POSITION: CLINICAL MANAGER (RN)

RESPONSIBLE TO: Medical Director

SALARY: Step Range: 43 ($104,735) - 62 ($183,653); Full Benefits

CLASSIFICATION: Professional/Management, Regular, Full-Time

LOCATION: Klamath Tribal Health & Family Services

•    Medicine Place, Chiloquin, Oregon 
•    Healing Place, Klamath Falls, Oregon

BACKGROUND: P.L. 101-630 Level

POSITION OBJECTIVES

The Clinical Manager will be responsible for oversight and supervision of RN Case Managers, Clinical RNs, Community Health RN Supervisor and Certified Medical Assistant Lead within the clinic to ensure proper functioning of day-to-day nursing operations of the Medical Clinic. Responsible for supervision, coaching, mentoring, and training of direct reports on changes and improvements of the clinic operations. Serve as member of the Medical Clinic Leadership Team with the key functions of communication and management of the Medical Clinic Strategy Plan and operating budget. Takes active role in key staff meetings to support clinical staff.  

MAJOR DUTIES AND RESPONSIBILITIES

• Supervise, mentor, and train RN Case Managers, Clinical RNs, Community Health RN Supervisor and Certified Medical Assistant Lead, holding them responsible for their performance. 
• Provide support to other medical staff for nursing and system issues or questions.  
• 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. 
• Share and receive information, opinions, concerns, and feedback in a supportive manner. 
• Coach clinical staff on team building and communication skills. 
• Supervision of Certified Medial Assistant Lead, on a day-to-day basis for work assignments to maintain the effective and efficient operation of the Medical Clinic.
• On a daily basis, ensure RN Case Management, Clinical RNs, and Certified Medical Assistant Lead have provided coverage for all providers to enable smoothness of clinic flow.
• Consistently round with clinic staff on a regular basis to elicit issues, questions, training needs or best practices to ensure quality of work and competencies. 
• Complete random chart reviews for all nursing staff to ensure quality of work and compliance with standards. 
• Develop action plans for nursing and CMA staff including objectives and goals; monitor and regularly assess clinic. Work with all staff in the clinic to ensure staff members understand the goals and objectives of the clinic and their roles in achieving the goals. Collaborates with Medical Operations Manager to teach and implement policies and procedures with staff.
• Coordinate duties of RN Case Managers and Clinical RNs including providing direct supervision on a day-to-day basis to maintain the effective and efficient operation of the Medical Clinic. 
• Participate in creating strategic direction on health care issues with the primary goal to promote good health and wellness. 
• Participate in the development and implementation of education and skill development designed to increase the proficiency of the Medical Clinic staff members in the continuous use of quality management.
• Responsible for coordination and training of RN Case Managers, Clinical RNs, Certified Medical Assistants, Medical Assistants, nursing students, nurse practitioner students, family practice residents and medical students in integrated care team and outpatient clinic nursing standards of care.
• Complete evaluation of RN Case Managers, Clinical RNs, and Certified Medical Assistant Lead for their effectiveness, organizational skills and team functions and give constructive feedback. 
• Assist Medical Director to provide support and supervision of the Community Health Program when appropriate; based on organizational need and supervisor direction.
• When called upon, may care for and treat patients as directed by clinical providers; prepare patient for & assist with examinations. Under the providers’ direction, duties include but are not limited to performing EKG testing, ordering and/or running laboratory tests, administering injections & medication, dressing wounds & incisions, performing phlebotomy & obtaining IV access and/or other related nursing tasks.
• Work as a team with the Chief Medical Officer, Medical Director, Providers, and other staff in making decisions which affect patient care and/or other clinic staff members.
• Assist in the development and implementation of the Medical Clinic Quality Improvement Program in concert with the Medical Operations Manager RN. Apply knowledge and experience with preparation for accreditation inspections.
• Like all employees of the Klamath Tribes, the incumbent will be called upon to accomplish other tasks that may not be directly related to this position, but are integral to the Klamath Tribes’ broader functions, including but not limited to, assisting during Tribal sponsored cultural, traditional, or community events that enable the successful operation of programs and practices of The Klamath Tribes as aligned with The Klamath Tribes’ Mission Statement. Some of these tasks may be scheduled outside of regular work hours, if necessary.

