Utilization Review Jobs in New Mexico
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Search Results - Utilization Review Jobs in New Mexico
LanceSoft-Espanola (NM)
Job Description
LanceSoft is seeking a travel nurse RN Utilization Review for a travel nursing job in Espanola, New Mexico.
Job Description & Requirements
• Specialty: Utilization Review
• Discipline: RN
• Start Date: 04/14/2025
• Duration: 13...
LanceSoft-Espanola (NM)
LanceSoft is seeking a travel nurse RN Utilization Review for a travel nursing job in Espanola, New Mexico.
Job Description & Requirements
• Specialty: Utilization Review
• Discipline: RN
• Start Date: 04/14/2025
• Duration: 13 weeks
• 40 hours...
Presbyterian Healthcare Services-Rio Rancho
of New Mexico or Compact State Nursing License required.
• National Case Management certification preferred
• Two years clinical nursing experience in relevant clinical practice area with utilization review or case management experience preferred.
RN...
1 similar job: Albuquerque
University of New Mexico - Hospitals-Algodones
of the Documentation Improvement Program and identified quality indicator tracking elements, interpret tracking information and reports findings to the Health Information Management, Quality Management, and Utilization Review/Case Management meetings as requested...
2 similar jobs: Sandia Park, Bernalillo
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 . Minimum Offer $40.30/hr. Maximum Offer $40.30/hr. Compensation...
Christus Health-Santa Fe
negotiates length of stay with managed care organizations and performs Utilization Review functions. Serves as liaison with local and surrounding communities and providers, enhancing their knowledge and awareness of Rehabilitation Services at St.
Vincent...
University of New Mexico - Hospitals-Albuquerque
of the Documentation Improvement Program and identified quality indicator tracking elements, interpret tracking information and reports findings to the Health Information Management, Quality Management, and Utilization Review/Case Management meetings as requested...
Presbyterian Healthcare Services-Albuquerque
problem solver.
• Exemplifies a high standard of leadership qualities and professionalism. Mentors the staff in developing and achieving professional goals.
• Performs Utilization Review
• Performs other functions as required.
Qualifications:
• Masters...
i4 Search Group Healthcare-Las Cruces
through the continuum of care.
• Assists in development, planning, coordination and administration of the activities of clinical review, discharge planning, resource utilization and utilization review.
Job Benefits:
• Competitive salary
• Direct Deposit...
Mindlance-Albuquerque
processing, utilization review, etc.
11. Process provider change forms. Maintain tickler system and verify that all changes have been made in the appropriate system.
12. Prepare monthly reports and update provider databases as necessary. Assist with routine...
resume-library.com -
University of New Mexico - Hospitals-Santa Fe
of the Documentation Improvement Program and identified quality indicator tracking elements, interpret tracking information and reports findings to the Health Information Management, Quality Management, and Utilization Review/Case Management meetings as requested...
2 similar jobs: Las Cruces, Albuquerque
Albuquerque
and Hours
Qualifications:
RN with Hospital Utilization review experience preferred
RN-Case Management I:
• Associate Degree in Nursing
• Registered Nurse - State of New Mexico or Compact State Nursing License required.
• National Case Management...
icims.com -
University of New Mexico - Hospitals-Rio Rancho
and long
-term patient responses to interventions in collaboration with quality assurance and utilization review, maintaining interdependent follow-up as necessary
• TREATMENT CONFERENCE
• Facilitate and/or participate in conferences providing ongoing...
1 similar job: Albuquerque
CenterWell Home Health-Albuquerque
when needed. Ensures adherence to internal policies and standards.
• Assesses staff education needs based on own the review of clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion...
Las Palmas Medical Center-Sunland Park
Registered Nurse Rehabilitation Case Manager opportunity.
Job Summary and Qualifications
The Case Manager serves as a liaison between medical staff, administration, utilization review, nursing, finance, medical records and other ancillary departments to ensure...
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