RN CASE MANAGER

About the Role

The University of New Mexico Hospital is seeking dedicated Registered Nurses to join our Care Management Department. This position offers a unique opportunity to shape patient outcomes through strategic care coordination, discharge planning, and utilization management. Your application may be considered for any of our programs, and we will work with you to find the best fit for your skills and interests.

Inpatient Care Management

In this role, you will support patients throughout their inpatient stay, ensuring safe transitions to the next level of care when medically ready. You will maintain a patient ratio of 1:25-30, serving all age groups from newborns to seniors. Your day will involve attending daily multidisciplinary rounds and collaborating closely with providers, therapists, pharmacists, and social workers. This position is primarily in-person, with schedules typically running Monday through Friday, 8:00 AM to 4:30 PM. Weekend, PRN, and holiday availability are required, along with a mandatory on-call rotation of approximately 10 days per year.

Outpatient Care Management

Focusing on the outpatient clinic setting, this role facilitates care plans and manages the transition of care from acute settings to the home. You will assist with referrals for durable medical equipment, home healthcare, and hospice services, working to help patients remain at home and reduce hospital readmissions. You will collaborate with primary and specialty care providers, navigating multiple software systems including Cerner/Oracle PowerChart, Microsoft Excel, and electronic faxing. While primarily computer and phone-based, this role offers a hybrid model: after six months of employment and successful competency completion, you may work from home one day per week. Schedules are generally Monday through Friday, 8:00 AM to 4:30 PM, with no weekend or on-call requirements.

Utilization Management

This role supports the medical necessity and appropriateness of patient treatments through chart reviews and billing corrections. You will provide provider support, manage appeals and denials, and work directly with insurance payors to ensure proper payment for patient care. Interaction with patients is limited. This is primarily a remote work-from-home position following a successful onsite orientation. Schedules are typically Monday through Friday, 7:00 AM to 3:30 PM, with additional weekend and PRN availability and holiday rotations. Staff may be requested to attend in-person meetings or trainings as needed.

SRMC Care Management

Similar to the main hospital inpatient role, this position supports patient stays through care coordination and discharge planning on the SRMC campus. You will be assigned to specific units, maintaining a 1:25-30 patient ratio and attending daily multidisciplinary rounds alongside social work case managers and other clinical staff. The work is primarily in-person on the assigned unit. Schedules are typically Monday through Friday, 8:00 AM to 4:30 PM, with required weekend, PRN, and holiday coverage, as well as an on-call rotation of approximately 10 days per year.

Compensation & Benefits

We offer competitive compensation with shift differentials: 17% for weekday nights, 26% for weekend nights, and 15% for weekend days. Additional incentives include a sign-on bonus and relocation assistance. Compensation is based on factors including experience, education, and organizational considerations.

Application Process

To apply, please submit your resume and qualifications. We review applications holistically and will contact qualified candidates to discuss the specific program that best matches your background. Minimum qualifications include graduation from a nationally accredited nursing program, one year of directly related experience, a valid New Mexico RN license, and BLS certification. Preferred qualifications include a Bachelor of Science in Nursing and bilingual skills in Spanish or various Indigenous languages (Keres, Tewa, Tiwa, Towa, Zuni, or Navajo).