Registered Nurse (Chronic Care Case Manager)

Salary: $83,237.00 - $114,456.00 Annually Location : 10005 E. Osborn Rd, Scottsdale, AZ Job Type: Full-Time Job Number: 100369-260309 Department: Health & Human Services Opening Date: 05/27/2026 Closing Date: 6/27/2026 11:59 PM Arizona Definition **IF YOU PREVIOUSLY APPLIED FOR THIS POSITION, YOU DO NOT NEED TO RE-SUBMIT YOUR APPLICATION** Position Summary: Under the general supervision of the Chronic Care Case Management RN Supervisor (CCCMRNS), the Chronic Care Case Management RN will perform telephonic and disease management assessments to empower patients to better understand their illness and to self-manage their conditions. This job class is treated as FLSA Exempt.

Essential Functions: Essential functions may vary among positions and may include the following tasks, knowledge, abilities, skills and other characteristics. This list of tasks is ILLUSTRATIVE ONLY and is not intended to be a comprehensive listing of tasks performed by all positions in this classification. Examples of Tasks Provides assessment, disease management, education, training, and other clinically based activities to coordinate care among providers, patients and the community Makes adequate contact with the patients with a focus on behavioral goal setting and patient-centered support planning.

Identifies patient resource needs, provides information on possible resources and referrals to patients Collaborates with other health care providers to review actual and proposed medical care and services against established coverage guidelines review criteria Manages network participation, care with specialty networks, care with medical providers, and transfers to alternate levels of care using knowledge of benefit plan design Recommends services for patients using care alternatives available in the community. Identifies potentially unnecessary services and care-delivery settings and recommends alternatives by analyzing clinical protocols Examines clinical programs information to identify members for specific case management and/or disease management activities or interventions by using established screening criteria Conducts admission reviews, post-discharge calls, and discharge planning Conduct thorough assessments of patients' health status, medical history, and current treatment plans to create individualized disease management plans Educate patients and their families about their specific chronic condition, including symptoms, treatment options, and self-care practices Monitor and evaluate patients' response to treatment, making necessary adjustments to their care plans as needed Collaborate with other healthcare professionals, such as physicians, pharmacists, and social workers, to ensure coordinated and holistic care for patients Provide ongoing support and counseling to patients and their families, addressing their concerns, providing emotional support, and promoting self-management techniques Assist in organizing and conducting educational programs and workshops for patients, caregivers, and the community to raise awareness and improve disease management practices Maintain accurate and up-to-date medical records and documentation of patient assessments, care plans, interventions, and outcomes Stay updated with the latest research, advancements, and best practices in disease management to deliver evidence-based care Collaborate with insurance providers and case managers to ensure proper reimbursement for services provided and facilitate smooth transitions of care Participate in quality improvement initiatives and contribute to developing and implementing evidence-based protocols and guidelines for disease management Multidisciplinary Care Coordination: Follows established policies, procedures and standing orders. Follows patients through the care continuum and collaborates with other members of the health care team to ensure continuity of care and implements the agreed plan of care.

Consults with physicians and other health care providers regarding patient specific clinical, social and behavior health related issues and educational needs. Facilitates timely and appropriate referrals and fosters positive relations with community providers and partners. Participates in patient care conferences including but not limited to hospital, clinic, home health care, SNF/LTC, etc as well as specialty team meetings as required by Health Plans for individual groups of members and/or eligibility status (i.E Special Needs, Individual Education Plan, Disability, etc) by preparing and completing required documents.

Maintains professional knowledge and proficiency in Medical SW through continuing education, staff meetings, training and conferences, etc. Participates in the data collection efforts to track outcomes. Performs other job related duties as assigned to maintain and enhance departmental operations.

Knowledge, Skills, Abilities and other Characteristics: Knowledgeofthehistory,culture,laws,rules,customsandtraditionsoftheSRPMIC. Knowledgeofthepurpose,currentissues,projects,organization,policies,andemployeeresponsibilities ofthedivisionto whichassigned. Knowledgeofthepurpose,currentissues,projects,organization,policies,andemployeeresponsibilities ofthedivisionto whichassigned.

Knowledge of theory, principles and scope of practice for a Case Manager RN Knowledge of federal, state, and agency laws and regulations governing professional nursing. Knowledge of health systems and disease processes. Knowledge of medical, public health and social service resources available to Native Americans including, but not limited to, Indian Health Service, Medicare, Medicaid, ALTCS, SSI, etc.

Strong verbal and written communication skills. Experience with E.H.R's and community resources. Focused customer service skills and excellent problem-solving skills.

Ability to use critical thinking and to problem solve in a professional manner. Desire to work collaboratively and proactively with healthcare teams and other hospital-based interdisciplinary teams. Excellent communication skills to effectively educate, counsel, and advocate for patients and their families.

Empathy and compassion to provide emotional support and address the needs of patients. Proficiency in using electronic health record systems and other healthcare software for accurate documentation and information retrieval. Strong organizational and time management skills to prioritize tasks and manage medical services referrals effectively.

Knowledge of CMS, AHCCCS, and commercial payer requirements as well as care coordination and resource management in ambulatory care settings. Leads and proactively participates in process improvement initiatives, working with a variety of departments and multi-disciplinary staff. Skill with verbal and written communication and ability to communicate effectively with a wide range of people, correctional facility staff and health professionals.

Skill applying and interpreting federal, state, and agency laws and regulations governing practical nursing. Ability to establish and maintain positive working relationships with colleagues, subordinates, supervisors, health care professionals, Tribal officials, detainees and representatives of resource agencies. Ability to incorporate cultural differences, health beliefs and learning styles.

