CASE MANAGER RN
Are you a healthcare professional who enjoys helping people with a variety of complex physical and/or mental conditions? Do you want to make an impact in a patient’s life by assessing their needs, listening to their concerns, and helping to find solutions? Do you thrive in a challenging and rewarding fast-paced environment where you can grow as a professional? Then please consider a career as an RN Case Manager at UNM Hospitals!
- Full-Time, Day and Night Shifts
- Level: Mid
- Glassdoor Reviews and Company Rating
- At UNMH, you’ll find a world-class care environment that will bring out the best in you. Here, we treat everyone with respect. We listen to our patients, anticipate their needs and make everyone feel welcome.
- Since we work at a teaching hospital, we keep our skills fresh, learn from mistakes, are thorough and accurate, and open to change. We’re also able to think about the big picture without losing sight of the smallest detail.
- Working together, we collaborate and encourage each other, but can also work with autonomy. We share ideas, welcome feedback, and value the diversity of our teams.
- While you build your career with UNMH, we’ll help you excel with ample training and learning opportunities. After all, you’re helping care for people throughout our community, our state, and our region.
What makes a successful Case Manager at UNMH? Check out the traits we’re looking for and see if you have the right mix.
I'm able to change how UNMH relates to the community. Working with our partners, I communicate about better outcomes that will benefit patients 20 years from now. I’ve never been able to do that before.— Chauncy
I like to problem-solve and figure out ways to make things work. And I love that what I do every day is important.— Carmen
Every day I learn something new, whether it be medical or social. I love the opportunities and the variety of work that I see at UNMH.— Rebecca
Benefits of Employment
Medical, Dental (Free for full-time) Vision, Healthcare FSA, Dependent Care FSA
5.5% UNMH contribution after 1 year
56 hours Educational leave; CME allowance
Holidays and Sick Days
Life and Disability Insurance
Nursing Mother Rooms, Cafeteria
Close to Public Transportation, Restaurants, and Entertainment
- Job ID
- Registered Nurse
- Utilization Management - UH
- Albuquerque, NM
- Date posted
- Pay Rate
- $27.22 - $40.84 Hourly
Department: CPC Utilization Management
Full Time (30 - 40 hours per week)
Sign On Bonus For New Hire
Coordinate all systems/services required for an organized, multidisciplinary, patient centered care team approach, and assure quality, cost-effective care for the identified patient population. Manage the course of treatment of patients, coordinating care with physicians, nurses and other staff ensuring quality patient outcomes are achieved within established time frames and with efficient utilization of resources. Conduct initial and ongoing assessments, initiate disease management protocols, determine and manage outcomes, ensure continuity of care through discharge planning, utilization of resources and analysis of variances. Function as a contact person for patient, family, health care team members, community resources and employees as necessary. Ensure adherence to Hospitals and departmental policies and procedures. Patient care assignment may include neonate, pediatric, adolescent, adult and geriatric age groups.
