RN Case Manager

The City Different, at Every Turn! Santa Fe, New Mexico
The Community – Santa Fe, NM
Santa Fe, New Mexico is a magical, exuberant, colorful journey at any time of year. The legendary history and culture will fascinate and inspire you. Art galleries and diverse visual arts span ancient traditional art to the most contemporary, making it one of the largest and most important art markets in the country. Settle yourself into the World Class accommodations, partake of the sumptuous world-renowned cuisine and treat yourself to the colorful markets and experience because Santa Fe has been considered a legendary trading center for hundreds of years. Placed in the Top 15 Cities in the U.S. in 2018 by Travel and Leisure, Top 14 Best Places to Travel in 2019 Forbes Magazine and listed as one of the Best Weekend Getaways in Readers Digest, Santa Fe has very little room to disappoint anyone willing to take the plunge

Click on the link to learn more about Santa Fe here.

Airport Information: Albuquerque International Sunport
The Albuquerque International Sunport, known for its distinct southwestern architecture and cultural de cor, is New Mexico's largest commercial airport, welcoming over 5 million passengers each year. The Sunport boasts a world-class art collection, unique amenities, New Mexican cuisine, and many local artisanal gifts. approximately 5 miles southeast of downtown. It serves as the primary airport for the region and offers more than 250 nonstop flights daily to various destinations.

For more information about the airport, check out their website here.

About the Facility: Santa Fe IHS
The facility is located in Santa Fe, New Mexico, provides comprehensive healthcare services to Native American and Alaska Native communities. The facility offers a wide range of services, including primary care, dental care, mental health, and specialty services, as well as chronic disease management. Additionally, Santa Fe Client provides pharmacy, laboratory, and radiology services, focusing on preventive care and promoting overall wellness. The facility integrates traditional healing practices with modern medical care to ensure culturally sensitive treatment for its patients.

Facility Address: 1700 Cerrillos Road, Santa Fe, NM 87505

RN Case Manager - RESPONSIBILITIES (listed are included but not limited to)

• The RN Case Manager coordinates care for ordering complex durable medical equipment and managing referrals for both un-resourced and resourced patients.
• Assist Purchase & Referred Care (PRC) staff in clarifying provider referrals/orders with non-Client vendors/providers.
• Partner with clinical care teams to ensure appropriate and timely referrals.
• Track and manage referrals entered by providers.
• Collaborate with external case managers and social workers for hospitalized patients with complex needs, including geriatric, pediatric, surgical, and trauma cases.
• Work with external vendors and partners to streamline referral processes.
• Address case management consult requests across all ambulatory clinics.
• Provide input during weekly PRC Committee meetings to support medical review members.
• RN Case Manager reviews charts, care plans, and contact patients, families, and service providers to ensure care meets patient needs.
• Assess care needs and resource utilization during consultations with healthcare providers.
• Review patient eligibility for care under applicable rules and regulations.
• Assist patients in exploring alternate resources, including Medicare, Medicaid, and private insurance options.
• Schedule medical appointments, therapies, and other services as needed.
• Revise care plans based on patient progress and input from healthcare providers.
• Collect and review health records to complete referrals and process payments.
• Ensure comprehensive and adequate patient treatment through appropriate documentation.
• RN Case Manager conducts follow-ups to confirm referral documentation and ensure patient treatment.

RN Case Manager - REQUIREMENTS

• Education: Degree or diploma from an accredited registered nursing program.
• Licensure: Possess a current, valid, unrestricted nursing license in a U.S. state, the District of Columbia, Puerto Rico, or a U.S. territory.
• Experience: At least 36 months of nursing experience, including 12 months in a related specialty.
• Certifications:
  • Mandatory: Current Basic Life Support (BLS) and Pediatric Advanced Life Support (PALS) certification.
  • Preferred: Advanced Cardiac Life Support (ACLS), Neonatal Resuscitation Provider (NRP), Trauma Nurse Critical Care (TNCC), and Nurse Specialty certification.