Hold a current, full, active, and unrestricted Registered Nurse license in any U.S. state or territory.
Have a minimum of two years of nurse case management experience.
Hold a Case Manager certification (CCM, ACMA, or ANCC), or be able to obtain one within one year of hire.
Hold current Basic Life Support (BLS/BCLS) certification through the American Heart Association.
Be able to obtain and maintain a SECRET security clearance.
Understand medical diagnoses and support patients in optimizing function and self-care.
Be able to manage complex medical, psychosocial, and financial cases.
Have strong communication skills to collaborate with providers, stakeholders, and multidisciplinary teams.
Know federal healthcare regulations, professional ethics, and practice standards.
Be familiar with VA/DoD Clinical Practice Guidelines and utilization review processes.
Understand TRICARE, Medicare, and third-party payer systems.
Know healthcare financial systems and resource management.
Have experience using healthcare information systems, data tracking, and reporting tools.
Know pharmaceuticals, including therapeutic effects and potential complications.
Be able to access and coordinate community resources and patient benefit programs.
Responsibilities
Conduct and document comprehensive health assessments, including detailed medical histories.
Develop time-sensitive, individualized care plans based on clinical findings.
Perform telephonic patient assessments using established protocols to ensure appropriate and cost-effective care.
Monitor patient progress toward care goals and adjust treatment plans as needed.
Establish care priorities and evaluate outcomes to ensure coordinated and efficient care delivery.
Oversee discharge planning to ensure proper timing, sequencing, and continuity of care.
Coordinate referrals to appropriate healthcare providers, facilities, and community resources.
Collaborate with healthcare teams, vendors, and stakeholders to support patient care delivery.
Negotiate and administer service agreements to support treatment goals and compliance.
Maintain required credentialing and clinical privileges at the assigned Military Treatment Facility.
Desired Qualifications
Have experience working with military or Special Operations populations.
Be familiar with the Military Health System (MHS) and POTFF program.
Have experience supporting discharge planning and care transitions.
Description
We are seeking a qualified Registered Nurse Case Manager to support Army Special Operations Forces (5th Special Forces Group) under the Preservation of the Force and Family (POTFF) program. This role provides comprehensive, patient-centered case management services to Department of Defense (DoD) beneficiaries, with a focus on coordinated, cost-effective, and evidence-based care that supports the readiness and resilience of military personnel and their families.
Key Responsibilities
Conduct and document comprehensive health assessments, including detailed medical histories
Develop time-sensitive, individualized care plans based on clinical findings
Perform telephonic patient assessments using established protocols to ensure appropriate and cost-effective care
Monitor patient progress toward care goals and adjust treatment plans as needed
Establish care priorities and evaluate outcomes to ensure coordinated and efficient care delivery
Oversee discharge planning to ensure proper timing, sequencing, and continuity of care
Coordinate referrals to appropriate healthcare providers, facilities, and community resources
Collaborate with healthcare teams, vendors, and stakeholders to support patient care delivery
Negotiate and administer service agreements to support treatment goals and compliance
Maintain required credentialing and clinical privileges at the assigned Military Treatment Facility (MTF)
Requirements
Requirements
Minimum Qualifications
Current, full, active, and unrestricted Registered Nurse (RN) license in any U.S. state or territory
Minimum of two (2) years of nurse case management experience
Case Manager certification (CCM, ACMA, or ANCC), or ability to obtain within one (1) year of hire
Current Basic Life Support (BLS/BCLS) certification through the American Heart Association
Ability to obtain and maintain a SECRET security clearance
Required Knowledge and Skills
Strong understanding of medical diagnoses and ability to support patients in optimizing function and self-care
Ability to manage complex medical, psychosocial, and financial cases
Strong communication skills to collaborate with providers, stakeholders, and multidisciplinary teams
Knowledge of federal healthcare regulations, professional ethics, and practice standards
Familiarity with VA/DoD Clinical Practice Guidelines and utilization review processes
Understanding of TRICARE, Medicare, and third-party payer systems
Knowledge of healthcare financial systems and resource management
Experience using healthcare information systems, data tracking, and reporting tools
Knowledge of pharmaceuticals, including therapeutic effects and potential complications
Ability to access and coordinate community resources and patient benefit programs
Preferred Experience
Experience working with military or Special Operations populations
Familiarity with the Military Health System (MHS) and POTFF program
Experience supporting discharge planning and care transitions
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.