Nurse Case Management (PRC)
What you'd do
This position is located in the Purchased/Referred Care (PRC) department at Northern Cheyenne Service Unit, Lame Deer, Montana. Responsibilities include providing clinical case management for the PRC Program by coordinating healthcare services among inpatient and outpatient care teams, external healthcare providers, and the PRC Program. The incumbent works under the direction of the PRC Supervisor. A REAL ID will be required beginning May 7, 2025, in accordance with 6 C.F.R. 37.5 (2021).
Major duties
Total Compensation Package - Check out IHS's outstanding total compensation package for this job: Registered Nurse Total Compensation | Pay (ihs.gov) Assist with patient care coordination and care management. Facilitates referrals according to medical priorities and patient needs. Manages and triages case management consult request. Participates in care team meetings as an advocate for the patient and families. Develops patient care and service delivery plan with interdisciplinary teams. Serves as a resource on case management/managed care issues for service unit.
What you need to qualify
To qualify for this position, your resume must state sufficient experience and/or education, to perform the duties of the specific position for which you are applying. Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religious; spiritual; community; social). You will receive credit for all qualifying experience, including volunteer and part time experience. You must clearly identify the duties and responsibilities in each position held and the total number of hours per week. BASIC REQUIREMENT(S): Note: Employees currently assigned to positions in this occupational series as of September 2017 will be considered to have met the basic requirements for the position occupied. Education: A graduate or higher-level degree, bachelor's degree, associate degree, or diploma from an accredited professional nursing educational program is required. This education must have been accredited by the Commission on Collegiate Nursing Education, Council on Accreditation of Nurse Anesthesia Educational Programs, Accreditation Commission for Midwifery Education, or an accrediting body recognized by the U.S. Department of Education at the time the degree was obtained. Degree from Foreign Nursing School: Official certification from the Commission on Graduates of Foreign Nursing Schools is required for individuals who graduated from foreign nursing schools. Licensure: For all grade levels and positions, applicants must have passed the National Council Licensure Examination. In addition, they must 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. Basic Requirements for the GS-11 (or equivalent) Grade Level: In addition to the above requirements, applicants must meet one of the following requirements: Successful completion of 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 the GS-09 grade level) and possession of a diploma, associate degree, bachelor's degree, or master's degree from a professional nursing educational program. In addition, to the Basic Requirements, you must also meet the Minimum Qualifications stated below- MINIMUM QUALIFICATIONS: Your resume must demonstrate 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: Specialized experience GS-11: Experience serving as a clinical liaison by reviewing patient referrals for accuracy, completeness, and appropriate supporting clinical documentation; reviewing referrals and assigning or approving Medical Priority Levels (MPL) in accordance with established Purchased/Referred Care (PRC) Medical Priority guidelines; coordinating patient referrals, care coordination, and case management services; collaborating with providers, outside agency case managers, and social workers to ensure appropriate and timely treatment; conducting patient assessments, developing and monitoring care/service plans, and evaluating outcomes; maintaining electronic case management records and reports; and applying knowledge of PRC requirements and local, tribal, state, federal, and community resources available to eligible patients. You must meet all qualification requirements within 30 days of the closing date of the announcement.
Before you apply
Federal applications are different: your resume should be 3–5 pages and mirror the language of this announcement. Read our federal resume guide first — it's the #1 reason qualified people get screened out.
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