RN - Utilization Review Specialist
7 days ago
We are seeking a skilled RN to join our Utilization Review team as a Per Diem Case Manager. In this role, you will play a critical part in ensuring that patients receive the necessary care and services to achieve optimal outcomes.
Key Responsibilities- Conduct thorough assessments of patient needs and develop comprehensive care plans
- Collaborate with healthcare teams to ensure seamless transitions of care
- Manage patient flow and coordinate services to optimize resource utilization
- Communicate effectively with patients, families, and healthcare providers to ensure informed decision-making
- Participate in quality improvement initiatives to enhance patient care and outcomes
- Current RN licensure in New Mexico or eligibility for reciprocal agreement
- 1 year of direct experience in utilization review or case management
- Excellent communication and interpersonal skills
- Ability to work independently and as part of a team
- Strong analytical and problem-solving skills
- A dynamic and supportive work environment
- Opportunities for professional growth and development
- A competitive compensation package
- A comprehensive benefits program
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RN - Utilization Review Specialist
1 day ago
Santa Fe, New Mexico, United States University of New Mexico - Hospitals Full timeJob SummaryWe are seeking a skilled RN to join our Utilization Review team on a per diem basis. As a Utilization Review Specialist, you will play a critical role in ensuring that patients receive the most appropriate and cost-effective care.Key ResponsibilitiesConduct thorough assessments of patient cases to determine medical necessity and develop effective...
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Clinical Utilization Review Specialist
3 weeks ago
Santa Fe, New Mexico, United States Christus Health Full timeJob SummaryChristus Health is seeking a skilled Clinical Utilization Review Specialist to join our team. As a key member of our healthcare team, you will play a crucial role in evaluating the medical necessity of hospitalization requests and determining the appropriate level of care for patients.Key ResponsibilitiesEvaluate patient status and medical records...
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Clinical Utilization Review Specialist
1 week ago
Santa Fe, New Mexico, United States Christus Health Full timeJob SummaryWe are seeking a skilled Clinical Utilization Review Specialist to join our team at Christus Health. As a key member of our utilization management program, you will play a critical role in ensuring the medical necessity of patient hospitalizations and the appropriate level of care.Key ResponsibilitiesUtilize approved screening criteria to...
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RN - Utilization Review Specialist
7 days ago
Santa Fe, New Mexico, United States University of New Mexico - Hospitals Full timeJob SummaryWe are seeking a skilled RN to join our Utilization Review team as a Per Diem Case Manager. In this role, you will play a critical part in ensuring that patients receive the necessary care and services to achieve optimal outcomes.Key ResponsibilitiesConduct thorough assessments of patient needs and develop comprehensive care plansCollaborate with...
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RN - Utilization Review Specialist
7 days ago
Santa Fe, New Mexico, United States University of New Mexico - Hospitals Full timeJob SummaryWe are seeking a skilled RN to join our Utilization Review team as a Per Diem Case Manager. In this role, you will play a critical part in ensuring that patients receive the most appropriate and cost-effective care.Key ResponsibilitiesConduct thorough assessments of patient needs and develop comprehensive care plansCollaborate with healthcare...
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RN - Utilization Review Specialist
7 days ago
Santa Fe, New Mexico, United States University of New Mexico - Hospitals Full timeJob SummaryWe are seeking a skilled RN to join our Utilization Review team as a Per Diem Case Manager. In this role, you will play a critical part in ensuring that patients receive the highest quality care while also managing the insurance authorization process.Key ResponsibilitiesConduct thorough assessments of patient needs and develop comprehensive care...
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Utilization Review Coordinator
15 hours ago
Santa Fe, New Mexico, United States Christus Health Full timeJob SummaryWe are seeking a highly skilled Utilization Review Coordinator to join our team at Christus Health. As a key member of our utilization management program, you will play a critical role in ensuring the medical necessity of hospitalizations and the appropriate level of care for patients.Key ResponsibilitiesUtilize approved screening criteria to...
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Utilization Review Nurse
2 days ago
Santa Fe, New Mexico, United States Christus Health Full timeJob SummaryWe are seeking a skilled Utilization Review Coordinator to join our team at Christus Health. As a key member of our healthcare team, you will play a critical role in ensuring the medical necessity of patient hospitalizations and the appropriate level of care.Key ResponsibilitiesUtilize approved screening criteria to determine medical necessity and...
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Utilization Review Coordinator
2 weeks ago
Santa Fe, New Mexico, United States Christus Health Full timeJob SummaryWe are seeking a highly skilled Utilization Review Coordinator to join our team at Christus Health. As a key member of our Case Management department, you will play a critical role in ensuring the medical necessity of patient hospitalizations and the appropriate level of care.Key ResponsibilitiesUtilize approved screening criteria to determine...
