How Much Does A Case Manager Make Jobs in Usa

Schedule:

• Monday-Friday, flexible day shift hours
• Unit support/coverage as needed

The Case Manager coordinates care across an episode and/or the continuum for clients with complex problems and diverse needs.  The Case Manager’s focus is to maintain patients at an optimal level of health and to support self-care.  Case Managers collaborate with physicians, social services, nurses, and community agencies to define care options and resources, to plan cost effective quality care and to achieve optimal outcomes. 

Specific responsibilities include case screening, insurance approval, assurance of timely services, and facilitation of discharge with transition to the appropriate services.  Patient outcomes are achieved through effective application of care plans, managed care concepts, appropriateness criteria, resource management, knowledge of community resources, and collaboration with other clinical disciplines.  Works proactively to coordinate the services of physicians, nurses, and other disciplines to effectively prepare patients for discharge.  The Case Manager facilitates program development, efficient care delivery processes and quality improvement including tracking of resource utilization and outcome measures.  The Case Manager is accountable for improving service using cost and quality outcome data, current clinical practices and related research, regulatory requirements and comparative benchmark opportunities.   

Customers include patients, families/visitors, physicians, physician assistants, nurse practitioners, case managers, representatives of third-party payers, representatives of referring agencies, interdepartmental and intradepartmental staff, vendors, and volunteers.     

Actively knows, understands, incorporates, and demonstrates the organization’s mission and core values, including the Guiding Behaviors and Caring Model Principles, and always conducts oneself in a manner consistent with these values.  

Maintains a working knowledge of applicable Federal, State and local laws and regulations, Trinity Health’s Organizational Integrity Program, Standards of Conduct, as well as other policies and procedures to ensure adherence in a manner that reflects honest, ethical and professional behavior. 

• Demonstrates knowledge, skills and abilities to provide case management services appropriate to the age of patients served. 

• Exhibits sound judgment, critical thinking, problem solving and decision-making skills. 

• Communicates effectively with patients, significant others, and members of the health care team.  

• Compiles information; keeps records, prepares or directs preparation of reports and correspondence. 

• Executes daily utilization functions for assigned patients, including prior authorization, admission, precertification/certification/recertification, concurrent and retrospective review, associated analysis, and referral appropriateness.  

• Participates in comprehensive team meetings and conferences regarding specific patient needs that affect cost, quality, and length of stay.  Demonstrates ability to promote collaboration and creativity among members of the health care team. 

• Responsible for assuring thorough case management assessment, as well as early and ongoing discharge plans by collaborating with patients, families, physician, payors, and providers across the continuum of care.   

• Reports potential catastrophic and high-cost cases to department director, nursing director, and finance department for appropriate medical/administrative review and management. 

• Effectively manages length of stay and cost avoidance.   

• Discuss cases with Utilization Review Committee and/or Executive Health Resources (EHR) when cases fail to meet admission, treatment, and length of stay and/or discharge standards.  

• Attends meetings of the Utilization Review Committee and submits reports as required.  Participates in the development of a written plan that describes the Utilization Review Program. 

• Applies quality improvement methods and techniques to improve case management processes to maximize cost and quality benefits for MercyOne Medical Center.  

• Performs other duties consistent with the purpose of the job as directed. 

• Maintains a working knowledge of applicable Federal, State, and local laws and regulations, Trinity Health’s Organizational Integrity Program, Standards of Conduct, as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical, and professional behavior. 

• Must be a registered nurse and must hold an active license to practice nursing in the state of Iowa. 

• Knowledge of clinical practice and case management processes normally acquired by completing a bachelor’s degree in nursing. 

• Training and/or Certification in the area of case management is preferred.   

• Must meet all mandatory education and training requirements within specified timeframes as required by organizational/regulatory standards. 

• Three to five years’ clinical experience required.   

Schedule:

• Monday-Friday, flexible day shift hours
• Unit support/coverage as needed

The Case Manager coordinates care across an episode and/or the continuum for clients with complex problems and diverse needs.  The Case Manager’s focus is to maintain patients at an optimal level of health and to support self-care.  Case Managers collaborate with physicians, social services, nurses, and community agencies to define care options and resources, to plan cost effective quality care and to achieve optimal outcomes. 

