Nurse (Case Management)

Indian Health Service • Kayenta, AZ

1d • Onsite

About The Position

This inpatient nursing case manager position is located at the Kayenta Service Unit in Kayenta, Arizona. The role provides comprehensive case management, utilization management, discharge planning, and care coordination for patients with acute and chronic health conditions, and serves as a clinical resource for inpatient services.

The case manager assesses hospitalized patients with complex clinical and psychosocial needs, develops individualized nursing care and discharge plans, provides direct nursing care, and coordinates treatment with the interdisciplinary team. The role reviews admissions and continued stays using approved clinical criteria, submits documentation for payer authorization, coordinates post-acute services, educates patients and caregivers, and supports safe transitions from the hospital. The position also analyzes readmissions, avoidable delays, and other case management data to recommend improvements in care coordination.

Requirements

• Complete an accredited professional nursing educational program resulting in a graduate or higher-level degree, bachelor's degree, associate degree, or diploma.
• 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.
• For applicants educated at a foreign nursing school, provide official certification from the Commission on Graduates of Foreign Nursing Schools.
• Meet the GS-11 qualification through either a PhD or equivalent doctoral degree from a professional nursing educational program or related medical science field, or at least one full year of professional nursing experience equivalent to GS-9 plus a diploma, associate, bachelor's, or master's degree from a professional nursing educational program.
• Demonstrate at least one full year of professional nursing experience equivalent to GS-9, including independent assessment and nursing care for inpatients with complex conditions; individualized care and discharge planning; coordination with patients, families, and interdisciplinary teams; utilization review and payer authorization; post-acute service arrangements; patient and caregiver education; transition-barrier resolution; and case management data analysis.
• Meet all qualification requirements within 30 days of the announcement's closing date.
• U.S. citizenship is required.
• Pass the required federal background investigation and financial suitability review.
• Complete required background investigation forms within five calendar days of issuance.
• Provide two valid forms of identification before appointment; any state-issued ID or driver's license used must be REAL ID-compliant.
• Pass E-Verify employment verification and establish direct deposit.
• Meet any applicable Selective Service registration requirement for males born after December 31, 1959.

Responsibilities

• Assess hospitalized patients with complex clinical and psychosocial needs and develop individualized nursing care and discharge plans.
• Provide direct nursing care and monitor changes in patients' conditions.
• Coordinate treatment with the interdisciplinary team.
• Review admissions and continued stays using approved clinical criteria and submit documentation needed for payer authorization.
• Coordinate post-acute services, educate patients and caregivers, and ensure safe transitions from the hospital.
• Analyze readmissions, avoidable delays, and other case management data to recommend improvements in care coordination.

Benefits

• Federal employee benefits package for employees and their families.
• Annual leave accrual of 4, 6, or 8 hours per pay period, based on federal service.
• IHS may credit directly related prior non-federal experience or active-duty uniformed military service when determining annual leave accrual.
• Potential eligibility to apply separately for IHS, NHSC, or HRSA Nurse Corps student loan repayment programs, subject to agency priorities and available funding.

What This Job Offers

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