Medical Case Management Lead

7 days ago


Farmington, New Mexico, United States Presbyterian Healthcare Services Full time
About the Role

We are seeking a skilled Medical Case Management Lead to join our team at Presbyterian Healthcare Services. As a key member of our case management team, you will be responsible for implementing, coordinating, and monitoring strategies for members and families to improve health and quality of life outcomes.

Your primary goal will be to develop, document, and implement plans which provide appropriate resources to address social, physical, mental, emotional, spiritual, and supportive needs. You will act as an advocate for member's care needs by identifying and addressing gaps in care.

Key Responsibilities:

  • Implement, coordinate, and monitor strategies for members and families to improve health and quality of life outcomes
  • Develop, document, and implement plans which provide appropriate resources to address social, physical, mental, emotional, spiritual, and supportive needs
  • Act as an advocate for member's care needs by identifying and addressing gaps in care
  • Measure the effectiveness of interventions as identified in the member's care plan

Requirements:

  • Masters Degree & 1 years exp, Bachelors Degree & 2 years exp, Associates Degree & 3 years exp, 6 years of exp may be utilized in lieu of other education reqs.
  • Must have a valid driver license, clean driving record, and able to travel locally
  • Business management skills to include, but not limited to, cost/benefit analysis, negotiation, and cost containment
  • Knowledge of referral coordination to community & private/public resources


  • Farmington, New Mexico, United States OneStaff Medical Full time

    Job Overview: OneStaff Medical is seeking a skilled travel nurse to fill a challenging position as a Case Management RN in Farmington, New Mexico. This role involves coordinating long-term care for patients and ensuring they receive the best possible treatment outside of hospital settings.Key Responsibilities: As a Case Management Nurse, you will work with...


  • Farmington, New Mexico, United States SAN JUAN REG MC Full time

    About San Juan Reg MCSan Juan Reg MC, a leading healthcare provider, is seeking a highly skilled Case Manager to join their team. As a trusted partner in the medical field, we strive to deliver exceptional care and services to our patients.Job SummaryWe are looking for a dedicated and compassionate Case Manager to work with our team. The ideal candidate will...


  • Farmington, New Mexico, United States OneStaff Medical Full time

    Company Overview">We are OneStaff Medical, a leading provider of travel nursing services. Our mission is to deliver exceptional care and support to our traveling professionals while they explore new destinations and experiences.">About Us">We pride ourselves on building long-lasting relationships with our healthcare professionals and providing them with a...


  • Farmington, New Mexico, United States Fusion Medical Staffing Full time

    Travel RN Case Manager at Fusion Medical Staffing summary:The Travel RN Case Manager provides critical patient care and case management services in a travel nursing role, collaborating with healthcare teams to ensure effective healthcare delivery. This position requires strong interpersonal skills, the ability to manage patient care coordination, and...

  • RN - Case Manager

    6 days ago


    Farmington, New Mexico, United States San Juan Regional Medical Ctr Full time

    DetailsClient Name San Juan Regional Medical Ctr Job Type Travel Offering Nursing Profession RN Specialty Case Manager Job ID 31295718 Job Title RN - Case Manager Weekly Pay $2046.0 Shift DetailsShift 8H Days Scheduled Hours 40 Job Order DetailsStart Date 04/14/2025 End Date 07/14/2025 Duration 13 Week(s) Job Description GetMed Staffing is searching for a...


  • Farmington, New Mexico, United States Fusion Medical Staffing Full time

    Job Summary: We are seeking a skilled Healthcare Coordination Specialist to join our team. As a Travel Nursing Case Manager, you will provide critical patient care and case management services in a travel nursing role. Collaborating with healthcare teams, you will ensure effective healthcare delivery by coordinating patient care, managing utilization review...

  • Case Manager

    3 weeks ago


    Farmington, New Mexico, United States Molina Healthcare Full time

    **New Mexico residents preferred. Qualified candidate must reside and must be willing to travel in McKinley County and San Juan County NEW MEXICO.JOB DESCRIPTIONJob SummaryMolina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the...


  • Farmington, New Mexico, United States Fusion Medical Staffing Full time

    Company OverviewFusion Medical Staffing is a healthcare staffing agency that specializes in providing medical professionals with flexible and rewarding career opportunities. We believe that by taking care of our employees, we can provide the best possible care for our patients.Job DescriptionWe are currently seeking a skilled Registered Nurse to join our...

