Provides for the development, coordination, and implementation of care coordination services over the continuum of care. The position will incorporate the traditional functions of Discharge Planning, Quality, and Utilization Management with a focus on high-risk inpatient populations.
Bachelor’s degree in Nursing or three + years of experience in nursing preferred but other health care related education may be considered based on experience. Experience in Care Management preferred.
Licensure: If a Registered or Licensed Practical Nurse Currently Licensed to Practice in the State of New Mexico.
Other disciplines, licensure as required by State of New Mexico.
Certification: Current American Heart - Basic Life Support (BLS) card.
Five years recent relevant clinical experience in an acute care facility required.
Strong Interpersonal skills and ability to work with patients, families, providers, peers, and other departments required.
Ability to use word processing and computer spreadsheets and other computer-based programs required to do the job. Excellent communication and problem-solving, and critical thinking skills.
Strong patient education abilities.
Knowledge of and experience with InterQual® Level of Care Criteria, experience in automated InterQual® preferred.
Knowledge of the regulatory environment, including Medicare Conditions of Participation, DNV standards, HIPAA, and reporting requirements.