Field Care Manager, RN
About The Position
As an experienced Registered Nurse, the Field Care Manager serves as a clinical lead for assigned care teams and supports high-risk members through comprehensive care management, transitions of care, and interdisciplinary collaboration. This field-based role serves the Albuquerque Metro Area and focuses on improving health outcomes, reducing avoidable hospital utilization, and ensuring members receive coordinated, whole-person care. The role includes conducting assessments in members’ homes, hospitals, and skilled nursing facilities; developing and managing individualized care plans with providers; coordinating care across disciplines; and supporting members with complex chronic conditions. The manager also helps identify members who may benefit from palliative care or hospice and maintains accurate clinical documentation while supporting quality improvement initiatives.
Requirements
- Active New Mexico RN license; a multistate compact license is preferred.
- At least 3 years of acute care, home health, ambulatory care, or care management experience.
- Demonstrated ability to work independently in a field-based environment.
- Valid driver's license and reliable transportation.
Nice To Haves
- BSN and/or CCM certification.
- Medicare Advantage, value-based care, or transitions-of-care experience.
- Home health background.
- Bilingual English/Spanish.
Responsibilities
- Conduct clinical and social assessments in homes, hospitals, and skilled nursing facilities (SNFs).
- Develop and manage individualized care plans in partnership with providers.
- Lead care coordination and interdisciplinary team meetings.
- Manage transitions of care following hospitalizations and emergency department visits.
- Provide disease management and self-care coaching for members with complex chronic conditions.
- Collaborate with physicians, pharmacists, social workers, and community partners to address member needs.
- Identify and support palliative care- and hospice-appropriate members.
- Maintain accurate clinical documentation and support quality improvement initiatives.
Benefits
- Comprehensive benefits package, subject to eligibility requirements.
- Incentive and recognition programs, subject to eligibility requirements.
- Equity stock purchase, subject to eligibility requirements.
- 401(k) contribution, subject to eligibility requirements.
- Mileage reimbursement.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