Specific responsibilities include case screening, insurance approval, assurance of timely services, and facilitation of discharge with transition to the appropriate services.  Patient outcomes are achieved through effective application of care plans, managed care concepts, appropriateness criteria, resource management, knowledge of community resources, and collaboration with other clinical disciplines.  Works proactively to coordinate the services of physicians, nurses, and other disciplines to effectively prepare patients for discharge.  The Case Manager facilitates program development, efficient care delivery processes and quality improvement including tracking of resource utilization and outcome measures.  The Case Manager is accountable for improving service using cost and quality outcome data, current clinical practices and related research, regulatory requirements and comparative benchmark opportunities.   

Customers include patients, families/visitors, physicians, physician assistants, nurse practitioners, case managers, representatives of third-party payers, representatives of referring agencies, interdepartmental and intradepartmental staff, vendors, and volunteers.     

Actively knows, understands, incorporates, and demonstrates the organization’s mission and core values, including the Guiding Behaviors and Caring Model Principles, and always conducts oneself in a manner consistent with these values.  

Maintains a working knowledge of applicable Federal, State and local laws and regulations, Trinity Health’s Organizational Integrity Program, Standards of Conduct, as well as other policies and procedures to ensure adherence in a manner that reflects honest, ethical and professional behavior. 

• Demonstrates knowledge, skills and abilities to provide case management services appropriate to the age of patients served. 

• Exhibits sound judgment, critical thinking, problem solving and decision-making skills. 

• Communicates effectively with patients, significant others, and members of the health care team.  

• Compiles information; keeps records, prepares or directs preparation of reports and correspondence. 

• Executes daily utilization functions for assigned patients, including prior authorization, admission, precertification/certification/recertification, concurrent and retrospective review, associated analysis, and referral appropriateness.  

• Participates in comprehensive team meetings and conferences regarding specific patient needs that affect cost, quality, and length of stay.  Demonstrates ability to promote collaboration and creativity among members of the health care team. 

• Responsible for assuring thorough case management assessment, as well as early and ongoing discharge plans by collaborating with patients, families, physician, payors, and providers across the continuum of care.   

• Reports potential catastrophic and high-cost cases to department director, nursing director, and finance department for appropriate medical/administrative review and management. 

• Effectively manages length of stay and cost avoidance.   

• Discuss cases with Utilization Review Committee and/or Executive Health Resources (EHR) when cases fail to meet admission, treatment, and length of stay and/or discharge standards.  

• Attends meetings of the Utilization Review Committee and submits reports as required.  Participates in the development of a written plan that describes the Utilization Review Program. 

• Applies quality improvement methods and techniques to improve case management processes to maximize cost and quality benefits for MercyOne Medical Center.  

• Performs other duties consistent with the purpose of the job as directed. 

• Maintains a working knowledge of applicable Federal, State, and local laws and regulations, Trinity Health’s Organizational Integrity Program, Standards of Conduct, as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical, and professional behavior. 

• Must be a registered nurse and must hold an active license to practice nursing in the state of Iowa. 

• Knowledge of clinical practice and case management processes normally acquired by completing a bachelor’s degree in nursing. 

• Training and/or Certification in the area of case management is preferred.   

• Must meet all mandatory education and training requirements within specified timeframes as required by organizational/regulatory standards. 

• Three to five years’ clinical experience required.   

Were unique. You should be, too.

Were changing lives every day. For both our patients and our team members. Are you innovative and entrepreneurial minded? Is your work ethic and ambition off the charts? Do you inspire others with your kindness and joy?

Were different than most primary care providers. Were rapidly expanding and we need great people to join our team.

The Nurse Case Manager 1 (RN) is responsible for achieving positive patient outcomes and managing quality of care across the continuum of care. The incumbent in this role will first and foremost serve as an advocate for our patients. He/She works closely with other members of the care team to develop effective plans of care and high levels of care coordination. This care planning and coordination may follow the patient from our centers into acute and post-acute facilities, as well as, their home environments. The Nurse Case Manager 1 (RN) role also involves establishing relationships with patients families and care givers, primary care physicians, specialists, other care providers, social workers, other case managers and nurses, acute and post-acute facilities, home health care companies, and health plans. He/She adheres to strict departmental goals/objectives, standards of performance, regulatory compliance, quality patient care compliance and policies and procedures.

