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NURSEING JOB - Yokota AB

Yokota Air Base, 374th Medical Group
On Time Staffing Group is a Service-Disabled Veteran Owned Small Business government contracting firm supporting Nursing contracts at Yokota.  We are seeking to hire several Registered Nurses to provide services at 374th Medical Group.  Please read the qualifications below for each nursing job and please apply if you are qualified.
 
  • Yokota Air Base
Women’s Health Nurse - Yokota AB
Special Need Coordinator- Yokota AB
Registered Nurse Case Manager- Yokota AB
Utilization Manager Nurse- Yokota AB
Family Health Clinical Nurse- Yokota AB
Behavioral Health Care Facilitator (BHCF) Nurse- Yokota AB
Disease Manager Nurse- Yokota AB
 
  1. Women’s Health Nurse
 
  1. Minimum Qualification:
  2. Degree: Associates Degree of Nursing
  3. Education: Graduate from a college or university accredited by Accreditation Commission for Education in Nursing (ACEN), the Commission on Collegiate Nursing Education (CCNE)
  4. Experience: One year of full time experience in nursing after graduation.
  5. Licensure: Current, full, active, and unrestricted license to practice as a Registered Nurse as required in the United States/territories.
 
  1. Core Duties:
  2. Coordinate patient care in collaboration with a wide array of healthcare professionals. Facilitate the achievement of optimal outcomes in relation to clinical care, quality and cost effectiveness.
  3. Ensure compliance with standards of care and practice in accordance with all established policies, procedures, and guidelines used in the MTF.Perform physical exam and health histories.
  4. Provide health promotions, counseling, and education.
  5. Administer medications, wound care, and numerous other personalized interventions.
  6. Direct and supervise care provide by other healthcare professionals.
  7. Accountable for making patient care assignments based on the scope of practice and skill level assigned personnel
  8. Recognize adverse signs and symptoms and quickly react in emergency situations.
  9. Communicate and collaborate with a diverse group of people for the purpose of informing the healthcare team of plans/actions, for teaching/education to benefits the patient/family and organization.
  10. Make referral appointments and arrange specialty care as appropriate.
  11. Perform nursing services identified in the PWS
  12. Conduct research in support of improved practice and patient outcomes.
 
  1. Special Need Coordinator
 
  1. Minimum Qualification:
  2. Degree: Graduate of a Baccalaureate (BSN) or higher degree program, in Nursing
  3. Education: Graduate from a college or university accredited by Accreditation Commission for Education in Nursing (ACEN), the Commission on Collegiate Nursing Education (CCNE)
  4. Experience:
  5. Licensure: Current, full, active, and unrestricted license to practice as a Registered Nurse as required in the United States/territories
 
