{"schemaVersion":"jobsearcher.job.v1","id":"a0be3a6cee0f444eb39fa1ff","url":"https://jobsearcher.com/jobs/a0be3a6cee0f444eb39fa1ff","canonicalUrl":"https://jobsearcher.com/jobs/a0be3a6cee0f444eb39fa1ff","title":"Registered Nurse Case Manager","description":"Job Title: Registered Nurse (RN) Case Manager – Purchased Referred Care (PRC)\nJob Summary\nWe are seeking an experienced Registered Nurse (RN) Case Manager with direct Indian Health Service (IHS) Purchased/Referred Care (PRC) experience to support care coordination, referral management, and utilization review services. The ideal candidate will have a strong understanding of IHS PRC policies, eligibility requirements, and case management processes while ensuring quality patient care and appropriate resource utilization.\nKey Responsibilities\nManage and coordinate patient referrals through the IHS Purchased/Referred Care (PRC) program.\nReview and evaluate medical referrals for medical necessity, eligibility, and compliance with PRC guidelines.\nCollaborate with providers, care teams, patients, and external healthcare organizations to ensure timely access to services.\nMonitor patient cases and maintain accurate documentation in accordance with IHS and facility standards.\nConduct utilization review and case management activities to optimize patient outcomes.\nEducate patients and families regarding available healthcare services and treatment plans.\nEnsure compliance with all federal, state, tribal, and organizational regulations.\nRequired Qualifications\nActive, unrestricted Registered Nurse (RN) license.\nMinimum 2 years of RN Case Management experience.\nRequired: Direct IHS Purchased/Referred Care (PRC) experience.\nKnowledge of IHS policies, referral management, and utilization review processes.\nStrong communication, organizational, and documentation skills.\nProficiency with electronic health records (EHR) systems.\n#INDRNS\nPay: $2,600.00 - $2,800.00 per week\nBenefits:\nReferral program\nExperience:\nCase management: 2 years (Required)\nLicense/Certification:\nRN License (Required)\nBLS Certification (Required)\nWork Location: In person","company":"VTech Solutions","rawCompany":"vtech solution","city":"Poplar","state":"MT","isRemote":false,"isActive":false,"createdAt":"2026-08-13T14:43:50.474Z","occupations":[{"code":"29-1141.00","title":"Registered Nurses","slug":"registered-nurses"},{"code":"29-1141.01","title":"Acute Care Nurses","slug":"acute-care-nurses"},{"code":"29-1141.04","title":"Clinical Nurse Specialists","slug":"clinical-nurse-specialists"}],"industries":[{"code":"622110","title":"General Medical and Surgical Hospitals","slug":"general-medical-and-surgical-hospitals"},{"code":"621498","title":"All Other Outpatient Care Centers","slug":"all-other-outpatient-care-centers"},{"code":"622310","title":"Specialty (except Psychiatric and Substance Abuse) Hospitals","slug":"specialty-except-psychiatric-and-substance-abuse-hospitals"}],"jobPosting":{"@context":"https://schema.org","@type":"JobPosting","title":"Registered Nurse Case Manager","description":"Job Title: Registered Nurse (RN) Case Manager – Purchased Referred Care (PRC)\nJob Summary\nWe are seeking an experienced Registered Nurse (RN) Case Manager with direct Indian Health Service (IHS) Purchased/Referred Care (PRC) experience to support care coordination, referral management, and utilization review services. The ideal candidate will have a strong understanding of IHS PRC policies, eligibility requirements, and case management processes while ensuring quality patient care and appropriate resource utilization.\nKey Responsibilities\nManage and coordinate patient referrals through the IHS Purchased/Referred Care (PRC) program.\nReview and evaluate medical referrals for medical necessity, eligibility, and compliance with PRC guidelines.\nCollaborate with providers, care teams, patients, and external healthcare organizations to ensure timely access to services.\nMonitor patient cases and maintain accurate documentation in accordance with IHS and facility standards.\nConduct utilization review and case management activities to optimize patient outcomes.\nEducate patients and families regarding available healthcare services and treatment plans.\nEnsure compliance with all federal, state, tribal, and organizational regulations.\nRequired Qualifications\nActive, unrestricted Registered Nurse (RN) license.\nMinimum 2 years of RN Case Management experience.\nRequired: Direct IHS Purchased/Referred Care (PRC) experience.\nKnowledge of IHS policies, referral management, and utilization review processes.\nStrong communication, organizational, and documentation skills.\nProficiency with electronic health records (EHR) systems.\n#INDRNS\nPay: $2,600.00 - $2,800.00 per week\nBenefits:\nReferral program\nExperience:\nCase management: 2 years (Required)\nLicense/Certification:\nRN License (Required)\nBLS Certification (Required)\nWork Location: In person","datePosted":"2026-08-13T14:43:50.474Z","dateModified":"2026-08-13T14:43:50.474Z","hiringOrganization":{"@type":"Organization","name":"VTech Solutions","sameAs":"https://jobsearcher.com"},"jobLocation":{"@type":"Place","address":{"@type":"PostalAddress","addressLocality":"Poplar","addressRegion":"MT","addressCountry":"US"}},"identifier":{"@type":"PropertyValue","name":"JobSearcher","value":"a0be3a6cee0f444eb39fa1ff"},"url":"https://jobsearcher.com/jobs/a0be3a6cee0f444eb39fa1ff"}}