RN Case Manager - Inpatient Care Coordination

Responsibilities

• Manage a designated caseload, collaborating with an interdisciplinary team to optimize length of stay, coordinate discharge planning, and support safe transitions across the continuum of care.
• Partner with physicians, patients, families, payers, and post-acute providers to improve outcomes, enhance patient satisfaction, and reduce barriers to discharge.
• Conduct comprehensive assessments, identify barriers to discharge, and ensure patients receive the right care at the right time from admission through transition.
• Apply approved clinical criteria to monitor admissions and continued stay, collaborate with providers on medical necessity documentation, and escalate cases as appropriate.
• Develop and coordinate individualized discharge plans, arrange post-acute services, and ensure timely, safe transitions to prevent delays and reduce readmissions.
• Collaborate with interdisciplinary teams through daily rounds, care conferences, and complex case discussions to optimize length of stay and patient outcomes.
• Drive quality, communication, and documentation excellence by maintaining accurate, timely documentation; communicating effectively with patients, families, and payers; and contributing to performance improvement and professional development initiatives.

Qualifications

• RN IMM Case Management I: Associates Degree in nursing required. Current State of New Mexico Registered Nurse licensure required. 2 years clinical nursing experience in relevant clinical practice area with utilization review or case management experience desirable. National Case Management certification preferred.
• RN IMM Case Management II: BSN to be obtained within 5 years of hire date. Current State of New Mexico Registered Nurse licensure required. 2 years adult bedside experience required. National Case Management certification preferred.
• RN IMM Case Management III: Bachelors degree in nursing plus 5 years utilization review or case management experience required; or Masters degree in Nursing. Current State of New Mexico Registered Nurse licensure required. 2 years adult bedside experience required. National Case Management certification preferred.
• RN IMM Case Management IV: Masters degree in nursing plus 5 years utilization review or case management experience required; or Bachelors degree in nursing plus 10 years utilization review or case management experience required. Current State of New Mexico Registered Nurse licensure required. 2 years adult bedside experience required. National Case Management certification preferred.

Pay

Pay Range: Minimum Offer $36.41, Maximum Offer $55.60

Schedule

Work Schedule: Days - 4 days/10 hour or 5 days/8 hours

Benefits

We offer a comprehensive benefits package including educational and career development options, staff safety, differentials for night/weekend shifts, higher education, certifications, and various lead roles (for eligible positions), malpractice liability insurance, loan forgiveness through the New Mexico Higher Education Department, EPIC electronic charting system, and a fun, engaging, and unique wellness program.