Current jobs related to RN Case Manager - Rio Rancho New Mexico, Sandoval County, NM - Presbyterian Healthcare Services
-
Rio Rancho, New Mexico, 87124, Sandoval County, NM, United States Presbyterian Healthcare Services Full timeOverview: Presbyterian is seeking a Medical Social Worker. In this role, you will work with patients who have complex psychosocial needs, require assistance with eligibility determination for social programs and funding sources and qualify for community assistance from a variety of special funds and agencies. In addition, offer crisis intervention to...
-
Travel Nurse
3 weeks ago
Rio Rancho, New Mexico, 87144, Sandoval County, NM, United States Epic Travel Staffing Full timeEpic Travel Staffing is hiring a Travel RN - Medical Surgical 5th floor 48's Shift: Nights, 7p-7:30a, 12x4, 48 hrs per week, Will also accept 36'sLength: 13 weeks Weekend REQ: possibly, depends on census and staff availability Requirements: NM License2 Years Experience BLSACLSNIH preferredPrevious Charge Experience preferredElectronic Documentation...
-
Unit Manager, RN
3 weeks ago
Gallup, New Mexico, 87301, McKinley County, NM, United States Red Rocks Full timeOverview: Red Rocks Center seeks a Full Time RN Unit Manager!Day Shift! Monday thru Friday with an on-call rotation! At Genesis Healthcare, we are dedicated to improving the lives we touch through the delivery of high-quality care and exceptional service. As a leading provider in the long-term care industry, we believe in fostering a collaborative, inclusive...
-
Unit Manager, RN
3 weeks ago
Belen, New Mexico, 87002, Valencia County, NM, United States Belen Meadows HC and Rehab Ctr Full timeOverview: Belen Meadows Healthcare and Rehabilitation seeks a full time Unit Manager At Genesis Healthcare, we are dedicated to improving the lives we touch through the delivery of high-quality care and exceptional service. As a leading provider in the long-term care industry, we believe in fostering a collaborative, inclusive and supportive work...
-
Unit Manager, RN
3 weeks ago
Belen, New Mexico, 87002, Valencia County, NM, United States Belen Meadows HC and Rehab Ctr Full timeOverview: Belen Meadows Healthcare and Rehabilitation seeks a full time Unit Manager $5,000 Retention Bonus now available! At Genesis Healthcare, we are dedicated to improving the lives we touch through the delivery of high-quality care and exceptional service. As a leading provider in the long-term care industry, we believe in fostering a collaborative,...
-
Clinical Reimbursement Coordinator, RN
3 weeks ago
Gallup, New Mexico, 87301, McKinley County, NM, United States Red Rocks Full timeOverview: Red Rocks Care Center seeks an experience MDS Coordinator! At Genesis Healthcare, we are dedicated to improving the lives we touch through the delivery of high-quality care and exceptional service. As a leading provider in the long-term care industry, we believe in fostering a collaborative, inclusive and supportive work environment where every...
-
Travel RN Case Manager
3 weeks ago
Syracuse, New York, 13210, Onondaga County, NY, United States Fusion Medical Staffing Full timeFacility DetailsFacility: Please Contact for facility infoJob DetailsStarts: 03/10/2025Assignment Length: 16Shift: DaysCall Off Policy: Please Contact for InfoJob 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 touch,...
-
Travel RN Case Manager
3 weeks ago
Rome, New York, 13440, Oneida County, NY, United States Fusion Medical Staffing Full timeFacility DetailsFacility: Please Contact for facility infoJob DetailsStarts: 03/17/2025Assignment Length: 13Shift: DaysCall Off Policy: Please Contact for InfoJob 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 touch,...
-
Travel RN Case Manager
3 weeks ago
Derry, New Hampshire, 03038, Rockingham County, NH, United States Fusion Medical Staffing Full timeFacility DetailsFacility: Please Contact for facility infoJob DetailsStarts: 03/03/2025Assignment 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...
-
Travel RN Case Manager
3 weeks ago
Portsmouth, New Hampshire, 03801, Rockingham County, NH, United States Fusion Medical Staffing Full timeFacility DetailsFacility: Please Contact for facility infoJob DetailsStarts: 03/03/2025Assignment Length: 13Shift: DaysCall Off Policy: Guaranteed 36 hours per weekJob Quantity: 2Type: 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...
-
Travel RN Case Manager
3 weeks ago
Lebanon, New Hampshire, 03756, Grafton County, NH, United States Fusion Medical Staffing Full timeFacility DetailsFacility: Please Contact for facility infoJob DetailsStarts: ASAPAssignment Length: 13Shift: DaysCall Off Policy: Please Contact for InfoJob 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 touch, and...
-
Travel RN Case Manager
3 weeks ago
Portsmouth, New Hampshire, 03801, Rockingham County, NH, United States Fusion Medical Staffing Full timeFacility DetailsFacility: Please Contact for facility infoJob DetailsStarts: ASAPAssignment Length: 13Shift: DaysCall Off Policy: Guaranteed 36 hours per weekJob Quantity: 2Type: 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 touch,...
