Employment

Job Purpose:
The RN functions as an essential member of the interdisciplinary care team at GHCI.  In this role the RN provides supervision and oversight of ancillary personnel and clinic programs.  The RN also employs sound nursing judgement in direct patient care.  Patient care responsibilities are focused on coordination of services, transitions of care, follow up for specialty referrals, support in self-care management and identification of relevant community resources.

Hours: Full-time hours with rotating weekend responsibilities and some holidays
Salary range: $33-$40/hour DOE

Interested applicants should send a resume or CV and letter of interest to:
Clare Jackson, Clinical Director
c.jackson@ghcak.org

Duties and Responsibilities:
Patient Care: case management, nurse clinic
Supervisory: clinic programs, oversight of medical assistants

Coordination of Care:
1. Coordinates with other medical facilities, i.e., specialists, hospitals, labor and delivery, emergency room to ensure continuity of care.
2. Manages follow up of specialty referrals, including clinically indicated services outside of the organization (e.g., social services such as housing and transportation assistance, vocational rehab, mental health specialty care, substance abuse treatment, home health and hospice care.)
3. Coordinates care as pertinent to patient needs
4. Communicates information from the healthcare team to patients as needed

Self-Care Support:
1. Uses Motivational Interviewing concepts to discuss and identify self-management goals and develop care plans with high risk patients.
2. Tracks patient follow up and clinical outcomes. Documents in-person and telephone encounters in the registry and uses the system to identify and re-engage patients.
3. Follows up with high risk patients regarding missed appointments to identify barriers and plan.
4. Facilitates treatment plan changes for those patients who are not improving as expected in consultation with the medical provider for those who may need more intensive or more specialized health care.
5. Assists with accessing patient care items such a procuring durable medical equipment and/or medications when patient resources are limited.

Additional Duties and Responsibilities:
1. Coordinates and motivates team huddles as needed.
2. Functions as member of an interdisciplinary health care team.
3. Collaborates with Clinical QA/QI Director to facilitate data collection and conduct improvement activities in specific populations.

Qualifications:
–Possession of current Alaska RN license in good standing
–Possession of current CPR certification
–Minimum of three years clinical experience in a clinical or hospital setting
–Knowledge of specific disease and lifestyle related topics such as smoking cessation, weight management, nutrition, pre-post-natal care, stress reduction and chronic conditions preferred
–Proficient computer skills including MS Word, Excel, PowerPoint and Outlook
–Previous experience with electronic medical records highly preferred

Job Title:           Behavioral Health Clinician (.5-1.0 FTE)

 Wage Range:   DOE (contractors encouraged to apply)

 Position Supervisor:   Executive Director/Medical Director

Summary of Position:  The Behavioral Health Clinician at GHCI is considered part of the primary care treatment team.  They assist in identifying, triaging, and managing patients with medical and behavioral health problems within the primary care setting.  In addition, the Behavioral Health Clinician will provide more comprehensive and long-term management of patients with complex BH needs. The BHC will participate on an on-going basis, with a collaborative evaluation of patient’s needs and also with our QA processes for ensuring appropriate patient screening and follow up on general depression and anxiety.  The BHC will provide skill training through psychoeducation and patient education strategies and will develop specific behavioral change plans for patients and behavioral health protocols for target populations.

 Essential Duties and Responsibilities

• Able to work in an integrated primary care behavioral health program consistent with the philosophy, service goals and health care strategies of GHCI following HRSA guidelines. Must provide integrated services and participate as a key member of the primary care team to all patients served by GHCI.
• Assess and provide brief, solution-focused therapy and coordinate services to primary care patients in crises or those with behavioral health needs.
• Provide targeted assessment and evaluation including diagnostic impressions and communicate diagnostics impression and functional status to primary care providers.
• Participate in complex case management and staff huddles to assist with anticipated patient behavioral health needs. Work with all health staff to provide integrated and quality patient partner care.
• Evaluate crisis situations and apply appropriate interventions and treatment planning.
• Function as a patient advocate by providing follow-up counseling and coordination with primary care providers.
• Maintain a professional and supportive presence with patients and colleagues to facilitate treatment effectiveness.
• Provide services that are culturally appropriate.
• Provide input into the development of an integrated Behavioral Health Manual and Policies and Procedures under the guidance of the GHCI Executive Director and Medical Director.
• Maintain accurate, complete, and timely patient documentation as defined by GHCI policy.
• Maintain strict confidentiality for all patient/partners and their families and GHCI information.
• Abide by the policies and procedures, clinical guidelines and protocols established for GHCI, and state and federal regulations for practice as a licensed practitioner.
• Maintain active license and certifications required to practice in the State of Alaska.

Specifications

• Successful completion of GHCI credentialing and privileging process.
• Recredentialing will be completed every two (2) years.
• Must have proficient knowledge in the following areas: cause and symptoms of behavioral health issues, prevention strategies, needs and risk assessment, substance abuse, family dynamics, impact of trauma, understanding of crisis management and ability to deal with life threatening situations including prevention of suicide, individual and group crisis counseling methods and traditions of Alaska, relevant legislation, policies and procedures, program management and delivery, program evaluation, ability to speak English.
• Must demonstrate the following skills: analytical/problem solving skills, good decision making, mediation and negotiation skills, conflict resolution skills, effective counseling skills, effective verbal and listening communication skills, computer skills, effective written communication skills, effective public relations and public speaking skills, research and program development skills, stress management skills, time management skills, ability to work cooperatively as a team member.
• Must demonstrate the following personal attributes: hones a trustworthy, respectful, cultural awareness and sensitivity, flexibility, sound work ethics, maintain standards of conduct.

 Education and/or Experience

Education:  Master’s degree from an accredited graduate school of social work, nursing or related field from a regionally accredited university.

License:  Maintain a current, active license with the State of Alaska as a Licensed Clinical Social Worker or as a board-certified mental health Advanced Nurse Practitioner or Physician Assistant.  (Licensed Clinical Counselors may apply but preference to hire will be strongly based on ability to bill to Medicaid.)

Benefits

Half-time employees do not qualify for medical insurance benefits but can earn pro-rated paid time off and pro-rated CME hours.  Employees who are .75 FTE qualify for medical insurance, paid time off and CME hours.  Girdwood Clinic is a participant in the National Health Service Corp loan repayment program.

How to apply

Send a resume’ or CV, a cover letter and three professional references to the address below.  All three required items must be sent in order for the application to be considered.

Tawny Buck, Executive Director at:  t.buck@ghcak.org

or mail to:

Girdwood Health Clinic
Attn:  Tawny Buck
PO Box 1130
Girdwood, AK 99587