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Cascade County Seeking RN Case Manager

Posted Date: 
January 10, 2018

Position:  RN Case Manager
County Department:  Community Health Care Center
Department Admin:  Clinical Nurse Supervisor
Type of Position:   Full-time
Salary: $17.57-$19.17 per hour DOE
Must join MNA (NHSC Nursing Loan Repayment Site)
Closing Date:  Open Until Filled

Applications available at Cascade County Human Resources Department, or Job Service.

All application materials must be turned in to the Cascade County Human Resources Department.


The RN Case Manager is responsible for providing comprehensive nursing services including assessment, education, counseling, and prevention services to individuals and families receiving medical and behavioral health services at the Community Health Care Center. The duties of the RN Case Manager are performed in accordance with the licensure of the State of Montana and the policies and procedures of Cascade County and the Community Health Care Center.


The RN Case Manager will support and closely coordinate primary health care with behavioral health providers, patient’s primary care provider and when appropriate, other health center providers; review patients’ medical records for completeness and update prior to the patients’ visit; gather information from patients; screen patients to identify need for mental health and substance abuse services; assist in routine physical examinations by preparing the patient, the equipment, and supplies, and assists the provider as needed; execute medical orders for specific drugs, treatments, medications, injections and performs testing or procedures per provider orders; assess the immunization status of patients, administer immunizations, and documents immunization records according to written protocol; facilitate in-clinic or outside referrals to other community providers and organizations; participate in care team huddles; coordinate patient flow to assure patients are seen in a timely manner; facilitate communication regarding treatment recommendations between specialists or other health providers and the primary care provider; support patient engagement and follow-up in care; evaluate patient care plans with care team; document patient encounters, patient progress, treatment, and follow-up care in the electronic medical record system ensuring proper documentation of clinic visits, diagnosis, treatments, and medications within the scope of  nursing practice; track and document referrals for clinically indicated services outside the community health center (mental health specialty care, substance abuse treatment, surgical, diagnostic imaging, hospitalizations, housing assistance, etc.); attend and participate in meetings and Quality Improvement activities as required; serve as a member of committees as requested; participate in peer review as part of Quality Improvement activities and in compliance with health center policies; maintain confidentiality according to HIPAA and the HITECH Security Act; work as a team player with staff and other community organizations to ensure quality services and program requirements are met to carry out the goals and objectives of the health center program; follow agency and county policies and procedures; establish and maintain positive productive working relationships with fellow employees, supervisors, and the public; perform duties efficiently and effectively; perform other duties as required or assigned to successfully meet the Community Health Care Center goals and objectives.

Knowledge and understanding of:  Primary health care and nursing activities as described in the Montana Nurse Practice Act; general medical office/clinic practices; community resources; cultural and linguistic sensitivity; basic computer data entry; HIPAA Privacy and Security Rules; Community Health Care Center and Cascade County policies and procedures; safety policies and procedures.

Skills in:  Excellent customer service; time management and organization; strong written and verbal communication; Microsoft Excel, Word, Outlook, Windows, Internet and electronic medical record systems.

Ability to:  Demonstrate good nursing care; collaborate effectively in a team setting; maintain effective and professional relationships with patients and members of the care team; assess patients as appropriate to current licensure; respond appropriately to an emergency or crisis situation; adapt to changes in the work environment; manage competing demands, changes in approach or method to best fit the situation; deal with frequent change, delays and or unexpected events; adhere to a high degree of confidentiality and sensitivity towards the families involved; maintain confidentiality and compliance with HIPAA privacy and security rules; work with patients with diverse social economic and cultural backgrounds in an empathic, non-judgmental, respectful and professional manner; work independently with little direction but also with a team; read and comprehend materials; analyze and compile information; pass a criminal background check; observe required work hours; demonstrate punctuality; meet established timelines and/or deadlines; observe established lines of authority; identify problems that adversely affect the organization and its functions; offer suggestions for improvements.


The above is typically acquired through a combination of education and experience. At a minimum, all qualified applicants must have:


  • Registered Nurse Degree required, Bachelor of Science-Nursing preferred.
  • 3 to 5 years of experience in a primary health care setting or equivalent.


  • Current and active State of Montana Nursing License.

The successful applicant shall serve a 6-month probationary period and may have a criminal background check conducted.  The results thereof may disqualify the applicant from consideration for employment with the county. 

Notice to Applicants:  Applicants who are claiming Veteran’s or Handicap Preference must provide a DD-214 Discharge Document (Part 4) or DPHHS Handicap Certification and Employment Preference Form with their application for employment so Cascade County may apply the preference during the selection process.

Cascade County makes reasonable accommodations for any known disability that may interfere with the applicant’s ability to compete in the recruitment and selection process or an employee’s ability to perform the essential duties of the job. For Cascade County to consider such arrangements, the applicants must make known any needed accommodations.