Nurse Case Manager (PRC) - Fort Peck Service Unit
Spectrum Healthcare Resources has an excellent opportunity for a Nurse Case Manager (Purchased/Referred Care - PRC) to support the Indian Health Service (IHS) at the Fort Peck Service Unit, Chief Redstone Health Center in Wolf Point, MT. This role is vital in ensuring patients receive coordinated, high-quality, and cost-effective care within the PRC program.
Position Highlights:
- Full-time, consistent weekday schedule
- Federal holiday schedule observed
- Work in partnership with the Indian Health Service
- Meaningful role supporting patients with complex healthcare needs
Key Responsibilities:
- Provide specialized case management and care coordination for patients with special healthcare needs.
- Review and monitor outpatient consultations and referrals for medical necessity, cost-effectiveness, and appropriateness of care.
- Collaborate with PRC staff, providers, and external facilities to ensure services align with CMS criteria.
- Maintain and track statistical data on consults, monitor deferred referrals, and contribute to PRC continuous quality improvement initiatives.
- Serve as a clinical resource, helping optimize patient outcomes and streamline referral processes.
Qualifications:
- Graduate of an accredited Associate (ADN) or Baccalaureate (BSN) program in Nursing (recognized by the U.S. Department of Education).
- Active, unrestricted RN license in any U.S. state or territory.
- Minimum of 3 years of RN experience, with at least 2 years in case management and PRC-related work.
- Basic Life Support (BLS) certification (American Heart Association).
- U.S. Citizenship required.
Join the Indian Health Service (IHS) and make a lasting difference in Native communities while growing your career. This is more than just a job-it's an opportunity to provide compassionate, high-quality care to underserved populations, enjoy a balanced schedule, and be part of a mission that truly matters.