Key Highlights - Weekly pay: $2,298-$2,435 per week - Guaranteed hours: 40 per week - Contract ... utilization reviews to support appropriate care and resource use. - Assess medical necessity and ...
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Key Highlights - Weekly pay: $2,298-$2,435 per week - Guaranteed hours: 40 per week - Contract ... utilization reviews to support appropriate care and resource use. - Assess medical necessity and ...
New
Quick apply
Key Highlights - Weekly pay: $2,298-$2,435 per week - Guaranteed hours: 40 per week - Contract ... utilization reviews to support appropriate care and resource use. - Assess medical necessity and ...
New
... Contract duration: 7 weeks - Shift: 5x8 Days - Start date: 08/01/2026 - Setting: Skilled nursing facility Responsibilities - Conduct utilization management activities including chart review for ...
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... Contract duration: 7 weeks - Shift: 5x8 Days - Start date: 08/01/2026 - Setting: Skilled nursing facility Responsibilities - Conduct utilization management activities including chart review for ...
New
Albuquerque, NM ยท On-site
$2.0K - $2.1K/wk
Utilization Review * Discipline: RN * Start Date: 08/03/2026 * Duration: 13 weeks * 36 hours per week * Shift: 12 hours, days * Employment Type: Travel Contract - W2 Nurse Manager Job Location:
Albuquerque, NM ยท On-site
$2.0K - $2.1K/wk
Utilization Review * Discipline: RN * Start Date: 08/03/2026 * Duration: 13 weeks * 36 hours per week * Shift: 12 hours, days * Employment Type: Travel Contract - W2 Nurse Manager Job Location:
Albuquerque, NM ยท On-site
$73K - $97K/yr
Utilization Review * Discipline: RN * Start Date: 08/03/2026 * Duration: 13 weeks * 40 hours per ... As a travel, contract and permanent placement medical staffing company with over 20 years of ...
Albuquerque, NM ยท On-site
$73K - $97K/yr
Utilization Review * Discipline: RN * Start Date: 08/03/2026 * Duration: 13 weeks * 40 hours per ... As a travel, contract and permanent placement medical staffing company with over 20 years of ...
Key Highlights - Weekly pay: 2,258-2,307 per week - Guaranteed hours: 40 per week - Contract ... Review admissions, continued stays, and discharge plans to determine medical necessity and ...
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Key Highlights - Weekly pay: 2,258-2,307 per week - Guaranteed hours: 40 per week - Contract ... Review admissions, continued stays, and discharge plans to determine medical necessity and ...
New
Albuquerque, NM ยท On-site
$19.50 - $25/hr
Understand commercial contract levels, exclusions, payor requirements, and recertification needs ... Participate in utilization review process: data collection, trend review, and resolution actions.
Albuquerque, NM ยท On-site
$19.50 - $25/hr
Understand commercial contract levels, exclusions, payor requirements, and recertification needs ... Participate in utilization review process: data collection, trend review, and resolution actions.
Albuquerque, NM ยท On-site
... effective utilization of staff while adhering to contractual and performance requirements ... Review contract documents with field staff to verify compliance of subcontractors and client ...
Albuquerque, NM ยท On-site
... effective utilization of staff while adhering to contractual and performance requirements ... Review contract documents with field staff to verify compliance of subcontractors and client ...
Expert in the review, negotiation, approval, and execution of contracts, subcontracts, and change ... utilization of staff while adhering to contractual and performance requirements. * Provide ...
Expert in the review, negotiation, approval, and execution of contracts, subcontracts, and change ... utilization of staff while adhering to contractual and performance requirements. * Provide ...
... staff utilization to manage projects and resources. Escalate to Regional Manager for additional ... Review and provide contract mark ups, negotiate client contract modifications with support from ...
... staff utilization to manage projects and resources. Escalate to Regional Manager for additional ... Review and provide contract mark ups, negotiate client contract modifications with support from ...
... staff utilization to manage projects and resources. Escalate to Regional Manager for additional ... Review and provide contract mark ups, negotiate client contract modifications with support from ...
Quick apply
... staff utilization to manage projects and resources. Escalate to Regional Manager for additional ... Review and provide contract mark ups, negotiate client contract modifications with support from ...
... staff utilization to manage projects and resources. Escalate to Regional Manager for additional ... Review and provide contract mark ups, negotiate client contract modifications with support from ...
... staff utilization to manage projects and resources. Escalate to Regional Manager for additional ... Review and provide contract mark ups, negotiate client contract modifications with support from ...
Monitor organizational performance against established quality benchmarks and value-based contract ... Review and evaluate quality and utilization data received from Managed Care Organizations (MCOs ...
Monitor organizational performance against established quality benchmarks and value-based contract ... Review and evaluate quality and utilization data received from Managed Care Organizations (MCOs ...
Albuquerque, NM ยท On-site
Monitor organizational performance against established quality benchmarks and value-based contract ... Review and evaluate quality and utilization data received from Managed Care Organizations (MCOs ...