-
Travel Nurse RN
3 weeks ago
Espanola, New Mexico, Rio Arriba County, NM, United States ICONMA, L.L.C. Full timeWithin ICONMA's Healthcare and Clinical division, we offer more than just a job; we offer you a path to a rewarding career. Our team is comprised of highly specialized recruitment professionals who are passionate about the healthcare and clinical industry. We're not just recruiters; we're your advocates. Job Title: RN-OR Circulator Specialty ...
-
Travel Physical Therapist
3 weeks ago
Albuquerque, New Mexico, 87101, Bernalillo County, NM, United States Epic Travel Staffing Full timeEpic Travel Staffing is hiring a Travel - PT Home Health - Outpatient Shift: Days, 8a-4:30p, 8x5, 40hrs per week Length: 13 weeks Requirements: NM License1 Year Experience BLSMOAB Other Details: Charting: CernerFloat within scope to meet facility needs First-timers acceptedNo locals within 75 miles# of .Patients: 8-12 assignedCOVID vaccination required -...
-
Travel Physical Therapist
3 weeks ago
Albuquerque, New Mexico, 87101, Bernalillo County, NM, United States Epic Travel Staffing Full timeEpic Travel Staffing is hiring a Travel - PT Home Health - Acute Care Shift: Days / 8a-4:30p, 8x5, 40hrs per weekLength: 13 weeks Requirements: NM License1 Year Experience BLSMOAB Other Details: Locals accepted: (Y/N) What is the local radius rule? No locals within 75 milesWill clinician float within scope to meet facility needs? Yes MOAB Certification is...
-
Wound Care and Skin Health Team Lead, RN
4 weeks ago
Clovis, New Mexico, 88101, Curry County, NM, United States St. Anthony HC and Rehab Ctr Full timeOverview: St Anthony's Center seeks a Full Time Wound Care Coordinator! At Genesis Healthcare, we are dedicated to improving the lives we touch through the delivery of high-quality care and exceptional service. As a leading provider in the long-term care industry, we believe in fostering a collaborative, inclusive and supportive work environment where...
-
Travel Nurse RN
3 weeks ago
Socorro, New Mexico, Socorro County, NM, United States Convergence Medical Staffing Full timeJob , City: Socorro, State: New Mexico, Estimated Start , 12, 00:00:00-12:00:00, 12.00-3, Length of Contract (Days) : 91, Estimated Gross Pay: 0.00Convergence Medical Staffing is known for transparent communication, quick response, and personable service that helps travelers meet their professional and personal goals - contract after contract. The...
-
RN - Emergency Department - PRN
4 weeks ago
Ruidoso, New Mexico, 88345, Lincoln County, NM, United States Presbyterian Healthcare Services Full timeOverview: The Emergency Department RN is responsible for utilizing the nursing process to provide direct patient care to an assigned group of patients during a shift. Responsible for prioritizing the delivery of direct nursing care using time and resources efficiently integrating a standards-based framework model.Type of Opportunity: Per Required Need FTE:...
-
Financial Case Manager
3 weeks ago
CHERRY HILL , New Jersey ,, Camden County, NJ, United States The Recovery Village Cherry Hill Full timeOverview: We're looking for a passionate full-time Financial Case Manager, come join our recovery team in Cherry Hill, NJ!Pay Rate $23-24/HR Advanced Recovery Systems is an integrated behavioral healthcare management company dedicated to the treatment of addiction, substance abuse, and mental health issues. We put behavioral health front and center,...
-
Travel Nurse RN
3 weeks ago
Derry, New Hampshire, Rockingham County, NH, United States ACES Healthcare Staffing Full timeACES Healthcare Staffing is actively hiring for the following position: RN-Case Management in Derry,NH. Job Details/Requirements: Estimated Gross Weekly Pay: $2278 - $2516 Assignment Duration: 13 weeks Shift: 5x8 Days Weekly Guarantee: Start Date: 03/03/2025 ACES Benefits Weekly pay by direct deposit Highly competitive pay packages Concierge...
RN Case Manager
1 month ago
Presbyterian is seeking a RN Case Manager that will provide clinically-based case management to support the delivery of effective and efficient patient care. The role integrates utilization management, care coordination, and transition planning functions. The Case Manager has the overall accountability for a designated case load and plans effectively in order to meet patients needs, manage the length of stay, and promote efficient utilization of resources. In collaboration with the interdisciplinary team, the case manager 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.
Sign on and relocation bonuses available for qualified candidates.
How you grow, learn and thrive matters here.
