RN Nurse Care Manager - Nisqually Generations Healing Center

NSORNA Nisqually's Sex Offender Registration and Notification Act requires all individuals who have been convicted of a sex offense to register with our Public Safety Department. This is true whether or not you have to register with any other jurisdiction. This position has regular contact with or control over Indian Children and Vulnerable Adults. In compliance with Federal Law, this position will not be filled by an applicant with any felonious offense or any of two or more misdemeanor offenses under Federal, State, or Tribal Law involving crimes of violence; sexual assault, molestation, exploitation, contact, or prostitution; crimes against persons; or offenses committed against children. This position requires a fingerprint check, which is a standard procedure for many jobs, especially those involving children or vulnerable populations.

General Summary

The Nurse Care Manager will work closely with provider teams to support patients in the spirit of the mission and vision of the Nisqually Generations Healing Center. The focus of this position will be integrating primary care and chronic disease management within the Opioid Treatment Program (OTP) setting. This position ensures confidentiality, security, and accuracy of records, and promotes positive employee, customer, and community relations. Strong written and verbal communication skills are required and outstanding customer service to fellow employees, customers, vendors, etc. is expected. Regular attendance is required; later hours or weekend time may be required, and a neat, well‑groomed professional appearance is essential at all times.

Primary Responsibilities

• Conduct comprehensive assessments of patients, including acute and/or chronic health problems.
• Work with a multi‑disciplinary team providing targeted care management, education, and training services to patients and staff.
• Assist with the identification of patients with special health care needs/chronic diseases.
• Carry out care plans, evaluate and monitor them on a regular basis, and effect changes as needed.
• Develop methods of tracking patient compliance to clinical guidelines and plans of care.
• Triages telephone calls from patients.
• Provide direct wound care for patients as needed.
• Ensure patient confidentiality as defined by HIPAA and the medical facility.
• Record and document health information necessary to maintain, coordinate, and/or expedite required services and quality‑improvement programs.
• Develop, conduct, and evaluate formal or informal in‑services and educational programs in area of expertise.
• Contribute to the research process by generating ideas, collecting data, sharing knowledge, and applying new findings to practice.
• Participate as a team member in the provision of medical and health care, interfacing with professional colleagues to provide comprehensive care.
• Participate on committees, attend required meetings, and deliver in‑services.
• Develop and teach relevant disease‑education classes as required.
• Monitor for regulatory compliance.
• Document phone calls and face‑to‑face encounters with patients, and submit billing documentation and coding in a timely manner to ensure proper reimbursement.
• Practice universal blood and body‑fluid precautions, appropriately handle hazardous materials, and follow OSHA regulations per approved policies and procedures.
• Develop and maintain client files to meet all local, state, and federal program requirements.
• Ensure security and confidentiality of all program data and operate in accordance with HIPAA and 42 CFR Part 2.
• Perform other duties as assigned.

Minimum Qualifications

• Must be a Licensed Registered Nurse in good standing with the State of Washington.
• Five years' experience of professional work as a Registered Nurse is desirable.
• Must possess a valid Washington State driver’s license and maintain a driving record that meets the minimum requirements established by Nisqually Indian Tribes vehicle insurance.
• Successfully pass a pre‑employment drug screen and criminal background.
• Ability to work with vulnerable populations including adults and children.
• Must pass a state and national (FBI) criminal‑history background check prior to employment.

Preferred Qualifications

• Previous substance‑abuse treatment and/or primary‑care experience strongly preferred.
• Knowledge of the Nisqually Indian Tribe’s history, customs, traditions, and ability to demonstrate cultural sensitivity.
• Experience working with federally recognized tribes.

Supervision

This position trains, supervises, and evaluates staff.

Competencies

• Knowledge of current medical practices in primary care, mental health, and addiction medicine, including management of sexually acquired illnesses, Hep C, family planning, and prenatal care.
• Understanding of diagnostic and treatment principles, drug properties and interactions, and preventive health‑care measures.
• Customer‑service principles and processes, including needs assessment, quality standards, and satisfaction evaluation.
• Familiarity with tribal, federal, and state laws, codes, and policies, including HIPAA, PHI, and 42 CFR Part 2.
• Common office and administrative duties, trauma awareness, and its impact on wellness and recovery.
• Proficiency with personal computers, standard office programs, and equipment.
• Organizational management practices.
• Exceptional written and verbal communication abilities, strong public‑speaking and presentation skills.
• Commitment to providing excellent customer service.
• Motivational interviewing (MI) skills or a desire to learn MI.
• Ability to work in a computer‑based environment, especially Microsoft Office.
• Ability to work in a cross‑cultural environment and understand the social and cultural contexts of patients.
• Skill in prioritizing multiple tasks amidst frequent interruptions.
• Ability to establish and maintain effective working relationships with patients, staff, and external agencies.
• Maintain professional and ethical boundaries.

Physical Demands

The physical demands described here are representative of those that must be met by a team member to successfully perform the essential functions of this position. While performing the duties of this position, the employee is frequently required to stand; walk; use hands; handle; feel; or grip objects; stretch and/or reach with hands and arms; stoop; crouch or work in cramped or awkward positions; and perform repetitive motions. This person may regularly lift and/or move up to 30+ pounds. Specific vision abilities required include close vision, distance vision, depth perception, and the ability to adjust focus.