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Utilization Review Coordinator jobs in New Mexico

Utilization Review Coordinator conducts utilization reviews to determine if patients are receiving care appropriate to illness or condition. Monitors patient charts and records to evaluate care concurrent with the patients treatment. Being a Utilization Review Coordinator reviews treatment plans and status of approvals from insurers. Collects and complies data as required and according to applicable policies and regulations. Additionally, Utilization Review Coordinator consults with physicians as needed. May require a bachelor's degree. Typically reports to a supervisor. Typically requires Registered Nurse(RN). The Utilization Review Coordinator contributes to moderately complex aspects of a project. Work is generally independent and collaborative in nature. To be a Utilization Review Coordinator typically requires 4 to 7 years of related experience. (Copyright 2024 Salary.com)

Recently Added Utilization Review Coordinator jobs

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Travel Utilization Review Registered Nurse
  • Aya Healthcare
  • Rio Rancho, NM FULL_TIME,CONTRACTOR,TEMPORARY

  • Aya Healthcare has an immediate opening for the following position: Utilization Review Registered Nurse in Rio Rancho, New Mexico. This is a 13-week contract position that requires at least one year of experience.

  • 7 Days Ago
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Review coordinator
  • DCI Donor Services
  • Albuquerque, NM FULL_TIME
  • DCI Donor Services (DCIDS) is looking for a dynamic and enthusiastic team member to join us to save lives!! Our mission at DCIDS is to save lives through organ donation and we want professionals on ou...
  • 21 Days Ago
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Utilization/Concurrent Review Nurse - Remote in NM - Contract
  • HireOps Staffing, LLC
  • Albuquerque, NM FULL_TIME
  • This position is remote, however, you must reside in the State of New Mexico. This position is a contract for about 6 months. The pay is $40/hour. RN or LPN. No travel. Remote position. Work week is M...
  • 2 Months Ago
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Medical Chart Review Coordinator
  • DCI Donor Services, Inc.
  • Albuquerque, NM PART_TIME
  • DCI Donor Services (DCIDS) is looking for a dynamic and enthusiastic team member to join us to save lives!! Our mission at DCIDS is to save lives through organ donation and we want professionals on ou...
  • 8 Days Ago
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Utilization Management Coordinator - RN - MONDAY THROUGH FRIDAY/FLEX (ABQ)
  • Health Care Service Corporation
  • Albuquerque, NM FULL_TIME
  • At HCSC, we consider our employees the cornerstone of our business and the foundation to our success. We enable employees to craft their career with curated development plans that set their learning p...
  • Just Posted
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Paid Product Tester
  • Product Review Jobs
  • Vadito, NM FULL_TIME
  • Compensation: Varies per assignment. Up to $500 per week.Location: Remote (USA)Company: ProductReviewJobsThank you for your interest in becoming a Paid Product Tester. This opportunity is for completi...
  • 21 Days Ago
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Utilization Review Coordinator jobs at Popular Companies

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Continuing Care Utilization Review Coordinator Registered Nurse (Skilled Nursing Experience Highly Preferred)
  • Kaiser Permanente
  • Redwood City, CA
  • Description: Job Summary: Conducts utilization review for in-house patients and/or those members at contracted facilitie...
  • 6/11/2024 12:00:00 AM
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Utilization Review Coordinator RN
  • MyMichigan Health
  • Midland, MI
  • Summary: This position plays a pivotal role in maintaining the fiscal health of the organization by ensuring the organiz...
  • 6/9/2024 12:00:00 AM
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HHS Utilization Review Coordinator - Behavioral Health
  • Napa County, CA
  • Napa, CA
  • Salary : $126,568.00 - $151,486.40 Annually Location : Napa, CA Job Type: Full Time Job Number: 2062-2023-11-02 Departme...
  • 6/9/2024 12:00:00 AM
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Utility Supervisor
  • StarPlus Energy
  • Kokomo, IN
  • Company Overview: STARPLUS ENERGY LLC is an electrifying joint venture between Samsung and Stellantis. With a focus on i...
  • 6/9/2024 12:00:00 AM
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Utilization Review Coordinator / Case Management / PRN
  • Christus Health
  • Santa fe, NM
  • Description POSITION SUMMARY: Registered Nurse uses approved screening criteria (MCG®/CMS Inpatient List) to determine t...
  • 6/8/2024 12:00:00 AM
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Utilization Review Coordinator
  • COLLABORATIVE NEUROSCIENCE NETWORK LLC
  • Long Beach, CA
  • Job Description Job Description Facility Overview At Ocean View Psychiatric Health Facility, we are committed to serving...
  • 6/8/2024 12:00:00 AM
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Utilization Coordinator
  • Tenderheart Health Outcomes
  • Albany, NY
  • Job Description Job Description For nearly two decades, TenderHeart (formerly known as Longhorn Health Solutions) has be...
  • 6/8/2024 12:00:00 AM
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Utilization Review Coordinator
  • TheraMatrix
  • Pontiac, MI
  • Job Description Job Description Duties and Responsibilities: Initial authorizations of outpatient physical therapy servi...
  • 6/7/2024 12:00:00 AM
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About New Mexico

New Mexico (Spanish: Nuevo México Spanish pronunciation: [ˈnweβo ˈmexiko] (listen), Navajo: Yootó Hahoodzo pronounced [jòːtxó xɑ̀xʷòːtsò]) is a state in the Southwestern region of the United States of America; its capital and cultural center is Santa Fe, which was founded in 1610 as capital of Nuevo México (itself established as a province of New Spain in 1598), while its largest city is Albuquerque with its accompanying metropolitan area. It is one of the Mountain States and shares the Four Corners region with Utah, Colorado, and Arizona; its other neighboring states are Oklahoma to the north...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Utilization Review Coordinator jobs
$74,680 to $92,506

Most Popular Cities in New Mexico for Utilization Review Coordinator Jobs

What does an Utilization Review Coordinator do?

Utilization Review Coordinator in Long Beach, CA
The Utilization Review Coordinator contributes to moderately complex aspects of a project.
January 05, 2020
Utilization Review Coordinator in Gary, IN
Candidates for this role must have a good understanding of medical terminologies, and stay tuned with latest developments in the field; they should possess knowledge of reviews such as MAC, KEPRO, and RAC; strong observing skills and the ability to monitor safety plans are also needed.
December 29, 2019
Utilization Review Coordinator in Chicago, IL
Including requirements, responsibilities, statistics, industries, similar jobs and job openings for Utilization Review Coordinator.
December 30, 2019