CORE JOB DUTIES/RESPONSIBILITIES:

• Manages and plans for transitions of care, discharge and post discharge follow-up for patients admitted to key, high-volume/high-priority hospitals.
• Establishes a trusting relationship with patients and their caregivers.
• Collaborates with clinical staff in the development and execution of the plan of care and achievement of goals. Reports variations to PCP/Transitional Care Physicians (TCP) and implements actions as appropriate.
• Builds relationships with preferred acute care providers (hospitalists, specialists, etc.).
• Directs referrals to preferred providers.
• Coordinates the integration of social services/case management functions in the pre-acute, ER, acute and post-acute setting. Coordinates the patient care, discharge and home planning processes with hospital case management departments, and other healthcare facilities.
• In conjunction with the PCP, Hospitalist, Medical Director, insurance case manager and the hospital case manager, coordinates the patient transition to the appropriate/least constrictive level of care using a preferred provider.
• Keeps the PCP aware of patient(s) condition via e-mail, DASH, HITS or other appropriate means of communication.
• Introduces self to patient/family and explains Nurse Case Managers role and processes to contact the Nurse Case Manager for questions, guidance and education.
• Provides high intensity engagement with patient and family.
• Facilitates patient/family conferences to review treatment goals and optimize resource utilization; provides family education and identifies post-hospital needs.
• Serves as a patient advocate. Enhances a collaborative relationship to maximize the patient/familys ability to make informed decisions.
• Addresses advanced care planning including treatment goals and advance directives.
• Refers cases to social worker (Hospital and ChenMed/JenCare/Dedicated) for complex psychosocial and economic needs.
• Refers cases where patient and/or family would benefit from counseling required to complete complex discharge plan to social worker.
• Reports observed or suspected child or adult abuse pursuant to mandated requirements.
• Obtains onsite and EMR access at priority facilities.
• Maintains clinical and progress notes for each patient receiving care and provides progress report to PCP and others as appropriate.
• Submits required documentation in a timely manner and in appropriate computer system.
• Participates in surveys, studies and special projects as assigned.
• Conducts concurrent medical record review using specific indicators and criteria as approved by medical staff. Acts as patient advocate: investigates and reports adverse occurrences, and performs staff education related to resource utilization, discharge planning and psychosocial aspects of healthcare delivery.
• Promotes effective and efficient utilization of clinical resources and mobilizes resources to assist in achieving desired clinical outcomes within specific timeframe.
• Conducts review for appropriate utilization of services from admission through discharge. Evaluates patient satisfaction and quality of care provided.
• Communicates with physicians at regular intervals throughout hospitalization and develops an effective working relationship. Assists physicians to maintain appropriate cost, case and desired patient outcomes.
• Coordinates the provision of social services to patients, families and significant others to enable them to deal with the impact of illness on individual family functioning and to achieve maximum benefits from healthcare services.
• Completes expanded assessment of patients and family needs at time of admission. Completes psychosocial assessment.
• Directs and participates in the development and implementation of patient care policies and protocols to provide advice and guidance in handling unusual cases or patient needs.
• Attends meetings as assigned
• Performs other duties as assigned and modified at managers discretion.

There are 4 Nurse Case Manager 1 Roles with additional Essential Job Functions:

Acute Case Manager (primarily hospital based)

Responsibilities include all the above Core duties/responsibilities plus the following:

• Identify appropriateness of inpatient vs. observation status.
• Identify and manage safety risk (complete a social assessment), identify functional status (ADLs and PT needs), discuss medications and self-management, identify and correct knowledge deficits.
• Implement the ACM Coaching program with the appropriate patient population.
• In markets as appropriate, when patient in SNF, in conjunction with the post-acute physician, coordinate the transition to a lower level of care as soon as appropriate using a preferred provider if further services are needed.
• Facilitate discharge to appropriate level of care and preferred providers
• Communicate discharge to all stakeholders including PCP, Center Manager and Community Case Manager.
• Document the appropriate date that the patient is medically discharged and update as appropriate.
• Contact the center manager to arrange for a follow-up PCP appointment prior to discharge and whenever possible, communicate this information to the patient/caregiver.
• As appropriate, discuss patients eligibility for CCM or DM programs and identify patient interest in participation.
• Coordinate acute UR physician meetings.

