RN - Case Manager

Presbyterian is seeking a RN Case Manager that will provide clinically-based case management to support the delivery of effective and efficient patient care. The role integrates utilization management, care coordination, and transition planning functions . The Case Manager has the overall accountability for a designated case load and plans effectively in order to meet patients needs, manage the length of stay, and promote efficient utilization of resources. In collaboration with the interdisciplinary team, the case manager supports the physician in facilitating patient care with the objective of enhancing the quality of patient outcomes and patient satisfaction while managing the cost of care and providing timely and accurate information to payers.

Type of Opportunity : Full Time .9 / 36hrs

Work Schedule : 9hr Days, 4 days a week, rotating saturdays (every third saturday)

Sign-on bonus & relocation available for qualified candidates.

How you grow, learn and thrive matters here.

Educational and career development options, including tuition and certification reimbursement, scholarship opportunities

Strongline Staff Safety (a wearable badge that allows nurses to quickly and discreetly call for help when safety is a concern)

Shift differentials for nights and weekends

Differentials for higher education, certifications and various lead roles

Malpractice liability insurance

Loan forgiveness through the New Mexico Higher Education Department

EPIC electronic charting system

Interested in learning more, schedule a time to chat with a recruiter or text 505-726-4673

This position is eligible for the Northern New Mexico differential of $4.00 per hour. (This differential may be adjusted or discontinued based on business requirements.)

Responsibilities

Interviews and assesses each patient and family within 48 hours of admission to identify discharge needs, manage expectations, and reduce readmission risk

Applies clinical criteria to monitor appropriateness of admissions and continued stays, referring cases to the Medical Director as needed

Communicates with physicians to ensure documentation supports medical necessity and escalates unresolved cases

Educates patients, families, and interdisciplinary teams on post-acute care options and care coordination services

Develops and evaluates discharge plans with the interdisciplinary team, ensuring timely interventions and continuity of care

Participates in daily multidisciplinary rounds to address care progression and target length of stay

Engages in complex rounds, discharge planning huddles, process improvement teams, and department meetings

Identifies complex psychosocial issues and refers to Social Work, collaborating effectively with Social Work partners

Facilitates patient / family and provider care conferences when needed

Documents assessments, status assignments, interventions, and discharge planning per departmental policies

Ensures safe patient care by adhering to policies, managing time and resources, and maintaining accuracy

Qualifications

NM State or Multistate License

BLS Requires at Time of Hire

Level I Candidates : ADN

Level II Candidates : ADN + 5 Years of Case Management experience or BSN

Level III Candidates : MSN or BSN + 5 years of Case Management experience

Level IV Candidates : MSN + 5 years of experience or BSN + 10 years of experience

Benefits

We're all about well-being, starting with yours.

Presbyterian employees have access to a fun, engaging and unique wellness program, including free on-site and community-based gyms, nutrition coaching and classes, mindfulness and meditation resources, wellness challenges and more.-

Learn More About Our Employee Benefits.

About Presbyterian Healthcare Services

Presbyterian exists to improve the health of patients, members and the communities we serve. We are a locally owned, not-for-profit healthcare system comprised of nine hospitals, a statewide health plan and a growing multi-specialty medical group. Founded in New Mexico in 1908, we are the state's largest private employer with nearly 13,000 employees - including more than 1,200 providers and nearly 3,500 nurses.

Our health plan serves more than 640,000 members statewide and offers Medicare Advantage, Medicaid (Centennial Care) and Commercial health plans.

AA / EOE / VET / DISABLED. PHS is a drug-free and tobacco-free employer with smoke free campuses.

Maximum Offer for this position is up to

USD $49.26 / Hr.

Compensation Disclaimer

The compensation range for this role takes into account a wide range of factors, including but not limited to experience and training, internal equity, and other business and organizational needs.