RN Case Manager - Inpatient Care Coordination

Presbyterian System Services; Albuquerque (NM); On-site; USD 70,000 - 90,000; Full time

Benefits offered by this job

Tuition reimbursement

Certification reimbursement

Sign-on bonus

Relocation assistance

Well-being program

Job summary

Presbyterian Healthcare Services in Albuquerque, NM, is seeking an experienced RN Case Manager to support high‑quality, patient‑centered care through clinically based case management. You will coordinate utilization management, discharge planning, and safe transitions across the continuum of care, partnering with physicians, patients, families, payers and post‑acute providers.

The role emphasizes collaboration, documentation excellence, and continual professional development; a sign‑on bonus and

Qualifications

• Active New Mexico RN license required.
• ADN required; BSN preferred or to be obtained within 5 years.
• 2 years clinical nursing experience with utilization review or case management desirable.
• National Case Management certification preferred.

Responsibilities

• Manage a designated caseload across the continuum of care.
• Coordinate utilization management and status determination.
• Lead discharge planning and care transitions.
• Collaborate with interdisciplinary teams during rounds and conferences.
• Maintain accurate and timely documentation and support performance improvement.

Skills

Case management

RN licensure NM

Utilization review

Discharge planning

Education

Associate Degree in Nursing

BSN within 5 years

NM RN license

Job description

Location Address:1100 Central Ave SE Albuquerque, NM 87106-4930Compensation Pay Range:Minimum Offer $0.00 Maximum Offer $0.00Summary:Make a meaningful impact at Presbyterian Hospital. We are seeking an experienced RN Case Manager to support high-quality, patient-centered care through clinically based case management. This role integrates utilization management, care coordination, and transition planning to ensure patients receive the right care at the right time.How you grow, learn and thrive matters here.• Educational and career development options, including tuition and certification reimbursement, scholarship opportunities• Staff Safety (a wearable badge that allows nurses to quickly and discreetly call for help when safety is a concern)• Differentials for night/weekend shifts, higher education, certifications and various lead roles (for eligible positions)• Malpractice liability insurance• Loan forgiveness through the New Mexico Higher Education Department• EPIC electronic charting systemType of Opportunity: Full time FTE: 1.00 Job Exempt: No Work Shift: Days (United States of America)Responsibilities:As an RN Case Manager, you will manage a designated caseload, collaborating with an interdisciplinary team to optimize length of stay, coordinate discharge planning, and support safe transitions across the continuum of care. You will partner with physicians, patients, families, payers, and post-acute providers to improve outcomes, enhance patient satisfaction, and reduce barriers to discharge.Manage Patient Caseloads Across the Continuum of Care - Conduct comprehensive assessments, identify barriers to discharge, and ensure patients receive the right care at the right time from admission through transition.Coordinate Utilization Management and Status Determination - Apply approved clinical criteria to monitor admissions and continued stay, collaborate with providers on medical necessity documentation, and escalate cases as appropriate.Lead Discharge Planning and Care Transitions - Develop and coordinate individualized discharge plans, arrange post-acute services, and ensure timely, safe transitions to prevent delays and reduce readmissions.Collaborate with Interdisciplinary Teams - Partner with physicians, nursing, social work, and ancillary services through daily rounds, care conferences, and complex case discussions to optimize length of stay and patient outcomes.Drive Quality, Communication, and Documentation Excellence - Maintain accurate, timely documentation; communicate effectively with patients, families, and payers; and contribute to performance improvement and professional development initiatives.Sign-on bonus & relocation available for qualified candidates.Type of Opportunity: Full Time and Part Time positions availableWork Schedule: Days - 4 days/10 hour or 5 days/8 hoursWeekend requirement of 2 days per monthPresbyterian Hospital - on-siteQualifications:RN IMM Case Management IAssociates Degree in nursing required.*BSN within 5 years of hire date.Current State of New Mexico Registered Nurse licensure required.2 years clinical nursing experience in relevant clinical practice area with utilization review or case management experience desirable.National Case Management certification preferredRN IMM Case Management IIRegistered Nurse with Bachelors of Science in nursing (BSN) degree or Registered Nurse with Associates degree in nursing (ADN) plus five years utilization review or case management experience required.BSN to be obtained within 5 years of hire date.Current State of New Mexico Registered Nurse licensure required.2 years adult bedside experience required.National Case Management certification preferred RN IMM Case Management IIIBachelors degree in nursing plus 5 years utilization review or case management experience required; or Masters degree in Nursing.Current State of New Mexico Registered Nurse licensure required.2 years adult bedside experience required.National Case Management certification preferred.RN IMM Case Management IVMasters degree in nursing plus 5 years utilization review or case management experience required; or Bachelors degree in nursing plus 10 years utilization review or case management experience required.Current State of New Mexico Registered Nurse licensure required.2 years adult bedside experience required.National Case Management certification preferredWe're all about well-being, starting with yours.Presbyterian employees have access to a fun, engaging and unique wellness program, including free on-site and community-based gyms, nutrition coaching and classes, mindfulness and meditation resources, wellness challenges and more.Learn more about our employee benefits.About Presbyterian Healthcare ServicesPresbyterian exists to improve the health of patients, members, and the communities we serve. We are locally owned, not-for-profit healthcare system of nine hospitals, a statewide health plan and a growing multi-specialty medical group. Founded in New Mexico in 1908, we are the state's largest private employer with nearly 14,000 employees - including more than 1600 providers and nearly 4,700 nurses.Our health plan serves more than 580,000 members statewide and offers Medicare Advantage, Medicaid (Centennial Care) and Commercial health plans.AA/EOE/VET/DISABLED. PHS is a drug-free and tobacco-free employer with smoke free campuses.Compensation DisclaimerThe compensation range for this role takes into account a wide range of factors, including but not limited to experience and training, internal equity, and other business and organizational needs.We're Determined to Support New Mexico's Well-Being | Presbyterian Healthcare Services