Social Worker​/RN Case Manager

Navajo Preference Employment Act

In accordance with Navajo Nation and federal law, TCRHCC has implemented an affirmative action plan pursuant to the Navajo Preference in Employment Act. Pursuant to this plan and corresponding TCRHCC Policy, applicants who meet the necessary qualifications for this position and (1) are enrolled members of the Navajo Nation, Hopi Tribe, or San Juan Southern Paiute Tribe will be given preference in hiring and employment for this position, (2) are legally married to enrolled members of the Navajo Nation, Hopi Tribe, or San Juan Southern Paiute Tribe and meet residency requirements will be given secondary preference, and (3) are enrolled members of other federally‑recognized American Indian Tribes will be given tertiary preference.

Incumbent serves as an Outpatient/Inpatient Social Worker/Registered Nurse (RN) Case Manager for TCRHCC and Sacred Peaks Healthcare Center (SPHC) and is responsible for direct supervision and supportive contact for the specific group of identified high‑risk patients. The Social Worker/RN Case Manager is responsible for designing and managing a continuum of care focusing on empowering clients to achieve demonstrable outcomes and self‑sufficiency.

The Social Worker/RN Case Manager is responsible for assessment, service planning, and resource acquisition, monitoring progress and initiating and responding to emerging client needs. The Social Worker/RN Case Manager will link the client with Community Social Service providers, health care providers, substance abuse, and mental health providers to achieve specific goals. The Social Worker/RN Case Manager is responsible for utilization review of patient cases in the inpatient and outpatient services departments, and review of medical necessity of referrals to specialty providers for services not normally provided within the TCRHCC facility.

The incumbent will work with a multidisciplinary team to promote the efficient and effective use of a variety of health care resources by focusing on the whole patient to provide a seamless continuum of care. The goals are the provision of quality care, decrease the fragmentation of care, enhancement of patient self‑care and quality of life, and cost containment. The incumbent will work closely with Providers, Nurses, Social Workers, Physicians, the PRC department, and all health care providers staff at TCRHCC to ensure implementation of appropriate resources in the fulfillment of utilization goals for the hospital and third‑party payors.

The Social Worker/RN Case Manager will be responsible to the Director of Case Management/Care Coordination.

Necessary Qualifications

Education

• Master's Degree in Social Work (MSW), OR
• Associates degree in Nursing, must obtain bachelor's in nursing within 2 years of hire.

License/Certification

• Must have and maintain current Basic Life Support (BLS) certification by the American Heart Association throughout employment
• Licensed Master Social Worker (LMSW). A valid, current, full and unrestricted Professional License to practice LMSW or LCSW in any state of the United States of America, the Commonwealth of Puerto Rico, or a territory of the United States
• A valid, current, full and unrestricted Professional Nursing License to practice nursing in any state of the United States of America, the Commonwealth of Puerto Rico, or a territory of the United States

Experience

• Must have a minimum of three (3) years of experience in the clinical care setting
• Experience and knowledge of discharge planning, case management, or utilization review processes.
• Demonstrate knowledge of electronic health record systems.

• A record of satisfactory performance in all prior and current employment as evidenced by positive employment references from previous and current employers. All employment references must address and indicate success in each one of the following areas:
• Positive working relationships with others
• Possession of high ethical standards and no history of complaints
• Reliable and dependable; reports to work as scheduled without excessive absences
• Effective verbal & written communication skills
• Team…