RN CASE MANAGER

RN Case Manager

Where care and skill move nursing forward.

Being a RN Case Manager, at UNM Hospital offers opportunities for professional growth through specialized training and a Clinical Advancement Program, the ability to work at New Mexico's only Level 1 Trauma Center, and involvement in a supportive academic medical center environment with a diverse patient population from throughout the State and from surrounding states. Many of the services provided at UNMH are the only services available in the state. We work in a busy, fast paced environment with students from many disciplines. Our Behaviors of Excellence outline the characteristics we expect in a successful candidate.

Team Player

Excellent Communication Skills

Compassion

Integrity

Critical Thinking

You will be part of a team that collaborates to provide patient-centered care and work with a dedicated community of healthcare professionals.

Nurses are recognized for excellence through programs like the DAISY Award for nurses who go above and beyond for patients and their families.

You can help improve nursing practice by participating in shared governance, councils, and task forces.

As an academic medical center, we have students from a variety of disciplines and you will have the opportunity to teach as well as learn and grow professionally. We have been recognized nationally for our educational, professional growth and development opportunities.

UNMH as a whole has supported my role by helping mold me into the nurse I am today because of the educational aspect of the teaching hospital. I believe that is very important, especially as a new nurse or a new graduate. Valerie Arellanes RN

RN Case Manager – Care Management Department - University of New Mexico Hospital – Albuquerque

Inpatient

Outpatient

Utilization Management

SRMC Care Management

Full Time

Part Time

Receive 17% weekday nights, 26% weekend nights and 15% weekend day shift differentials

Compensation for this role is based on a number of factors, including but not limited to experience, education, and other business and organizational considerations.

Your application may be considered for any of the below programs. We will work with you to find the best fit.

Inpatient Care Management: Supports patient's inpatient stay through care coordination, discharge planning and proactively discharging patient safely to the next level of care when medically ready. RN Case Managers have a 1:25-30 patient ratio and support all age groups from newborn to seniors. From birth to end of life needs. RN CM attend daily multidisciplinary rounds and work alongside providers, therapist, pharmacist on a daily basis. This work is done primarily in person.

Most positions will be Monday- Friday from 8-430pm.

Weekend and PRN availability

There is required on-call for weekends (10 days/year)

Holiday coverage (2 Holidays/year)

Outpatient Care Management: Supports patient needs in the outpatient clinic setting, that encompasses care plan facilitation, transition of care coordination between an acute care setting to the home. RN Case Manager (RNCM) will assist with referrals in the areas of Durable Medical Equipment (DME) support, Home Healthcare, Hospice, and any other care coordination needs that helps patients continue to stay at home and reduce readmission to the hospital.

RN CM work collaboratively with primary and specialty care providers within clinic setting. Ratios vary depending on clinic site but can vary depending on whether it is a specialty clinic versus a primary care clinic.

Primarily working on computer and phone, navigating multiple software systems/programs to send and receive referrals for patients.

Microsoft excel and word

Powerchart - Cerner/Oracle electronic medical record

electronic faxing/scanning system.

Clinic hours are normally 0800-1700.

Position schedule primarily Monday- Friday from 0800-1630, with some flexibility.

Primarily work in clinic setting with consideration for one work from home day after 6 months of employment and successful completion of competency requirements.

No weekends or on-call work requirement.

Clinics are closed on major holidays.

Utilization Management:

Supports the medical necessity appropriateness for all patients receiving treatment/services. This is supported by a chart review for the level of care and correcting billing aspects of care for our patients while they are hospitalized. They provide provider support, appeals and denials and work directly with insurance payors to recuperate payment for patient care. There is limited patient interaction.

Primary work location is an onsite position managing patients in the Emergency room.

Positions are a 10 hour shift and work a set schedule that includes weekends and Holiday rotation.

Inpatient Care Management- SRMC Campus: Supports patient's inpatient stay through care coordination, discharge planning and proactively discharging patient safely to the next level of care when medically ready. RN Case Managers are assigned to units and have a 1:25-30 patient ratio and support for all age groups. RN CM attends daily multidisciplinary rounds and works alongside Social Work case manager, case management assistants, providers, therapist, and pharmacist daily. This work is done primarily in person on their assigned unit/s.

Most positions will be Monday- Friday from 8-430pm.

Weekend and PRN availability

There is required on-call for evenings and weekends (approximately 10 days/year)

Holiday coverage (approximately 2 Holidays/year)

EDUCATION: Nursing program (nationally accredited) graduate

EXPERIENCE: 1 year directly related experience

CERTIFICATIONS: RN MATRIX - Complete and maintain unit/clinic based required certifications and competencies as listed in the department expectations/and or the unit/clinic education matrix

LICENSES/CERTIFICATIONS: CPR Certification for Healthcare/BLS Providers or for Professional Rescuers or must obtain within 30 calendar days of date of positionLicensed Registered Nurse (RN) in State of New Mexico or as allowed by reciprocal agreement by State of New MexicoCAP III - Clinical Advancement Program Level III requirements satisfied

TESTING REQUIREMENTS: Tuberculosis testing is completed upon hire and additionally as required

PREFERRED EDUCATION: Bachelor's Degree of Science in Nursing

PREFERRED EXPERIENCE: Bilingual English/SpanishBilingual English/Keres, Tewa, Tiwa, Towa, Zuni, or Navajo

Full health/dental/vision with no deductible for full-time employees

Retirement with up to 6% match

PTO and 9 paid holidays

Amazing shift differentials including up to 26% for weekend nights

Sign-on bonuses and relocation assistance*

*For some roles.