RN - Manager of Clinical Access case manager

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

A Clinical Access Case Manager (RN)

A Clinical Access Case Manager (RN) opportunity is available in Farmington, NM at a 198-bed, Level III trauma center serving the Four Corners region of New Mexico, Arizona, Colorado, and Utah. The facility holds PCI, Mammography, and Laboratory accreditation and offers a broad spectrum of services including medical, surgical, rehabilitation, a childbirth center, cancer center, nephrology unit, pediatric unit, inpatient behavioral health, day surgery, and extensive imaging and lab services.

The role

This is a hospital-wide case management position focused on utilization management and clinical access. The nurse in this role applies InterQual criteria and utilization review and management principles across all patient populations to support appropriate admission status, care transitions, and resource utilization. Day-to-day work involves collaborating with clinical teams throughout the facility to ensure timely and accurate level-of-care determinations. The position requires at least 2 years of acute care experience and operates within a Cerner and InterQual EHR environment.

What we're looking for.

• 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
• All other required certifications can be obtained after hire
• Open to candidates who do not hold New Mexico or Compact licensure; candidates must obtain licensure prior to start

Schedule

Days.

Compensation.

$31.00 - $46.50/hr plus $2 sign-on bonus