Nurse Case Manager: Care Coordination & Transitions

Blue Line Search Group; Fort Thompson (SD); On-site; USD 65,000 - 85,000; Full time

Job summary

Indian Health Service at Fort Thompson Health Center seeks an experienced Registered Nurse to independently plan and execute case management activities, coordinating care for patients with complex acute and chronic conditions. You will serve as a clinical resource to lower-graded staff on discharge planning and care transitions.

A REAL ID will be required beginning May 7, 2025, and background checks, E-Verify, and immunization policies apply to all applicants.

Qualifications

• U.S. Citizenship required.
• Selectee may be subject to a probationary period.
• Two valid forms of identification, REAL ID-compliant if using a state ID.
• Healthcare workers must comply with immunization policy.
• Background investigation required.
• E-Verify employment verification required.
• Financial history review may be conducted.

Responsibilities

• Coordinate care across providers, disciplines, and care settings to ensure continuity.
• Provide transition of care for patients with complex needs, designing transition plans addressing discharge barriers.
• Educate patients and families on disease processes, medications, self-management, and post-discharge care.
• Provide direct professional nursing care to patients with chronic health conditions.

Skills

Case management

Discharge planning

Patient education

Nursing care

Education

Registered Nurse (RN) license

Tools

Electronic Health Records

Job description

Indian Health Service at Fort Thompson Health Center seeks an experienced Registered Nurse to independently plan and execute case management activities, coordinating care for patients with complex acute and chronic conditions. You will serve as a clinical resource to lower-graded staff on discharge planning and care transitions.

A REAL ID will be required beginning May 7, 2025, and background checks, E-Verify, and immunization policies apply to all applicants.