Travel Nurse RN - Case Manager - $2,976 per week in Albuquerque, NM
Company: Cynet Health
Location: Albuquerque
Posted on: July 8, 2025
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Job Description:
Job Title: RN Profession: Nursing Specialty: Utilization
Review/Case Manager Duration: 13 weeks Shift: 0800-1630 Hours per
Shift: 8 Experience: Five years in clinical nursing; minimum of two
years in emergency or acute clinical utilization review or case
management within the last 10 years. License: Required New Mexico
RN license Certifications: BLS required; national certification
preferred within three years of hire. Must-Have: Computer knowledge
including Windows, Word, Excel, and database systems; ability to
analyze trends based on decision support systems; business
management skills including cost/benefit analysis and negotiation;
knowledge in referral coordination to community and private/public
resources. Description: Responsible for coordinating patient care
across the continuum using assessment, care planning,
implementation, coordination, monitoring, and evaluation for
cost-effective and quality outcomes in a primarily inpatient
setting. Facilitates members' transfer when services are available.
Coordinates and facilitates the transfer of patients using
established transfer center processes. Once a decision for
admission is made, collects clinical information to determine the
patient’s level of care. Collaborates with the transfer center to
manage the transfer of members. Conducts an in-depth assessment
that includes psychosocial, physical, medical, environmental, and
financial parameters. Collaborates with the healthcare team to
proactively develop, implement, and document treatment and
discharge plans, addressing social, physical, mental, emotional,
spiritual, and supportive needs. Formulates, implements,
coordinates, monitors, and evaluates strategies with the healthcare
team to address care management issues for specific patients and
disease processes. Applies utilization review criteria to assess
and document the appropriateness of admission, continued stay,
level of care, and readiness for discharge. Refers cases that do
not meet criteria to the designated Physician Advisor. Promotes the
appropriate use of clinical and financial resources to improve
quality of care and patient/member satisfaction. Performs
cost-benefit analyses and engages in negotiations as needed.
Generates reports demonstrating efficacy through direct cost
savings and outcome measures. Actively participates in the
development of clinical guidelines and pathways, incorporating
processes into the role of nurse care coordinators. Educates
providers and other departments on health management strategies and
care coordination services. Receives, reviews, verifies, and
processes requests for approval of pre-service and concurrent
services, supplies, and procedures. Performs retrospective reviews
and conducts audits as necessary, accurately documenting findings.
Upon completion, compiles detailed findings and supporting
documentation for review. Performs other functions as required.
Keywords: Cynet Health, Santa Fe , Travel Nurse RN - Case Manager - $2,976 per week in Albuquerque, NM, Healthcare , Albuquerque, New Mexico