Montana Rural Case Management, Social Work and Care Coordination Opportunities
On-siteMontana, United States
Job Summary
Coordinate safe patient transitions and develop comprehensive discharge and follow-up care plans for complex clinical and social needs. Assess patient requirements and connect individuals with local, tribal, regional, and statewide resources to address barriers in transportation, housing, insurance, and medication access. Collaborate with physicians, therapists, and community organizations to support utilization review, medical necessity processes, and authorization management. Reduce avoidable readmissions and delays while coordinating referrals to home health, skilled nursing, rehabilitation, and specialty care across significant geographic distances. Lead or support case management, social work, or care coordination teams to build stronger connections between healthcare organizations and tribal partners.
Required Qualifications
- Experience in case management, medical social work, utilization review, discharge planning, care coordination, or population health
- Previous leadership experience for director, manager, or supervisory opportunities
- Knowledge of healthcare delivery, payer requirements, medical necessity, and patient transitions
- Experience working with patients and families facing complex clinical, social, financial, or geographic barriers
- Strong communication, assessment, advocacy, and problem-solving skills
- The ability to collaborate across clinical, operational, tribal, and community teams
- Experience with rural hospitals, Critical Access Hospitals, FQHCs, public hospital districts, tribal healthcare organizations, long-term care, or community healthcare organizations
- Experience coordinating care across multiple facilities, communities, or significant geographic distances
- Relevant education, licensure, or certification based on the position
- A compassionate, resourceful, practical, and relationship-focused approach
- Some opportunities may require or prefer credentials such as RN, LMSW, LCSW, ACM, CCM, or another case management, nursing, or social work credential
Desired Qualifications
- Experience coordinating care across multiple facilities, communities, or significant geographic distances may be especially valuable
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