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Overview

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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Culture

  • 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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Responsibilities

Job ID
15101667
Category
Case Management / Utilization Review
Department
Care Management Services
Location
Albuquerque, NM
Date posted
05/21/2020
Position Summary:Supervise case manager social work staff. Responsible for the initial review, triage and assignment of patients to case managers and for the coordination of all systems and services required for an organized, multidisciplinary, patient centered care team approach. Assure quality, cost effective care for the identified patient population. Provide leadership to staff in the department. Act as a resource and role model for the staff. Function as a contact person for the patient, family, health care team members, community resources and employees. Ensure adherence to Hospitals and departmental policies and procedures. Patient care assignment may include Neonate, Pediatric, Adolescent, Adult and Geriatric age groups.Accountability:
  • PATIENT CENTERED MEDICAL HOME - Adhere to and promote the core expectations of the Patient Centered Medical Home or Patient Centered Specialty Practice as applicable

  • LEADERSHIP - Provide leadership through identification of problems and opportunities for improvement, program planning, implementation, and evaluation

  • ASSIGNMENTS - Oversee and assign case loads and staff hours to best suit Hospitals needs

  • PERFORMANCE - Assist in developing standards of performance, evaluation of performance, and initiates or makes recommendations for personnel actions

  • PLAN OF CARE - Develop comprehensive multidisciplinary plan of care effectively utilizing tools and resources

  • 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

  • ASSESSMENT - Conduct psychosocial assessment and review current clinical status and 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

  • 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

  • DISCHARGE PLANNING - Conduct timely discharge planning by anticipating patient needs in collaboration with physicians, staff RN's, and other health care team members

  • 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

  • VARIANCES - Review patterns of variance from standardized protocols of care with other health care team members and implement resolution strategies

  • 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

  • RELATED WORK - Perform related duties and responsibilities as required

  • 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"

  • SUPERVISION - Develop efficient organizational structure, supervise employees - select, terminate, train, educate, correct deficiencies, perform appraisals, issue discipline, counsel, schedule work assignments; encourage staff teamwork and growth initiatives

  • BUDGET - Develop and administer the department's annual budget; monitor and approve expenditures

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

  • STAFF - Assist in interviewing, hiring, orienting, training, coaching, evaluating, counseling, and supervising staff

  • Education Requirements:
  • Master's Degree in related discipline

  • Experience Requirements:
  • 4 years directly related experience

  • Licensure/Certification Requirements:
  • LPCC or LCSW

  • Case Manager Certification (CCMC) within 6 months of accepting position

  • Experience Requirements - Preferred:
  • Bilingual English/Spanish

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

  • Physical Demands Requirements:
  • Sedentary Work: Exerting up to 10 pounds of force occasionally (Occasionally: activity or condition exists up to 1/3 of the time) and/or a negligible amount of force frequently (Frequently: activity or condition exists from 1/3 to 2/3 of the time) to lift, carry, push, pull, or otherwise move objects, including the human body. Sedentary work involves sitting most of the time, but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met.

  • Testing Requirements:
  • Tuberculin Skin Test required annually

  • Working Conditions Requirements:
  • No or min hazard, physical risk, office environment

  • May be required to work rotating shifts, holidays and weekends

  • May be required or is required to perform on-call duties

  • May be required to travel to various work sites

  • May be required to perform subordinate tasks in high census/vol

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