RN Clinical Access Lead | Utilization Management - Sign-On Bonus

9to9 Software Solutions LLC; Farmington (NM); On-site; USD 43,000 - 63,000; Full time

Benefits offered by this job

Sign-on bonus

Job summary

9to9 Software Solutions LLC in Farmington, NM seeks a Clinical Access Case Manager (RN) to lead utilization management across a community hospital. The role emphasizes applying InterQual criteria and collaborating with clinical teams to ensure appropriate admissions and care transitions.

The position requires at least 2 years of acute care experience, NM licensure or compact licensure with successful transfer, and a Cerner-based workflow. A $2 sign-on bonus is offered.

Qualifications

• Associates in Nursing or higher.
• Minimum 2 years of acute care experience.
• Experience with InterQual and Utilization Review/Management required.
• Experience with CCM, ACM, or Milliman preferred.
• BLS required upon submission.
• Open to candidates who do not hold New Mexico or Compact licensure; licensure must be obtained prior to start.

Responsibilities

• Apply InterQual criteria and utilization review principles across patient populations to support appropriate admission status and care transitions.
• Collaborate with clinical teams to ensure timely and accurate level-of-care determinations.
• Operate within Cerner and InterQual EHR environments.

Skills

InterQual

Utilization Review

Milliman

CCM

ACM

BLS

Education

Associates in Nursing or higher

Tools

Cerner

InterQual EHR

Job description

9to9 Software Solutions LLC in Farmington, NM seeks a Clinical Access Case Manager (RN) to lead utilization management across a community hospital. The role emphasizes applying InterQual criteria and collaborating with clinical teams to ensure appropriate admissions and care transitions.

The position requires at least 2 years of acute care experience, NM licensure or compact licensure with successful transfer, and a Cerner-based workflow. A $2 sign-on bonus is offered.