RN - Case Manager - Care Coordination Specialist

4 weeks ago


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

The Case Manager I provides clinically-based case management to support the delivery of effective and efficient patient care. This role integrates utilization management, care coordination, and transition planning functions. The Case Manager I has overall accountability for a designated case load and plans effectively to meet patients' needs, manage the length of stay, and promote efficient utilization of resources. In collaboration with the interdisciplinary team, the Case Manager I supports the physician in facilitating patient care with the objective of enhancing the quality of patient outcomes and patient satisfaction while managing the cost of care and providing timely and accurate information to payers.

Responsibilities:

* Provides clinically-based case management to support the delivery of effective and efficient patient care
* Integrates utilization management, care coordination, and transition planning functions
* Has overall accountability for a designated case load and plans effectively to meet patients' needs, manage the length of stay, and promote efficient utilization of resources
* Collaborates with the interdisciplinary team to support the physician in facilitating patient care

Requirements:

* Registered Nurse with Associates Degree required and to obtain BSN within 5 years of hire date
* Current State of New Mexico Registered Nurse licensure required
* Two years clinical nursing experience in relevant clinical practice area with utilization review or case management experience desirable
* National Case Management certification preferred

About Presbyterian Healthcare Services:

Presbyterian exists to improve the health of patients, members, and the communities we serve. We are a locally owned, not-for-profit healthcare system comprised of nine hospitals, a statewide health plan, and a growing multi-specialty medical group. Founded in New Mexico in 1908, we are the state's largest private employer with nearly 13,000 employees - including more than 1,200 providers and nearly 3,500 nurses.

Benefits:

Learn more about our employee benefits.

Presbyterian Healthcare Services is an Equal Opportunity Employer:

AA/EOE/VET/DISABLED. PHS is a drug-free and tobacco-free employer with smoke-free campuses.

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