RN Inpatient Case Manager - Part Time - Care Coordination

RN Inpatient Case Manager – Part Time – Care Coordination Location 1100 Central Avenue SE, Albuquerque, NM 87106-4930 Compensation Pay Range: $34.68 – $52.95 per hour Summary Make a meaningful impact at Presbyterian Hospital. We’re seeking an experienced RN Case Manager to join our team and support high quality, patient‑centered care. In this role, you’ll provide clinically based case management that integrates utilization management, care coordination, and transition planning. As an RN Case Manager, you’ll take ownership of a designated caseload, ensuring patients receive the right care at the right time; manage length of stay; optimize resource utilization; and support smooth transitions throughout the continuum of care. Collaborating closely with an interdisciplinary team, you’ll facilitate care with the goal of improving patient outcomes, enhancing satisfaction, and ensuring timely, accurate communication with payers. How you grow, learn, and thrive matters here. 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 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 Responsibilities Interview and assess each patient, family, or other designated person(s) within 48 hours of admission to obtain financial, emotional, physical, social, functional, and health care needs to define and recommend potential discharge plans, manage expectations, identify readmission risk, target interventions, and manage barriers to discharge. Apply approved clinical criteria to monitor appropriateness of admissions and continued stays, ensuring a clear status determination. Refer cases and issues to the Case Management Medical Director based on departmental standards. Communicate with physicians the necessary documentation required to demonstrate medical necessity. Elevate to a Supervisor and/or Medical Director all patients not meeting criteria after discussion with physician. Educate patient, family, and interdisciplinary team regarding post-acute care options, status determination, and other care coordination services. Develop, implement, coordinate, monitor, and evaluate preliminary and final discharge plans with the interdisciplinary team, patient, and family. Arrange and/or facilitate identified discharge needs and services, ensuring timely intervention to prevent delays in service and transition of care. Ensure 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. Participate and facilitate care progression in daily multidisciplinary rounds and address target length of stay with health care providers to achieve complete delivery of services within prescribed timeframe. Monitor length of stay and take action to mitigate overutilization, elevating to medical director as needed. Present and actively participate in complex rounds, discharge planning huddles, process improvement teams, department-specific initiatives and department meetings. Identify patients and families with complex psychosocial issues and refer them to the Social Worker as appropriate, demonstrating success in collaboration with the Social Work partner. Facilitate and lead patient/family and provider care conferences as needed. Document results of assessments, status assignments, interventions, and discharge planning in the medical record according to departmental policies and procedures. Ensure safe care to patients, adhering to policies, procedures, and standards within budgetary specifications, including time management, supply management, productivity, and accuracy of practice. Promote individual professional growth and development by meeting requirements for continuing education and skill competency, supporting departmental-based goals that contribute to the organization’s success. Qualifications (RN IMM Case Management Levels) Level I: Associate’s degree in nursing; BSN within 5 years; New Mexico RN license; 2 years of clinical nursing experience; utilization review or case management experience desirable; National Case Management certification preferred. Level II: BSN or Associate’s degree plus 5 years utilization review or case management experience; BSN to be obtained within 5 years; New Mexico RN license; 2 years of clinical nursing experience; National Case Management certification preferred. Level III: Bachelor’s degree in nursing plus 5 years utilization review or case management experience, or Master’s degree in Nursing; New Mexico RN license; 2 years of clinical nursing experience; National Case Management certification preferred. Level IV: Master’s degree in nursing plus 5 years utilization review or case management experience, or Bachelor’s degree in nursing plus 10 years experience; New Mexico RN license; 2 years of clinical nursing experience; National Case Management certification preferred. Employee Well‑being 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. Equal Opportunity Statement AA/EOE/VET/DISABLED. PHS is a drug‑free and tobacco‑free employer with smoke‑free campuses. 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. #J-18808-Ljbffr Presbyterian Healthcare Services