RN Case Manager Inpatient — Rio Rancho, NM at

About the Team

Presbyterian Healthcare Services is a locally owned, not-for-profit healthcare system founded in New Mexico in 1908. As the state's largest private employer, we operate nine hospitals, a statewide health plan, and a growing multi-specialty medical group. Our mission is to improve the health of patients, members, and the communities we serve. The Care Coordination Department at Presbyterian Rust Medical Center is dedicated to delivering effective and efficient patient care through clinically-based case management.

About the Role

The RN Case Manager serves as a vital link in the patient care journey, integrating utilization management, care coordination, and transition planning. You will have overall accountability for a designated caseload, working to meet patient needs while managing length of stay and promoting the efficient use of resources. In collaboration with an interdisciplinary team, you will support physicians in facilitating care with the objective of enhancing quality outcomes and patient satisfaction while managing costs and providing timely information to payers.

This role is designed for those who want to make a difference. You will interview and assess patients within 48 hours of admission to define discharge plans, manage expectations, and identify barriers to care. Your day will involve participating in multidisciplinary rounds, educating patients and families on post-acute care options, and coordinating complex discharge needs to ensure continuity of care. You will also act as a mentor and resource to less experienced staff, fostering professional growth within the department.

Hiring Process

To apply, please submit your application through our careers portal. The interview process typically involves a review of your qualifications followed by an interview with the hiring manager to discuss your experience in case management and utilization review. We are committed to finding the right fit for our team and our patients.

Our Culture and Commitment

We believe that how you grow, learn, and thrive matters. Presbyterian offers a supportive environment with educational and career development options, including tuition and certification reimbursement. We prioritize staff safety with innovative tools like wearable badges for discreet assistance and offer a comprehensive wellness program featuring free on-site and community-based gyms, nutrition coaching, and mindfulness resources.

Presbyterian Healthcare Services is an Equal Opportunity Employer. We are a drug-free and tobacco-free employer with smoke-free campuses and consider qualified applicants regardless of background. We are determined to support New Mexico's well-being, starting with our own employees.

Work location

Work model: On-site

Unser Boulevard, Rio Rancho, Sandoval County, New Mexico, 87124, United States

Rio Rancho, New Mexico

Key Responsibilities

check_circleParticipate in multidisciplinary rounds to address length of stay and mitigate overutilization
check_circleFacilitate patient and provider care conferences to ensure continuity of care
check_circleInterview and assess patients within 48 hours of admission to define discharge plans and identify readmission risks
check_circleCommunicate medical necessity documentation to physicians and elevate non-compliant cases to the Medical Director
check_circleApply clinical criteria to monitor admission appropriateness and manage length of stay
check_circleEducate patients and families regarding post-acute care options and care coordination services
check_circleIdentify complex psychosocial issues and refer patients to Social Workers as appropriate
check_circleDocument assessments, status assignments, and interventions in the medical record according to policy

Requirements

verifiedAssociates Degree in nursing required
verifiedBSN within 5 years of hire date
verifiedCurrent State of New Mexico Registered Nurse licensure required
verified2 years clinical nursing experience in relevant clinical practice area
verifiedNational Case Management certification preferred

Nice to Have

National Case Management certification. Utilization review or case management experience.

Benefits & Perks

check_circleTuition and certification reimbursement with scholarship opportunitiescheck_circleStaff Safety wearable badge for discreet emergency assistancecheck_circleShift differentials for night/weekend shifts, higher education, and certificationscheck_circleMalpractice liability insurance coverageLoan forgiveness through the New Mexico Higher Education Department

Skills, education and keywords

Skills: Case Management, Utilization Review, Epic, Registered Nurse Licensure, National Case Management Certification.

Education: Associates Degree in nursing required; BSN required within 5 years of hire date; Masters degree in Nursing required for level IV.

Frequently asked questions about RN Case Manager Inpatient - Care Coordination at Presbyterian Healthcare Services

What does a RN Case Manager Inpatient - Care Coordination at Presbyterian Healthcare Services do?expand_more

In this RN Case Manager Inpatient - Care Coordination at Presbyterian Healthcare Services role, you will participate in multidisciplinary rounds to address length of stay and mitigate overutilization; facilitate patient and provider care conferences to ensure continuity of care; interview and assess patients within 48 hours of admission to define discharge plans and identify readmission risks; and communicate medical necessity documentation to physicians and elevate non-compliant cases to the medical director.

What are the requirements for this RN Case Manager Inpatient - Care Coordination role?expand_more

To qualify for the RN Case Manager Inpatient - Care Coordination at Presbyterian Healthcare Services position, applicants should have: 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; and National Case Management certification preferred.

Where is the RN Case Manager Inpatient - Care Coordination role at Presbyterian Healthcare Services located?expand_more

RN Case Manager Inpatient - Care Coordination at Presbyterian Healthcare Services is based in Unser Boulevard, Rio Rancho, Sandoval County, New Mexico, 87124, United States. This is a on-site role.

Is this RN Case Manager Inpatient - Care Coordination job remote, hybrid, or on-site?expand_more

Presbyterian Healthcare Services has listed this RN Case Manager Inpatient - Care Coordination role as on-site.

How much experience is required for this RN Case Manager Inpatient - Care Coordination role?expand_more

RN Case Manager Inpatient - Care Coordination at Presbyterian Healthcare Services typically requires 2+ years of relevant experience at the mid level level.

What skills do you need for the RN Case Manager Inpatient - Care Coordination role at Presbyterian Healthcare Services?expand_more

Key skills for RN Case Manager Inpatient - Care Coordination at Presbyterian Healthcare Services include Case Management; Utilization Review; Epic; Registered Nurse Licensure; and National Case Management Certification.

What education is required for RN Case Manager Inpatient - Care Coordination at Presbyterian Healthcare Services?expand_more

Educational requirements for this role: Associates Degree in nursing required; BSN required within 5 years of hire date; and Masters degree in Nursing required for level IV.

What category does the RN Case Manager Inpatient - Care Coordination role belong to?expand_more

RN Case Manager Inpatient - Care Coordination at Presbyterian Healthcare Services is part of the healthcare & nursing job category on Recrutus.

RN Case Manager Inpatient - Care Coordination