Presbyterian Health Services Corp

RN Case Manager - Inpatient Care Coordination

Healthcare
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • Associates Degree in Nursing required, BSN within 5 years of hire.
  • Current State of New Mexico Registered Nurse licensure required.
  • 2 years clinical nursing experience in relevant area, with desirable utilization review or case management experience.
  • National Case Management certification preferred for all levels.
  • Each level of RN Case Manager role has distinct educational and experience requirements.

Responsibilities

  • Manage patient caseloads and conduct comprehensive assessments.
  • Coordinate utilization management and status determination with providers.
  • Lead discharge planning and care transitions to ensure safe patient handoffs.
  • Collaborate with interdisciplinary teams to optimize patient outcomes.
  • Drive quality documentation and communication, contributing to performance improvement.

Benefits

  • Tuition and certification reimbursement, scholarship opportunities.
  • Staff safety measures, including a wearable badge for emergency calls.
  • Differentials for night/weekend shifts and educational advancements.
  • Malpractice liability insurance provided.
  • Loan forgiveness opportunity through the New Mexico Higher Education Department.
Full Job Description
Location Address:


Compensation Pay Range:
Minimum Offer $36.41Maximum Offer $55.60

Summary:
Make a meaningful impact at Presbyterian Hospital. We are seeking an experienced RN Case Manager to support high-quality, patient-centered care through clinically based case management. This role integrates utilization management, care coordination, and transition planning to ensure patients receive the right care at the right time.

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
Type of Opportunity: Full timeFTE: 1.00Job Exempt: NoWork Shift: Days (United States of America)

Responsibilities:

As an RN Case Manager, you will 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. You will partner with physicians, patients, families, payers, and post-acute providers to improve outcomes, enhance patient satisfaction, and reduce barriers to discharge.

Sign-on bonus & relocation available for qualified candidates.

Type of Opportunity: Full Time and Part Time positions available
Work Schedule: Days - 4 days/10 hour or 5 days/8 hours

Weekend requirement of 2 days per month

Presbyterian Hospital - on-site

  • Manage Patient Caseloads Across the Continuum of Care - Conduct comprehensive assessments, identify barriers to discharge, and ensure patients receive the right care at the right time from admission through transition.
  • Coordinate Utilization Management and Status Determination - Apply approved clinical criteria to monitor admissions and continued stay, collaborate with providers on medical necessity documentation, and escalate cases as appropriate.
  • Lead Discharge Planning and Care Transitions - Develop and coordinate individualized discharge plans, arrange post-acute services, and ensure timely, safe transitions to prevent delays and reduce readmissions.
  • Collaborate with Interdisciplinary Teams - 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.
  • Drive Quality, Communication, and Documentation Excellence - Maintain accurate, timely documentation; communicate effectively with patients, families, and payers; and contribute to performance improvement and professional development initiatives.


Qualifications:

RN IMM Case Management I
  • Associates 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 with utilization review or case management experience desirable.
  • National Case Management certification preferred

RN IMM Case Management II
  • Registered Nurse with Bachelors of Science in nursing (BSN) degree or Registered Nurse with Associates 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
  • Bachelors degree in nursing plus 5 years utilization review or case management experience required; or Masters 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
  • Masters degree in nursing plus 5 years utilization review or case management experience required; or Bachelors 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


We're all about well-being, starting with yours.
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.

Learn more about our employee benefits.

About Presbyterian Health Services Corp

Presbyterian Health Services is a non-profit healthcare organization that provides a wide range of medical services to patients in New Mexico. The organization operates several hospitals, clinics, and medical centers throughout the state, and employs over 12,000 people. Presbyterian Health Services is committed to providing high-quality care to its patients, and has received numerous awards and recognitions for its work. The organization is also involved in community outreach and education programs, and works to improve the health and well-being of people in the communities it serves.
Learn more about Presbyterian Health Services Corp
Size
12,000 employees
Industry
Founded
1908

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