Utilization Review Jobs in Albuquerque, NM

OverviewSummary:Presbyterian is currently hiring a Nurse Clinical Educator to join our Clinical Education Team to support our Pediatric/PICU Nurse Residency and Fellowship Programs!The RN Educator serves as consultant researcher instructional and evaluation designer clinical practice More...

OverviewSummary:Presbyterian is currently hiring a Nurse Clinical Educator to join our Clinical Education Team to support our Emergency Department Nurse Residency and Fellowship Programs!The RN Educator serves as consultant researcher instructional and evaluation designer clinical pra More...

OverviewNow hiring a Case Manager-Inpatient-Acute ObservationApplies Case Management principals in coordinating patient care across the continuum using assessment care planning implementation coordination monitoring and evaluation for cost effective and quality outcomes in a primarily More...

We are actively recruiting for an CAL RNs to join our rapidly growing Population Health team.  The primary role of the Care Manager will be to provide our patients with ondemand telephonebased care management services through a 24/7 Nurse Advice Line (i.e. telephone triage). &#xa More...

OverviewPresbyterian is seeking a RN Case Manager that will provide clinicallybased case management to support the delivery of effective and efficient patient care based in the Emergency Department by completing Utilization Review for Level of Care and Initial Assessments.The role int More...

The New Mexico Immigrant Law Center (NMILC) seeks a Grants and Program Project Coordinator to serve as a vital link between administrative and program teams. This role supports the Director of Program Quality Assurance Learning and Performance in managing federal and state grant admin More...

Regional Manager Quality Review for ID/DDGeorgia remote@Orchard LLC is supporting a notforprofit corporation that partners with public and private sectors to create highquality safe and efficient delivery of health care and human services programs. Our client has multiple lines of bu More...

OverviewThe RN Case Management Utlization Review to provide clinicallybased 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 has the overa More...

At Amazon we believe that every day is still day one. We are working to be the most customercentric company on earth. To get there we need exceptionally talented bright and driven people. If youd like to help the Disability Leave Services (DLS) team build a bestinclass professional s More...

The Utilization Review Case Manager requires effective communication and coordination with the Director of Utilization Review insurance companies and treatment team to obtain the maximum benefits for our clients.  The Utilization Review Case Manager will submit accurate utilizati More...

Case Manager Career OpportunityRecognized for your abilities as a Case ManagerAre you ready for a Case Management role that brings your career closer to home and heart Join Encompass Health where being a Case Manager goes beyond just a job; it positions you as a vital link between exc More...

Want to make a difference in a young persons life This is a position that is very rewarding in training and mentoring at risk youth.Make more than a Living Make a DifferenceOur Benefits:LowCost Medical Dental and Vision Insurance19 days of Paid Time Off the first year11 paid holidaysR More...

Job DescriptionJoin the Department of Health!Were thrilled to welcome you!Weve made our application process more accessible than ever. Please take a look at our job announcement below.If you can see yourself in this role apply nowyour next opportunity awaits!This position is open to A More...

OverviewNow hiring a RN Case ManagerInpatientAcute ObservationApplies Case Management principals in coordinating patient care across the continuum using assessment care planning implementation coordination monitoring and evaluation for cost effective and quality outcomes in a primaril More...

Why Youll Love This JobAdvance your career to a whole new level providing muchneeded healthcare services to underserved communities as a Psychiatric Mental Health Nurse Practitioner (PMHNP) with MediTelecare the nations largest telehealth company! We provide inperson telehealth and al More...

OverviewRecognized by Newsweek in 2024 and 2025 as one of Americas Greatest Workplaces for DiversityGrow your career with Brookdale! Our Clare Bridge Program Coordinators have opportunities for advancement by exploring a new career in positions such as Clare Bridge Program Managers Re More...

Wound Care Coordinator Career OpportunityRecognized for your expertise in coordinating wound careAre you a compassionate healthcare professional with a passion for wound care eager to align your expertise with your personal values Join us as a Wound Care Coordinator where your role tr More...

Clinical Case Manager Social Worker Inpatient Behavioral HealthSalary: $32/hour $48/hour (Dependent upon experience)Hours: MonFri. No weekends on oncall.Location: Albuquerque NM (onsite)Who we are:Psychiatric Medical Care is one of the countys largest Behavioral Health Management com More...

OverviewNow hiring a Health Services AssistantResponsible for supporting Health Services Coordination functions including but not limited to medical records coordination technical retrospective claims review referral/auth. entry research which may include but not limited to claims eli More...

OverviewNow hiring a Utilization Management ReviewerLTCResponsible for conducting Nursing (NF) Facility Level of Care (LOC) determinations according to state regulations and criteria. Performs utilization review activities to ensure that services rendered to members meet Long Term Car More...