Community Case Manager (primarily clinic and community based)

Responsibilities include all the above Core duties/responsibilities plus the following:

• Provides telephonic or outpatient visits to patients at high-risk for readmissions (as identified by CM Plan) to the ER or hospital, to patients with active care planning requirements, to disease management patients per the Disease Management Plan and to others as referred via transitional care team, acute case managers and Transitional Care team.
• Visits may include evening and weekend hours with the goal of preventing ER visits or hospital admissions.
• Performs clinical functions including disease-oriented assessment and monitoring, medication monitoring, health education and self-care instructions in the outpatient setting.

Coordinate the Plan of Care:

• Conducts/coordinates initial case management assessment of patients to determine outpatient needs.
• Ensures individual plan of care reflects patient needs and services available.
• Makes recommendations to the team.
• Completes individual plan of care with patients and team members.
• Communicates instructions and methodologies as appropriate to ensure that the plan is implemented correctly.
• Assesses the environment of care, e.g., safety and security.
• Assesses the caregiver capacity and willingness to provide care.
• Assesses patient and caregiver educational needs.
• Coordinates, reports, documents and follows-up on Super Huddles and HPP/IDT meetings.
• Helps patients navigate health care systems, connecting them with community resources; orchestrates multiple facets of health care delivery and assists with administrative and logistical tasks.
• Coordinates the delivery of services to effectively address patient needs.
• Facilitates and coaches patients in using natural supports and mainstream community resources to address supportive needs.
• Maintains ongoing communication with families, community providers and others as needed to promote the health and well-being of patients.
• Establishes a supportive and motivational relationship with patients that support patient self-management
• Monitors the quality, frequency and appropriateness of HHA visits and other outpatient services.
• Assists patient and family with access to community/financial resources and refer cases to social worker as appropriate.

Community/Skilled Nursing Facility Case Manager (Community Case Manager Role with additional SNF duties as assigned)

Responsibilities include all the above Core duties/responsibilities plus the following:

• Community Case Manager role as above.
• CM telephonic or onsite visits to SNFs, communication with physical therapists (PT), social workers, patient and families as appropriate.
• Validates appropriate level of care/LOS.
• Validates Discharge plan for safe transition home, utilization of preferred providers or timely transition to long term care.
• Reminds patient of need for 4-day PCP post hospital/SNF discharge visit and future visits.
• Collaborates with payor onsite SNF CMs.

Transitional Case Manager (Blended Acute and Community Case Manager Roles)

Responsibilities include all the above Core duties/responsibilities plus the following:

• Acute and Community Case Manager roles as above.

KNOWLEDGE, SKILLS AND ABILITIES:

• Strong interpersonal and communication skills and the ability to work effectively with a wide range of constituencies in a diverse community.
• Critical thinking skills required.
• Ability to work autonomously is required.
• Ability to monitor, assess and record patients progress and adjust and plan accordingly.
• Ability to plan, implement and evaluate individual patient care plans.
• Knowledge of nursing and case management theory and practice.
• Knowledge of patient care charts and patient histories.
• Knowledge of clinical and social services documentation procedures and standards.
• Knowledge of community health services and social services support agencies and networks.
• Organizing and coordinating skills.
• Ability to communicate technical information to non-technical personnel.
• Proficient in Microsoft Office Suite products including Excel, Word, PowerPoint and Outlook, plus a variety of other word-processing, spreadsheet, database, e-mail and presentation software.
• Ability and willingness to travel locally, regionally and nationwide up to 10% of the time.
• Spoken and written fluency in English.
• Bilingual preferred.

PAY RANGE:

$36.9 - $52.70 Hourly

The posted pay range represents the base hourly rate or base annual full-time salary for this position. Final compensation will depend on a variety of factors including but not limited to experience, education, geographic location, and other relevant factors. This position may also be eligible for a bonuses or commissions.

