Registered Nurse (RN) - Case Management
Encode INC
Tuba City, AZ
3x12 hrs, Days, Evenings, Nights
Referral Bonus

Job Title: Licensed Master Social Worker (LMSW) / RN Case Manager

Facility: Tuba City Regional Health Care Corporation
Location: Tuba City
Department: Case Management
Employment Type: Full-Time
Shift: Day / Evening / Night Rotational
Salary Range: $56,935 – $85,253 annually
 

Position Summary

We are seeking a dedicated LMSW / RN Case Manager to join the Case Management team. This role is responsible for coordinating comprehensive, patient-centered care for high-risk populations in an outpatient setting. The candidate will focus on care planning, resource coordination, utilization review, and ensuring continuity of care across multidisciplinary teams.

You will play a key role in improving patient outcomes, reducing care fragmentation, and promoting cost-effective healthcare delivery while empowering patients toward self-sufficiency.
 

Key Responsibilities

• Conduct patient assessments and develop individualized care plans
• Coordinate services including referrals, discharge planning, and community resources
• Monitor patient progress and adjust care plans as needed
• Perform utilization review and evaluate medical necessity of referrals
• Collaborate with physicians, nurses, social workers, and external providers
• Facilitate communication between patients, families, and care teams
• Manage outpatient referrals, including Purchased Referred Care (PRC)
• Support transitions of care and ensure continuity post-discharge
• Maintain accurate documentation in electronic health record systems
• Promote evidence-based care and patient-centered practices
• Participate in program development, reporting, and quality improvement initiatives

Required Qualifications

Education

• For LMSW: Master’s Degree in Social Work (MSW)
• For RN Case Manager: Associate Degree in Nursing (BSN required within 2 years of hire)

Licensure & Certification

• Current and unrestricted LMSW/LCSW or RN License (U.S. State or Territory)
• BLS Certification (American Heart Association)

Experience

• Minimum 3 years of clinical experience
• Experience in case management, discharge planning, or utilization review
• Familiarity with electronic health records (EHR systems)

Core Competencies

• Strong communication and interpersonal skills
• Ability to manage multiple priorities in a fast-paced environment
• High ethical standards and professionalism
• Team-oriented mindset with problem-solving abilities

Preferred Qualifications

• Bachelor’s Degree in Nursing (BSN)
• Case Management Certification
• Experience in hospital or outpatient clinic settings
• Knowledge of Medicare, Medicaid, or AHCCCS
• Experience working with diverse or underserved populations
• Familiarity with Patient-Centered Medical Home (PCMH) model
• Bilingual skills (Navajo, Hopi, or San Juan Southern Paiute)

Work Environment & Physical Requirements

• Combination of desk work, patient interaction, and team collaboration
• Ability to sit, stand, walk, and lift up to 50 lbs
• Exposure to healthcare environments, including infectious diseases
• Ability to work flexible schedules and handle high-stress situations