  • Registered Nurse

    6 days ago


    Farmington, New Mexico, United States Fusion Medical Staffing Full time

    Job Requirements: This position requires a highly skilled and compassionate Registered Nurse with experience in case management and utilization review. The ideal candidate will have strong critical thinking and problem-solving skills, excellent communication and interpersonal skills, and the ability to work effectively in a fast-paced environment. A valid RN...


  • Farmington, New Mexico, United States GQR Healthcare Full time

    GQR Healthcare is a leading provider of healthcare staffing solutions, seeking experienced Case Managers to join their team. As a travel nurse case manager with GQR Healthcare, you will have the opportunity to work with a well-established health system, providing exceptional care to patients in need.About GQR HealthcareAt GQR Healthcare, we are committed to...


  • Farmington, New Mexico, United States Fusion Medical Staffing Full time

    Facility DetailsBelow, you will find a complete breakdown of everything required of potential candidates, as well as how to apply Good luck.Facility: Please Contact for facility infoJob DetailsStarts: 04/14/2025Assignment Length: 13Shift: DaysCall Off Policy: Guaranteed 36 hours per weekJob Quantity: 1Type: TravelJob Description Interested in making a...


  • Farmington, New Mexico, United States Fusion Medical Staffing Full time

    Facility DetailsFacility: Please Contact for facility infoJob DetailsStarts: 04/14/2025Assignment Length: 13Shift: DaysCall Off Policy: Guaranteed 36 hours per weekJob Quantity: 1Type: TravelJob Description Interested in making a positive impact? You've come to the right place. At Fusion Medical Staffing, our goal is to improve the lives of everyone we...


  • Farmington, New Mexico, United States Host Healthcare Full time

    Host Healthcare is a leading travel healthcare company offering a rewarding opportunity for a Registered Nurse - Case Management in Farmington, NM.About the Role:We are seeking an experienced and skilled RN to join our team as a Case Manager. As a Case Manager, you will be responsible for coordinating patient care and ensuring seamless transitions between...


  • Farmington, New Mexico, United States OneStaff Medical Full time

    Job Responsibilities">As a Case Management Nurse, your primary responsibilities will include:">">Coordinating long-term care for patients">Working closely with insurance companies to secure optimal treatment plans">Collaborating with healthcare teams to develop personalized care plans">">Benefits of Working with Insurance Companies">Our team has extensive...

  • Travel Case Manager

    18 hours ago


    Farmington, New Mexico, United States Supplemental Health Care Full time

    As a seasoned travel nurse, you will have the opportunity to work in various healthcare settings, collaborating with multidisciplinary teams to provide exceptional patient care. At Supplemental Health Care, we believe that our case management registered nurses are essential to delivering high-quality outcomes.About the Job12 hour shifts, days...


  • Farmington, New Mexico, United States Fusion Medical Staffing Full time

    Job SummaryFusion Medical Staffing is seeking a skilled Registered Nurse to join our team as a Case Manager. As a Case Manager, you will be responsible for coordinating patient care with other healthcare professionals and ensuring that each patient receives the highest level of quality care.ResponsibilitiesDevelop and implement individualized patient care...


  • Farmington, New Mexico, United States Fusion Medical Staffing Full time

    About UsFusion Medical Staffing is a dynamic and innovative healthcare staffing agency that connects medical professionals with rewarding job opportunities. Our goal is to improve the lives of everyone we touch, and we're always looking for talented individuals like you to join our mission.Job SummaryWe're seeking a skilled Registered Nurse to join our team...


  • Farmington, New Mexico, United States HealthCare Traveler Jobs Full time

    About the JobThis Case Management RN position is available now at Host Healthcare, a leading travel healthcare company. As a member of our team, you will work closely with patients and their families to coordinate care and services, ensuring a smooth transition between healthcare settings.What Sets Us ApartAt Host Healthcare, we pride ourselves on providing...

  • RN Case Manager

    5 days ago


    Farmington, New Mexico, United States AMN Healthcare Full time

    Job Details POSITION SUMMARY - RN Case Manager - Utilization Management POSITION DUTIES - Utilization Review / Care Coordination / Continuum of Care / Discharge Planning / Patient Focus and Care Plans MINIMUM REQUIRED QUALIFICATIONS - NM/compact RN license AHA BLS 5 years acute hospital case management experience Recent Utilization Review, InterQual,...


  • Farmington, New Mexico, United States GQR Healthcare Full time

    GQR Healthcare is seeking a travel nurse case manager to join their team in Farmington, New Mexico. As a registered nurse with experience in Case Management, you will have the opportunity to work with a well-established health system, providing exceptional care to patients in need.About GQR HealthcareWe offer a comprehensive benefits package, including...