Insurance Case Manager Jobs in New Mexico (NOW HIRING)

Case Manager
Requisition ID
req36937
Working Title
Case Manager
Position Grade
10
Position Summary
The University of New Mexico Health Sciences Center (UNM HSC) Department of Pediatrics encompasses a statewide network of hospitals, clinics, and community-based services that are integrally linked through education and research. Guided by an abiding commitment to improving and restoring health, the department applies advanced medical science to serve New Mexico's children and support them into adulthood.
The Division of Pediatric Hematology/Oncology is seeking a full-time Social Work Case Manager to support medically complex pediatric and adult patients with cancer and bleeding disorders, as well as their families, across inpatient, outpatient, and specialty clinic settings. This position plays a critical role within the interdisciplinary care team by coordinating psychosocial resources, addressing barriers to care, and supporting continuity throughout diagnosis, treatment, survivorship, and chronic disease management.
The Social Work Case Manager is responsible for facilitating patient and family access to a broad range of local, state, and national resources, including lodging, transportation, meals, financial assistance, and other essential services that support access to care. The role requires close collaboration with social workers, counselors, nurses, providers, and administrative staff to assess needs, coordinate services, and maintain ongoing communication across inpatient and outpatient settings. Strong knowledge of New Mexico Medicaid regulations, prior authorizations, and insurance navigation is essential, including support for out-of-state referrals for specialized services such as bone marrow transplantation.
This position also supports the Ted R. Montoya Hemophilia Program and Treatment Center, a federally recognized comprehensive care program serving children and adults with bleeding disorders. Case management for this population requires coordination with Medicaid programs, specialty pharmacies, and national pharmaceutical patient-support programs to ensure continuity of treatment, access to medications, and comprehensive psychosocial support.
See the Position Description for additional information.
Conditions of Employment

• Successful candidate must submit to post-offer, pre-employment physical examination and medical history check.
• Specialty licensure/certification may be required, as specified by the department.

Minimum Qualifications
Bachelor's degree; at least 1 year of experience directly related to the duties and responsibilities specified.
Completed degree(s) from an accredited institution that are above the minimum education requirement may be substituted for experience on a year for year basis.
Preferred Qualifications

• Experience working in healthcare-based social work or case management
• Experience supporting pediatric and/or adult patients with cancer, hematologic conditions, or bleeding disorders
• Experience with insurance coordination, financial navigation, and community resource development
• Experience working as part of an interdisciplinary medical team
• Experience supporting community outreach, patient education, camps, or support programs
• Experience with medical charting and documentation in a hospital or academic medical setting

Additional Requirements
Campus
Health Sciences Center (HSC) - Albuquerque, NM
Department
Pediatrics Hematology Oncology (997M)
Employment Type
Staff
Staff Type
Regular - Full-Time
Term End Date
Status
Non-Exempt
Pay
Hourly: $19.56 - $26.58
Benefits Eligible
This is a benefits eligible position. The University of New Mexico provides a comprehensive package of benefits including medical, dental, vision, and life insurance. In addition, UNM offers educational benefits through the tuition remission and dependent education programs. See the Benefits home page for a more information.
ERB Statement
As a condition of employment, eligible employees working greater than .25 FTE as determined by the New Mexico Education Retirement Act must make mandatory retirement contributions. For more information, review the Benefits Eligibility at a Glance grid.
Background Check Required
Yes
For Best Consideration Date
6/19/2026
Eligible for Remote Work
No
Eligible for Remote Work Statement
Application Instructions
Only applications submitted through the official UNMJobs site will be accepted. If you are viewing this job advertisement on a 3rd party site, please visit UNMJobs to submit an application.
A complete application will consist of current resume, cover letter and reference. Please describe in your cover letter how you meet the preferred qualifications for the position. Include three references in your resume. The references must be professional references, preferably supervisors. Finalists should be prepared to provide official educational transcripts if selected for hire.
Positions posted with a Staff Type of Regular or Term are eligible for the Veteran Preference Program. See the Veteran Preference Program webpage for additional details.
The University of New Mexico is committed to hiring and retaining a diverse workforce. We are an Equal Opportunity Employer, making decisions without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, veteran status, disability, or any other protected class.
The University of New Mexico requires all regular staff positions successfully pass a pre-employment background check. This may include, but is not limited to, a criminal history background check, New Mexico Department of Health fingerprint screening, New Mexico Children, Youth, and Families Department fingerprint screening, verification of education credentials, and/or verification of prior employment. For more information about background checks, visit https://policy.unm.edu/university-policies/3000/3280.html. Refer to https://policy.unm.edu/university-policies/3000/3200.html for a definition of Regular Staff.