RN - Utilization Review Specialist

7 days ago


Santa Fe, New Mexico, United States University of New Mexico - Hospitals Full time
Job Summary

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
Requirements
  • 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
What We Offer
  • A dynamic and supportive work environment
  • Opportunities for professional growth and development
  • A competitive compensation package
  • A comprehensive benefits program


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