Case Management Nurse

Quick Facts

Case Management Nurse providing independent case management, care coordination, transition planning, and discharge support for patients with complex acute and chronic conditions.

Description

Independently plans and executes case management for patients with complex acute and chronic health conditions. Coordinates care across providers and care settings to ensure continuity, prevent fragmentation, and support safe transitions of care. Provides patient and family education on disease processes, medications, treatment plans, self-management strategies, and post-discharge requirements, while also delivering direct nursing care and serving as a clinical resource for lower-graded nursing staff.

Responsibilities

• Coordinate care across providers, disciplines, and care settings for continuity and to prevent fragmented services
• Provide transition of care for patients with complex clinical and social needs; design individualized transition plans addressing nonroutine discharge barriers
• Ensure safe, effective handoffs across the continuum of care
• Provide individualized education to patients and families on disease processes, medications, treatment plans, self-management, and post-discharge care requirements
• Provide direct professional nursing care for assigned patients with chronic and recurring health conditions
• Serve as a clinical resource for case management and discharge planning for lower-graded nursing staff

Requirements

Conditions of employment

• Probationary period may apply; ESEP appointees typically serve a two-year trial period
• U.S. citizenship required
• Selective Service registration required for males born after 12/31/1959
• Comply with IHS Employee Immunization Policy for vaccine-preventable diseases
• Successfully pass E-Verify employment verification
• Set up direct deposit
• Successful completion of a federal background investigation required
• Financial suitability review required; must demonstrate financial responsibility and good standing with creditors
• Provide two valid forms of identification; state ID/driver’s license must be REAL ID-compliant

Qualifications

• Graduate or higher degree from an accredited professional nursing educational program
• Passed NCLEX
• Current, active, full, and unrestricted RN license/registration
• GS-11 minimum: PhD/equivalent doctoral degree in professional nursing or related medical science, or at least 1 year of professional nursing experience (GS-9 equivalent) plus required nursing degree
• Resume must show at least 1 year of specialized experience managing chronic-condition caseloads, including needs assessment, personalized care plan development and adjustments, coordination as liaison across providers, transitions/follow-up support, education, and care process improvement using patient data
• Case management certification (e.g., CCM, ACM-RN) or utilization management preferred but not required; BSN preferred
• Evening/after-hours/holiday/weekend work may be required

Benefits

Total compensation package information is provided for Registered Nurse positions.