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Contract Utilization Review Jobs in Rio Rancho, NM

Case Manager

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.

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Contract Utilization Review information

See Rio Rancho, NM salary details

$20

$39

$64

How much do contract utilization review jobs pay per hour?

As of Aug 1, 2026, the average hourly pay for contract utilization review in Rio Rancho, NM is $39.77, according to ZipRecruiter salary data. Most workers in this role earn between $31.44 and $45.67 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive in the Contract Utilization Review position, and why are they important?

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.

What does a typical day look like for someone working in Contract Utilization Review?

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.

What is a Contract Utilization Review job?

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.

What are the most commonly searched types of Utilization Review jobs in Rio Rancho, NM? The most popular types of Utilization Review jobs in Rio Rancho, NM are:
What job categories do people searching Contract Utilization Review jobs in Rio Rancho, NM look for? The top searched job categories for Contract Utilization Review jobs in Rio Rancho, NM are:
What cities near Rio Rancho, NM are hiring for Contract Utilization Review jobs? Cities near Rio Rancho, NM with the most Contract Utilization Review job openings:

Travel Registered Nurse Utilization Management Job

Healthforce

Albuquerque, NM โ€ข On-site

Contractor

Posted 3 days ago

New


Job description

Overview
Registered Nurse - Utilization Management in a Skilled Nursing Facility setting. Albuquerque, New Mexico. Start date 08/03/2026 for a 13-week travel assignment. Weekly pay range $2,298 to $2,435 per week. Guaranteed 40 hours per week. Shift: 5x8 days (8-hour daytime shifts). This travel assignment is with Healthforce Healthcare LLC.
Key Highlights
- Weekly pay: $2,298–$2,435 per week
- Guaranteed hours: 40 per week
- Contract duration: 13 weeks
- Shift: 5x8 days (8-hour daytime shifts)
- Start date: 08/03/2026
- Setting: Skilled Nursing Facility
Responsibilities
- Conduct prospective, concurrent, and retrospective utilization reviews to support appropriate care and resource use.
- Assess medical necessity and level of care, aligning with payer guidelines and facility policies.
- Collaborate with the interdisciplinary team, including case managers and physicians, to optimize care plans and discharge planning.
- Review clinical documentation for accuracy, completeness, and timeliness; ensure compliant coding and record-keeping.
- Communicate findings, recommendations, and escalation points clearly to nursing staff and leadership as needed.
- Monitor utilization trends and participate in ongoing quality and performance improvement activities.
Requirements
- Active RN license (state-specific requirements apply).
- Utilization management or case management experience preferred.
- Knowledge of medical necessity criteria and general payer guidelines.
- Strong documentation and communication skills; ability to collaborate with a multidisciplinary team.
- Ability to work on-site in a Skilled Nursing Facility setting in Albuquerque, NM; reliable for 40 hours per week during the contract.
Benefits and Support
- 24/7 recruiter and travel support
- Credentialing and onboarding assistance
- Assignment support throughout the contract period
- Assistance with scheduling and workflow integration to fit the assignment
- Ongoing access to future assignment opportunities
Find more opportunities
If you’d like to explore additional openings, you can apply at Healthforce Healthcare LLC here: https://healthforce.applytojob.com/apply
Please note: Pay rates and guaranteed hours are estimates and may vary. Final compensation packages and confirmed hours will be discussed during the hiring process.

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.

Travel Nursing and Allied Health Opportunities Nationwide

Healthforce partners with healthcare facilities across the country to offer a wide range of opportunities for nurses and allied professionals.

  • Travel RN jobs in Med Surg, ICU, ER, LTC, and more
  • Allied health travel jobs including CT Tech, Rad Tech, PT, OT, Respiratory, and more
  • Local contract and per diem opportunities
  • Short-term and 13-week travel assignments

Our goal is simple: match you with the right assignment, in the right location, at the right pay.

What Makes Healthforce Different

We know that travel healthcare professionals have options. That is why we focus on delivering a better experience at every step of the process.

  • Competitive weekly pay packages with transparent breakdowns
  • Fast credentialing support to help you get submitted quickly
  • Dedicated recruiters who stay with you from submission to start
  • 24/7 support while you are on assignment
  • Nationwide job access across multiple specialties and care settings

We do not just place you in a job. We help you build a sustainable travel healthcare career.

Built for Travel Nurses and Allied Professionals

Healthforce is designed around the needs of today’s travel healthcare workforce. We make it easier for clinicians to move quickly, stay informed, and access strong opportunities across the country.

  • Quick submissions to open jobs
  • Access to multiple job options at once
  • Flexible assignment locations
  • Ongoing support throughout your contract

Whether you are searching for your next assignment or planning your first travel job, our team is here to help you move forward with confidence.

Start Your Next Travel Assignment

Healthforce is actively hiring travel nurses and allied healthcare professionals for assignments nationwide.

Apply today to connect with a recruiter and explore current travel nursing and allied health job opportunities.

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