  1. Core Duties:
  2. The SNC oversees and manages the installation EFMP-M IAW DoD and Air Force policy, and any subsequent implementing guidance.
  3. Establishes and maintains procedures to identify sponsors whose family members have special medical and/or educational needs in a timely manner.
  4. Conducts assessments of family members of regular Air Force (RegAF) sponsors to determine if special medical and/or education conditions exist that require EFMP enrollment.
  5. Ensures all RegAF sponsors known to the MTF as having family members with special needs according to DoD criteria are identified to the AFPC (via the local MPS and/or CSS, where applicable) for issuance of an ALC “Q”, regardless of the location of family members or the source of family health care.
  6. Ensures all Army, Navy, and Marine Corps sponsors of family members with special needs are referred to their Services’ EFMP POCs for enrollment and relocation support IAW Service-specific guidance.
  7. Ensures all RegAF sponsors known to the AFPC, and local MPS and/or CSS where applicable, as having family members with special needs are identified in AF medical special needs data management systems.
  8. Ensures every RegAF sponsor with one or more family members with special needs that is assigned to the installation has an SN file maintained at the MTF and a case established in the AF-provided special needs data system (Q-base).
  9. Coordinates, with AFPC (and the local MPS and/or CSS, where applicable) all assignment actions for all Q-coded AF sponsors assigned to the installation, or whose personnel functions are handled at the installation, regardless of location of family members.
  10. The SNC is involved in the FMRC process as outlined in AFI 40-701, Medical Support to Family Member Relocation and Exceptional Family Member Program.
  11. Complies with requirements for data security, maintenance, collection, and reporting IAW AFPD 40-7 and any subsequent AFMOA, MAJCOM, or MTF implementing guidance.
  12. Provides AFMOA/SGHW the MTF/CC-signed appointment letters for the SGH, SNC, FMRCC, and alternates for access to password-protected data systems.
  13. Ensures an organizational email account is established and maintained permitting direct communication with the EFMP-M offices for AFPC and representatives of DoD components.
  14. To comply with AF and DoD provisions for safeguarding PII/PHI, emails containing such material are to be sent encrypted or otherwise sent securely.
  15. Ensures currency of EFMP-M office(s) contact information (e.g., phone numbers, fax numbers, email addresses) hosted within AF-provided web-based communications and data management systems. Updates the EFMP-M office’s contact information in the AF electronic data management system, and ensures currency of access to organizational e-mail accounts.
  16. Establishes procedures for the creation, maintenance, secure storage, transfer and retirement of SN files and FDI files IAW AF policy, EFMP-M guidance, and MTF guidance for the protection of PII and PHI.
  17. Ensures that sponsors are provided all necessary documents for enrollment in TRICARE, Extended Health Care Options (ECHO). Where the SNC may not release protected health information to the sponsor, the SNC provides the needed documentation to the identified patient of majority age, or forwards the information directly to the TRICARE Managed Care Support Contractor or other authorized Health Affairs agent upon request.
  18. Coordinates with MTF TRICARE representatives to provide information to beneficiaries about community, state and national resources specific to the special needs population.
  19. Ensures Q-coded sponsors assigned to the installation are contacted annually to update their EFMP status, and provide any updates needed in contact information, family composition, or family member conditions; verification of need for continued enrollment as well as pending PCS should also be discussed.
  20. Maintains a cooperative working relationship with AFPC, installation MPS, CSS, and all other associated offices for the following duties:
  21. Completion of the AF Form 4380 for outbound personnel, authorization letters for initiation and deletion of Q-codes, prompt initiation of the FMRC process at notification of pending OCONUS assignment (if Q-coded, include CONUS), or 6 months prior to follow-on after an unaccompanied assignment, support to EFMP reassignment/deferments, and regular delivery of the base Q-code roster from AFPC or local MPS/CSS to the SNC.
  22. Develops a Wing Supplement to AFI 40-701, for Installation Commander approval, to coordinate installation functions.
  23. Ensures the timely identification of family members with special needs through collaborative outreach with installation youth and childcare facilities, officer and enlisted spouses groups, public education forums and interaction with community key personnel.
  24. Ensures the appropriate documentation of EFMP-M workload as a military-specific mission in consultation with the MTF Medical Expense and Performance Reporting System (MEPRS) monitor using MEPRS code FAZN for all EFMP-M associated workload.
  25. Will actively support the integration of EFMP-M, EFMP-FS, and EFMP-A services at the installation.
  26. Participates with EFMP-FS in Newcomer’s Orientation and relocation briefings to ensure coordinated transitions for EFMP families.
  27. May participate in the Integrated Delivery System to address EFMP needs at the installation.
  28. Meets with the SGH or designee at least weekly or more frequently as needed to review all current/pending FDIs and Command Sponsorship requests.
  29. Leads the Exceptional Family Member quarterly case reviews to discuss newly identified families, complex or unmet needs and determine appropriate resources necessary for families.
  30. The SNC will document in AHLTA/Q-base/SN file the outcomes and any necessary course of action for each case/family member with special needs reviewed.
  31. Ensures healthcare coordination is provided to family members who have multiple/severe medical needs to include, but not limited to, completion of the “warm hand-off” IAW current AF policy, AFMOA EFMP-M guidance, and MTF guidance.
 
