Medical Review Specialist

6 days ago


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

Company Overview

The University of New Mexico - Hospitals is a leading healthcare provider in the region, committed to delivering exceptional patient care and service.

Salary

The estimated annual salary for this position is between $65,000 and $85,000, depending on experience and qualifications.

Job Description

We are seeking a highly skilled Medical Review Specialist to join our Utilization Management team. In this role, you will be responsible for reviewing all admissions and continued stays to ensure medical necessity and managing insurance authorizations throughout the stay.

You will work closely with physicians, nurses, and other healthcare professionals to coordinate care and ensure quality patient outcomes.

Required Skills and Qualifications

To be successful in this role, you will need:

  • A bachelor's degree in nursing or a related field
  • 1 year of direct experience in a similar role
  • CPR certification for healthcare providers
  • Nationally accredited nursing graduate

Benefits

We offer a comprehensive benefits package, including health insurance, retirement plans, and paid time off.

Others

This is a casual pool position (as needed), with a rotating shift schedule. The ideal candidate will have excellent communication and organizational skills, as well as the ability to work independently and collaboratively as part of a team.



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