* PATIENT CENTERED MED - Adhere to and promote the core expectations of the Patient Centered Medical Home or Patient Centered Specialty Practice as applicable
* IDENTIFICATION - Identify appropriate patients within designated specialty area requiring patient case management interventions by utilizing established procedures including census review, risk screens, and referral
* DATA - Perform assessment, data collection, obtain, review, and analyze information in collaboration with the patient, family, significant others, health care team members, employers, and others as appropriate
* ASSESSMENT - Assess the patient's clinical, psychosocial status and current treatment plans
* NEEDS - Assess the patient/family/significant others needs in relation to the medical diagnosis and treatment and resources; provide treatment options, financial resources, psychosocial needs, and discharge planning in collaboration with appropriate resources
* ORDERS AND REFERRALS - Obtain necessary orders from physicians to initiate home health referrals, home infusion medications and supplies, oxygen and equipment; coordinate referrals for oxygen and equipment
* REPORTS & RECORDS - Maintain computer-based tracking system and compile required reports and records
* COLLABORATION - Develop collaborative relationships with other departments/services and community health care agencies facilitating and supporting quality care in area of clinical expertise; act as a resource on complex patient care activities
* GOALS - Assist the patient, family, significant others to set patient-centered goals for individual patient, family, and significant others in collaboration with physicians, staff RNs and other health care team members
* PLAN OF CARE - Develop comprehensive multidisciplinary plan of care effectively utilizing tools and resources
* DISCHARGE PLANNING - Conduct timely discharge planning by anticipating patient needs in collaboration with physicians, staff RN's, and other health care team members
* VARIANCES - Intervene when variances occur in patient individualized treatment plan
* RESOURCES - Coordinate and evaluate the use of resources and services in a quality-conscious, cost effective manner and collaborate with appropriate providers to ensure effective, quality outcomes
* INTERVENTIONS - Monitor and evaluate short-term and long-term patient responses to interventions in collaboration with quality assurance and utilization review, maintaining interdependent follow-up as necessary
* VARIANCE - Review variance from standardized protocols of care with health care team members and implement resolution strategies
* TREATMENT CONFERENCE - Facilitate and/or participate in conferences providing ongoing evaluation of interdisciplinary dynamics, goals attainment and treatment management
* EDUCATION - Ensure and/or provide instruction to the patient and family based on identified learning needs; assess patient/family knowledge, health status expectations, and locus of control
* INFORMATION - Assist with development of activities and methods to ensure information is articulated and disseminated to appropriate members of the health care team
* CONTINUITY OF CARE - Collaborate with the health care team to ensure continuity of patient care throughout all health care settings; promote effective communication among health care team members including the patient, family, and significant others
* MEETINGS - Participate in team meetings when indicated or as directed
* CARE PLAN - Incorporate recommendations and/or services of interdisciplinary team members in the care plan
* COMMUNICATION - Use interpersonal communication strategies with individuals as well as groups of patients, families, significant others, and staff to achieve expected outcomes and patient/family and health care team satisfaction
* DOCUMENTATION - Provide routine verbal and written documentation for the initial assessment and progress of the patient to other members of the health care team in a timely manner
* ORIENTATION - Participate in orientation, continuing education of staff RN's and other health care team members as appropriate
* QUALITY - Participate in continuous quality improvement activities by evaluating patient care systems that may include standards, protocols, and documentation
* COMMITTEES - Attend meetings and represent department or Hospitals within Hospitals related committees or the community, as assigned by supervisor
* DEVELOPMENT - Enhance professional growth and development through participation in educational programs, reading current literature, attending in-services, meetings and workshops
* PATIENT SAFETY 1 - Follow patient safety-related policies, procedures and protocols
* PATIENT SAFETY 2 - Demonstrate proactive approach to patient safety by seeking opportunities to improve patient safety through questioning of current policies and processes
* PATIENT SAFETY 3 - Identify and report/correct environmental conditions and/or situations that may put a patient at undue risk
* PATIENT SAFETY 4 - Report potential or actual patient safety concerns, medical errors and/or near misses in a timely manner
* PATIENT SAFETY 5 - Encourage patients to actively participate in their own care by asking questions and reporting treatment or situations that they don't understand or may "not seem right"
* Program Graduate
* Bachelor's Degree
* Nationally Accredited Nursing Graduate
1 year directly related experience
Bilingual English/Keres, Tewa, Tiwa, Towa, Zuni, or Navajo
* RN in NM or as allowed by reciprocal agreement by NM
* CPR for Healthcare/BLS Prov or Prof Rescuers w/in 30 days
Light Work: Exerting up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently, and/or a negligible amount of force constantly (Constantly: activity or condition exists 2/3 or more of the time) to move objects. Physical demand requirements are in excess of those for Sedentary Work. May require walking or standing to a significant degree or requires sitting most of the time but entails pushing and/or pulling of arm or leg controls; and/or may require working at a production rate pace entailing the constant pushing and/or pulling of materials even though the weight of materials is negligible.
* Minor Hazard - physical risks, dirt, dust, fumes, noise