  1. Registered Nurse Case Manager
 
  1. Minimum Qualification:
  2. Degree: Baccalaureate of Science Nursing (BSN)
  3. Education: Graduate from a college or university accredited by Accreditation Commission for Education in Nursing (ACEN), the Commission on Collegiate Nursing Education (CCNE)
  4. Certification: Possess one of the following certifications:
  5. Experience: RN have at least three yearsoflicensednursingpractice with two(2)of the years being experience in or Case fromthe Case Association, the of Case or Center issued withinthe last two years be direct case
  6. Licensure: Current, full, active, and unrestricted license to practice as a Registered Nurse as required in the United States/territories.
 
  1. Core Duties:
  2. Acts as patient advocate and liaison with other Department of Defense and community agencies in coordinating services and will provide timely patient status updates to primary care managers and other clinicians as needed.
  3. Ensures collaborative communication processes exist between the primary care and medical management teams.
  4. Collaborates with the Health Care Integrator, other medical management staff, and primary/specialty care teams to plan and implement population health strategies.
  5. The Case Manager will develop an annual case management plan for inclusion in the population health plan in collaboration with stakeholders (e.g., Chief of Medical Staff, Chief of Nursing, Health Care Integrator, Group Practice Manager, medical management team)
  6. Case management requests/referrals will be completed within one business day using appropriate case management electronic health record template.
  7. For patients meeting case management criteria, an initial assessment will be completed within 5 business days, and a comprehensive plan within 30 days of the initial assessment. The comprehensive plan must include, but is not limited to, opportunities, interventions, and expected goals/outcomes to be achieved and actions designed to meet the assessed needs for healthcare, safety, and attainment of patient’s health goals as agreed to by the case manager and the patient and documented in the medical record.
  8. Patients receiving case management will receive recommended clinical preventive services according to age, sex, and other risk factors, irrespective of involvement in case management.
  9. The Case Manager will obtain consent to provide case management services from the patient or legal guardian prior to acting on the patient’s behalf
  10. Documents care provided in the electronic health record using the “ELAN” Medical Expense and Performance Reporting System (MEPRS) code for all face-to-face, telephonic, or secure message interactions using the current version of the Tri-Service workflow electronic health record template (adult or pediatric, as applicable) for case management.
  11. Each patient contact will be documented as an electronic health record encounter completed and signed within 3 business days. All patients continuing in case management services will have an encounter note completed no less than once per calendar month.
  12. The Case Manager will complete review of case management requests/referrals within one business day using the appropriate case management electronic health record template and will document that the case management referral was received and reviewed.
  13. The Case Manager will conduct a direct person-to-person summary (i.e., verbal communication providing continuity of care and a seamless transfer of information) whenever there is a transfer of care to other levels or places of care (e.g., another medical facility, agency, or a Veterans Affairs facility) for additional treatment and follow-up. Documentation in the patient’s medical record will include to whom and how the transfer information was conducted.
  14. For wounded, ill, or injured service members, the Case Manager: Will, after receiving informed patient consent, consult with the member’s chain of command and medical team to validate the member’s base housing needs. Schedule the housing inspection to accommodate the member’s needs, appointments, and physical limitations, but will not conduct the inspection. Provide insight and recommendations to the housing inspector related to pertinent medical and special physical requirements so the housing being provided is safe, accessible, and facilitates the care and recovery of the member.
 
  1. Family Health Clinical Nurse
 
  1. Minimum Qualification:
  2. Degree: Associates Degree of Nursing
  3. Education: Graduate from a college or university accredited by Accreditation Commission for Education in Nursing (ACEN) or the Commission on Collegiate Nursing Education (CCNE)
  4. Experience: One year of experience in nursing after graduation.
  5. Licensure: Current, full, active, and unrestricted license to practice as a Registered Nurse as required in the United States/territories.
 
