Lovelace Health System
Location
Albuquerque, New Mexico
The Case Manager RN assesses and coordinates patient care across the continuum to ensure optimal clinical and quality outcomes. They utilize accepted criteria to manage benefits and determine the medical necessity of services to reduce unnecessary utilization.
Candidates must hold an associate's degree in nursing or a degree in social work, along with a valid New Mexico nursing license. Preferred qualifications include two years of relevant experience and professional certifications such as ACM or CCM.
The Case Manager RN is responsible for assessing and coordinating patient care across the continuum, utilizing accepted criteria and guidelines to manage benefits and determine the medical necessity of the services provided. This position functions to achieve optimal clinical and quality outcomes by effectively managing care and resources to reduce unnecessary utilization. The Case Manager RN reports to the Director of Case Management or designee.
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