RN Case Manager - PRC & Care Coordination

Chenega Corporation; Town of Montana (WI); Hybrid; USD 47,000 - 60,000; Full time

Job summary

Chenega Corporation, doing business as Chenega Government Mission Solutions, LLC, is seeking a Registered Nurse (RN) - Case Manager for Purchased/Referred Care to support Indian Health Services at Fort Peck Service Unit in Wolf Point and Poplar, MT.

Join a team dedicated to exceptional performance, with a comprehensive benefits program and opportunities for advancement. Schedule is Monday–Friday, 8:00 a.m. to 4:30 p.m. federal holidays off, with standard on-site duties in Montana.

Qualifications

• At least 3 years of RN experience with case management.
• Permanent, current, full and unrestricted RN license in the United States.
• Ability to obtain an IHS public trust clearance.

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.
• Schedule: Monday-Friday, 8am-4:30pm (excluding federal holidays).

Skills

Case management

Healthcare coordination

Job description

Chenega Corporation, doing business as Chenega Government Mission Solutions, LLC, is seeking a Registered Nurse (RN) - Case Manager for Purchased/Referred Care to support Indian Health Services at Fort Peck Service Unit in Wolf Point and Poplar, MT.

Join a team dedicated to exceptional performance, with a comprehensive benefits program and opportunities for advancement. Schedule is Monday–Friday, 8:00 a.m. to 4:30 p.m. federal holidays off, with standard on-site duties in Montana.