RN Access Case Manager

Shift: Days

Farmington, New Mexico: a community hospital is hiring an RN Manager of Clinical Access Case Management to lead its clinical access and case management function. In this days role, you will oversee utilization review, care coordination, and discharge planning, helping patients move through the hospital in a timely way and to the right level of care.
Responsibilities

• Oversee the clinical access and case management function for the hospital, setting priorities each day.
• Perform and supervise utilization review using InterQual criteria to support appropriate level-of-care decisions.
• Coordinate care across physicians, nursing, case management, rehabilitation, and discharge planning teams.
• Identify patients at risk for delayed transitions and work with the team to resolve barriers.
• Monitor throughput and length of stay, and escalate issues that affect timely, safe discharges.
• Support, coach, and mentor case management staff on utilization review and care coordination.
• Document utilization review decisions and care coordination accurately and on time.

Qualifications

• U.S. candidates only.
• At least 2 years of acute-care experience for the unit applied to.
• Candidates must live outside 100 miles from the facility.
• BLS certification required upon submission; all other required certifications can be obtained after hire.
• Candidates who do not yet hold a New Mexico or Compact RN licence must obtain it prior to start.
• Associates in Nursing or higher.
• Must have InterQual and utilization review/management experience.
• CCM, ACM and Milliman preferred.
• Clear, compassionate communication and thorough documentation.

Compensation
$31.00–$46.50 per hour, depending on experience. The top rate of $46.50 is at 20 years' experience; the stated low-to-mid range is $31.00–$38.75. BSN allowance +$1.50/hr. Certification allowance up to $4.50/hr. Sign-on bonus: $10,000 for candidates with under 2 years of experience, $25,000 for candidates with over 2 years of experience, with a 2-year commitment to receive the full bonus. Relocation bonus available depending on relocation area, with a minimum 1-year commitment. Competitive benefits package. Shift differentials: weekday evening +$4.50/hr, weekday night +$5.00/hr, weekend day +$5.00/hr, weekend night +$7.50/hr.
How to Apply
If you want your days measured by patients who get the right care, in the right place, without avoidable delays, apply now. Bring your license, your utilization review experience, and your judgment for complex care decisions.

Questions about this role? Contact Marni Allon, All Med Search — Marni@AllMedSearch.com · 858-414-6425