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Administration - Management Job at Spectrum Healthcare Resources in Montana

Job ID: 1500250
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Employer Job ID: 2025-24477

Case Manager | Administration - Management Job | MT

Nurse Case Manager (PRC)

Job Description

Nurse Case Manager (PRC) – Fort Peck Service Unit

Location: Chief Redstone Health Center | Wolf Point, MT
Schedule: Monday – Friday | 8:00 a.m. – 4:30 p.m. | Federal Holidays Off

Spectrum Healthcare Resources has an excellent opportunity for a Nurse Case Manager (Purchased/Referred Care – PRC) to support the Indian Health Service (IHS) at the Fort Peck Service Unit, Chief Redstone Health Center in Wolf Point, MT. This role is vital in ensuring patients receive coordinated, high-quality, and cost-effective care within the PRC program.

Position Highlights:
  • Full-time, consistent weekday schedule

  • Federal holiday schedule observed

  • Work in partnership with the Indian Health Service

  • Meaningful role supporting patients with complex healthcare needs

Key Responsibilities:
  • Provide specialized case management and care coordination for patients with special healthcare needs.

  • Review and monitor outpatient consultations and referrals for medical necessity, cost-effectiveness, and appropriateness of care.

  • Collaborate with PRC staff, providers, and external facilities to ensure services align with CMS criteria.

  • Maintain and track statistical data on consults, monitor deferred referrals, and contribute to PRC continuous quality improvement initiatives.

  • Serve as a clinical resource, helping optimize patient outcomes and streamline referral processes.

Qualifications:
  • Graduate of an accredited Associate (ADN) or Baccalaureate (BSN) program in Nursing (recognized by the U.S. Department of Education).

  • Active, unrestricted RN license in any U.S. state or territory.

  • Minimum of 3 years of RN experience, with at least 2 years in case management and Purchase Referred Care-related work.

  • Basic Life Support (BLS) certification (American Heart Association).

  • U.S. Citizenship required.

Join the Indian Health Service (IHS) and make a lasting difference in Native communities while growing your career. This is more than just a job—it’s an opportunity to provide compassionate, high-quality care to underserved populations, enjoy a balanced schedule, and be part of a mission that truly matters.

For More Information Contact:

Laura Hatcher

Company Overview:

At Spectrum, we utilize over thirty-five years of experience providing optimal solutions for federal agencies that are both innovative and cost-effective. We hold ourselves to the highest standard to ensure successful outcomes for the facilities and healthcare professionals we serve. As a Joint Commission Certified Healthcare Resource, dependability and service are the driving forces of our mission.

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