Case Manager – RN / Social Worker | Acute Care Coordination

Case Manager – RN / Social Worker | Acute Care Coordination 

Schedule: Full-Time | Day Shift 

Pay Range: Competitive compensation based on experience and qualifications 

Elevate Your Case Management Career in North Central New Mexico 

Are you a compassionate, detail-oriented healthcare professional committed to optimizing patient outcomes and care transitions? Join a mission-driven hospital system in North Central New Mexico as a Case Manager. In this vital role, you’ll collaborate with an interdisciplinary care team to provide patient-centered discharge planning, care coordination, and resource navigation throughout the inpatient care continuum. 

With a rich cultural heritage and breathtaking landscapes, North Central New Mexico offers an ideal backdrop for both professional growth and personal enrichment. You’ll thrive in a region known for its tight-knit communities, scenic beauty, and dedication to high-quality healthcare. 

Key Responsibilities 

• Collaborate with physicians, nursing, social workers, and support staff to facilitate efficient and safe patient throughput 
• Conduct comprehensive assessments to identify clinical, psychosocial, and post-acute care needs 
• Develop individualized discharge plans, including coordination of skilled nursing, rehabilitation, home health, hospice, and durable medical equipment (DME) 
• Serve as a liaison between patients, families, and community resources, ensuring continuity of care 
• Advocate for patient rights while balancing utilization review and cost-effective care practices 
• Monitor length of stay (LOS), readmission risk, and quality metrics 
• Maintain documentation in compliance with regulatory standards and hospital policy 
• Communicate clearly with payers to resolve insurance issues and support appeals 
• Assist in regulatory tasks such as issuing Medicare Important Messages and Non-Coverage Notices 

Requirements 

Education: 

• RN: Graduate of an accredited nursing program (BSN preferred) 
• OR Social Work: Masters in social work (MSW) from an accredited institution 

Licensure & Certifications: 

• RN: Active RN license in New Mexico 
• Social Work: LMSW, LISW, or LCSW in New Mexico 
• Case Management certification (ACM, CCM, or RN-BC) preferred 
• BLS certification required 

Experience: 

• Minimum of 2 years in healthcare, with 1+ year in an acute care setting preferred 
• Familiarity with discharge planning, medical necessity criteria, and community resources 

Skills: 

• Strong communication, critical thinking, and time-management skills 
• Ability to multitask and adapt in a fast-paced, patient-first environment 
• Proficient in EMR and Microsoft Office platforms 

Why Join Us? 

Be part of a respected healthcare organization that values collaboration, compassion, and innovation. This team supports your growth through professional development, mentorship, and a strong commitment to work-life balance. Make a real impact on patient care in a role that bridges clinical care and community support. 

About North Central New Mexico 

Nestled in the heart of the Southwest, this region blends natural beauty with cultural richness. Enjoy vibrant art, historic architecture, local markets, and outdoor activities year-round. It’s a serene yet inspiring place to live, work, and make a lasting difference in healthcare. 

How to Apply 

Take the next step in your career as a Case Manager. Apply now to join a team committed to compassionate care, seamless care coordination, and improving patient outcomes across North Central New Mexico.