Case Manager

Case Manager job in Albuquerque, NM

Shift: 1st - Day
Hours: 8a-4:30p
Schedule: Full Time

You’re going to LOVE Lovelace!

Our goal at Lovelace UNM Rehabilitation Hospital is to return people recovering from illness or injury to the highest quality of life possible. We provide a full continuum of inpatient and outpatient care including physical therapy, occupational therapy, speech and language and pathology, rehabilitation nursing and case management services.

Lovelace UNM Rehabilitation Hospital is now hiring a Full Time Case Manager.

Responsible for Discharge Planning in an Acute Care Setting

  • Assesses, plans, implements, monitors, and evaluates options and services required to meet an individual’s health needs by utilizing a collaborative process as well as using communication and available resources to promote quality and cost effective outcomes.
  • Assists in identifying the appropriate level of care, providers, and facilities to ensure timely and cost effective manner in obtaining optimum value for both the client and the reimbursement source.
  • Responsible for inpatient discharge planning.
  • Assists in providing appropriate level of care, using Inter-Qual & Milliman criteria, identifies appropriate providers to transition patients to the next level of care when patient no longer needs medical necessity for inpatient care, and provides utilization review information to third party payors.

Qualifications:

  • Minimum education required: Clinical background with a Bachelor’s degree or equivalent experience OR a combination of ADN with experience in health related field.
  • Desired education: Certified Case Manager
  • Valid LSW for Hospital and/or valid NM or multi-state RN.
  • One (1) year of previous job related experience in an acute care environment.
  • Ability to maintain accuracy and consistency, able to function independently and manage time and work tasks, communicate effectively and have a working knowledge of HMO’s, PPO’s, Medicare, Medicaid, and insurance plans.

Why UNM Lovelace Rehabilitation Hospital?

  • CARF-accredited in six programs
  • Hospital of Choice Award from the American Alliance of Healthcare Providers
  • Excellence in Outcomes Award from Focus On Therapeutic Outcomes (FOTO), Inc.
  • HealthStream Awards of Excellence: Excellence Through Insight Award for Most Improved Small Hospital in overall employee satisfaction and engagement


Department / Location

NURSING ADMINISTRATION
Lovelace Unm Rehabilitation Hospital - Albuquerque, NM