Nurse Case Manager - Sign On Eligible

Tuba City Regional Health Care Corporation•Tuba City, AZ

102d

About The Position

The Nurse Case Manager serves as an outpatient/inpatient case manager for TCRHCC and Sacred Peaks Healthcare Center (SPHC), supporting identified high-risk patient groups, particularly in specialty clinics requiring case management. The role addresses patients’ health and social needs while promoting quality, cost-effective care. The case manager coordinates transitions from admission through discharge, supports continuity of care, aligns services, and arranges post-hospital referrals. The role also advises nursing, physicians, and ancillary departments on transitional and regulatory issues. The position serves culturally diverse patients who may face barriers to self-sufficiency, including illiteracy, welfare dependency, domestic violence, substance abuse, and mental health issues. Responsibilities include assessment, service planning, resource acquisition, progress monitoring, and responding to emerging needs. The case manager works with an interdisciplinary team to assess care plans, monitor progress, and recommend safe, efficient hospitalizations. This includes evaluating emergency department patients for medical necessity and coordination needs, collaborating on admission status, and proposing outpatient discharge plans with physician approval. The role coordinates care for patients experiencing abuse, chronic pain, or frequent utilization, and serves patients from newborn to geriatric age. The position also helps people with mental health issues access and navigate resources to support their well-being. Case Management coverage may include the Adult Care Unit, Pediatric Unit, Intensive Care Unit, Obstetrics Unit, Emergency Room, and Outpatient Departments. Scheduled weekend call may be required as needed.

Requirements

Associate’s or Bachelor’s Degree in Nursing.
Valid, current, full and unrestricted Professional Nursing License to practice in a U.S. state, the Commonwealth of Puerto Rico, or a U.S. territory.
Current Basic Life Support (BLS) certification from the American Heart Association, maintained throughout employment.
Three years of clinical nursing experience, including one year in an outpatient/inpatient setting.
Demonstrated knowledge of case management, contract health, and utilization review processes.
Satisfactory performance in prior and current employment, supported by references addressing positive working relationships, high ethical standards, reliability, communication skills, and a team-focused approach to problem resolution.
Successful completion of job interviews, background and reference checks, fingerprint clearance, physical examinations, and other required screenings.
Submission of complete and accurate employment-related documents and information.

Responsibilities

Provide comprehensive, client-centered service planning and coordination for a specified group of high-risk patients.
Manage care for prioritized TCRHCC/SPHC outpatient and inpatient patients based on provider consultation, and maintain ongoing consultation with service providers.
Collaborate with providers and other disciplines to develop and maintain a high-risk patient database that supports continuity of care.
Work proactively with Utilization Review (UR), Public Health Nursing (PHN), Patient Benefit Coordinators (PBC), and Purchased Referred Care (PRC).
Facilitate communication and coordination among healthcare team members, involving clients in decision-making to reduce fragmentation of services.
Develop and maintain resource databases to provide timely, accurate referral information and minimize fragmentation in patient care.
Develop care and service delivery plans with patients, families, multidisciplinary teams, and other providers as appropriate, based on identified needs and available provider and financial resources.
Monitor services and follow up to maintain continuity of care, update client service plans, and promote client self-advocacy and self-determination.
Prepare patients and families for discharge from case management and arrange ongoing support or direct-care services in coordination with discharge planners and relevant agencies.
Develop reports and performance improvement projects, and establish policies, procedures, and program objectives.
Provide Case Management coverage for the Adult Care Unit, Pediatric Unit, Intensive Care Unit, Obstetrics Unit, Emergency Room, and Outpatient Departments.
Serve as a resource on Advance Directives and facilitate informed choice, consent, and decision-making for patients and families.
Promote evidence-based care, as available, in conjunction with MCG Care Guidelines.
Pursue professional excellence and maintain competence in practice.
Coordinate outpatient/inpatient admissions, including obtaining beds within or outside TCRHCC/SPHC.
Collaborate with providers and nursing personnel to ensure admissions are conducted seamlessly and without delays in patient care.
Work with providers, nursing personnel, and patient benefits coordinators to ensure admission documentation and third-party resource referrals are complete before patients depart.
Take scheduled weekend call when deemed necessary.
Wear required personal protective equipment while on duty and safely complete PPE donning, doffing, and disposal.
Complete task training for routine cleaning and decontamination of surfaces contaminated by communicable diseases.
Perform other duties as assigned.