Utilization Manager Jobs in New Mexico
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Search Results - Utilization Manager Jobs in New Mexico
Albuquerque
Overview:
Now hiring a Utilization Management Nurse Specialist
Performs clinical review to ensure that services rendered to members meet clinical criteria and are delivered in the appropriate setting. Utilizes clinical skills to to coordinate...
icims.com -
Christus Health-Alamogordo
cases and/or trends to the infection control nurse.
Performs utilization management functions as required by payer source.
Complies with the Utilization Management Plan.
Requirements
Education
Required:
Associate of Science
Licenses & Certifications...
Christus Health-Alamogordo
/associates/physicians and participates in risk management/complaint reviews as needed. Works with department leadership to ensure costs align with the budget through appropriate labor/supply utilization management.
The position focuses on patient...
mindmatch.ai -
Christus Health-Alamogordo
cases and/or trends to the infection control nurse.
Performs utilization management functions as required by payer source.
Complies with the Utilization Management Plan.
Requirements
Education
Required:
Associate of Science
Licenses & Certifications...
CHRISTUS Health-Alamogordo
in infection control activities by screening, monitoring, and reporting individual cases and/or trends to the infection control nurse.
• Performs utilization management functions as required by payer source.
• Complies with the Utilization Management Plan...
Presbyterian Healthcare Services-Albuquerque
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, manage the length of stay...
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 -
Presbyterian Healthcare Services-Albuquerque
the delivery of effective 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...
Albuquerque
degree and 8 yrs of exp, Associates degree and 9 years of exp, 12 years of exp may be utilized in lieu of other education and experience reqs.
• Must have a valid driver license, clean driving record and able to travel locally.
• Experience in utilization...
icims.com -
Presbyterian Healthcare Services-Albuquerque
care. The role integrates utilization management, care coordination, and transition planning functions. The Case Manager I has the overall accountability for a designated case load and plans effectively in order to meet patients needs, manage the length...
Albuquerque
in utilization management, quality assurance, home care, community health, long term care or occupational health required.
• Proficiency in Microsoft Word, Excel and Outlook required.
• Experience in analyzing trends based on decision support systems.
• Business...
icims.com -
Presbyterian Healthcare Services-Rio Rancho
Coordination, you will provides clinically-based case management to support the delivery of effective and efficient patient care. The role integrates utilization management, care coordination, and transition planning functions.
The Case Manager IV has...
Clovis (NM)
Experience in analyzing trends based on decision support systems. Business management skills to include, but not limited to, cost/benefit analysis, negotiation, and cost containment. Knowledge of referral coordination to community & private/public resources...
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...
Albuquerque
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 management...
icims.com -
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