RN Case Manager - Inpatient Care Coordination

Location: 1100 Central Ave SE, Albuquerque, NM 87106-4930

Pay Range: $36.41 – $62.00

About the Role

Presbyterian Hospital is hiring an RN Case Manager to provide clinically-based case management that supports effective and efficient patient care. The role integrates utilization management, care coordination, and transition planning functions. The Case Manager has overall accountability for a designated caseload, planning effectively to meet patient needs, manage 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 to enhance quality outcomes, patient satisfaction, and cost management while providing timely and accurate information to payers.

Benefits

• Educational and career development options, including tuition and certification reimbursement, scholarship opportunities
• Staff Safety: a wearable badge that allows nurses to quickly and discreetly call for help when safety is a concern
• Shift 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
• 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

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.
• Partner with physicians, nursing, social work, and ancillary services through daily rounds, care conferences, and complex case discussions to optimize length of stay and patient outcomes.
• Maintain accurate, timely documentation; communicate effectively with patients, families, and payers; and contribute to performance improvement and professional development initiatives.

Schedule

PRN (as needed), Days, 8-hour or 10-hour shifts, on-site at Presbyterian Hospital.

Qualifications

RN IMM Case Management I

• Associate’s Degree in nursing required; BSN within 5 years of hire date.
• Current State of New Mexico Registered Nurse licensure required.
• 2 years clinical nursing experience in relevant clinical practice area; utilization review or case management experience desirable.
• National Case Management certification preferred.

RN IMM Case Management II

• Registered Nurse with Bachelor’s of Science in nursing (BSN) degree, or Registered Nurse with Associate’s degree in nursing (ADN) plus five years utilization review or case management experience required.
• 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

• Bachelor’s degree in nursing plus 5 years utilization review or case management experience required; or Master’s 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

• Master’s degree in nursing plus 5 years utilization review or case management experience required; or Bachelor’s 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.

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 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 14,000 employees—including more than 1,600 providers and nearly 4,700 nurses. Our health plan serves more than 580,000 members statewide and offers Medicare Advantage, Medicaid (Centennial Care), and Commercial health plans.