Krucial Rapid Response is seeking Clinical Access Case Manager to assist in Farmington, New Mexico!
This is a direct hire staffing opportunity through Krucial Rapid Response driven by a mission to serve others at their greatest time of need.
PAY: $63,627.20-$101,816/Yr.
Relocation available
Assignment Details for Clinical Access Case Manager:
- Immediate start
- Hours: M-F
Job Responsibilities for Clinical Access Case Manager:
- The RN Case Manager is responsible for assessing, planning, facilitating, and advocating for options and services through a continuum of care from admission through discharge on assigned patients.
- Management of ports of entry. Perform and document clinical reviews to determine medical necessity, using InterQual, and physician determination of length of stay (LOC).
- Receive and review physician orders on all patients coming into SJRMC and determines the accuracy of the patient status assigned, (i.e., inpatient, outpatient, or observation)
- Perform concurrent utilization review as assigned following contractual obligations
- Denial Management
- Observation Management
- Maintain current knowledge of and follow Medicare and Medicaid requirements
- Proactively identifying, documenting, and escalating problems with over/under utilization of hospital resources
- Collaborates effectively with departmental staff to achieve goals and objectives
- Utilizes internal or external Physician Advisor as needed to resolve level of care discrepancies
Requirements and Qualifications for Clinical Access Case Manager:
- Current RN license in state of New Mexico
- Minimum 5 years experience in acute care required
- Assertive and diplomatic communication skills
- Self-motivated and accountable
- Team-Oriented
- Nursing experience
- Bachelor’s Degree (BSN)
- Accredited Case Manager Certification (ACM)
- Cerner experience
- Case Management experience
If you are interested in this Registered Nurse Case Manager, please click "APPLY NOW" and an agent will be in touch if positions are still available.
Krucial Rapid Response is proud to be an Equal Opportunity Employer where all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability , or veteran status. As a federal contractor or subcontractor, Krucial Staffing shall abide by the requirements of 41 CFR 60-1.4(a), 41 CFR 60-300.5(a) and 41 CFR 60-741.5(a). These regulations prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on their race, color, religion, sex, sexual orientation, gender identity or national origin.
Job Type: Full-time
Pay: $63,627.20 - $101,816.00 per year
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Employee assistance program
- Health insurance
- Paid time off
- Vision insurance
Schedule:
- Day shift
- Monday to Friday
Work setting:
Ability to Relocate:
- Farmington, NM: Relocate before starting work (Required)
Work Location: In person