Case Manager- San Miguel County

Roadrunner Health Services•Las Vegas, NM

7d•Hybrid

About The Position

The Case Manager serves as the primary liaison between patients, medical staff, and external healthcare providers. The role ensures that detainees receive timely, appropriate, and compliant medical care, while addressing special health needs, coordinating referrals, and supporting safe release planning.

Requirements

Strong interpersonal and communication skills for working with diverse populations.
Knowledge of healthcare systems, community resources, and correctional procedures.
Excellent organizational, attention to detail, problem-solving, and crisis intervention abilities.
Proficiency in electronic health record systems and reporting tools
Excellent written and verbal communication skills.
Proficient in Microsoft Office Suite or similar software.
Ability to work under pressure, and teamwork orientation.
High school diploma or equivalent
One year experience in medical case management, correctional healthcare, or similar high-security environments.
Demonstrates ability to work under pressure, manage multiple cases, and maintain confidentiality.
BLS/First Aid & CPR Certified

Responsibilities

Evaluate patients' medical and mental health needs through interviews, clinical reviews, and record analysis.
Develop and monitor individualized care plans, including treatment goals, service referrals, and discharge planning.
Liaise with in-house medical staff, external hospitals, and specialty providers to ensure continuity of care.
Review and determine medical necessity of referrals and requests.
Arrange continuity of care and safe release planning.
Advocate for patients' health needs, ensuring access to necessary services and resources.
Provide education to patients and staff on health conditions, treatment options, and self-care.
Maintain accurate, confidential medical records and case files.
Prepare and submit reports to facility leadership, oversight agencies, and stakeholders.
Ensure compliance with healthcare regulations, facility policies, and legal requirements.
Deliver training to facility staff on mental health, safe release, and special vulnerabilities.
Collaborate with probation/parole officers, social workers, and community organizations for reintegration support.
Performs other related duties as required.