Clinical Case Manager / RN

Overview

Responsibilities

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.

Qualifications

Job Requirements

• BS or BA in Social Work or an associate's degree in nursing or a Diploma of Nursing. Associate's degree in nursing or higher Valid NM Nursing license or NM compact license (within 90 days of hire) HIRING DEPARTMENT MAY ALSO REQUIRE ACLS and or PALS BLS certification must be obtained within 14 days of hire or transfer into the role and prior to providing direct patient care.
• Preferred
• Job
• Requirements: Two years of medical social worker or RN Case Manager experience. Master’s degree in social work or bachelor’s degree in nursing Certification in case management (ACM or CCM).