Utilization Manager Jobs in Albuquerque
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Search Results - Utilization Manager Jobs in Albuquerque
Albuquerque
Overview:
Now hiring a Utilization Management Reviewer-LTC
Responsible for conducting Nursing (NF) Facility Level of Care (LOC) determinations according to state regulations and criteria. Performs utilization review activities to ensure...
icims.com -
Children's Home Healthcare-Albuquerque
experience
Current state driver's license and automobile insurance
Proficient in computers/EMR
Highly motivated, self-disciplined, have excellent communication skills and willing to travel to patient homes
Utilization Management Experience
Reliable...
University of New Mexico - Hospitals-Albuquerque
create lasting positive change in our community. Department: Utilization Management - UH FTE: 1.00 Full Time Shift: Days Position Summary: Coordinate all systems/services required for an organized, multidisciplinary, patient centered care team approach...
Presbyterian Healthcare Services-Albuquerque
and efficient patient care. The role integrates utilization management, care coordination, and transition planning functions. The Case Manager IV has the overall accountability for a designated case load and plans effectively in order to meet patients needs...
University of New Mexico - Hospitals-Albuquerque
This is a Utilization Review position. We review all admissions and continued stay to the hospital for Medical necessity and manage the insurance authorization throughout the stay . Department: Utilization Management - UH FTE: 0.05 Casual Pool...
Presbyterian Healthcare Services-Albuquerque
integrates utilization management, care coordination, and transition planning functions. The Nurse Care Coordinator collaborates with a multidisciplinary team, to include a Social Workers, to ensure the patient’s progress and plans effectively in order...
University of New Mexico - Hospitals-Albuquerque
This is a Utilization Review position. We review all admissions and continued stay to the hospital for Medical necessity and manage the insurance authorization throughout the stay . Department: Utilization Management - UH FTE: 0.05 Casual Pool...
Albuquerque
Overview:
Now hiring a Utilization Management Nurse Specialist
Albuquerque Metro Residents Only.
Performs clinical review to ensure that services rendered to members meet clinical criteria and are delivered in the appropriate setting. Utilizes...
icims.com -
Magellan Health-Albuquerque
programs to support this vision. The Senior Medical Director ensures the delivery of appropriate health care by overseeing the service coordination, utilization management, care/case management, population health/disease management, cost of care, health...
University of New Mexico - Hospitals-Albuquerque
We review all admissions and continued stay to the hospital for Medical necessity and manage the insurance authorization throughout the stay . Department: Utilization Management - UH FTE: 0.05 Casual Pool (as needed) Shift: Rotating Position Summary...
Cibola General Hospital-Albuquerque
to community or social service programs. Plan discharge from care facility to home or other care facility. Share responsibilities of Utilization Review/Utilization management tasks
Requirements: Masters degrees in Social Work, Psychology, Mental Health...
tiptopjob.com -
Albuquerque
Must have a valid driver license, clean driving record, and able to travel locally.
• Experience in utilization management, quality assurance, home care, community health, long term care, medical assistant or occupational health required.
• Proficiency...
icims.com -
Albuquerque
effective and quality outcomes in a primarily inpatient setting, including complex discharge planning.
Performs Utilization Management clinical review to ensure that services rendered to members meet clinical criteria and are delivered in the appropriate...
icims.com -
Albuquerque
of effective and efficient patient care. The role integrates utilization management, care coordination, and transition planning functions. The Case Manager has the overall accountability for a designated case load and plans effectively in order to meet patients...
icims.com -
Albuquerque
years exp, Bachelors Degree & 2 years exp, Associates Degree & 3 years exp, 6 years of exp may be utilized in lieu of other education reqs.
• Must have a valid driver license, clean driving record, and able to travel locally.
• Experience in utilization...
icims.com -
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