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Job description
Case Manager – RN / Social Worker | Acute Care Coordination
Elevate Your Case Management Career in North Central New Mexico
Are you a compassionate, detail-oriented healthcare professional committed to optimizing patient outcomes and care transitions? Join a mission-driven hospital system in North Central New Mexico as a Case Manager. In this vital role, you'll collaborate with an interdisciplinary care team to provide patient-centered discharge planning, care coordination, and resource navigation throughout the inpatient care continuum.
With a rich cultural heritage and breathtaking landscapes, North Central New Mexico offers an ideal backdrop for both professional growth and personal enrichment. You'll thrive in a region known for its tight-knit communities, scenic beauty, and dedication to high-quality healthcare.
Key Responsibilities
Collaborate with physicians, nursing, social workers, and support staff to facilitate efficient and safe patient throughput
Conduct comprehensive assessments to identify clinical, psychosocial, and post-acute care needs
Develop individualized discharge plans, including coordination of skilled nursing, rehabilitation, home health, hospice, and durable medical equipment (DME)
Serve as a liaison between patients, families, and community resources, ensuring continuity of care
Advocate for patient rights while balancing utilization review and cost-effective care practices
Monitor length of stay (LOS), readmission risk, and quality metrics
Maintain documentation in compliance with regulatory standards and hospital policy
Communicate clearly with payers to resolve insurance issues and support appeals
Assist in regulatory tasks such as issuing Medicare Important Messages and Non-Coverage Notices
Requirements
Education:
RN: Graduate of an accredited nursing program (BSN preferred)
OR Social Work: Masters in social work (MSW) from an accredited institution
Licensure & Certifications:
RN: Active RN license in New Mexico
Social Work: LMSW, LISW, or LCSW in New Mexico
Case Management certification (ACM, CCM, or RN-BC) preferred
BLS certification required
Experience:
Minimum of 2 years in healthcare, with 1+ year in an acute care setting preferred
Familiarity with discharge planning, medical necessity criteria, and community resources
Skills:
Strong communication, critical thinking, and time-management skills
Ability to multitask and adapt in a fast-paced, patient-first environment
Proficient in EMR and Microsoft Office platforms
Why Join Us?
Be part of a respected healthcare organization that values collaboration, compassion, and innovation. This team supports your growth through professional development, mentorship, and a strong commitment to work-life balance. Make a real impact on patient care in a role that bridges clinical care and community support.
About North Central New Mexico
Nestled in the heart of the Southwest, this region blends natural beauty with cultural richness. Enjoy vibrant art, historic architecture, local markets, and outdoor activities year-round. It's a serene yet inspiring place to live, work, and make a lasting difference in healthcare.
How to Apply
Take the next step in your career as a Case Manager. Apply now to join a team committed to compassionate care, seamless care coordination, and improving patient outcomes across North Central New Mexico.
Worksite address
placitas, NM, 87043, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.