  1. Core Duties:
  2. Coordinate patient care in collaboration with a wide array of healthcare professionals. Facilitate the achievement of optimal outcomes in relation to clinical care, quality and cost effectiveness.
  3. Ensure compliance with standards of care and practice in accordance with all established policies, procedures, and guidelines used in the MTF.
  4. Perform physical exam and health histories.
  5. Provide health promotions, counseling, and education.
  6. Administer medications, wound care, and numerous other personalized interventions.
  7. Direct and supervise care provide by other healthcare professionals.
  8. Accountable for making patient care assignments based on the scope of practice and skill level assigned personnel
  9. Recognize adverse signs and symptoms and quickly react in emergency situations.
  10. Communicate and collaborate with a diverse group of people for the purpose of informing the healthcare team of plans/actions, for teaching/education to benefits the patient/family and organization.
  11. Make referral appointments and arrange specialty care as appropriate.
  12. Perform nursing services identified in the TO
  13. Conduct research in support of improved practice and patient outcomes.
 
  1. Behavioral Health Care Facilitator (BHCF) Nurse
 
  1. Minimum Qualification:
  2. Degree: Associates Degree in Nursing (ADN) or Baccalaureate of Science in Nursing (BSN) degree program in nursing accredited by a national nursing accrediting agency recognized by the US Department of Education.
  3. Education: Graduate from a college or university accredited by Accreditation Commission for Education in Nursing (ACEN), the Commission on Collegiate Nursing Education (CCNE)
  4. Certification: Certified/certification eligible by the American Nurses Credentialing Center (ANCC) as a Psychiatric and Mental Health Nurse with 2 years full time experience in mental health.
  5. Licensure: Current, full, active, and unrestricted license to practice as a Registered Nurse as required in the United States/territories.
 
  1. Core Duties:
  2. Proactively identifies and evaluates patients and targeted populations for mental health case management, care coordination and facilitation, and conditions monitoring from a variety of sources such as Behavioral Health or primary care provider referrals, discharge planning, Medical Evaluation Board (MEB) process, facility staff and patient self-referral. Conducts systematic, on-going, thorough assessment of patient’s emotional, psychological, social and medical status, prescribed medications, behavioral health referrals/treatments, and other pertinent information via direct patient or telephonic contact, or other relevant sources such as professional and non-professional caregivers and the medical records.
  3. Develops, executes and provides ongoing monitoring of appropriate patient-specific plan of care including short and long term goals, objectives and actions. Coordinates and collaborates on the care plan along with the patient, family/caregiver, and healthcare team
  4. Identifies, develops and executes appropriate targeted population-based mental health disease management activities such as, but not limited to individual and/or group patient contacts and training programs.
  5. Serves as an advocate for and ensures appropriate education is provided to the patient or targeted populations for the purpose of promoting adherence to treatment plans, self-care actions, and education programs. Ensures activities match the level of the patient’s clinical risk, readiness to change and health literacy.
  6. Identifies, collects, monitors, interprets and evaluates measureable outcome data within established time frames according to local/AF/DoD requirements. Submits reports as required per local/AF/DoD policy and guidance.
  7. Educates/trains the healthcare team and facility staff on policies and procedures for utilization and implementation of guidelines, protocols and other behavioral health and mental health disease management activities.
  8. Coordinates and participates in interdisciplinary team meetings, designated facility meetings, and Care Coordination meetings. Shares knowledge and experiences gained from own clinical nursing practice and education relevant to mental health nursing and case management.
  9. Participates in local, AF, DoD and national teleconferences as required and relative to the program operations and reporting requirements.
  10. Participates in the orientation, education and training of other staff. May serve on committees, work groups, and task forces at the facility.
  11. Must maintain a level of productivity and quality consistent with: complexity of the assignment; facility policies and guidelines; established principles, ethics, standards, and scope of practice for professional mental health nursing as outlined by the American Nurses Association and the American Psychiatric Nurses Association; the American Hospital Association’s Bill of Rights for Patients, the Case Management Society of America (CMSA), American Accreditation Healthcare Commission/Utilization Review Accreditation Commission (URAC); Accreditation Association of Ambulatory Health Care (AAAHC); Health Services Inspection (HSI); and other applicable DoD and Service specific guidance and policies. Must also comply with the Equal Employment Opportunity (EEO) Program, infection control and safety policies and procedures
  12. Follows applicable local MTF/AF/DoD instructions, policies and guidelines.
  13. Completes electronic medical record documentation, coding and designated tracking logs and data reporting as required by local MTF/AF/DoD instructions, policies and guidance.
  14. Completes all required electronic medical record training, MTF-specific orientation and training programs, and AF/DoD mandated training applicable to the job.
  15. Has a thorough understanding of psychopharmacology and psychotropic medications, administers medications and monitors patient response to medications.
  16. Conducts regular psychoeducational groups on relevant mental health topics.
  17. Maintains professional manner and displays positive/cooperative attitude.
  18. Contacts patients prescribed anti-depressant medications in accordance with Health Plan Employer Data and Information Set (HEDIS) Anti-depressant Medication Management (ADM) measures.
 
