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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!

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  • 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.

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Success Profile

What makes a successful Case Manager at UNMH? Check out the traits we’re looking for and see if you have the right mix.

  • Communicator
  • Compassionate
  • Helpful
  • Motivational
  • Sincere
  • Trustworthy

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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

  • Relocation Reimbursement

  • Nursing Mother Rooms, Cafeteria

  • Close to Public Transportation, Restaurants, and Entertainment

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Job ID
Case Management / Utilization Review
Care Link Behav Health Home
Albuquerque, NM
Date posted
Position Summary:Under the supervision of department Director or designee, assist in providing case management services; assist in some aspects of the admissions and discharge process to facilitate smooth and timely admission and discharge and appropriate referral to available resources. Ensure adherence to Hospitals and departmental policies and procedures. Patient care assignment may include neonate, pediatric, adolescent, adult and geriatric age groups.Accountability:
  • ARRANGEMENTS - Arrange meals, lodging and transportation for families as requested

  • COORDINATION - Assist in coordinating medical equipment and supplies for home use, communicating with appropriate members of treatment team, family and patient as directed

  • COORDINATION - Assist in making arrangements for home health services as directed

  • COMMUNICATION - Communicate plans for equipment, transportation, referrals, etc., as appropriate, to members of the treatment team; perform follow-up communication with patients or appropriate designee as needed

  • COMMUNICATION - Communicate with appropriate staff, patients or designees and outside agencies regarding any necessary financial information, as directed

  • TRANSFER - Assist with coordinating transfer of patients to appropriate settings, i.e., acute care, psychiatric inpatient, skilled nursing facility, or other destinations

  • CONFERENCES - Coordinate patient care conferences, as requested

  • COMMUNICATION - Participate in patient care team meetings to review follow-up actions and patient discharge planning

  • CORRESPONDENCE - Formulate, copy, fax and distribute correspondence and medical records, as directed

  • DATA - Collect and enter required data; prepare reports as directed

  • INQUIRIES - Answer phones, obtain appropriate information, respond to requests and transfer calls; retrieve messages, take information and route, as appropriate

  • PATIENT ASSISTANCE - Assist patient or designee in completing patient assistance forms/documentation, and maintain records

  • PRIOR AUTHORIZATION - Verify coverage eligibility on patients for outside services as needed

  • FINANCIAL ASSISTANCE - Coordinate and obtain missing information related to denials due to the lack of notification authorization

  • RECORDS - Establish, maintain, process, and update files, records, and/or other documents

  • REFERRALS - Maintain resources and reference materials; direct referrals to community agencies, as needed

  • 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"

  • DEVELOPMENT - Enhance professional growth and development through participation in educational programs, reading current literature, attending in-services, meetings and workshops

  • Education Requirements:
  • High School Diploma or GED equivalent

  • Experience Requirements:
  • No minimum experience required

  • Education Requirements - Preferred:
  • Associate's Degree in related discipline

  • Bachelor's Degree in related discipline

  • Experience Requirements - Preferred:
  • 2 years directly related experience

  • Case management experience

  • Utilization management experience

  • Medical terminology knowledge

  • Bilingual English/Spanish

  • Bilingual English/Keres, Tewa, Tiwa, Towa, Zuni, or Navajo

  • Bilingual English/Vietnamese

  • Physical Demands Requirements:
  • 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.

  • Testing Requirements:
  • Tuberculin Skin Test required annually

  • Working Conditions Requirements:
  • Minor Hazard - physical risks, dirt, dust, fumes, noise

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    • Case Management / Utilization Review, Albuquerque, New Mexico, United StatesRemove