Top 6 Utilization management nurse Jobs in Las Cruces Nm

Care Manager RN - PRN
Mountain View Regional —Las Cruces, NM
- Part-time
- Acute care
- Nursing
- RN License
- 401(k)
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ER Charge RN
Mountain View Regional —Las Cruces, NM
- Full-time
- Acute care
- RN License
- BLS Certification
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Post Partum Charge RN - Nights
Mountain View Regional —Las Cruces, NM
- Full-time
- Acute care
- Nursing
- RN License
- Paid holidays
- Disability insurance
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8d
Utilization Management Reviewer
Amerihealth Caritas —United States
- Full-time
- Hybrid work
- Nursing
- Microsoft Outlook
- RN License
- Paid holidays
- Health insurance

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Quality Manager - RN Required
Mountain View Regional —Las Cruces, NM
Proficiency with Google and Microsoft platforms, healthcare software systems, and data analysis tools. Bachelor's Degree in relevant field required or.
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Nurse Practitioner (NP)
Alternate Solutions Health Network —Chillicothe, OH
Active RN license in state of practice and current certification as an NP required. Provides cover for the physician when they are absent, to include answering…
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Case Manager / PRN ( RN / RT / SW / LPN )
Select Specialty Hospital - Columbus Vic Village(Grant) —Columbus, OH
Current licensure in a clinical discipline either as a Nurse (RN /LPN/ LVN)or a Respiratory Therapist OR current license / certified Social Work license per…
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utilization management nurse jobs near las cruces nm

Care Manager RN - PRN

Mountain View Regional -
Las Cruces, NM

Quick Apply

Job Details

Part-time

Benefits

401(k)

Qualifications

RN License
BLS Certification

Full Job Description

Why MountainView Regional Medical Center?

We know it's not just about finding a job. It's about finding a place where you are respected, valued and where your work is purposeful and fulfilling. A place where your talent is recognized, professional development is encouraged and career advancement is possible.

Team members across our organization enjoy working in team environments and making a difference in the health and well-being of the patients they serve. Their efforts are rewarded through numerous recognition programs and our affiliates also offer team member benefits, including:

Benefits for PRN: Participation in our 401(k) program and NM Earned Sick Leave

About Who We Are

We are a 168-bed Joint Commission accredited acute care facility serving Las Cruces and southern New Mexico. A legacy of rich history, culture and natural beauty; Las Cruces remains one of the Southwest’s best kept secrets. With a thriving arts scene, a focus on downtown, adjacent national monuments and plenty of Southwest charm, there’s always something for you and your family to do or see in Las Cruces. Often recognized nationally as a top place to live and retire, Las Cruces offers a welcoming community. MountainView Regional Medical Center is Las Cruces Strong! Start your new job search here and see why we are ….Proud to be MountainView!

Job Summary

The Care Manager - RN is responsible for coordinating and overseeing discharge planning, transitions of care, and case management activities to ensure optimal patient outcomes. This role involves collaborating with interdisciplinary teams, reviewing medical records for appropriateness and medical necessity, and maintaining compliance with federal, state, and accreditation standards.

Essential Functions

Conducts daily reviews of medical records to assess the appropriateness of admission, continued hospital stay, and utilization of diagnostic services.
Collaborates with interdisciplinary teams (IDT) to ensure effective communication and coordination of patient care, including identifying avoidable days and resolving care transition issues.
Develops and implements discharge plans, coordinating post-hospital placement and social services to meet patient needs.
Refers cases to physicians or managers when patients do not meet established criteria, ensuring timely and appropriate interventions.
Serves as a liaison with community agencies, maintaining relationships and facilitating seamless transitions for discharged patients.
Facilitates interdisciplinary meetings to address patient care needs, resolve challenges, and support collaborative care planning.
Maintains accurate and timely documentation of case management activities, including records of referrals, patient interactions, and compliance with reporting requirements.
Identifies and appropriately refers cases to Child/Adult Protective Services, ensuring compliance with legal and ethical standards.
Provides professional assistance to patients, families, and physicians regarding discharge planning and post-hospital care options.
Performs other duties as assigned.
Complies with all policies and standards.

Qualifications

Bachelor's Degree in Nursing preferred
2-4 years of clinical nursing experience in a hospital, home health, or nursing home setting required
2-4 years of care management experience preferred

Knowledge, Skills and Abilities

Strong understanding of case management principles, discharge planning, and transitions of care.
Knowledge of federal, state, and Joint Commission standards related to case management.
Excellent communication and interpersonal skills to collaborate effectively with patients, families, and interdisciplinary teams.
Ability to assess complex situations, identify solutions, and implement care plans efficiently.
Proficiency in electronic medical records (EMR) and documentation systems.
Strong organizational and time management skills to prioritize tasks in a dynamic environment.

Licenses and Certifications

RN - Registered Nurse - State Licensure and/or Compact State Licensure required
BCLS - Basic Life Support required

State Specific Requirements

Alabama: Accredited Case Manager (ACM) or Certified Case Manager (CCM) certification preferred.
New Mexico: Advanced Cardiovascular Life Support (ACLS) and Pediatric Advanced Life Support (PALS) certifications preferred.

This position is not eligible for immigration sponsorship now or in the future Applicants must be authorized to work in the U.S. for any employer.

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utilization management nurse jobs in las cruces nm

Care Manager RN - PRN

ER Charge RN

Post Partum Charge RN - Nights

Utilization Management Reviewer

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