  1. Disease Manager Nurse
 
  1. Minimum Qualification:
  2. Degree: Baccalaureate of Science in Nursing (BSN)
  3. Education: Graduate from a college or university accredited by Accreditation Commission for Education in Nursing (ACEN), the Commission on Collegiate Nursing Education (CCNE)
  4. Experience: A minimum of 2 years full-time experience as a BSN in management of patient populations with prevalent and chronic diseases.
  5. Licensure: Current, full, active, and unrestricted license to practice as a Registered Nurse as required in the United States/territories.
 
  1. Core Duties:
  2. Develops and evaluates the annual disease management plan for the inclusion in the population health plan in collaboration with stakeholders (e.g., Chief of Medical Staff, Chief Nurse, Health Care Integrator, Group Practice Manager, medical management team).
  3. Uses available data sources to identify, assess, and prioritize the needs of target subset of beneficiaries for specific disease management programs.
  4. Ensures preventive care is included in the disease management plan of care.
  5. Proactively implements disease management services for populations with chronic conditions, collaborates with patients in formulating patient-centered goals, and educates individuals and groups based on clinical practice guidelines approved by the Executive Committee of the Medical Staff.
  6. Documents disease management related care provided using the ELAD medical Expense and Performance Reporting System (MEPRS) code for all face-to-face, telephonic, or TRICARE Online Patient Portal Secure Messaging interactions. Coding will include current international Classification of Disease (ICD), Evaluation and Management (E&M), and disease management-specific Healthcare Common Procedure Coding System (HCPCS) codes and the encounters must be completed and signed within 3 business days.
  7. Completes medical record documentation (in AHLTA and/or other AF/DHA approved electronic health care record).
  8. Will daily track (via Carepoint) disease management-related data, process and outcome measures, identified opportunities for improvement, and status of process improvement programs, and report this information to the Population Health Working Group quarterly.
  9. Communicates and collaborates with other member so the healthcare team and managed care support contractor’s medical management staff as needed to ensure continuity of care for patients with chronic illness.
  10. Tracks and reports healthcare outcomes of individual patients with chronic conditions to applicable primary care teams.
  11. Provides a direct person-to-person summary (i.e., verbal communication providing continuity of care and a seamless transfer of information) of patients transitioning to other levels or places of care by providing pertinent information to the receiving healthcare provider (e.g., patient self-management status at graduation from the disease management program to primary care team, or transfer to case management for more sensitive services); document direct person-to-person summary in the electronic health record.
  12. Will conduct standardized peer review at least quarterly to evaluate appropriate use of resources, timely assessments and interventions, and adherence with clinical and administrative standards to include appropriate coding practices for workload.
  13. Develops and executes appropriate multidisciplinary disease management activities in collaboration with the Chief of Medical Staff, Chief Nurse, Health Care Integrator, Medical Management Director, Behavioral Health Care Facilitator, Case Manager, Utilization Manager, and primary care teams in support of population health and population health management initiatives.
  14. Ensures collaborative communication processes exists between the primary care and medical management teams. Collaborates with the Health Care integrator, other medical management staff, and primary/specialty care teams to plan and implement population health strategies.
 