- Educational and career development options, including tuition and certification reimbursement, scholarship opportunities
- Strongline Staff Safety (a wearable badge that allows nurses to quickly and discreetly call for help when safety is a concern)
- Shift differentials for nights and weekends
- Differentials for higher education, certifications and various lead roles
- Malpractice liability insurance
- Loan forgiveness through the New Mexico Higher Education Department
- EPIC electronic charting system
Type of Opportunity: Full Time and Part Time positions available
FTE: 1.000000
Exempt: No
Work Schedule: Days - 4 days 10 hour or 5 days 8 hours
Weekend requirement of 2 days per month
Rust Medical Center - on-site
Qualifications:RN-Case Management I:
- Associate Degree in Nursing
- Registered Nurse - State of New Mexico or Compact State Nursing License required.
- National Case Management certification preferred
- Two years clinical nursing experience in relevant clinical practice area with utilization review or case management experience preferred.
RN-Case Management II:
- Registered Nurse with Bachelors of Science in nursing (BSN) degree or Registered Nurse with Associates degree in nursing (ADN) plus five years utilization review or case management experience required.
- Registered Nurse - State of New Mexico or Compact State Nursing License required..
- National Case Management certification preferred
- Two years clinical nursing experience in relevant clinical practice area with utilization review or case management experience preferred.
RN-Case Management III:
- Registered Nurse with Masters of Science in nursing (MSN) degree or Registered Nurse with Bachelors in nursing (BSN) plus five years utilization review or case management experience required.
- Registered Nurse - State of New Mexico or Compact State Nursing License required.
- National Case Management certification preferred
- Two years clinical nursing experience in relevant clinical practice area with utilization review or case management experience preferred.
RN-Case Management IV:
- Registered Nurse with Masters of Science in nursing (MSN) degree plus five years utilization review or case management experience or Registered Nurse with Bachelors in nursing (BSN) plus ten years utilization review or case management experience required.
- Registered Nurse - State of New Mexico or Compact State Nursing License required.
- National Case Management certification preferred
- Two years clinical nursing experience in relevant clinical practice area with utilization review or case management experience preferred.
BLS required at time of hire.
Responsibilities:- Interviews and assesses each patient, family or other designated person(s) within 48 hours of admission in order to obtain financial, emotional, physical, social, functional and health care needs in order to define and recommend potential discharge plans, manage patient and family expectations, identify readmission risk and target interventions to reduce risk for readmission, and identify, adjust and manage barriers to discharge.
- Applies approved clinical criteria to monitor appropriateness of admissions and continued stays to ensure a clear status determination. Refers cases and issues to Case Management Medical Director based on departmental standards.
- Demonstrates skill in communicating with physicians the necessary documentation required to demonstrate medical necessity. Elevates to Supervisor and/or Medical Director all patients not meeting criteria after discussion with physician.
- Demonstrates skill in educating patient, family and interdisciplinary team regarding post-acute care options, status determination, and other care coordination services.
- Develops implements, coordinates, monitors and evaluates preliminary and final discharge plans with the interdisciplinary team, patient and family. Arranges and/or facilitates identified discharge needs and services of patients and ensures timely intervention to prevent delays in service and transition of care. Ensures all elements of the plan of care have been communicated to the patient/family and members of the healthcare team to assure continuity of care.
- Participates and facilitates care progression in daily multidisciplinary rounds and addresses target length of stay with health care providers to achieve complete delivery of services within prescribed timeframe. Monitors length of stay and takes action to mitigate overutilization and elevates to medical director as needed.
- Presents and actively participates in complex rounds, discharge planning huddles, process improvement teams, department specific initiatives and department meetings.
- Identifies patients and families with complex psychosocial issues and refers them to the Social Worker as appropriate. Demonstrates skill and success in collaboration with Social Work partner.
- Facilitates and leads patient/family and provider care conferences as needed.
- Documents results of assessments, status assignment, and interventions and discharge planning in the medical record according to departmental policies and procedures.
- Ensures safe care to patients adhering to policies, procedures, and standards within budgetary specifications, including time management, supply management, productivity and accuracy of practice.
- Promotes individual and departmental professional growth and development by meeting requirements for and facilitating continuing education, skills competency. Supports departmental based goals which contribute to the success of the organization. Serves as a mentor, preceptor, mentor and resource to less experienced staff.
Benefits
We're all about well-being, starting with yours.
Presbyterian employees have access to a fun, engaging and unique wellness program, including free on-site and community-based gyms, nutrition coaching and classes, mindfulness and meditation resources, wellness challenges and more.
Learn more about our employee benefits.
Presbyterian is committed to an inclusive and equitable environment where everyone is valued and empowered for success. We believe that our environment should reflect the diversity of our community.
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.
Our health plan serves more than 640,000 members statewide and offers Medicare Advantage, Medicaid (Centennial Care) and Commercial health plans.
AA/EOE/VET/DISABLED. PHS is a drug-free and tobacco-free employer with smoke free campuses.
#CC123
Maximum Offer for this position is up to: USD $51.41/Hr. Compensation Disclaimer: The compensation range for this role takes into account a wide range of factors, including but not limited to experience and training, internal equity, and other business and organizational needs.