Nurse Case Manager

Summary Flatwater is seeking a dedicated professional to provide case management and care coordination for service members, veterans, and their families. This role focuses on supporting patients with complex health care needs through collaboration with multidisciplinary teams, ensuring access to appropriate resources, and facilitating continuity of care across various settings. Essential Functions and Responsibilities Provide case management, care coordination, and discharge planning for patients with acute, chronic, complex, or life‑threatening health care needs. Collaborate with multidisciplinary teams to address the medical, nursing, and psychosocial needs of patients and their families/caregivers. Develop and implement individualized care plans, ensuring effective transitions and continuity of care across inpatient and outpatient settings. Assist patients and families in navigating health care systems and accessing appropriate services and resources. Evaluate care outcomes to ensure timely, effective, and appropriate provision of services, adjusting plans as needed. Facilitate communication between patients, caregivers, and health care providers to optimize health care delivery and outcomes. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Skills and Qualifications Must have the knowledge and skills to effectively apply the following core case management functions. Assessment: Identification of patients for case management; comprehensive collection of patient information and medical status; and continued evaluation of an established plan of care. Planning: Collaboration with the patient, family/caregiver, primary provider and other members of the health care team for developing an effective plan of care. Facilitation: Care coordination and communication among all involved parties. Advocacy: Support for the patient and family/caregivers to ensure identified education and appropriate, timely care is received. Must be knowledgeable in medical privacy and confidentiality (Health Insurance Portability and Accountability Act [HIPAA]); accreditation standards of Accreditation Association for Ambulatory Health Care (AAAHC) and The Joint Commission (TJC); and computer applications/software to include Microsoft Office programs, MS Outlook (e‑mail), and internet familiarity is required. Certified Case Manager by Commission for Case Management (CCM) or American Nurses Credentialing Center (ANCC) –OR– certification eligible with 3 years of experience for ADN or 2 years’ experience for BSN in full time clinical case management with children, families, seniors, or groups. Must possess organization, problem‑solving and communication skills to articulate medical requirements to patients, families/care givers, medical and non‑medical staff in a professional and courteous way. Strong organizational skills to maintain program file systems and ensure timely responses to communications. Ability to use small office equipment, including fax, scanners, and copiers. Must be skillful and tactful in communicating with people who may be physically or mentally ill, uncooperative, fearful, emotionally distraught, and occasionally dangerous. Education & Experience Associate (ADN) or baccalaureate degree (BSN) program in nursing accredited by a national nursing accrediting agency recognized by the US Department of Education. A minimum of 3 years for ADN or 2 years for BSN full‑time experience in clinical case management working with adults, children, families, seniors and groups. Maintain an active, valid, current, and unrestricted license (with no limitations, stipulations or pending adverse actions) to practice nursing as a registered nurse in any US state/jurisdiction. Supervisory Responsibility This position does not have supervisory responsibilities. Work Environment This job operates in a professional office environment. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines. Our Values Native American Owned & Proud | Accountable | Team Focused | Innovative | Visionary | Excellence Physical Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. This is largely a sedentary role and may require the use of office equipment. Position Type/Expected Hours of Work The contract employee will work a minimum of 40 hours per week, unless specified by the MTF. Duty hours may consist of typical clinic hours, usually 7:30 AM – 4:30 PM, Monday thru Friday; however, duty hours shall accommodate the requirement of the specific MTF duty sections by using Flex Duty Schedules. This includes use of Flex Duty Schedule for attendance at required meetings that occur after typical clinic hours. The contractor shall be paid only for total hours physically spent in-house at the MTF. The contract personnel should follow command announcements for reporting to work as it relates to inclement weather or base closures. In the event of real‑world disasters, all personnel are required to respond to the MTF within 45 minutes and will work until released by their Flight Medicine Flight Commander. Travel Requirements No travel is required outside the MTF or off the military installation for patient treatment. Clearance/License Requirements Since the health care workers under this contract have access to and/or process information requiring protection under the Privacy Act of 1974, these positions are considered “ADP III” positions. Compliance with DoD Directive 8500.1, DoD Directive 5200.2, AFI 31‑501 and AFI 33‑202 is mandatory for ADP III positions. Therefore, a National Agency Check with Inquiries (NACI) is required for each health care worker under this contract. NOTE: This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice. AAP/EEO Statement Ho‑Chunk, Inc. is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. However, preference may be extended to persons of Indian descent in accordance with applicable laws. #J-18808-Ljbffr