About this role
Job SummaryThis position is located in the Purchased/Referred Care (PRC) department at Northern Cheyenne Service Unit, Lame Deer, Montana. Responsibilities include providing clinical case management for the PRC Program by coordinating healthcare services among inpatient and outpatient care teams, external healthcare providers, and the PRC Program. The incumbent works under the direction of the PRC Supervisor. A REAL ID will be required beginning May 7, 2025, in accordance with 6 C.F.R. 37.5 (2021).
QualificationsTo qualify for this position, your resume must state sufficient experience and/or education, to perform the duties of the specific position for which you are applying. Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religious; spiritual; community; social). You will receive credit for all qualifying experience, including volunteer and part time experience. You must clearly identify the duties and responsibilities in each position held and the total number of hours per week. BASIC REQUIREMENT(S): Note: Employees currently assigned to positions in this occupational series as of September 2017 will be considered to have met the basic requirements for the position occupied. Education: A graduate or higher-level degree, bachelor's degree, associate degree, or diploma from an accredited professional nursing educational program is required. This education must have been accredited by the Commission on Collegiate Nursing Education, Council on Accreditation of Nurse Anesthesia Educational Programs, Accreditation Commission for Midwifery Education, or an accrediting body recognized by the U.S. Department of Education at the time the degree was obtained. Degree from Foreign Nursing School: Official certification from the Commission on Graduates of Foreign Nursing Schools is required for individuals who graduated from foreign nursing schools. Licensure: For all grade levels and positions, applicants must have passed the National Council Licensure Examination. In addition, they must possess a current, active, full, and unrestricted license or registration as a professional nurse from a State, the District of Columbia, the Commonwealth of Puerto Rico, or a territory of the United States. Basic Requirements for the GS-11 (or equivalent) Grade Level: In addition to the above requirements, applicants must meet one of the following requirements: Successful completion of a PhD or equivalent doctoral degree from a professional nursing educational program or related medical science field; or At least one full year of professional nursing experience (equivalent to the GS-09 grade level) and possession of a diploma, associate degree, bachelor's degree, or master's degree from a professional nursing educational program. In addition, to the Basic Requirements, you must also meet the Minimum Qualifications stated below- MINIMUM QUALIFICATIONS: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the next lower grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: Specialized experience GS-11: Experience serving as a clinical liaison by reviewing patient referrals for accuracy, completeness, and appropriate supporting clinical documentation; reviewing referrals and assigning or approving Medical Priority Levels (MPL) in accordance with established Purchased/Referred Care (PRC) Medical Priority guidelines; coordinating patient referrals, care coordination, and case management services; collaborating with providers, outside agency case managers, and social workers to ensure appropriate and timely treatment; conducting patient assessments, developing and monitoring care/service plans, and evaluating outcomes; maintaining electronic case management records and reports; and applying knowledge of PRC requirements and local, tribal, state, federal, and community resources available to eligible patients. You must meet all qualification requirements within 30 days of the closing date of the announcement.
Major DutiesTotal Compensation Package - Check out IHS's outstanding total compensation package for this job: Registered Nurse Total Compensation | Pay (ihs.gov) Assist with patient care coordination and care management. Facilitates referrals according to medical priorities and patient needs. Manages and triages case management consult request. Participates in care team meetings as an advocate for the patient and families. Develops patient care and service delivery plan with interdisciplinary teams. Serves as a resource on case management/managed care issues for service unit.RequirementsSelectee may be subject to a probationary period U.S. Citizenship required Selective Service Registration required for males born after 12/31/1959 This is a competitive vacancy announcement advertised under Direct Hire Authority. Selections made under this vacancy announcement will be processed as new appointments to the civil service. Current civil service employees would therefore be given new appointments to the civil service; however, benefits, time served, and other Federal entitlements would remain the same. This is a designated position covered by Public Law 101-630, requiring contact or control over Indian children. Due to this requirement, the agency must ensure that persons hired for these positions have not been found guilty of or pleaded nolo contendere or guilty to certain crimes. Successfully pass E-Verify employment verification check. To learn more including your rights & responsibilities, visit www.dhs.gov/E-Verify/. Background Investigation Requirement: This position requires successful completion of a federal background investigation as a condition of employment. A background investigation is a standard process used by the Federal Government to verify an individual's identity, employment history, education, and other relevant information to determine suitability for Federal service. Upon receipt of instructions, applicants must complete all required background investigation forms within five calendar days of issuance. Timely completion is critical to avoid delays in processing or a determination of unsuitability. Applicants are strongly encouraged to prioritize this requirement and maintain regular communication with their assigned Personnel Security Specialist throughout the process. Financial Suitability Requirement: This position requires review of the applicant's financial history as part of the personnel security and suitability determination. Applicants must demonstrate financial responsibility, maintain good standing with creditors, and satisfy all legal financial obligations prior to applying. Individuals with substantial delinquent or unresolved financial obligations-including delinquent federal or state tax liabilities, defaulted federal student loans, court-ordered fines or fees, or child support arrears-may be deemed unsuitable for employment with the Indian Health Service. Prior to the appointment, candidates must present two valid forms of identification. State-issued ID or driver's license must be REAL ID-compliant.