Albuquerque, NM ยท On-site
Monitor organizational performance against established quality benchmarks and value-based contract ... Review and evaluate quality and utilization data received from Managed Care Organizations (MCOs ...
Albuquerque, NM ยท On-site
Monitor organizational performance against established quality benchmarks and value-based contract ... Review and evaluate quality and utilization data received from Managed Care Organizations (MCOs ...
Albuquerque, NM ยท On-site
Monitor organizational performance against established quality benchmarks and value-based contract ... Review and evaluate quality and utilization data received from Managed Care Organizations (MCOs ...
... strategic plans and reviews. * Prepare and complete action plans; implement production ... product, equipment utilization, inventory management, and shipping. * Accomplish warehouse ...
... strategic plans and reviews. * Prepare and complete action plans; implement production ... product, equipment utilization, inventory management, and shipping. * Accomplish warehouse ...
Ensures total organization effectiveness in the utilization of employees, equipment and material ... Shall act as overall manager and administrator for contract effort at his/her site. Responsible for ...
Ensures total organization effectiveness in the utilization of employees, equipment and material ... Shall act as overall manager and administrator for contract effort at his/her site. Responsible for ...
Albuquerque, NM ยท On-site
Monitor organizational performance against established quality benchmarks and value-based contract ... Review and evaluate quality and utilization data received from Managed Care Organizations (MCOs ...
Albuquerque, NM ยท On-site
Monitor organizational performance against established quality benchmarks and value-based contract ... Review and evaluate quality and utilization data received from Managed Care Organizations (MCOs ...
Reviews work in progress or upon completion for compliance with policies and procedures ... Ensures utilization of proper tools and equipment and adherence to technical data with all ...
Reviews work in progress or upon completion for compliance with policies and procedures ... Ensures utilization of proper tools and equipment and adherence to technical data with all ...
Reviews work in progress or upon completion for compliance with policies and procedures ... Ensures utilization of proper tools and equipment and adherence to technical data with all ...
Reviews work in progress or upon completion for compliance with policies and procedures ... Ensures utilization of proper tools and equipment and adherence to technical data with all ...
Albuquerque, NM ยท On-site +1
$300K - $400K/yr
... utilization of CLC beds, and maintain transparency in the admission process. Learn more about this ... No Physician Employment Contract and no significant restriction on moonlighting Statement of Duties
Albuquerque, NM ยท On-site +1
$300K - $400K/yr
... utilization of CLC beds, and maintain transparency in the admission process. Learn more about this ... No Physician Employment Contract and no significant restriction on moonlighting Statement of Duties
$20.12 - $24.19
2% of jobs
$24.19 - $28.26
9% of jobs
$31.05 is the 25th percentile. Wages below this are outliers.
$28.26 - $32.33
21% of jobs
The median wage is $35.63 / hr.
$32.33 - $36.40
23% of jobs
$36.40 - $40.47
13% of jobs
$43.64 is the 75th percentile. Wages above this are outliers.
$40.47 - $44.54
10% of jobs
$44.54 - $48.61
8% of jobs
$48.61 - $52.68
5% of jobs
$52.68 - $56.75
5% of jobs
$56.75 - $60.82
2% of jobs
$60.82 - $64.89
2% of jobs
$20
$39
$64
To thrive in Contract Utilization Review, you need a solid understanding of medical terminology, insurance policies, and contract compliance, often supported by a healthcare-related degree or certification in utilization management. Familiarity with utilization review software, electronic medical records (EMR), and knowledge of regulatory standards such as CMS guidelines is essential. Strong analytical thinking, attention to detail, and effective communication skills are crucial for collaborating with care teams and insurers. These abilities ensure reviews are accurate, contracts are properly administered, and patient care meets organizational and payer requirements.
A typical day in Contract Utilization Review involves reviewing patient medical records, ensuring adherence to payer contracts and regulatory standards, and communicating with healthcare providers to validate medical necessity of services. Professionals in this role often collaborate with clinical staff, case managers, and insurance representatives to resolve discrepancies or authorization issues. The work is detail-oriented and deadline-driven, making organizational skills vital. This dynamic position offers significant opportunities to learn more about healthcare regulations and may serve as a stepping stone toward more advanced roles in healthcare administration or compliance.
A Contract Utilization Review job involves analyzing and evaluating the usage of contracts to ensure compliance, cost-effectiveness, and efficiency. Professionals in this role review contract terms, monitor vendor performance, and assess utilization data to optimize contract value. They may work in industries such as healthcare, government, or procurement, ensuring that agreements are being properly executed. The goal is to identify areas for improvement, reduce waste, and enhance operational efficiency.
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Posted 3 days ago
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About Healthforce
Healthforce is a nationwide travel healthcare staffing agency connecting travel nurses and allied health professionals with high-quality contract assignments across the United States.
We specialize in placing clinicians in travel nursing jobs, allied health travel assignments, and local contract opportunities in hospitals, long-term care facilities, and outpatient settings. Whether you are an experienced traveler or taking your first assignment, Healthforce provides the support and opportunities you need to succeed.
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