EMPLOYEE BENEFITS

Were ChenMed and were transforming healthcare for seniors and changing Americas healthcare for the better. Family-owned and physician-led, our unique approach allows us to improve the health and well-being of the populations we serve. Were growing rapidly as we seek to rescue more and more seniors from inadequate health care.

ChenMed is changing lives for the people we serve and the people we hire. With great compensation, comprehensive benefits, career development and advancement opportunities and so much more, our employees enjoy great work-life balance and opportunities to grow. Join our team who make a difference in peoples lives every single day.

Current employees, if you want to apply to our internal career site, please click HERE

Current Contingent Worker please see job aid HERE to apply

#LI-Onsite

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Job Industries

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Description:

Case Manager Float - Ramsey County

Looking for a career that is fast-paced and rewarding? Pinnacle Services is looking for friendly, self-starting professionals to join our Ramsey County Case Management team! Come work for a company that values person-centered thinking and employee growth!

Pinnacle Services is an innovative agency experiencing rapid growth in the Case Management department. Do you have you bachelor's in social work or related field? Are you licensed in Social Work or seeking your licensure in social work? Then this is a great opportunity for you! We offer a fun and highly collaborative work environment that centers on providing services of the highest quality to the people we serve. We work with a variety of lead agencies and our consumers are located primarily in the seven county metro areas. Who would be successful in this role? Someone who enjoys a variety from day to day and having a diverse array of clients. Case Managers have a lot of independence while managing their caseloads, therefore someone who would prefer group work to be self-led, consulting and collaborating with others, then returning to their independent tasks would succeed in this role.

Description

Job Responsibilities and Duties:

The Case Manager Float at Pinnacle Services has the opportunity to work with persons served on a mix of CADI and DD waivers. These persons served may have a developmental disability, serious and persistent mental illness, chemical dependency issues, a physical disability, or are aging.

The Case Manager Float is responsible for:

• Assessing the areas of the person served life where assistance is needed.
• Offering and coordinating resources for the person served being supported.
• Monitoring service delivery and working with providers to ensure the person served needs are met.
• Service plan development.
• Attend regular meetings with person served and their interdisciplinary teams.
• Case Noting client related work to create billable units.
• Enjoys a fast-paced environment; may manage 1040 cases at a time, with a goal of keeping the float under 50 clients.
• Thrives without a set caseload, working with diverse individuals, waivers, and programs. Must be adaptable, able to quickly assess case status, and determine next steps even with limited documentation.
• Demonstrates strong interpersonal skills and can effectively handle upset individuals, particularly in situations.
• Manages stress well during high-volume periods, such as large case transfers with increased emails and calls.

Salary:

Non-LSW wage: $51,000/ year salaried for 40hrs/week.

LSW wage: $51,600/year salaried for 40hrs/week.

• Training Program - up to 8 weeks
• Health Insurance
• Dental Insurance
• Vision Insurance
• Life Insurance
• Short Term Disability
• Voluntary Life Insurance
• MN Paid Leave
• Flexible Spending Account
• Paid Time Off
• 7 Holidays
• 401K - Eligible to contribute the 1st quarter after 6 months of employment
• Animal Friendly Corporate Office
• Professional Growth Opportunities
• Employee Recognition Programs
• Flexible Schedules
• Team Atmosphere
• MSSA membership & paid CEUs
• Licensing supervision
• Flex-time available after the first 90 days.
• up to 3 days/week work from home - based on 90-day evaluations work from home eligibility is determined - after completing 90 days of training in our NE Minneapolis office

Requirements:

Requirements

Case Manager Requirements:

• Be a graduate from an accredited four-year college with a major in social work, psychology, sociology, or a closely related field. or
• Be a graduate from an accredited four-year college with a major in any field and one year of experience as a social worker/case manager/care coordinator in a public or private social service agency.
• One year of experience in education or treatment of persons served with developmental disabilities or related conditions, or a minimum of one course that specifically focuses on developmental disabilities.
• Applicants must have a valid drivers license and acceptable driving record as determined by Pinnacle Services policy. Applicants must have a vehicle that is covered with current insurance.
• Applicants must successfully clear local and/or stated background checks.

