RN Case Manager

Giving Home Health Care; Albuquerque (NM); Hybrid; USD 80,000 - 100,000; Full time

Benefits offered by this job

Health, Dental, and Vision Insurance

401(k) with company matching

PTO, holidays, and birthday off

Tuition reimbursement program

$100 monthly cell phone reimbursement

Monthly in-office lunches for events

Job summary

A home health care provider is seeking a skilled Registered Nurse in Albuquerque, NM, to review clinical documentation, perform supervisory visits, and support patient care coordination. Candidates must have an active RN license and at least 3 years of nursing experience, preferably in home health. The role requires strong organizational skills, the ability to mentor interdisciplinary staff, and proficient use of EMR systems. A comprehensive benefits package is offered, including health insurance and a 401(k) plan.

Qualifications

• Active RN license in the state of practice required.
• 3+ years experience in home health or case management preferred.
• Knowledge of DOL/EEOICPA guidelines is a plus.
• Organizational and critical thinking skills needed.
• Ability to mentor interdisciplinary staff is essential.

Responsibilities

• Review Plans of Care and clinical documentation for accuracy.
• Perform supervisory visits for patients without an assigned nurse.
• Collaborate with Care Team Directors regarding patient needs.
• Serve as a clinical resource for Care Team Directors and Patient Coordinators.

Skills

Organizational skills

Critical thinking

Mentorship

Clinical education

Communication

Education

Active Registered Nurse (RN) license

BSN (Bachelor of Science in Nursing)

3+ years nursing experience

Tools

EMR systems

IGEA

Job description

Job Overview

Giving Home Health Care is a leading provider of personalized in‑home care services across Arizona, Colorado, Kentucky, Missouri, Nevada, New Mexico, Tennessee, Texas, and Utah. We support individuals impacted by health conditions related to their work in nuclear facilities for the Department of Energy.

Pay

Base pay range: $80,000.00/yr – $100,000.00/yr. Actual pay is based on skills and experience.

Responsibilities

• Review Plans of Care (POCs), letters of medical necessity (LMNs), and clinical documentation for accuracy and compliance.
• Review and sign monthly case management (CM) notes.
• Perform regular spot checks of nurse charting to ensure accuracy, compliance, and consistency.
• Complete supervisory visits for patients without an assigned nurse and for patients assigned to an LPN.
• Complete T1001 for patients without an assigned nurse and for patients assigned to an LPN, including mid‑auth increases or 50% of patient census.
• Collaborate with Care Team Directors and DON regarding patient clinical needs, staffing alignment, and escalation of red‑flag cases.
• Notify physicians and interdisciplinary team of patient change in condition.

Patient & Care Team Support

• Serve as a clinical resource for Care Team Directors and Patient Coordinators to resolve complex cases.
• Support Directors in reviewing nurse and HHA utilization to ensure proper allocation of hours.
• Meet with patient/family regarding utilization of care plan.
• Participate in patient/family meetings when escalations require clinical involvement.

Qualifications

• Active Registered Nurse (RN) license in the state of practice (BSN preferred).
• 3+ years nursing experience; home health, case management, or clinical leadership experience strongly preferred.
• Knowledge of DOL/EEOICPA guidelines and home health regulations a plus.
• Strong organizational and critical thinking skills.
• Ability to provide mentorship and clinical education to interdisciplinary staff.
• Proficient in EMR systems; experience with IGEA preferred.

Competencies

• Patient‑Centered Approach
• Collaboration & Communication
• Clinical Judgment
• Compliance & Regulatory Awareness
• Attention to Detail

Work Environment

• Office‑based with travel to patient homes as needed.
• Requires flexibility to attend team meetings, case conferences, and urgent patient visits.

Benefits

• Health, Dental, and Vision Insurance.
• 401(k) with company matching program.
• PTO, holidays, and birthday off.
• Company‑paid STD and LTD.
• Tuition reimbursement program.
• $100 monthly cell phone reimbursement.
• Monthly in‑office lunch for birthdays, anniversaries, and events.

Equal Opportunity Employer

Giving Home is an equal opportunity employer. We do not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, or any other protected characteristic under applicable law. Our employment practices are designed to provide equal opportunity at all stages of employment, including hiring, promotion, training, compensation, and termination.

EEO Statement

Giving Home is dedicated to fostering an inclusive and equitable work environment. We adhere to all applicable federal, state, and local pay transparency laws to ensure fair compensation practices.

We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.

18% Annual MIP