Utilization Management Specialist

21 hours ago


Albuquerque, New Mexico, United States University of New Mexico - Hospitals Full time
Job Description

As a Utilization Management Specialist at University of New Mexico - Hospitals, you will play a critical role in ensuring that patients receive the right care, at the right time, and in the right place. Your responsibilities will include:

  • Reviewing all admissions and continued stays in the hospital for medical necessity
  • Managing insurance authorizations throughout the stay
  • Coordinating care with physicians, nurses, and other staff to achieve quality patient outcomes
About the Team

You will be part of a dynamic team that is dedicated to delivering high-quality, patient-centered care. Our team is committed to working together to achieve excellence in patient care, safety, and satisfaction.

Requirements

To be successful in this role, you must have a Bachelor's Degree in Nursing and be Nationally Accredited as a nursing graduate. Additionally, you should be bilingual in English and one of the following languages: Keres, Tewa, Tiwa, Towa, Zuni, or Navajo. A current CPR for Healthcare/BLS Provider certification is also required.

Salary and Benefits

The estimated salary for this position is $85,000-$110,000 per year, depending on experience. We offer a competitive benefits package, including health, dental, and vision insurance, retirement plan, and paid time off.



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