Utilization Review Jobs in New Mexico
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Search Results - Utilization Review Jobs in New Mexico
Albuquerque
Differentials for higher education, certifications and various lead roles
• Malpractice liability insurance
We are seeking a highly skilled and compassionate Registered Nurse (RN) to join our team as a Utilization Review Case Manager for Presbyterian Hospital...
icims.com -
Christus Health-Santa Fe
in the continued management of patient status/LOC. Provides consultative role as utilization management nurse to clinical and non-clinical departments. Documents objective findings against approved indicators. Assists with retrospective reviews and medical...
Christus Health-Alamogordo
Job Description
Monitors and assumes responsibility for efficient use of resources.
Schedules personal time off such that necessary services (Utilization Review, Discharge Planning, Social Services, etc.) are adequately available.
Assists...
CHRISTUS Health-Alamogordo
and assists him/her in ensuring proper placement of patient.
Conducts utilization review using nationally recognized medical necessity criteria and documents the review.
Refers cases for second level reviews when medical necessity criteria are not met...
University of New Mexico - Hospitals-Tijeras
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...
CHRISTUS Health-Alamogordo
in ensuring proper placement of patient.
Conducts utilization review using nationally recognized medical necessity criteria and documents the review.
Refers cases for second level reviews when medical necessity criteria are not met.
Demonstrates familiarity...
Christus Health-Alamogordo
in ensuring proper placement of patient.
Conducts utilization review using nationally recognized medical necessity criteria and documents the review.
Refers cases for second level reviews when medical necessity criteria are not met.
Demonstrates familiarity...
CHRISTUS Health-Alamogordo
in ensuring proper placement of patient.
Conducts utilization review using nationally recognized medical necessity criteria and documents the review.
Refers cases for second level reviews when medical necessity criteria are not met.
Demonstrates familiarity...
Christus Health-Alamogordo
in ensuring proper placement of patient.
Conducts utilization review using nationally recognized medical necessity criteria and documents the review.
Refers cases for second level reviews when medical necessity criteria are not met.
Demonstrates familiarity...
Christus Health-Alamogordo
patient status and assists him/her in ensuring proper placement of patient.
• Conducts utilization review using nationally recognized medical necessity criteria and documents the review.
• Refers cases for second level reviews when medical necessity...
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...
Las Palmas Medical Center-Sunland Park
SUMMARY: Provides overall coordination in the delivery of medical services and discharge planning for a specified patient population. Performs concurrent and retrospective review of patient medical records for purposes of utilization review, compliance...
University of New Mexico - Hospitals-Los Lunas
with appropriate providers to ensure effective, quality outcomes
• INTERVENTIONS - Monitor and evaluate short-term and long-term patient responses to interventions in collaboration with quality assurance and utilization review, maintaining interdependent follow-up...
CenterWell Home Health-Albuquerque
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 of the assessment, creates and conducts regular staff education as needed...
University of New Mexico - Hospitals-Tijeras
INTERVENTIONS - Monitor and evaluate short-term and long-term patient responses to interventions in collaboration with quality assurance and utilization review, maintaining interdependent follow-up as necessary * VARIANCE - Review variance from standardized...
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