Registered Nurse - Case Manager (Purchased/Referred Care)
Chenega Professional Services Strategic Business Unit · Wolf Point, MT · 4 wk ago
Healthcare$34.01/hrFull-time
Responsibilities
- Providing specialized case management and care coordination for patients with special health care needs.
- Reviewing and monitoring outpatient consultations and referrals for medical necessity, cost effectiveness, and appropriateness.
- Collaborating with PRC staff, providers, and external facilities to ensure care aligns with CMS criteria.
- Maintaining statistical data on consults, monitoring deferred referrals, and supporting PRC team continuous quality improvement.
Qualifications
- At least 3 years of experience as an Registered Nurse, with case management and Purchased/Referred Care (or similar) experience.
- 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.
- Ability to obtain an IHS public trust clearance.
Pay
USD $34.01/Hr. Up to USD $65.00/Hr.
Schedule
Monday-Friday, 8am-4:30pm (excluding federal holidays).