... Contract duration: 8 weeks - Shift: Weekdays 8:00 AM-5:00 PM with on-call duties; weekends as ... Skilled Nursing Facility; travel nursing assignment Responsibilities - Review and authorize ...
Quick apply
... Contract duration: 8 weeks - Shift: Weekdays 8:00 AM-5:00 PM with on-call duties; weekends as ... Skilled Nursing Facility; travel nursing assignment Responsibilities - Review and authorize ...
Quick apply
... Contract duration: 8 weeks - Shift: Weekdays 8:00 AM-5:00 PM with on-call duties; weekends as ... Skilled Nursing Facility; travel nursing assignment Responsibilities - Review and authorize ...
Rio Rancho, NM ยท On-site
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
Rio Rancho, NM ยท On-site
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
Rio Rancho, NM ยท On-site
Key Words: RN Travel, Travel Nurse, Contract Nurse, Agency Nurse, Travel Contract, Travel Nursing, Case Manager, Case Management, Utilization Review, Case Manager RN *Weekly payment estimates are ...
New
Rio Rancho, NM ยท On-site
Key Words: RN Travel, Travel Nurse, Contract Nurse, Agency Nurse, Travel Contract, Travel Nursing, Case Manager, Case Management, Utilization Review, Case Manager RN *Weekly payment estimates are ...
New
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.
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.
$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.
$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.
$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.
$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 ...
This is a REMOTE position, but candidates must reside in either TX, IL, NM, OK, MT or TN Contract ... utilization management to members. * Performs prospective, concurrent, and retrospective reviews ...
This is a REMOTE position, but candidates must reside in either TX, IL, NM, OK, MT or TN Contract ... utilization management to members. * Performs prospective, concurrent, and retrospective reviews ...
... 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 ...
Albuquerque, NM ยท On-site
Provide ongoing development and management oversight in personnel reviews, disciplinary actions ... Manage the facility/service center according to budget by managing expenses, labor utilization ...
Albuquerque, NM ยท On-site
Provide ongoing development and management oversight in personnel reviews, disciplinary actions ... Manage the facility/service center according to budget by managing expenses, labor utilization ...
Provide ongoing development and management oversight in personnel reviews, disciplinary actions ... Manage the facility/service center according to budget by managing expenses, labor utilization ...
Provide ongoing development and management oversight in personnel reviews, disciplinary actions ... Manage the facility/service center according to budget by managing expenses, labor utilization ...
Provide ongoing development and management oversight in personnel reviews, disciplinary actions ... Manage the facility/service center according to budget by managing expenses, labor utilization ...
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.
Albuquerque, NM ยท On-site
... contracts review, budget review, scheduling, site development, civil, architectural design ... vendors by utilization of the engineering and construction teams in their proper capacity.
Albuquerque, NM ยท On-site
... contracts review, budget review, scheduling, site development, civil, architectural design ... vendors by utilization of the engineering and construction teams in their proper capacity.
$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
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.
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.
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.
The most popular types of Utilization Review jobs in Rio Rancho, NM are:
The top searched job categories for Contract Utilization Review jobs in Rio Rancho, NM are:
Cities near Rio Rancho, NM with the most Contract Utilization Review job openings:
Contractor
Posted 24 days ago
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.
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.
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.
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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