Interim RN Case Management Director — Lead Care Transitions

Clinical Management Consultants; New Mexico; On-site; USD 120,000 - 170,000; Full time

Job summary

Clinical Management Consultants is seeking an Interim Nurse Director of Case Management for a 25-bed nonprofit community hospital in Southeast New Mexico. The role focuses on clinical leadership, care coordination, and improving patient outcomes within a patient-first culture.

The incumbent will oversee case management, utilization management, and care transitions, guiding staff, ensuring regulatory compliance, and fostering collaboration across disciplines to support Medicare/Medicaid adherence

Qualifications

• Current RN license and leadership experience in case management.
• Experience with utilization management and care coordination.
• Familiarity with EHR documentation and regulatory compliance.

Responsibilities

• Develop and evaluate departmental processes.
• Support regulatory compliance and utilization management.
• Monitor quality, utilization, and staffing levels.
• Mentor Case Management staff and coordinate care transitions.
• Collaborate with physicians, nurses, social workers, and insurers.

Skills

Nurse leadership

Case management

Interdisciplinary collaboration

Regulatory compliance

Education

RN licensure

Tools

MCG

InterQual

Job description

Clinical Management Consultants is seeking an Interim Nurse Director of Case Management for a 25-bed nonprofit community hospital in Southeast New Mexico. The role focuses on clinical leadership, care coordination, and improving patient outcomes within a patient-first culture.

The incumbent will oversee case management, utilization management, and care transitions, guiding staff, ensuring regulatory compliance, and fostering collaboration across disciplines to support Medicare/Medicaid adherence