 9. Share and receive information, opinions, concerns, and feedback in a supportive manner. 10. Coordinates duties of each member of the Referral Department, listing the duties that each will complete daily, weekly, monthly in collaboration with the Medical Office Manager. 11. Complete random documentation review for Referral Department staff to ensure quality of work and compliance with standards. 12. Develop action plans for Referral Department staff including objectives and goals; working with staff to ensure they understand the goals and objectives of the department and their role in achieving the goals. 13. Responsible for the review and development of policies and procedures related to the Medical referral process in accordance with federal and state regulations, and/or accreditation standards. Monitor changes in policy, regulations, and professional standards: revise as appropriate. Monitor Referral staff adherence to these established policies and procedures. 14. Participate in the development and implementation of education and skill development designed to increase the proficiency of the Referral Department staff members in the continuous use of quality management. 15. Participate in department and KTHFS committees as assigned. (Please refer to the job announcement PDF for the complete list) Qualifications:QUALIFICATIONS, EXPERIENCE, EDUCATION Minimum Qualifications: Failure to comply with minimum position requirements may result in termination of employment. REQUIRED to possess a current State License as a Registered Nurse. For out of state applicants; Oregon Registered Nursing Licensure required within 90 days of hire. (Must submit copy of Licensure with application.) REQUIRED to acquire and maintain BLS & ACLS certifications within 180 days of hire; strongly recommend certification within 90 days of hire, probationary period will be extended for a maximum of 180 days pending certification. REQUIRED to submit to annual TB skin testing and adhere to KTHFS staff immunization policy in accordance with the Centers for Disease Control immunization recommendations for healthcare workers. REQUIRED to submit to a background and character investigation, as per Tribal policy. Following hire must immediately report to Human Resource any citation, arrest, conviction for a misdemeanor or felony crime. REQUIRED to accept the responsibility of a Mandatory Reporter in accordance with the Klamath Tribes Juvenile Ordinance Title 2, Chapter 15.64 and General Council Resolution #2005 003, all Tribal staff are considered mandatory reporters. Preferred Qualifications: Two (2) years experience working in an ambulatory, inpatient, outpatient, or other relevant clinic settings. Experience with medical coding and insurance plans. Flexible work schedule is strongly preferred. Positive working experience with Native Americans in a related field will be given preference. KNOWLEDGE, SKILLS, ABILITIES Knowledge of and the ability to interpret regulatory and accreditation standards. Knowledge of nursing theory and practice. Ability to coordinate clinic activities; work well under pressure and demands for time. Demonstrates ability to successfully coach/mentor/train team members for sustained performance improvement. General understanding of out-patient or ambulatory clinic referrals processes. Knowledge of CPT codes and ICD 10 coding as it relates to achieving prior authorizations from insurance plans, Purchased & Referred Care department etc. Ability to identify medical priorities for patient care and telephone triage. Ability to provide patient education. Ability to effectively work with the public, co-workers, and supervisors; which includes communicating effectively both verbally and in written form. (Please refer to the job announcement PDF for the complete list) Work Type:Permanent, Full Announcement #:KTHFS-24-RRM