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Utilization Review Nurse
7 days ago
Santa Fe, New Mexico, United States Christus Health Full timeClinical Opportunities **Job Summary:** We are seeking a skilled Utilization Review Nurse to join our team at Christus Health. As a key member of our care management team, you will play a critical role in ensuring the medical necessity of patient hospitalizations and the appropriate level of care. **Responsibilities:** * Utilize approved screening...
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Utilization Review Coordinator
1 week ago
Santa Fe, New Mexico, United States CHRISTUS Health Full timeJob SummaryChristus Health is seeking a highly skilled Utilization Review Coordinator to join our team. As a key member of our clinical staff, you will play a critical role in ensuring the medical necessity of hospitalizations and the appropriate level of care for patients.Key ResponsibilitiesUtilize approved screening criteria to determine medical necessity...
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Utilization Management Nurse
1 week ago
Santa Fe, New Mexico, United States CHRISTUS Health Full timeJob SummaryAs a Utilization Review Coordinator at CHRISTUS Health, you will play a critical role in ensuring the medical necessity of hospitalizations and the appropriate level of care for patients. This position requires a strong clinical background and excellent analytical skills to evaluate physician orders and medical records.Key ResponsibilitiesEvaluate...
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Santa Fe, New Mexico, United States CHRISTUS Health Full timeJob SummaryThe Clinical Documentation Supervisor RN is responsible for leading the Clinical Documentation Improvement (CDI) program at CHRISTUS Health. This role will oversee the review and improvement of medical records to ensure accurate and complete documentation, resulting in optimal reimbursement and quality of care.Key ResponsibilitiesLead a team of RN...
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RN Clinical Documentation Specialist Supervisor
3 weeks ago
Santa Fe, New Mexico, United States CHRISTUS Health Full timeClinical Documentation SupervisorWe are seeking a skilled Clinical Documentation Supervisor to play a critical role in ensuring the accuracy and completeness of medical records at CHRISTUS Health. As a key member of our healthcare team, you will be responsible for facilitating improvement in the overall quality and completeness of medical record...
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Santa Fe, New Mexico, United States Christus Health Full timeJob SummaryThe Clinical Documentation Supervisor is responsible for facilitating improvement in the overall quality and completeness of the medical record documentation.Key ResponsibilitiesProvide support and expertise through comprehensive assessment and review of inpatient medical records.Facilitate accurate DRG assignment and obtain appropriate...
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Clinical Documentation Specialist Supervisor
2 weeks ago
Santa Fe, New Mexico, United States Christus Health Full timeJob SummaryThe Clinical Documentation Specialist Supervisor is responsible for facilitating improvement in the overall quality and completeness of the medical record documentation. This role provides support and expertise through comprehensive assessment and review of inpatient medical records.Key ResponsibilitiesFacilitate accurate DRG assignment and obtain...
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Santa Fe, New Mexico, United States CHRISTUS Health Full timeClinical Documentation SupervisorWe are seeking a skilled Clinical Documentation Supervisor to join our team at CHRISTUS Health. As a key member of our healthcare team, you will play a critical role in ensuring the accuracy and completeness of medical records.Key Responsibilities:Provide expert support and guidance through comprehensive assessment and review...
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Utility Systems Maintenance Specialist
2 weeks ago
Santa Fe, New Mexico, United States Government Jobs Full timeJob Summary:We are seeking a highly skilled Utility Systems Maintenance Specialist to join our team at Government Jobs. As a key member of our operations team, you will be responsible for performing basic and mid-level duties in the operation of water and wastewater facilities.Key Responsibilities:Perform routine maintenance and repairs on water and...
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Clinical Documentation Specialist Supervisor
3 weeks ago
Santa Fe, New Mexico, United States Christus Health Full timeJob SummaryThe Clinical Documentation Specialist Supervisor is responsible for overseeing the improvement of the overall quality and completeness of medical record documentation. This role involves providing support and expertise through comprehensive assessment and review of inpatient medical records. The supervisor will facilitate accurate DRG assignment...
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Santa Fe, New Mexico, United States University of New Mexico - Hospitals Full timeJob SummaryThe University of New Mexico - Hospitals seeks a skilled RN Case Reviewer to support the Professional Practice Committee in the management of data and information for ongoing professional practice evaluation and focused professional practice evaluation. This role involves monitoring, validating, and documenting aggregate data, developing accurate...