  1. Utilization Manager Nurse
 
  1. Minimum Qualification
 Degree: Baccalaureate of Science Nursing
  1. Education: Graduate from a college or university accredited by Accreditation Commission for Education in Nursing (ACEN), the Commission on Collegiate Nursing Education (CCNE)
  2. Experience: Four (4) years of clinical nursing experience is required.RN shall have held full time employment in a nursing field for twelve (12) out of the last twenty-four (24) months (mandatory).Equivalent combinations of education and experience may be qualifying if the experience is directly related to utilization management.Equivalency combinations must be acceptable by the MTF and approved by the Contracting Officer.
  3. Licensure: Current, full, active and unrestricted license as a practical or vocational nurse in any of the United States/territories
 
  1. Core Duties:
 
  1. Works in collaboration with providers, case managers (CM), disease management (DM) nurses, special needs coordinator (SNC) nurse, health care integrator (HCI), and group practice manager (GPM) to determine measures to target and manage enrollees and/or processes that relate to high-cost, high-volume or problem-prone diagnoses, procedures, services and beneficiaries who have demonstrated high utilization rates. Uses the TRICARE Management Activity Medical Management Guide in performance of these duties. Makes appropriate recommendations to DMs and CMs for high-utilization or high-risk enrollees to be entered into their processes.
  2. Conducts special analyses on patient of health services and health careprovider and referrals for specialty care,anddiagnostictestingto identify both excessive and insufficient use ofservices(e.g.,patientswith100%or roomvisits to the averageofallpatients;physicianswhoorder50%specialteststhantheir overutilization and underutilization of services.
  3.  
  4.  
  5. Coordinates with specialty referral clinics to obtain special patient instructions and/or test required prior to appointment.Provides pre-appointment instructions to patients as well as the details regarding their referral appointments (i.e. date/time, provide, and location).Ensures patients receive necessary documentation appropriate for the referred medical care visit
  6.  
  7. Verifies eligibility of beneficiaries using Defense Eligibility Enrollment Reporting System (DEERS)
  8. Facilitates utilization management activities by participation in multidisciplinary patient care activities.Initiates/coordinates communication between beneficiaries, team members, internal staff and providers, DoD/civilian providers and ancillary health care workers.Provides feedback regarding utilization review issues within one (1) business day
  9. Reviews and enter first right of refusal referrals into CHCS and database within one (1) business day of the date of referral.
  10. Interfaces with the TRICARE Overseas Program contractor, SGH and multidisciplinary personnel as need to ensure appropriateness of referrals.Submits referrals from civilian providers to the TRICARE Service Center or TSC for medical necessity and appropriateness review.
  11. Performs data collection, trending and analysis to identify patient care requiringintensive management.Refers to case management officials as needed.
  12. Provides and educates Adjusted Clinic Grouping (ACG) or Resource Utilization Band (RUB) data to Primary Care Manager (PCM) teams to help identify high utilizer patients for medical management referrals.
  13. Process medical in-process forms for Hospital Newcomers, First Term Airmen Class (FTAC), and Right Start programs. Identifies and reports patients with outstanding profile or Review in Lieu of MEB (RILO/MEB) to flight medicine providers.
  14.  
  15. Contacts patients in eventreferral requests are invalid, disapproved by second level review or Overseas contractor and reschedules patients as soon as possibleorinstructspatientsofhealthcareoptions.
  16. Answers, completes and/or appropriately forwards patient or provider telephone calls.
  17.  
 
 


Okinawa: 098-978-3054
Misawa: 090-7586-4400
Yokosuka: 080-6490-3054
 

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