This position is located at the Western Oregon Service Unit in Salem, Oregon and Warm Springs Service Unit in Warm Springs, Oregon. The purpose of this position is to provide case management/care coordination for patients requiring special health care needs. The incument reports to the Director of Nursing or designee. A REAL ID will be required beginning May 7, 2025, in accordance with 6 C.F.R. 37.5 (2021).
Total Compensation Package - Check out IHS's outstanding total compensation package for this job: Registered Nurse Total Compensation | Pay (ihs.gov) Review outpatient consultations/referrals to determine if referral meets established criteria of current priority level, monitor for alternate resources available, justification for services requested, and referral request.
Collaborate with the Purchase Referred Care (PRC) department and medical providers to determine medical necessity and appropriateness of referral to make in house referrals when necessary. Monitor patient status, ensure primary care teams are notified of progress of patient referral and determine if services being delivered as planned. Respond to insurance providers and third-party agencies to insure maximum reimbursement to minimize I.H.S costs on clinical issues.
- Maintain a tracking system for referred patients for admission to other healthcare facilities and perform chart reviews to determine timeliness of requested service to facilitate the return of patients to the service unit.
This position has an education requirement. You are strongly encouraged to submit a copy of your transcripts or a list of your courses including titles, credit hours completed, and grades. Unofficial transcripts will be accepted in the application package. Official transcripts will be required from all selectees prior to receiving an official offer. Only attendance and/or degrees from schools accredited by accrediting institutions recognized by the U.S.
Department of Education may be credited. Applicants can verify accreditation at the following website: https://www.ed.gov/accreditation. If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit https://sites.ed.gov/international/recognition-of-foreign-qualifications/.
Margaret.Horn-Sampson@ihs.gov · 503-414-7734
This position is with Indian Health Service, Department of Health and Human Services.
The posted pay range is $84363 – $127725/yr.
This position requires a Other security clearance.
Applications close on 2026-09-30.
This position is open under the 'Native' hiring path.
Source: USAJOBS.gov — U.S. Federal Government
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