Registered Nurse - Case Manager (Purchased/Referred Care)
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At a glance
Requirements
Credentials this posting asks for.
Job overview
Chenega Corporation is hiring a Registered Nurse - Case Manager (Purchased/Referred Care). Chenega Government Mission Solutions seeks a Registered Nurse Case Manager for Purchased/Referred Care to support Indian Health Services in the Fort Peck Service Unit, providing specialized case management, care coordination, and referral review for patients with special health needs in Wolf Point, MT.
Key focus areas include Provide specialized case management and care coordination for patients with special health care needs, Review and monitor outpatient consultations and referrals for medical necessity, cost effectiveness, and appropriateness, and Collaborate with PRC staff, providers, and external facilities to ensure care aligns with CMS criteria.
Skills & qualifications
Qualifications
Full job description
Summary
Come join a company that strives for Extraordinary People and Exceptional Performance ! Chenega Government Mission Solutions, LLC, a Chenega Professional Services company, is looking for a Registered Nurse (RN) - Case Manager (Purchased/Referred Care) in support of Indian Health Services within the Fort Peck Service Unit in Wolf Point and Poplar, MT.
Our company offers employees the opportunity to join a team where there is a robust employee benefits program, management engagement, quality leadership, an atmosphere of teamwork, recognition for performance, and promotion opportunities. We actively strive to channel our highly engaged employees knowledge, critical thinking, innovative solutions for our clients.
Responsibilities
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Providing specialized case management and care coordination for patients with special health care needs.
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Reviewing and monitoring outpatient consultations and referrals for medical necessity, cost effectiveness, and appropriateness.
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Collaborating with PRC staff, providers, and external facilities to ensure care aligns with CMS criteria.
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Maintaining statistical data on consults, monitoring deferred referrals, and supporting PRC team continuous quality improvement.
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Schedule: Monday-Friday, 8am-4:30pm (excluding federal holidays).
Qualifications
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At least 3 years of experience as an Registered Nurse, with case management and Purchased/Referred Care (or similar) experience.
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Permanent, current, full and unrestricted license to practice a Registered Nurse in a state, District of Columbia, the Commonwealth of Puerto Rico, or a territory of the United States.
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Ability to obtain an IHS public trust clearance.
Estimated Salary/Wage
USD $34.01/Hr. Up to USD $65.00/Hr.
Chenega Corporation and family of companies is an EOE.
Equal Opportunity Employer/Veterans/Disabled
Native preference under PL 93-638.
We participate in the E-Verify Employment Verification Program
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