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Contract Utilization Review Jobs in Rio Rancho, NM

Strong assessment, discharge planning, and utilization review skills Description: The RN Case ... contracts to our workforce. Our experienced team takes the time to get to know both our clients and ...

New

Case Manager

Albuquerque, NM ยท On-site

$18.25 - $23.50/hr

Understand commercial contract levels, exclusions, payor requirements, and recertification needs ... Participate in utilization review process: data collection, trend review, and resolution actions.

Case Manager

Albuquerque, NM

$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.

Case Manager

Albuquerque, NM

$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.

Provide ongoing development and management oversight in personnel reviews, disciplinary actions ... Manage the facility/service center according to budget by managing expenses, labor utilization ...

... contracts review, budget review, scheduling, site development, civil, architectural design ... vendors by utilization of the engineering and construction teams in their proper capacity.

... contracts review, budget review, scheduling, site development, civil, architectural design ... vendors by utilization of the engineering and construction teams in their proper capacity.

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Contract Utilization Review information

See Rio Rancho, NM salary details

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How much do contract utilization review jobs pay per hour?

As of Aug 22, 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 is a contract utilization review?

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 does a contract utilization review do?

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 are the key skills and qualifications needed to thrive in contract utilization review?

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 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 24 days ago


Job description

Overview
Registered Nurse – Utilization Management travel assignment in Albuquerque, New Mexico. Start date: 09/01/2026 for 8 weeks. Weekly pay: $2,060–$2,136 (per week). Guaranteed hours: 40 per week. Shift: Weekdays with on-call duties, 8:00 AM–5:00 PM; weekends as needed. Setting: Skilled Nursing Facility. Travel - Temporary Assignment.
Key Highlights
- Weekly pay: $2,060–$2,136 per week
- Guaranteed hours: 40 hours per week
- Contract duration: 8 weeks
- Shift: Weekdays 8:00 AM–5:00 PM with on-call duties; weekends as needed
- Location: Albuquerque, NM
- Setting: Skilled Nursing Facility; travel nursing assignment
Responsibilities
- Review and authorize utilization decisions for skilled services, coordinating with the care team to ensure appropriate level of care.
- Assess medical necessity and document rationale for care decisions; communicate with payers as required.
- Collaborate with physicians, nurses, social workers, and case managers to coordinate care plans and discharge planning.
- Monitor patient progress, length of stay, and utilization metrics; support efficient bed management and transitions.
- Ensure compliance with payer policies, regulatory requirements, and facility policies; maintain accurate, timely documentation.
- Provide on-call coverage as required; respond to after-hours utilization management inquiries and urgent reviews.
Requirements
- Active Registered Nurse license in New Mexico (or eligible for NM licensure for the assignment)
- Graduation from an accredited nursing program (RN)
- Ability to work 40 hours per week and participate in on-call duties; weekends as needed
- Strong written and verbal communication skills; ability to collaborate within a multidisciplinary team
- Experience in utilization management, care coordination, or discharge planning in a skilled nursing or similar setting preferred
Benefits and Support
- Guaranteed hours and consistent weekly pay
- 24/7 recruiter and travel support
- Fast credentialing
- Housing assistance
- Nationwide assignments
- Extension opportunities
- Dedicated support throughout the assignment
- Referral bonus up to $1,000
Find more opportunities
If you’re interested in other open travel nursing roles, apply now at https://healthforce.applytojob.com/apply to explore additional opportunities with Healthforce Healthcare LLC.
PAY DISCLAIMER RULE:
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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