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Case Management Manager RN Manager
university of new mexico - hospitals
home health care servicesnursing care facilities skilled nursing facilitiesspecialty except psychiatric and substance abuse hospitalsresidential intellectual and developmental disability mental health and substance abuse facilitiescontinuing care retirement communities and assisted living facilities for the elderly
Bernalillo, NMApril 1st, 2026
Sign-On Bonus AvailableRelocation Assistance AvailableReceive 17% Weekday Nights, 26% Weekend Nights and 15% Weekend Day shift differentialsDepartment: Case Management - SRMCFull TimeShift: DaysCoordinate 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 SAFETY 1 - Follow patient safety-related policies, procedures and protocolsVARIANCE - Review variance from standardized protocols of care with health care team members and implement resolution strategiesREPORTS & RECORDS - Maintain computer-based tracking system and compile required reports and recordsPATIENT SAFETY 2 - Demonstrate proactive approach to patient safety by seeking opportunities to improve patient safety through questioning of current policies and processesQUALITY - Participate in continuous quality improvement activities by evaluating patient care systems that may include standards, protocols, and documentationCOMMITTEES - Attend meetings and represent department or Hospitals within Hospitals related committees or the community, as assigned by supervisorassess patient/family knowledge, health status expectations, and locus of controlINFORMATION - Assist with development of activities and methods to ensure information is articulated and disseminated to appropriate members of the health care teamDATA - 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 appropriatePATIENT SAFETY 3 - Identify and report/correct environmental conditions and/or situations that may put a patient at undue riskCOMMUNICATION - 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 satisfactionIDENTIFICATION - Identify appropriate patients within designated specialty area requiring patient case management interventions by utilizing established procedures including census review, risk screens, and referralGOALS - 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 membersPLAN OF CARE - Develop comprehensive multidisciplinary plan of care effectively utilizing tools and resourcesRESOURCES - 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 outcomesDISCHARGE PLANNING - Conduct timely discharge planning by anticipating patient needs in collaboration with physicians, staff RN's, and other health care team membersINTERVENTIONS - 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 necessaryTREATMENT CONFERENCE - Facilitate and/or participate in conferences providing ongoing evaluation of interdisciplinary dynamics, goals attainment and treatment managementCONTINUITY 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 othersCARE PLAN - Incorporate recommendations and/or services of interdisciplinary team members in the care planCOLLABORATION - 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 activitiesDOCUMENTATION - 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 mannerORIENTATION - Participate in orientation, continuing education of staff RN's and other health care team members as appropriateNEEDS - 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 resourcesORDERS 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 equipmentPATIENT SAFETY 4 - Report potential or actual patient safety concerns, medical errors and/or near misses in a timely mannerPATIENT 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"PATIENT CENTERED MED - Adhere to and promote the core expectations of the Patient Centered Medical Home or Patient Centered Specialty Practice as applicableProgram GraduateBachelor's DegreeNationally Accredited Nursing GraduateNursingBilingual English/Keres, Tewa, Tiwa, Towa, Zuni, or NavajoBilingual English/SpanishRN in NM or as allowed by reciprocal agreement by NM* CPR for Healthcare/BLS Prov or Prof Rescuers w/in 30 daysand/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* Tuberculosis testing is completed upon hire and additionally as required#Registered Nurse
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