Nurse Case Manager

Job overview

The Nurse Case Manager role is onsite in San Simon, AZ, with annual pay of $97,277.65. The position supports Tohono O’odham Nation Health Care’s Purchased Referred Care Division and may require temporary relocation to other TONHC facilities. The role reviews referrals and medical records, coordinates utilization review and discharge planning, and helps patients access appropriate services and alternate resources. Its work supports care coordination and tracking of patient utilization and high-cost cases.

What you'll do

• Review specialty and hospital-service referrals under Purchased Referred Care criteria
• identify alternate resources
• communicate approvals or denials
• review records for admission and continued-stay certification
• refer patients to other programs when appropriate
• coordinate hospital discharges
• track utilization trends and high-cost cases
• submit CHEF requests
• liaise with physicians and facility staff.

What we're looking for

Skills & competencies

nurse case manager

san simon az

tohono o’odham nation healthcare

registered nurse

case management

purchased referred care

utilization review

discharge planning

patient referrals

medical records

$97,277.65/year

cpr

aed

associate degree in nursing

Work arrangement

• Weekend coverage required

Why this role

May require temporary relocation among Sells Hospital, Santa Rosa Health Center, San Simon Health Center, and San Xavier Health Center.

About the employer

Tohono O'odham Nation Healthcare is hiring for this role. Industry: Home Health Care Services. Sector: 62.