Purchased Referred Care Clinical Manager

Purchased Referred Care Clinical Manager

Join to apply for the Purchased Referred Care Clinical Manager role at Alaska Native Tribal Health Consortium (ANTHC).

The Alaska Native Tribal Health Consortium (ANTHC) is a non‑profit Tribal health organization that provides comprehensive medical services to Alaska Native and American Indian people. ANTHC offers a competitive benefits package for all eligible employees, including medical insurance, dental, vision, retirement plans, paid time off, and more.

• Medical insurance through the Federal Employee Health Benefits Program with over 20 plans.
• Cost‑share dental and vision insurances.
• Discounted pet insurance.
• Retirement contributions (403(b) and 401(a) plans).
• Paid time off and eleven paid holidays.
• Paid parental leave eligibility after six months.
• Basic short/long‑term disability and life insurance.
• Flexible spending accounts for healthcare and dependent care.
• On‑site child care facility.
• Employee assistance program.
• Tuition discounts and on‑site training.
• Gym access and other ancillary benefits.
• Emergency travel assistance and education leave.
• Travel and wellness discount program.

Visit us online hc.org or contact Recruitment directly at HR Recruiting.

Alaska Native Tribal Health Consortium has a hiring preference for qualified Alaska Native and American Indian applicants pursuant to P.L. 93‑638 Indian Self Determination Act.

Under limited supervision, provides guidance to the clinical component of the Purchased Referred Care team, supports operations of inpatient, outpatient, and specialty clinics, and assists with departmental reporting, resource management, and outcome monitoring.

• Provide leadership, direction, and guidance to assigned staff.
• Develop goals and priorities in conjunction with employees.
• Monitor departmental operations and facilitate continuous quality improvement.
• Assist with quantitative and qualitative data collection for special projects.
• Provide clinical direction, assign nursing case management caseloads, and conduct performance evaluations.
• Develop systems to monitor admissions, transfers, and case reviews.
• Analyze patient records for PRC authorization.
• Create guidelines for reauthorization and transition of care.
• Analyze trends and evaluate program requirements.
• Compile and maintain reports and statistical information.
• Collaborate with PRC Medical Claims Supervisor to improve workflows.
• Coordinate with ancillary staff and serve as liaison with ANMC, regional organizations, and agencies.
• Provide guidance, training, and education to medical staff and outside agencies.
• Perform other duties as assigned.

• Knowledge of nursing care principles, case management auditing, and IHS/ATHS.
• Knowledge of healthcare terminology, anatomy, physiology, and coding (ICD‑10‑CM, HCPCS).
• Knowledge of applicable federal, state, county, and local laws.
• Skill in strategic planning, staff management, and delegation.
• Skill in building cooperative relationships and prioritizing tasks.
• Skill in evidence‑based practice and patient care planning.
• Skill in written and oral communication.
• Skill in operating a PC with Microsoft Office.

Bachelor's degree in nursing or progressive work experience (year‑for‑year substitution).

Non‑supervisory: 5 years of nursing, including hospital/case management. Supervisory: 2 years of supervisory experience.

Experience in the Alaska Tribal Health System.

• Current registered nurse license in the State of Alaska.
• Current Basic Life Support (BLS) card.

Seniority level:
Mid‑Senior level |

Employment type:

Full‑time | Job function:
Health Care Provider | Industries:
Hospitals and Health Care.

Anchorage, AK