Ability to maintain confidentiality. Ability to operate a variety of standard office equipment including cellular phones, photocopiers, FAX machines, calculators and personal computers including MS Office. Minimum Qualifications Education and Experience: Active unrestricted AZ Registered Nurse license from an accredited college or university required.

Bachelor of Science in Nursing (BSN) degree Minimum of 1-2 years of experience including Primary Care Case Management preferred Two (2) years of clinical nursing experience in acute care or outpatient setting preferred Certification as a Certified Case Manager (CCM) preferred or ability to obtain within 18 months of hire. Experience working with Native American Communities preferred. Equivalency: Any equivalent combination of education and/or experience that would allow the candidate to satisfactorily perform the duties of this position, will be considered.

Underfill Eligibility: An enrolled Community Member whom closely qualifies for the minimum qualifications for a position may be considered for employment under SRPMIC Policy 2-19, Underfill. Special Requirements Special Requirements: Employment is contingent upon successful completion of an extensive background check and drug screening. Employees in, and applicants applying for, jobs providing direct services to children are subject to the "Community Code of Ordinances", Chapter 11, "Minors", Article X. "Investigation of Persons Working With Children".

New hires in clinical roles must present valid BLS certification (Healthcare Provider BLS for clinicians) prior to the first day of patient care. Ensures all patient information is kept confidential and complies with Health Insurance Portability and Accountability Act (HIPAA) regulations and SRPMIC HHS policies and procedures. Prior to hire as an employee, applicants will be subject to drug and alcohol testing.

Will be required to pass a pre-employment background/fingerprint check. "SRPMIC is an Equal Opportunity/Affirmative Action Employer" Preference will be given to a qualified: Community Member Veteran, Community Member, Spouse of Community Member, qualified Native American, and then other qualified candidate. In order to obtain preference, the following is required: 1) Qualified Community Member Veteran (DD-214) will be required at the time of application submission 2) Qualified Community Member (must provide Tribal I.D at time of application submission),3) Spouse of a Community Member (Marriage License/certificate and spouse Tribal ID or CIB is required at time of application submission), and 4) Native American (Tribal ID or CIB required at time of application submission). Documents may be submitted by one of the following methods: 1) attach to application 2) fax (480) 362-5860 3) mail or hand deliver to Human Resources.

Documentation must be received by position closing date. Salt River Pima-Maricopa Indian Community Employee Benefits Overview Salt River Pima-Maricopa Indian Community (SRPMIC) is committed to supporting the health, well-being, and financial security of our employees. We offer a comprehensive benefits package to employees, designed to enhance your quality of life both at work and at home.

Below is a summary of the benefits available to SRPMIC employees. Plan details and eligibility requirements are provided upon hire and are subject to change. Health Care Benefits SRPMIC provides medical, dental, vision, and life insurance coverage for all regular full-time employees enrolled in standard plans.

These benefits represent a significant part of your total compensation. Medical: Choose from three plan options to fit your needs-the Low Deductible Plan, the Mid-Deductible Plan, and the High Deductible Health Plan (HDHP) with a Health Savings Account (HSA). As a self-funded plan, SRPMIC directly covers the cost of medical, pharmacy, dental, and vision services for all participants.

Dental: Enjoy nationwide access to the Humana Dental PPO/Traditional Preferred network, offering flexibility and choice in selecting dental care providers. Vision: Coverage is provided through Davis Vision, including eye exams, lenses, frames, and contact lenses. Members also benefit from discounted rates on additional eyewear and services.

Life Insurance: All eligible employees are automatically enrolled in a fully paid basic term life insurance policy with a matching accidental death benefit. Retirement Plans SRPMIC supports your long-term financial goals through multiple retirement plan options: 401(k) and Roth Plans: Eligible employees can participate in both pre-tax and post-tax retirement savings plans. SRPMIC contributes 5% of your compensation to the pre-tax 401(k) and matches up to 3% of your salary deferral contributions.

Public Safety Personnel Retirement System (PSPRS): Available to eligible certified police officers and firefighters. Arizona State Retirement System (ASRS): Available to Salt River School educators. Health Reimbursement Arrangement (HRA): A retiree HRA with Health Equity, which is a tax-advantaged employer-funded account that retired employees (Age 55+) can use for qualified medical expenses, including some premiums, and out-of-pocket expenses such as copays and deductibles.

Paid Leave & Holidays Annual & Sick Leave: Employees accrue separate balances for sick and annual leave each pay period. Sick leave may be used for personal or family illness and medical appointments, while annual leave covers vacation or personal time. Holidays: SRPMIC observes 15 paid holidays each year, including two discretionary holidays and one day of birthday leave.

Other SRPMIC Paid Benefits Short-Term Disability Long-Term Disability Employee Assistance Program (EAP) SRPMIC offers a confidential Employee Assistance Program through SupportLinc, available at no cost to employees, their dependents, and household members. Additional Voluntary Benefits WellPath Wellness Program: A voluntary wellness initiative that encourages healthy living and rewards participation with incentives. Available to all employees and their dependents.

Flexible Spending Accounts (FSA): Administered by HealthEquity, FSAs allow you to pay for eligible health and dependent care expenses with pre-tax dollars. Health Savings Account (HSA): Available to employees enrolled in the HDHP. Supplemental Life & AD&D Insurance: Employees may purchase additional life and accidental death coverage for themselves and their dependents.

Public Service Loan Forgiveness (PSLF): SRPMIC is a qualified employer under the PSLF program. Employees may be eligible for federal student loan forgiveness.