Nurse (Case Management)

Indian Health Service • Chinle, AZ

5d • Onsite

About The Position

This position at Chinle Service Unit in Chinle, Arizona, involves providing advanced outpatient case management and care coordination. The Nurse (Case Management) will manage complex cases, coordinate multidisciplinary care, support nursing staff, advocate for patients, and contribute to quality improvement and care coordination initiatives. The goal is to promote continuity of care, access to services, and positive patient outcomes. A REAL ID will be required beginning May 7, 2025.

Requirements

• U.S. Citizenship is required.
• Selective Service Registration is required for males born after 12/31/1959.
• Successfully pass the E-Verify employment verification check.
• Background Investigation Requirement: This position requires the successful completion of a federal background investigation.
• Financial Suitability Requirement: This position requires a review of the applicant's financial history.
• Prior to the appointment, candidates must present two valid forms of identification. If one of the documents is a state-issued ID or driver's license, it must be REAL ID-compliant.
• A graduate or higher-level degree, bachelor's degree, associate degree, or diploma from an accredited professional nursing educational program is required.
• Applicants must have passed the National Council Licensure Examination.
• Possess a current, active, full, and unrestricted license or registration as a professional nurse from a State, the District of Columbia, the Commonwealth of Puerto Rico, or a territory of the United States.
• At least one (1) year of specialized experience equivalent to at least the next lower grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: GS-09: Provide nursing care and case management for patients with acute, chronic, and complex conditions. Conducted clinical and psychosocial assessments, developed and monitored individualized care plans, provided patient education and follow-up, coordinated referrals and multidisciplinary services, and addressed barriers to treatment adherence and access to care. Applied established nursing and case management practices to coordinate services and promote continuity of care.
• GS-11: Independently managed complex caseloads involving patients with multi-system, acute, and chronic conditions and significant psychosocial barriers. Synthesized clinical and non-clinical information to develop, implement, and modify individualized care strategies; coordinated multidisciplinary services, referrals, diagnostics, and community resources; and exercised advanced clinical judgment when established protocols were insufficient. Integrated clinical needs, social determinants of health, cultural factors, resource limitations, and system barriers to develop comprehensive solutions. Served as a clinical resource to nursing staff and contributed to quality improvement, care coordination, and program development.

Nice To Haves

• The Hiring Manager/Selecting Official may elect to utilize an available flexibility wherein applicants who are currently enrolled and expected to complete the required education and obtain the required licensure/certification/registration with 9 month(s) of applying, may be deemed tentatively qualified.

Responsibilities

• Managed complex chronic, acute, and multi-system patient caseloads through assessment, care planning, discharge coordination, follow-up, education, and advocacy.
• Applied independent clinical judgment to complex cases, adapting interventions, addressing barriers to care, and supporting staff with case management challenges.
• Provide outpatient case management by coordinating multidisciplinary care, referrals, authorizations, transitions, and follow-up.
• Facilitated communication across providers and care settings and tracked services to ensure timely, continuous care.
• Provide patient education and health coaching on disease management, medications, self-care, and follow-up to promote engagement and adherence.
• Provide direct outpatient nursing care through in-person and telehealth encounters, including assessment, treatment, follow-up, documentation, patient education, and safety monitoring.
• Analyze case management data and care gaps to improve coordination, recommend program and process enhancements, support policy development, and serve as a clinical resource to nursing and interdisciplinary staff.

Benefits

• Federal Employees earn annual leave at a rate (4, 6 or 8 hours per pay period) which is based on the number of years they have served as a Federal employee.
• IHS may offer newly-appointed Federal employees credit for their directly related previous non-federal experience or active duty uniformed military service.
• Recruitment or relocation incentives may be authorized.
• A career with the U.S. government provides employees with a comprehensive benefits package.
• As a federal employee, you and your family will have access to a range of benefits that are designed to make your federal career very rewarding.

What This Job Offers

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