RN Case Manager IV

3 weeks ago


Albuquerque, New Mexico, United States Presbyterian Healthcare Services Full time
Job Summary

We are seeking a highly skilled RN Case Manager IV to join our team at Presbyterian Healthcare Services. As a key member of our care coordination team, you will be responsible for providing clinically-based case management to support the delivery of effective and efficient patient care.

Key Responsibilities
  • Integrate utilization management, care coordination, and transition planning functions to ensure seamless patient care.
  • Develop and implement effective care plans to meet patients' needs, manage length of stay, and promote efficient resource utilization.
  • Collaborate with the interdisciplinary team to support physicians in facilitating patient care, enhancing quality of patient outcomes, and promoting patient satisfaction.
  • Provide timely and accurate information to payers to ensure optimal reimbursement.
Requirements
  • Registered Nurse with a Master's degree in nursing (MSN) and five years of utilization review or case management experience, or a Registered Nurse with a Bachelor's degree in nursing (BSN) and ten years of utilization review or case management experience.
  • Current State of New Mexico Registered Nurse licensure required.
  • Two years of clinical nursing experience in a relevant clinical practice area.
  • National Case Management certification preferred.
Benefits

As a Presbyterian Healthcare Services employee, you will have access to a comprehensive benefits package, including:

  • Competitive salary and benefits package.
  • Opportunities for professional growth and development.
  • A fun, engaging, and unique wellness program.
  • A commitment to an inclusive and equitable environment.
About Presbyterian Healthcare Services

Presbyterian Healthcare Services is a locally owned, not-for-profit healthcare system committed to improving the health of patients, members, and the communities we serve. We are a statewide health plan and a growing multi-specialty medical group, with a strong focus on patient-centered care and community engagement.



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