Type of Opportunity: Part Time (.10 to .44)
FTE: 0.200000
Exempt: Yes
Work Schedule: Days
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Summary:
The Case Manager IV provides clinically-based case management to support the delivery of effective and efficient patient care. The role integrates utilization management, care coordination, and transition planning functions. The Case Manager IV has the overall accountability for a designated case load and plans effectively in order to meet patients needs, manage the length of stay, and promote efficient utilization of resources. In collaboration with the interdisciplinary team, the case manager IV supports the physician in facilitating patient care with the objective of enhancing the quality of patient outcomes and patient satisfaction while managing the cost of care and providing timely and accurate information to payers
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Other information:
*Registered Nurse with Masters of Science in nursing (MSN) degree plus five years utilization review or case management experience or Registered Nurse with Bachelors in nursing (BSN) plus ten years utilization review or case management experience required.
*Current State of New Mexico Registered Nurse licensure required.
*Two years clinical nursing experience in relevant clinical practice area.
*National Case Management certification preferred
Education:
Essential:
* Bachelor Degree
Education specialization:
Essential:
* Nursing
Credentials:
Essential:
* Registered Nurse-NM
BLS Certification required at time of hire.
Learn more about our employee benefits.
About Presbyterian Healthcare Services
Presbyterian exists to improve the health of patients, members and the communities we serve. We are a locally owned, not-for-profit healthcare system comprised of nine hospitals, a statewide health plan and a growing multi-specialty medical group. Founded in New Mexico in 1908, we are the state's largest private employer with nearly 13,000 employees - including more than 1,200 providers and nearly 3,500 nurses.
Our health plan serves more than 640,000 members statewide and offers Medicare Advantage, Medicaid (Centennial Care) and Commercial health plans.
AA/EOE/VET/DISABLED. PHS is a drug-free and tobacco-free employer with smoke free campuses.