Travel Nurse RN - Acute Care in Las Cruces, NM

Director of Case Management

Our Client | Las Cruces, NM 88011 | Full-Time Exempt | Senior Leadership

Reports To

Chief Financial Officer

Location

Las Cruces, NM 88011 on-site required

Salary Range

Confidential $110,000 to $140,000

Signing Bonus

Negotiable

Visa Support

Not available

Travel

Not required

The Opportunity

Our client, a community hospital in southern New Mexico, is seeking an experienced Director of Case Management to lead the department through the full patient care continuum. This is a senior leadership role with direct accountability for clinical, financial, quality, and HR management across a multidisciplinary team of RNs, Social Workers, and Clerical Support.

The Director of Case Management will drive patient transitions through the continuum of care in a timely and cost-effective manner, ensuring both clinical outcomes and operational efficiency are optimised.

What You Will Do

Department Leadership

• Provide strategic and operational leadership for the Case Management Department, including programme planning, education, monitoring, and continuous improvement
• Oversee and supervise a multidisciplinary team of RNs, Social Workers, and Clerical Support staff
• Manage departmental HR functions including hiring, onboarding, performance management, and staff development
• Lead department meetings, maintain communication with the CFO and senior leadership, and represent Case Management in hospital-wide initiatives

Clinical & Utilization Management

• Direct the implementation and coordination of utilization management processes to ensure appropriate level of care and resource utilisation
• Oversee case management activities across the patient continuum including acute care, transitions, discharge planning, and post-acute follow-up
• Ensure timely and clinically appropriate patient progression through the hospital, reducing length of stay and avoidable readmissions
• Collaborate with physicians, nursing, ancillary services, and payers to facilitate effective care transitions
• Monitor and manage denial prevention and appeals processes in coordination with clinical staff and payers

Financial & Quality Management

• Monitor departmental performance against financial targets including length of stay, readmission rates, and case mix index
• Ensure documentation standards support accurate coding, billing, and reimbursement
• Lead quality improvement initiatives within Case Management, tracking outcomes and implementing evidence-based best practices
• Maintain regulatory compliance with CMS, Joint Commission, and state requirements pertaining to case management and discharge planning

What We Are Looking For

Required Qualifications

• Current RN licence in New Mexico or valid compact licence
• Minimum three years of utilization management and case management experience
• Minimum two years of leadership experience in a healthcare setting

Preferred Qualifications

• Certification as a Certified Case Manager (CCM) or Accredited Case Manager (ACM) strongly preferred
• Certification by the National Association of Healthcare Professionals or InterQual experience desirable
• Experience working in an acute care or for-profit hospital environment
• Strong working knowledge of payer requirements, insurance authorisation, and denial management
• Proficiency with EMR documentation and utilization management platforms

About Our Client

Our client is a full-service acute care community hospital in Las Cruces, southern New Mexico, serving a regional population of approximately 300,000. The facility is part of a nationally recognised health system and has been recognised for clinical excellence and workplace culture. Further details available upon candidate qualification.

Selection Process

• Step 1: Resume review by hiring manager
• Step 2: Video/Teams interview with CFO
• Step 3: On-site interview with the team (if applicable)