Case Manager- San Miguel County

Roadrunner Health Services; Las Vegas (NM); On-site; USD 65,000 - 90,000; Full time

Job summary

Roadrunner Health Services seeks a healthcare supervisor to coordinate medical and mental health services across facilities. You will evaluate patients, develop individualized care plans, and coordinate with medical staff to ensure continuity of care.

You will advocate for patients, educate on conditions and self-care, maintain confidential records, and ensure regulatory compliance. Travel between facilities may be required and collaboration with external agencies is expected.

Qualifications

• Strong interpersonal and communication skills.
• Knowledge of healthcare systems, resources, and correctional procedures.
• Excellent organizational, attention to detail, problem-solving, and crisis intervention abilities.
• Proficiency in electronic health record systems and reporting tools.
• Excellent written and verbal communication skills.
• Proficient with Microsoft Office or similar software.
• Ability to work under pressure and teamwork orientation.

Responsibilities

• Evaluate patients' medical and mental health needs through interviews, clinical reviews, and record analysis; develop and monitor individualized care plans.
• Liaise with in-house medical staff, external hospitals, and specialty providers to ensure continuity of care; review referrals and arrange continuity of care and safe release planning.
• Advocate for patients' health needs and provide education on health conditions, treatment options, and self-care.
• Maintain accurate, confidential medical records and case files; prepare reports for leadership and oversight bodies; ensure regulatory compliance.
• Deliver training to facility staff on mental health, safe release, and vulnerable populations; collaborate with external agencies for reintegration.
• Performs other related duties as required.

Skills

Interpersonal communication

Healthcare systems knowledge

Organization & detail

EHR proficiency

Written & verbal communication

Office software

Work under pressure

Education

High school diploma

1 year medical case management or correctional healthcare

BLS/First Aid & CPR Certification

Tools

Microsoft Office Suite

Job description

Supervisory Responsibilities

None

Duties/Responsibilities

• Evaluate patients' medical and mental health needs through interviews, clinical reviews, and record analysis. Develop and monitor individualized care plans, including treatment goals, service referrals, and discharge planning.
• Liaise with in-house medical staff, external hospitals, and specialty providers to ensure continuity of care. Review and determine medical necessity of referrals and requests. Arrange continuity of care and safe release planning.
• Advocate for patients' health needs, ensuring access to necessary services and resources. Provide education to patients and staff on health conditions, treatment options, and self-care.
• Maintain accurate, confidential medical records and case files. Prepare and submit reports to facility leadership, oversight agencies, and stakeholders. Ensure compliance with healthcare regulations, facility policies, and legal requirements.
• Deliver training to facility staff on mental health, safe release, and special vulnerabilities. Collaborate with probation/parole officers, social workers, andcommunity organizations for reintegration support.
• Performs other related duties as required.

Position Core Competencies

• Problem Solving: Acts collaboratively in resolving problems. Ability to present solutions rather than just identifying problems. Can acknowledge when one does not know something and is willing to take personal responsibility for finding a solution.
• Team Building: Works well with others and helps build a cohesive working environment. Helps others learn and shares knowledge. Respects diversity of the workplace and individuals' unique characteristics.
• Communication: Able to appropriately express opinions in written and verbal form. Clear and articulate when speaking with an individual or group and using audience-appropriate language. Listens to others.
• Documentation: Written documentation is completed on required forms or using required formats without omissions.
• Effective Time Management: Organizes and prioritizes work by devoting adequate time and attention to individual tasks. Effectively plans meetings/keep appointments and multitask effectively.
• Attentive to Detail: Able to provide accurate and consistent work on a timely basis. Documents important to detail to ensure miscommunications are minimized.
• Accountability: Follows through on commitments and agreements. Demonstrated dependability. Taked responsibility for mistakes and missed deadlines. Communicated about progress on commitments.
• Stress Tolerance: Must be able to effectively handle stressful or adverse situations and work effectively under difficult conditions. Remains focused in spite of distractions and interruptions.
• Safety Consciousness: Maintains awareness of and acts to minimize the safety risk in one's environment.

Required Skills/Abilities

• Strong interpersonal and communication skills for working with diverse populations.
• Knowledge of healthcare systems, community resources, and correctional procedures.
• Excellent organizational, attention to detail, problem-solving, and crisis intervention abilities.
• Proficiency in electronic health record systems and reporting tools
• Excellent writtenand verbal communication skills.
• Proficient in Microsoft Office Suite or similar software.
• Ability to work under pressure, and teamwork orientation.

Education, Credentials, and Experience

• High school diploma or equivalent
• One year experience in medical case management, correctional healthcare, or similar high-security environments. Demonstrates ability to work under pressure, manage multiple cases, and maintain confidentiality.
• BLS/First Aid & CPR Certified

Physical Requirements

• May be required to travel between multiple facilities and work Monday-Friday.
• Involves working with diverse populations and handling emotionally challenging situations.
• Collaboration with internal staff, external agencies, and legal entities is common.
• Must be able to lift a minimum of 20 pounds at a time.
• Must be able to react quickly and appropriately in emergency situation.
• Must be able to identify and minimize safety risks within the environment whenever possible.