Preferred Qualifications:

• Possess a LSW or higher form of BOSW Licensure.

Compensation details: 51 Yearly Salary

PIecc6deb8cb87-31181-39852034

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Job Industries

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Description:

Case Manager - Ramsey County

Looking for a career that is fast-paced and rewarding? Pinnacle Services is looking for friendly, self-starting professionals to join our Ramsey County Case Management team! Come work for a company that values person-centered thinking and employee growth!

Pinnacle Services is an innovative agency experiencing rapid growth in the Case Management department. Do you have you bachelor's in social work or related field? Are you licensed in Social Work or seeking your licensure in social work? Then this is a great opportunity for you! We offer a fun and highly collaborative work environment that centers on providing services of the highest quality to the people we serve. We work with a variety of lead agencies and our consumers are located primarily in the seven county metro areas. Who would be successful in this role? Someone who enjoys a variety from day to day and having a diverse array of clients. Case Managers have a lot of independence while managing their caseloads, therefore someone who would prefer group work to be self-led, consulting and collaborating with others, then returning to their independent tasks would succeed in this role.

Description

Job Responsibilities and Duties:

Case Managers at Pinnacle Services have the opportunity to work with persons served on a mix of CADI and DD waivers. These persons served may have a developmental disability, serious and persistent mental illness, chemical dependency issues, a physical disability, or are aging.

The Case Manager is responsible for:

• Assessing the areas of the person served life where assistance is needed.
• Offering and coordinating resources for the person served being supported.
• Monitoring service delivery and working with providers to ensure the person served needs are met.
• Service plan development.
• Attend regular meetings with person served and their interdisciplinary teams.
• Case Noting client related work to create billable units.

Salary:

Non-LSW wage: $49,000/ year salaried for 40hrs/week.

LSW wage: $51,600/year salaried for 40hrs/week.

• Training Program - up to 8 weeks
• Health Insurance
• Dental Insurance
• Vision Insurance
• Life Insurance
• Short Term Disability
• Voluntary Life Insurance
• MN Paid Leave
• Flexible Spending Account
• Paid Time Off
• 7 Holidays
• 401K - Eligible to contribute the 1st quarter after 6 months of employment
• Animal Friendly Corporate Office
• Professional Growth Opportunities
• Employee Recognition Programs
• Flexible Schedules
• Team Atmosphere
• MSSA membership & paid CEUs
• Licensing supervision
• Flex-time available after the first 90 days.
• up to 3 days/week work from home - based on 90-day evaluations work from home eligibility is determined - after completing 90 days of training in our NE Minneapolis office

Requirements:

Requirements

Case Manager Requirements:

• Be a graduate from an accredited four-year college with a major in social work, psychology, sociology, or a closely related field or
• Be a graduate from an accredited four-year college with a major in any field and one year of experience as a social worker/case manager/care coordinator in a public or private social service agency.
• One year of experience in education or treatment of persons served with developmental disabilities or related conditions, or a minimum of one course that specifically focuses on developmental disabilities.
• Applicants must have a
  valid drivers license and acceptable driving record as determined by Pinnacle Services policy. Applicants must have a vehicle that is covered with current insurance.
• Applicants must successfully clear local and/or stated background checks.

Preferred Qualifications:

• Possess a LSW or higher form of BOSW Licensure.

Compensation details: 49 Yearly Salary

PI637818d5b62d-31181-30247744

Required

Preferred

Job Industries

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Location Address:

Compensation Pay Range:

Summary:

How you grow, learn and thrive matters here.
• Educational and career development options, including tuition and certification reimbursement, scholarship opportunities
• Staff Safety (a wearable badge that allows nurses to quickly and discreetly call for help when safety is a concern)
• Differentials for night/weekend shifts, higher education, certifications and various lead roles (for eligible positions)
• Malpractice liability insurance
• Loan forgiveness through the New Mexico Higher Education Department
• EPIC electronic charting system

Responsibilities:

