Nurse (Case Management)

Indian Health Service • Shiprock, NM

3d • Onsite

About The Position

The incumbent provides advanced professional nursing case management and care coordination services to eligible American Indian beneficiaries. The position independently manages complex case management situations and leads or substantially contributes to quality improvement and program development activities in care coordination. It is located in the Emergency Department at the Northern Navajo Medical Center in Shiprock, New Mexico.

The nurse manages a caseload of patients with chronic or recurring health conditions, provides individualized education to patients and families, participates in discharge planning, coordinates referrals and follow-up services, and facilitates communication among care providers and community organizations. The role also provides direct nursing care, supports clinic flow and triage operations, collects case management data, monitors care coordination processes, and develops recommendations and program tools based on outcomes, clinical experience, and best practices.

Requirements

• A graduate or higher-level degree, bachelor's degree, associate degree, or diploma from an accredited professional nursing educational program.
• Pass the National Council Licensure Examination.
• Hold a current, active, full, and unrestricted professional nurse license or registration from a U.S. state, the District of Columbia, Puerto Rico, or a U.S. territory.
• At least one year of specialized experience equivalent to at least the next lower grade level in the Federal service, including managing a chronic-condition caseload, assessing needs and creating or adjusting personalized care plans, coordinating care across providers, supporting transitions and follow-up, providing education, and helping improve care processes using patient data.
• U.S. citizenship.
• Selective Service registration for males born after December 31, 1959.
• Obtain and maintain staff clinical privileges and any required licensure.
• Successfully pass the E-Verify employment verification check and a federal background investigation.
• Demonstrate financial responsibility and satisfy legal financial obligations as part of the suitability determination.
• Complete required background investigation forms within five calendar days of issuance.
• Set up direct deposit.
• Provide transcripts or course information documenting qualifying education; selectees must provide official transcripts before receiving an official offer.
• For graduates of foreign nursing schools, provide official certification from the Commission on Graduates of Foreign Nursing Schools.
• For foreign education, provide a Certificate of Foreign Equivalency with transcripts to receive education credit.

Responsibilities

• Manage an assigned caseload of patients with chronic or recurring health conditions that require case management services.
• Provide individualized education to patients and families about disease processes, medications, treatment plans, self-management strategies, and post-discharge care requirements.
• Participate in discharge planning, identify discharge needs, coordinate post-discharge services, and educate patients and families.
• Coordinate referrals, authorizations, and follow-up services related to ongoing care needs.
• Facilitate communication among primary care, specialty care, contract care facilities, tribal programs, and community organizations.
• Participate in interdisciplinary rounds, discharge planning meetings, and care coordination conferences for assigned cases.
• Provide direct professional nursing care to assigned patients with chronic and recurring health conditions.
• Support clinic operations, including patient-flow coordination and triage workflow.
• Collect and maintain case management data on service utilization, barriers, interventions, and patient outcomes.
• Assist in monitoring the effectiveness of care coordination processes to support quality improvement initiatives.
• Lead or substantially contribute to reviewing, developing, and implementing case management and care coordination policies, procedures, and tools.
• Develop recommendations based on outcome data, clinical experience, and best practices, and present findings to program leadership.

Benefits

• Federal employee benefits package, with benefits eligibility depending on position type and other factors.
• Annual leave accrual of 4, 6, or 8 hours per pay period depending on federal service; newly appointed employees may receive credit for directly related prior non-federal experience or active-duty military service when determining leave accrual.
• Recruitment or relocation incentives may be authorized; a service agreement will be required.
• Potential eligibility to apply separately for IHS, NHSC, or HRSA student loan repayment programs, subject to program criteria, hiring priorities, and funding availability.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree