Registered Nurse Case Manager

Clinical Management Consultants; Albuquerque (NM); On-site; USD 75,000 - 95,000; Full time

Job summary

Clinical Management Consultants presents a Registered Nurse Case Manager opportunity at a 25-bed rural critical access community hospital in Grants, New Mexico. The role emphasizes patient advocacy, clinical leadership, and technology-enabled care coordination in a close-knit setting where nurses can influence care quality and resource stewardship.

You will collaborate with bedside staff, physicians, social workers, and payers to review admissions, determine medical necessity, plan discharges,

Responsibilities

• Review admissions and continued stays to evaluate medical necessity.
• Coordinate discharge needs and safe transitions of care with multidisciplinary teams.
• Support documentation integrity and communicate payer requirements to prevent delays.

Job description

In 2026, the Registered Nurse Case Manager opportunity pairs meaningful patient advocacy, visible leadership support, technology-enabled coordination, professional growth, and an authentic quality of life at a 25-bed critical access community hospital offering personalized medical services and a hometown approach to patients.

The Registered Nurse Case Manager will join a community-focused medical center where experienced nurses can make a direct, visible impact on care quality, resource stewardship, and patient experience. The hospital’s close-knit scale encourages professional autonomy, accessible collaboration, and meaningful connections with patients and families, while practical digital workflows and clinical information tools support—rather than replace—sound nursing judgment. For professionals exploring hospital careers or nursing jobs with a strong sense of purpose, this organization offers the opportunity to contribute beyond a narrow job description.

Within Case Management, the Registered Nurse Utilization Review professional will help connect clinical care, medical necessity, payer requirements, discharge planning, and safe transitions across the continuum. Working in a 25-bed critical access community hospital in Grants, New Mexico, the RN will gain broad exposure to the operational and clinical realities of rural healthcare while supporting personalized medical services and the hospital’s hometown approach to patients. The Case Management and Utilization Review environment is especially attractive to a nurse who values varied responsibilities, direct communication, and the ability to strengthen outcomes for patients who may face complex medical, social, transportation, or post-acute care needs.

The Registered Nurse Case Manager will operate within the hospital’s case management leadership structure and collaborate closely with bedside nurses, physicians, advanced practice providers, social work, rehabilitation professionals, pharmacy, ancillary departments, post-acute partners, patients, families, and payers. Day-to-day responsibilities may include reviewing admissions and continued stays, evaluating medical necessity, coordinating discharge needs, supporting documentation integrity, communicating payer requirements, helping prevent avoidable delays, and promoting compliant, patient-centered transitions of care. This collaborative model allows the RN Utilization Review specialist to resolve barriers earlier, improve workflow coordination, and give clinical teams clearer support throughout the patient journey.

For an experienced Registered Nurse Case Manager, this position can become a meaningful next step toward deeper expertise in utilization management, care coordination, quality improvement, regulatory readiness, and healthcare operations. The role offers room to strengthen interdisciplinary influence, contribute to process-improvement initiatives, share knowledge with clinical colleagues, and develop capabilities relevant to future case management, utilization review, education, quality, or nursing leadership opportunities. Candidates may also explore available professional development, continuing education, certification support, and internal advancement resources during the recruitment process.

Living and working in western New Mexico gives the Registered Nurse Utilization Review professional access to a distinctive high-desert landscape shaped by Mount Taylor, El Malpais National Monument, El Morro, ancient cultural sites, open skies, and memorable hiking and weekend road trips. The region suits healthcare professionals who appreciate smaller communities, outdoor access, and a more personal pace of life; candidates should also be comfortable with rural distances and occasional travel for metropolitan amenities. Albuquerque and its internationally known annual Balloon Fiesta provide an accessible cultural getaway, while nearby communities offer Native American arts, regional cuisine, local events, and a strong connection to Southwestern history.

The Registered Nurse Case Manager will receive competitive compensation and access to the hospital’s comprehensive benefits package, with specific total-rewards details provided during the recruitment process.