Registered Nurse

4 weeks ago


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

We are seeking a skilled Registered Nurse to join our Utilization Review team at the University of New Mexico - Hospitals. As a Utilization Review Registered Nurse, you will play a critical role in reviewing admissions and continued stays to ensure medical necessity and manage insurance authorization throughout the stay.

Key Responsibilities
  • Coordinate all systems and services required for an organized, multidisciplinary, patient-centered care team approach.
  • Assure quality, cost-effective care for the identified patient population.
  • Manage the course of treatment of patients, coordinating care with physicians, nurses, and other staff to ensure quality patient outcomes are achieved within established time frames and with efficient utilization of resources.
  • Conduct initial and ongoing assessments, initiate disease management protocols, determine and manage outcomes, ensure continuity of care through discharge planning, utilization of resources, and analysis of variances.
  • Function as a contact person for patients, families, healthcare team members, community resources, and employees as necessary.
Requirements
  • 1 year of directly related experience.
  • RN in NM or as allowed by reciprocal agreement by NM.
  • CPR for Healthcare/BLS Provider or Professional Rescuer within 30 days.
Working Conditions

Minor Hazard - physical risks, dirt, dust, fumes, noise.



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