RN Case Manager Full-Time Case Management - (Santa Fe, NM)

Description In collaboration with the patient/family, social workers, physicians and interdisciplinary team, the RN case manager ensures patient progression through the continuum of care in an efficient and cost effective manner. The RN case manager is responsible for identifying, initiating and managing optimal patient flow/throughput to enhance continuity of care, smooth and safe transitions, patient satisfaction, patient safety and length of stay management. Support and ability are provided through comprehensive assessment, planning, implementation and overall evaluation of individual patient needs. Care coordination, utilization review and management, as well as discharge planning are accountabilities of this role. Education is provided to physicians and other members of the team on the issues related to utilization review including inappropriate admissions and placements. Payer-based requests regarding individual members are fulfilled, where appropriate and pertinent.