Registered Nurse/ Medical Case Manager

Eastern Oregon Center for Independent Living
Job Description

Job Title:                    Registered Nurse/ Medical Case Manager

Work Area:               Umatilla, Morrow, Gilliam, Wheeler, Wasco, Sherman, Wallowa, Union, 
                                    Baker,  Malheur, Grant and Harney Counties

Office Location:        322 SW 3rd Street, Pendleton, Oregon 
Work Schedule:         Monday – Friday – 48 hours per month
                                    (Schedule may vary depending on caseload/duties).
 
Start Date:                 Immediately        
 
Rate of Pay:               $32.00 per hour
 
Fringe Benefits:        Company vehicle available for work-related task.  
 
Job Summary: This position is a professional (non-residential) position responsible for development, implementation and coordination of services provided to individuals living with HIV/AIDS.  The Medical Case Manager participated in a multidisciplinary team that works in partnership with the client’s medical provider to assess the medical needs of the client. The Medical Case Manager conducts a Nursing Assessment to determine the client’s medical needs and access to medical services, develops a nursing plan, performs nursing interventions (treatment adherence, nutritional health, oral health, liver health, HIV transmission/risk reduction), advocates on behalf of the client and participates in the Care Coordination Team to improve client health outcomes.  
 
Duties:
 
  • Be aware of accommodations and alternative formats identified;
  • Conduct a face-to-face nursing assessment for all new clients;
  • Conduct a face-to-face annual assessment for clients assessed as an RN Acuity 3 or 4 and for any clients who have been triaged at Eastern Oregon Center for Independent Living (EOCIL) as requiring a nurse reassessment;
  • All newly diagnosed clients will be assigned to the Medical Case Manager (MCM) for a minimum of three months.  The MCM may also assign clients to their caseload based on professional assessment regardless of Acuity;
  • Perform a physical examination to include (at a minimum): Weight, Height, Vitals (blood pressure, temperature, pulse/heart rate) and inspection of the mouth;
  • Determine the need for ongoing Medical Case Management as defined in Nurse Assessment Standards;
  • Work with the client to develop an individualized Nurse Plan for clients assigned an RN Acuity 3 or 4;
  • Refer for medical evaluation and treatment;
  • Provide education and counseling about HIV transmission, disease management, risk reduction and harm education;
  • Provide HIV medication therapy to include client education concerning risks and side effects, monitoring disease process to include lab values, monitoring client adherence and tolerance of medications;
  • Provide counseling, education and referral specifically associated with treatment adherence, nutrition, liver health, HIV transmission risk reduction and oral health;
  • Provide nursing interventions and education about a variety of issues, as appropriate to both client assessed need for intervention and the nurse’s trained skills. Interventions (education and/or counseling) may include (but are not limited to):
  • Healthful living habits and holistic approaches to good nutrition, adequate sleep, regular exercise, stress management, appropriate immunizations, age appropriate health screenings etc;
  • Safer sex practices, sexually transmitted diseases and partner notification services;
  • Prevention of exposure to opportunistic pathogens;
  • Provide information about available resources and services for clients and their support system;
  • Follow up on the nurse triage when appropriate.  The nurse will need to determine the seriousness of the encounter and decide on a plan of action;
  • Communicate regularly with the client’s medical providers and other health and human service providers and provide client advocacy services when appropriate;
  • Case Conference with the client’s medical provider and the care coordination team (including the client);
  • Conduct home visits and accompanying the client to medical visits as needed;
  • Document in CareWare case notes, on the required forms and in the CareWare database.
                                               
Job Qualifications:
  • Oregon licensed Registered Nurse/ AIDS certified nurse (ACRN) – ACRN to be obtained within a year of hire.
  • Preferred Bilingual: Spanish/English
  • High level of Professionalism, Commitment, Innovative/Resourcefulness.
  • Beyond basic computer skills.  Program knowledge of Word, Excel, Power Point, Publisher.
  • Strong written and oral communication experience.
  • Valid driver’s license.
  • Must pass criminal history background check.
  • Must be a self starter and require minimal supervision to complete projects.
 
Apply:  Apply in Person at:
322 SW 3rd Street
Pendleton, Oregon 97801
 
For More Information:
Jeff Williams-Program Manager
(541) 276-1037 Ext. 102 (Voice), jeff@eocil.org
 
Closing Date:          Open until filled.
 
Contact Information

      
       

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