Top 17 Utilization review Jobs in Las Cruces Nm

Case Manager - PRN Days
Three Crosses Regional Hospital —Las Cruces, NM
- PRN
- Nursing
- RN License
- Hospital
7d
Registered Nurse
Otero County Processing Center —Chaparral, NM
- $43.84 an hour
- 12 hour shift
- CPR Certification
- Nursing
- Clean driving record
- AD&D insurance
- Paid holidays
10h
Care Manager RN - PRN
Mountain View Regional —Las Cruces, NM
- Part-time
- Acute care
- Nursing
- RN License
- 401(k)
Quick Apply
Pathologist - Medical Director
Physicians Practice Enhancement LLC —Las Cruces, NM
- $325,000 a year
- 8 hour shift
- Anatomy knowledge
- Surgery
- Hospital
Quick Apply
8d
Director of Nursing
Wexford Health —Las Cruces, NM
- Full-time
- CPR Certification
- Nursing
- RN License
- Paid holidays
- Disability insurance
Quick Apply
Outpatient Director- Behavioral Health
Peak Behavioral Health —Las Cruces, NM
- Full-time
- LMFT
- CPR Certification
- BLS Certification
Quick Apply
Appeals Professional III (Licensed Clinician)
Tanaq Support Services LLC —United States
- Full-time
- Remote
- Nursing
- RN License
- Writing skills
14d
Project UM Audit & Documentation Director
United States —United States
- Weekends as needed
- LMFT
- Nursing
- RN License
- AD&D insurance
- Paid holidays
Utilization Management Reviewer
Amerihealth Caritas —United States
- Full-time
- Hybrid work
- Nursing
- Microsoft Outlook
- RN License
- Paid holidays
- Health insurance

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Medical-Surgical Telemetry Registered Nurse
CareRev —Las Cruces, NM
Current RN license and good standing with the State Board of Nursing. In this role, you’ll provide skilled nursing care to adult patients in fast-paced, acute…
$59 - $66 an hour
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2d
ICU Nurse - Per Diem
CareRev —Las Cruces, NM
Current RN license and good standing with the State Board of Nursing. In this role, you’ll provide skilled nursing care to critically ill patients in fast-paced…
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UR Coordinator, Full Time
RiverVista Behavioral Hospital —Columbus, OH
High school diploma required; associate or bachelor’s degree in nursing, healthcare administration, or related field preferred. Must be 21 or older.
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Utilization Review Specialist - Autism
Nationwide Children's Hospital —Columbus, OH
Bachelor’s Degree in Social Work, Psychology, or related field, required. Documents all case reviews and maintains accurate records of all clinical activities…

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Case Manager - PRN Days

Three Crosses Regional Hospital -
Las Cruces, NM

Apply Now

Job Details

PRN
7 days ago

Qualifications

RN License
BLS Certification
Associate's degree
Associate Degree in Nursing

Full Job Description

Case Manager - PRN Days

If you're looking for a place to call home and grow, Three Crosses Regional Hospital is looking for you! We are looking for a Case Manager for our Case Management Team that is committed to clinical excellence and building a patient-centered culture.

Three Crosses Regional Hospital is an advanced independent healthcare organization led by a local team of professionals dedicated to high quality patient care and being the first choice of patients and providers in the communities we serve.

We are dedicated to hiring team members that will adapt to our culture, pride themselves in professionalism, integrity, transparency, two-way communication, and ensuring the safety and well-being of our patients and staff.

The Case Manager will provide clinical case management services focused on enhancing patient-centered care and maximizing outcomes across from the patient care continuum from admissions to post-discharge. The Case Manager will collaborate with the clinical team to assist in development, planning, coordination, and administration of the activities of clinical review, discharge planning, resource utilization and utilization review.

Responsibilities:

Assumes a leadership role and collaborates with the interdisciplinary team to manage care, through criteria driven processes, for the appropriate level of care, patient status, discharge needs and resource utilization.
Evaluates admissions for medical necessity using approved criteria at defined intervals throughout the episode of care.
Provides compassion to the patient and the patient’s family members.
Develops and ensures delivery of patient care including assessment, planning, implementation, and evaluation of patient outcomes.
Revises plan of patient care as needed.
Performs utilization management reviews and communicates information to third party payers.
Assesses patients’ post discharge needs and facilitates the provision of services necessary to meet identified needs.
Facilitate referral and linkage process to appropriate services.

Education and Experience:

Required: Associates degree in Nursing from an accredited school of nursing
Required: Current RN licensure in the State of New Mexico or compact state in Nursing
Required: Current BLS certification
Required: 3 years Case Management experience in a health care environment
Preferred: 5 years experience in a health care environment
Preferred: Experience with electronic and case management documentation systems; willing to train

“We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity or expression, pregnancy, age, national origin, disability status, genetic information, protected veteran status, or any other characteristic protected by law”.

Apply Now

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utilization review jobs in las cruces nm

Case Manager - PRN Days

Registered Nurse

Care Manager RN - PRN

Pathologist - Medical Director

Director of Nursing

Outpatient Director- Behavioral Health

Appeals Professional III (Licensed Clinician)

Project UM Audit & Documentation Director

Utilization Management Reviewer

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