RN Case Manager - Inpatient Care Coordination

About the role

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 system Type of Opportunity: Full time FTE: 1.00 Job Exempt: No Work Shift: Days (United States of America)

Responsibilities

• Questions about this role? Schedule a call with a recruiter here .
• Sign-on bonus & relocation available for qualified candidates.
• Type of Opportunity: Full Time and Part Time positions available
• Work Schedule: Days - 4 days/10 hour or 5 days/8 hours
• Weekend requirement of 2 days per month
• Presbyterian Hospital - on-site
• 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.

Requirements

• RN IMM Case Management I
• Associates 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 preferred
• RN IMM Case Management II
• Registered 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.
• 2 years adult bedside experience required.
• RN IMM Case Management III
• Bachelors degree in nursing plus 5 years utilization review or case management experience required; or Masters degree in Nursing.
• National Case Management certification preferred.
• RN IMM Case Management IV
• Masters 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.
• We'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 Services
• Presbyterian exists to improve the health of patients, members, and the communities we serve. We are locally owned, not-for-pro

Benefits

Additional Information

Location Address: 1100 Central Ave SE Albuquerque, NM 87106-4930 Compensation Pay Range: Minimum Offer $34.68 Maximum Offer $52.95

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