SUPERVISORY CONTROLS

Work is performed under the general direction of the Medical Director. This position requires consistent exercise of sound clinical judgment, critical thinking, and the ability to work independently with minimal direct supervision. The Clinical Manager RN operates within the framework of established protocols, standing orders, and organizational policies.

The supervisor provides broad guidance regarding program objectives, priorities, timelines, and available resources. Within this framework, the Clinical Manager RN is responsible for planning and scheduling recurring work, independently managing routine clinical issues, and applying professional discretion in the interpretation and application of guidelines.

Work is evaluated based on overall effectiveness in meeting program goals, adherence to applicable laws and regulations, and alignment with internal policies, procedures, and quality standards.

KNOWLEDGE, SKILLS, ABILITIES

Knowledge of and the ability to interpret accreditation standards.

Knowledge of theory-based nursing practice model, evidenced based practices and patient centered medical home model using integrated care teams. 

Ability to participate in a multidisciplinary clinical team.

Ability to coordinate clinic activities; work well under pressure and demands for time.

Demonstrates skill in ensuring effective communication and exceptional customer service. 

Ability to provide patient education.

Ability to perform job with minimum supervision.

Demonstrates excellent facilitator skills in one-on-one discussion with staff and in-group settings.

Ability to successfully coach/mentor/train subordinates for sustained performance improvement.

Knowledge of out-patient clinic policies and protocol.

Knowledge of sanitation, nutrition, epidemiology and communicable disease control.

Knowledge of health care provider operating techniques.

Knowledge of immunization recommendation and protocols.

Ability to prepare and administer medication and immunizations.

Ability to perform specialized medical procedures, including IV therapy and phlebotomy.

Ability to identify medical priorities for patient care and telephone triage.

Ability to effectively work with the public, co-workers, and supervisors, which includes communicating effectively both verbally and in written form.

Possess the tact necessary to work effectively with patients, physicians and other employees.

Must have ability to complete required documentation and required written follow-up.

Teamwork skills a must.

Demonstrated computer skills for data entry, scheduling and other related duties.

Ability to maintain strict confidentiality of medical records and adhere to the standards for health record-keeping, HIPAA and Privacy Act requirements.

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. (Must submit copy of Licensure with application.)

• REQUIRED to have Three (3) years’ experience as an RN working in an ambulatory, inpatient, outpatient, or other relevant clinic setting

• REQUIRED to have a minimum of (1) years of supervisory or management experience in a healthcare, clinical, or related setting, including experience with staff supervision, performance management, training, and operational oversight.

• REQUIRED to acquire and maintain ACLS certification 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 be Proficient in phlebotomy, starting and maintaining intravenous access to patients. 

• 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:

Flexible work schedule with possible nights, weekends, or on-call coverage is strongly preferred.

• >3 years in supervisory or management experience
• Positive working experience with Native Americans in a related field will be given preference.

Indian Preference:

Indian and Tribal Preference will apply, as per policy. (Must submit tribal documentation with application to qualify for Indian Preference). 

ACKNOWLEDGEMENT  

This position description is intended to provide an overview of the requirements of the position. It is not necessarily inclusive, and the job may require other essential and/or non-essential functions, tasks, duties, or responsibilities not listed herein. Management reserves the sole right to add, modify, or exclude any essential or non-essential requirement at any time with or without notice. Nothing in this job description, or by the completion of any requirement of the job by the employee, is intended to create a contract of employment of any type.

APPLICATION PROCEDURE

Submit a Klamath Tribal Health & Family Services Application for Employment with all requirements and supporting documentation to:

Klamath Tribal Health & Family Services

• ATTN: Human Resource
• 3949 South 6th Street
• Klamath Falls, OR 97603
• jobs@klamathtribalhealth.org