RN Case Manager - In/Outpatient Care Coordination

Jobtome; Placitas (NM); On-site; USD 80,000 - 100,000; Full time

Benefits offered by this job

Sign-On Bonus Available

Relocation Assistance Available

Job summary

University of New Mexico Hospital is seeking an RN Case Manager for its Care Management Department to support inpatient and outpatient care coordination, discharge planning, and utilization management. Roles involve collaboration with a multidisciplinary team, referrals for DME, home health, hospice, and ensuring safe transitions from hospital to home or next level of care.

Most roles are weekdays with some weekend/on-call coverage; clinic and hospital settings require proficient use of EMR

Qualifications

• Education: Nursing program graduate.
• Experience: 1 year directly related experience.
• Licenses/certifications: RN in NM; CPR/BLS certifications; CAP III; on hire TB testing requirements.

Responsibilities

• Coordinate inpatient care, discharge planning, and safe transition to next level of care.
• Attend daily multidisciplinary rounds and collaborate with providers, therapists, and pharmacists.
• Assist referrals for DME, home health, hospice, and other care coordination needs in outpatient settings.
• Support medical necessity reviews, appeals/denials, and communication with payors in utilization management.

Skills

Care coordination

Discharge planning

Clinical assessment

Education

Nursing degree or diploma

Tools

PowerChart Cerner/Oracle EMR

Microsoft Excel

Microsoft Word

Electronic faxing/scanning system

Job description

University of New Mexico Hospital is seeking an RN Case Manager for its Care Management Department to support inpatient and outpatient care coordination, discharge planning, and utilization management. Roles involve collaboration with a multidisciplinary team, referrals for DME, home health, hospice, and ensuring safe transitions from hospital to home or next level of care.

Most roles are weekdays with some weekend/on-call coverage; clinic and hospital settings require proficient use of EMR