Shelter Outreach Care Management - RN

Hunter Health provides all-encompassing care for the Wichita community, including medical, dental, behavioral, vision, laboratory, radiology and pharmacy services, all in one place. We pride ourselves in providing the support patients need to take control of their health and their whole wellbeing. Our Hunter Health team is at the heart of our operations. From the initial interaction with a new patient to empowering individuals with the knowledge to manage their health - it begins with each member of our staff.

Regardless of role or responsibility, every team member is a valuable part of living our mission and upholding our positive work environment with our Standards of Culture.

We exist to improve the health and wellbeing of everyone in our community.

Schedule:

Monday through Friday, 40 hours per week, 10:30AM - 7:00PM (schedule may adjust based on operational need)

4

20 days of PTO per year, plus 10 paid holidays.

• Basic life insurance
• Short-term disability
• Long term disability
• Employee Assistance Program with 12 free sessions per year
• Continuing Education Opportunities

• Medical
• Dental
• Vision
• Supplemental life insurance
• Accident and critical illness insurance
• Identity Theft Insurance
• 401k with Safe Harbor Plan match

The Shelter Outreach Care Management – RN provides scheduled on-site nursing outreach at Second Light and other designated community locations and supports Hunter Health’s Care Management program when not assigned to shelter coverage. The role assesses health needs, delivers nursing services within an RN scope of practice, coordinates care across Hunter Health Clinic’s (HHC) services and community partners, and helps patients establish ongoing care.

In collaboration with the Director of Population Health, Shelter Nurse, and Care Management team, the Shelter Outreach Care Management – RN is also responsible for maintaining compliance with all federal grants, HRSA, FTCA, HIPAA, and HHC policies and procedures.

• Provides nursing services in accordance with HHC’s clinical policies and protocols through standing orders from providers, to include:
  • Completes nursing assessments, triage, medical screenings, and risk identification.
  • Administers immunizations, TB tests, and therapeutic injections as ordered.
  • Conducts infectious disease and preventive health screenings.
  • Assess vital signs and other health monitoring.
  • Performs wound assessment, cultures, and care.
  • Provides clinic-approved over-the-counter medications and education, as clinically appropriate.
  • Coordinates patient care with Second Light staff and other onsite medical providers.
• Performs essential functions of Care Management Specialists, to include:
  • Coordinates post-emergency room and/or hospital discharge transition of care follow-up.
  • Reviews patient records from hospitals and other resources.
  • Assists patients with enrollment and scheduling in a variety of programs including chronic care management, remote monitoring of hypertension control program, transportation services, Prescription Assistance Program (PAP), etc., based on program requirements.
  • Collaborates with providers on chronic care case management and care planning.
  • Coordinates care across HHC service lines to include scheduling and completing designated visits, connecting patients with programs based on social drivers of health and overall need, and outside referrals.
  • Provides evidence-based health education to patients, as directed.
  • Assists care teams with quality care gaps and their closure.
• Documents all clinical interactions and attribution-based patient data into electronic health record (EHR) and value-based care platforms, as directed.
• Participates in meetings with accountable care…