Utilization Review Jobs in Albuquerque, NM

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...

Dont miss this opportunity to thrive in your healthcare career while enjoying the benefits of a supportive team and valuable resources. Join Star Nursing today and let us work for YOU! Why Choose Star Nursing Start as soon as possible! Shifts: Enjoy 8hour day for a flexible worklife b More...

OverviewPresbyterian is seeking a Utlization Review RN with strong Hospital Utlization Review experience for Care Coordinationthat will provide clinicallybased case management to support the delivery of effective and efficient patient care. The role integrates utilization management c 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...

WHAT YOU WILL DO: As the Program Quality Coordinator you will be responsible for ensuring highquality services for our programs. This includes program oversight conducting site visits independent Electronic Health Record (EHR) data reviews and follow through with Operations to bu More...