Aug 26, 2021

Clinical Case Manager / Case Management / Full-Time / Days

  • Ardent Health Services
  • Albuquerque, NM, USA

Job Description

Job Description

Clinical Case Manager, Case Management, Full-Time, Days, Albuquerque, NM

We are looking for a Clinical Case Manager to join our Case Management team in Albuquerque, NM.

This full-time job is located at Lovelace Medical Center, in the heart of Albuquerque, is an acute care hospital providing comprehensive care, including around-the-clock emergency care, surgical services, non-invasive robotic spine surgery, cardiology, stroke care, radiology and oncology services, including the state’s only Gamma Knife Center for non-invasive radiologic brain surgery.

Clinical Case Manager Responsibilities:

  • Assesses, plans, implements, monitors, and evaluates options and services required to meet an individual’s health needs by utilizing a collaborative process and by using communication and available resources to promote quality, cost effective outcomes.
  • Assists in identifying the appropriate level of care, appropriate providers and facilities to ensure a timely and cost effective manner in obtaining optimum value for both the client and the reimbursement source.
  • Adheres to policies, procedures and regulations to ensure compliance and patient safety

Clinical Case Manager Education and Experience Job Requirements:

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

Why Lovelace?

  • Leapfrog Hospital Safety Top Teaching Hospital, 2020
  • “A” grade from Leapfrog Hospital Safety Grade, 2019, Fall 2020
  • Healthgrades 2020 Specialty Excellence Awards: Pulmonology Care Excellence, 2020; America’s 100
  • Modern Healthcare’s Best Places to Work, 2016- 2019
  • U.S. News & World Report “Best Hospitals,” 2019
  • Best Hospitals for Cardiac Care, 2019; America’s 100 Best Hospitals for Coronary Intervention, 2019
  • American Heart Association/American Stroke Association “Get with the Guidelines” Stroke Gold Plus Quality Achievement Award, 2012-2019 (Target Honor Roll - Elite Plus, 2019-2021)
  • American Heart Association/American Stroke Association Target: Stroke Honor Roll since 2012

Lovelace is a drug-free employer with smoke free campuses.