Summary This position is located at the Phoenix Indian Medical Center in Phoenix, AZ. Several vacancies across multiple specialized functional areas, Outpatient Clinical Care Coordination, Outpatient Case Management, Specialized Case Management (Diabetes & HIV). Incumbents provide advanced professional nursing care coordination, longitudinal case management services. Responsibilities Total Compensation Package - Check out IHS's outstanding total compensation package for this job: Registered Nurse Total Compensation | Pay (ihs.gov) Outpatient Nurse Clinical Care Coordinator Duties: Provides real-time clinical care coordination and nursing triage for patients with complex healthcare needs, determining appropriate disposition and escalating acute changes in condition to providers. Coordinates referrals, authorizations, specialty care, and follow-up services across healthcare settings to promote timely access and continuity of care. Coordinates transitions of care following hospitalization, including medication reconciliation, follow-up appointments, and resolution of barriers to the plan of care. Uses clinical data, registries, and patient care gaps to support panel management, targeted outreach, and clinic-level quality improvement activities. Outpatient Nurse Case Management Duties: Independently manages an assigned caseload of patients with chronic, recurring, complex, or multi-system health conditions requiring longitudinal case management. Conducts comprehensive nursing assessments and develops, implements, evaluates, and modifies individualized care plans based on clinical, psychosocial, cultural, and resource needs. Coordinates services and transitions of care across providers, healthcare facilities, tribal programs, and community resources to address complex barriers and promote continuity of care. Serves as a clinical resource on complex case management issues and uses patient outcomes and program data to recommend improvements to case management practices, policies, and procedures. Diabetes Case Management Duties: Provides comprehensive case management for patients with diabetes, including screening, assessment, care planning, implementation, monitoring, and reassessment. Develops individualized care and service plans with patients, families, and the interdisciplinary healthcare team based on identified needs and available resources. Coordinates healthcare services across PIMC, other service units, contract providers, tribal programs, and community resources to promote continuity of care. Monitors patient progress and outcomes, revises care plans as needed, and provides patient education and advocacy to promote self-management and effective use of healthcare resources. HIV Case Management Duties: Provides comprehensive HIV case management across inpatient, outpatient, contract, and community settings to promote continuity of care from pre-admission through post-discharge. Conducts comprehensive assessments and develops individualized care and service plans in collaboration with patients, families, interdisciplinary teams, and community providers. Monitors and reassesses patient needs, treatment plans, services, and outcomes and coordinates ongoing healthcare and community resources. Provides patient advocacy and specialized HIV case management support related to treatment adherence, prevention, outreach, counseling, and continuity of care. This is a competitive vacancy announcement advertised under Direct Hire Authority. Selections made under this vacancy announcement will be processed as new appointments to the civil service. Current civil service employees would therefore be given new appointments to the civil service; however, benefits, time served, and all other Federal entitlements would remain the same. IHS Selectees whose duties and responsibilities require them to work permanently, temporarily, or occasionally in an IHS healthcare facility must comply with the IHS Employee Immunization Policy related to vaccine-preventable diseases, consistent with recommendations for healthcare workers. Vaccine exemption requests may be available, as outlined in the IHS Employee Immunization Policy and facility guidance. Requirements Conditions of Employment Selectee may be subject to a probationary period U.S. Citizenship is required Selective Service Registration is required for males born after 12/31/1959 This is a designated position covered by Public Law 101-630, requiring contact or control over Indian children. Due to this requirement, the agency must ensure that persons hired for these positions have not been found guilty of or pleaded nolo contendere or guilty to certain crimes. On-call hours or standby duty may be required. Successfully pass the E-Verify employment verification check. To learn more about E-Verify, including your rights and responsibilities, visit www.dhs.gov/E-Verify/. You will need to set up direct deposit so we can pay you. Background Investigation Requirement: This position requires the successful completion of a federal background investigation as a condition of employment. A background investigation is a standard process used by the Federal Government to verify an individual's identity, employment history, education, and other relevant information to determine suitability for Federal service. Upon receipt of instructions, applicants must complete all required background investigation forms within five (5) calendar days of issuance. Timely completion is critical to avoid delays in processing or a determination of unsuitability. Applicants are strongly encouraged to prioritize this requirement and to maintain regular communication with their assigned Personnel Security Specialist throughout the process. Financial Suitability Requirement: This position requires a review of the applicant's financial history as part of the personnel security and suitability determination. Applicants must demonstrate financial responsibility, maintain good standing with creditors, and satisfy all legal financial obligations prior to applying. Individuals with substantial delinquent or unresolved financial obligations-including, but not limited to, delinquent federal or state tax liabilities, defaulted federal student loans, court-ordered fines or fees, or child support arrears-may be deemed unsuitable for employment with the Indian Health Service (IHS). Prior to the appointment, candidates must present two valid forms of identification. If one of the documents is a state-issued ID or driver's license, it must be REAL ID-compliant. Qualifications To qualify for this position, your resume must state sufficient experience and/or education, to perform the duties of the specific position for which you are applying. Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religious; spiritual; community; social). You will receive credit for all qualifying experience, including volunteer and part time experience. You must clearly identify the duties and responsibilities in each position held and the total number of hours per week. BASIC REQUIREMENT(S): Individual Occupational RequirementsGeneral Schedule Qualification Standards - Nurse Series 0610 Education: A graduate or higher level degree, bachelor's degree, associate degree, or diploma from an accredited professional nursing educational program is required. This education must have been accredited by the Commission on Collegiate Nursing Education, Council on Accreditation of Nurse Anesthesia Educational Programs, Accreditation Commission for Midwifery Education, or an accrediting body recognized by the U.S. Department of Education at the time the degree was obtained. Must submit copy of transcript. Applications will be considered incomplete without proof. Degree from Foreign Nursing School: Official certification from the Commission on Graduates of Foreign Nursing Schools is required for individuals who graduated from foreign nursing schools. Applications will be considered incomplete without proof. Licensure: For all grade levels and positions, applicants must have passed the National Council Licensure Examination. In addition, they must possess a current, active, full and unrestricted license or registration as a professional nurse from a State, the District of Columbia, the Commonwealth of Puerto Rico, or a territory of the United States. Must submit copy of nursing license that includes an expiration date. Applications will be considered incomplete without proof.In addition to the above requirements, applicants must meet one of the following requirements: Basic Requirements for the GS-11 (or equivalent) Grade Level: Successful completion of a PhD or equivalent doctoral degree from a professional nursing educational program or related medical science field; OR Your resume must demonstrate at least one full year of professional nursing experience (equivalent to the GS-9 grade level) and possession of a diploma, associate degree, bachelor's degree, or master's degree from a professional nursing educational program. Examples of experience include: Care Coordination & Case Management: Managing an assigned caseload of patients with chronic, complex, or multi-system health conditions; conducting comprehensive nursing assessments; developing and modifying multidisciplinary care plans; and coordinating care transitions, specialty referrals, and prior authorizations across acute, outpatient, tribal, or community resources. Specialized Disease Management (Diabetes / HIV): Delivering comprehensive, disease-specific nursing case management for patients with chronic conditions (such as Diabetes Mellitus or HIV/AIDS); evaluating treatment adherence; providing patient and family education for self-management; and collaborating across multidisciplinary teams to eliminate care barriers. You must meet all qualification requirements within 30 days of the closing date of the announcement. Education This position has an education requirement. You are strongly encouraged to submit a copy of your transcripts or a list of your courses including titles, credit hours completed, and grades. Unofficial transcripts will be accepted in the application package. Official transcripts will be required from all selectees prior to receiving an official offer. Only attendance and/or degrees from schools accredited by accrediting institutions recognized by the U.S. Department of Education may be credited. Applicants can verify accreditation at the following website: https://www.ed.gov/accreditation. If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit https://sites.ed.gov/international/recognition-of-foreign-qualifications/. Additional Information Reasonable Accommodation (RA) Requests: If you believe you have a disability (i.e., physical or mental), covered by the Rehabilitation Act of 1973 as amended that would interfere with completing the USA Hire Competency Based Assessments, you will be granted the opportunity to request a RA in your online application. Requests for RA for the USA Hire Competency Based Assessments and appropriate supporting documentation for RA must be received prior to starting the USA Hire CompetencyBased Assessments. Decisions on requests for RA are made on a case-by-case basis. If you meet the minimum qualifications of the position, after notification of the adjudication of your request, you will receive an email invitation to complete the USA Hire Competency Based Assessments, based on your adjudication decision. You must complete all assessments within 48 hours of receiving the URL to access the USA Hire Competency Based Assessments if you received the link after the close of the announcement. To determine if you need a RA, please review the Procedures for Requesting a Reasonable Accommodation for Online Assessments. (https://appsupport-usastaffing.opm.gov/hc/en-us/sections/45063131363475-Reasonable-Accommodation-Information) Federal Employees earn annual leave at a rate (4, 6 or 8 hours per pay period) which is based on the number of years they have served as a Federal employee. IHS may offer newly-appointed Federal employees credit for their directly related previous non-federal experience or active duty uniformed military service. This credited service can be used in determining the rate at which they earn annual leave. This position is covered by a Bargaining Unit. Recruitment or relocation incentives may be authorized. At least a 2 year service agreement will be required. The Indian Health Service (IHS), National Health Service Corps (NHSC), and the Health Resources and Services Administration (HRSA) have student loan repayment programs for qualifying health disciplines. This is a competitive process separate from the hiring process. Opportunities for LRP are based on agency hiring priorities and availability of funds. For additional information please visit: For IHS - http://www.ihs.gov/loanrepayment/ For NHSC - https://nhsc.hrsa.gov/loanrepayment/ For HRSA Nurse Corps - https://bhw.hrsa.gov/loansscholarships/nursecorps You will be evaluated for this position in accordance with the OPM Merit Hiring Plan. As part of the application process, you will be asked to provide short essay responses (200 words or less each) to the following four questions. How has your commitment to the Constitution and the founding principles of the United States inspired you to pursue this role within the Federal government? In this role, how would you use your skills and experience to improve government efficiency and effectiveness? How would you help advance the President's Executive Orders and policy priorities in this role? How has a strong work ethic contributed to your professional, academic or personal achievements? Your responses are optional and will not be scored. However, they may be reviewed by hiring managers and agency leadership (or designees) during the evaluation process. You will be asked to certify that your responses are written in your own words and that you did not use a consultant or artificial intelligence (AI) tool (such as ChatGPT or Copilot).