• Identifies cases appropriate for case management. Educates providers and other PHS/PHP departments on case management services. Screens new referrals for case management appropriateness.
• Conducts in-depth assessment which includes, but is not limited to, psychosocial, physical, medical, environmental and financial parameters. Advocates for members in caseload
• Identifies cases appropriate for case management. Educates providers and other PHS/PHP departments on case management services. Screens new referrals for case management appropriateness.
• Conducts in-depth assessment which includes, but is not limited to, psychosocial, physical, medical, environmental and financial parameters. Advocates for members in caseload.
• Formulates, implements, coordinates, monitors, and evaluates strategies for patients and families collaboratively with members, families and health care teams. Develops, documents and implements plans which provide appropriate resources to address social, physical, mental, emotional, spiritual and supportive needs.
• Actively participates in the development of clinical guidelines and pathways and incorporates processes into the role of case managers.
• Educates providers on health management strategies which can reduce need for one-on-one case management services. Educate physicians, nurses, ancillary support staff, patients, and families regarding case management role.
• Refers patients to appropriate inpatient, outpatient, and community resources.
• Promotes the appropriate use of clinical and financial resources in order to improve the quality of care and patient satisfaction. Collect clinical path variance data that indicate potential areas for improvement of case and services provided within the system. Generates reports, which demonstrate efficacy through direct cost-savings and outcome measures.
• Complies with Case management Society of America Standards for Case Management Practice and with CCMC code of Professional Conduct for Case Managers.
• Performs other functions as required.

Qualifications:

*Associates Degree in Nursing

*State of New Mexico or Compact State Nursing License

*BLS certification REQUIRED at at time or hire

*Five years of experience in clinical nursing with a minimum of three to five in case management, utilization management, quality assurance, home care, community health, or occupational health.

*CCM certification within 3 years of hire. 

*Employee Health experience preferred. 

We're all about well-being, starting with yours.
Presbyterian employees have access to a fun, engaging and unique wellness program, including free on-site and community-based gyms, nutrition coaching and classes, mindfulness and meditation resources, wellness challenges and more.

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 locally owned, not-for-profit healthcare system 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 14,000 employees - including more than 1600 providers and nearly 4,700 nurses.

Our health plan serves more than 580,000 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.

Compensation Disclaimer

The compensation range for this role takes into account a wide range of factors, including but not limited to experience and training, internal equity, and other business and organizational needs.

Cynet Health is seeking an experienced Case Manager Registered Nurse for an exciting Travel Nursing job in Ashland, WI. Shift: 5x8 hr days Start Date: 04/06/2026 Duration: 13 weeks Pay: $2786 / Week

About Cynet Health:

Ranked #5 Best Travel Nursing Companies 2022 by BluePipes. We offer the most competitive pay for every position we fill. We understand this is a partnership. You will have no surprises. Your salary will be discussed upfront and there will be no troubling negotiation tactics. Chat live with one of our recruiters 24x7 on our website @ or schedule a call 

LRS Healthcare - Nursing is seeking an experienced Case Manager Registered Nurse for an exciting Travel Nursing job in York, ME. Shift: Flex Shift Start Date: ASAP Duration: 13 weeks Pay: $2198 / Week

Ready to start your next travel adventure? LRS Healthcare offers a full benefits package, 24/7 support, and a responsive, traveler-first culture. What are you waiting for? Apply today!

• 2 year of recent experience in area of specialty preferred
• Valid license and/or certification in state of practice, if applicable
• Demonstrated ability to maintain high level of professionalism during stressful times
• Valid Driver's License
• Background and drug screen

• Health, Dental, and Vision Insurance
• Customized Housing Options
• Life and Disability Insurance
• 401(k) with Employer Match
• Certification & Licensure Reimbursement
• Generous Referral Bonus Program
• Weekly Direct Deposit
• 24/7/365 Support

About LRS Healthcare - Nursing:

At LRS Healthcare, we match skilled nursing professionals with top facilities nationwide. We know the healthcare industry never stands still, and neither do we. Our team of specialized recruiters professionals will help you find the travel healthcare job you’ve always wanted. And when you do, we’ll be there to support you whenever you need us, every step of the way.