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Contract Utilization Review Jobs in Rio Rancho, NM

RN - Case Manager

Albuquerque, NM · On-site

$1.6K - $1.7K/wk

Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job Location: Albuquerque, New Mexico Start Date: July 20, 2026 Profession: Registered Nurse (RN) Facility: Rehabilitation ...

... Utilization Review Admission Criteria Care coordination Discharge Planning Utilize InterQual ... most competitive contracts to our workforce. Our experienced team takes the time to get to know ...

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.

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Contract Utilization Review information

See Rio Rancho, NM salary details

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$39

$64

How much do contract utilization review jobs pay per hour?

As of Jul 11, 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 are popular job titles related to Contract Utilization Review jobs in Rio Rancho, NM? For Contract Utilization Review jobs in Rio Rancho, NM, the most frequently searched job titles 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 RN: Utilization Review

Travel RN: Utilization Review

Wayward Medical

Albuquerque, NM • On-site

Other

Posted 2 days ago

New


Job description

Job Description
There are a lot of travel nursing agencies.
Most of them can submit you to a job.
The difference is what happens after you click apply.
At Wayward Medical Staffing, you get one point of contact, straight answers, permission before submission, and real check ins that are not just disguised extension calls.
We do the boring stuff well.
We answer fast.
We tell the truth.
We get your permission before putting your name in front of a facility.
And when something gets weird on assignment, we pick up the phone.
We're not a billion-dollar staffing machine with five departments and four handoffs before someone learns your name.
We're a Mom and Pop shop who puts relationships first. We're built for travelers who want to be treated like humans, not chart numbers.
That means we stay with you through the full assignment, help you navigate the messy parts, and start thinking about your next contract before this one ends.
Our rule is simple:
No one gets burned.
If you want an agency that communicates clearly, follows through, and actually sticks around after you start, apply with Wayward.
We'll walk you through the details and help you decide if this assignment is the right fit.
Wayward Medical: Because You're More Than a Chart Number
At Wayward Medical Staffing, we're not just about jobs-we're about journeys. We get it: life's too short for boring gigs or recruiters who ghost you. That's why we've built a company that puts YOU first, with perks so good, you'll think you hit the travel nurse jackpot.
Here's Why We're Your Ride-or-Die in Travel Nursing:
  1. We're Basically Your Work BFFs.
    Need career advice, assignment updates, or someone to listen to your wild on-the-job stories? Call us. Text us. Heck, send us a meme at 2 a.m. We're here for it.
  2. Paperwork? Consider It Handled.
    We love admin work (weird, right?), so you don't have to. Licenses, credentials, compliance-we've got it down to a science. You just focus on saving lives and looking awesome doing it.
  3. Certified Legit.
    We're Joint Commission Certified (fancy, huh?) and a 2023 Certified Great Place to Work. That means we don't just meet standards-we crush them.
  4. Transparency Like You've Never Seen.
    No bait-and-switch nonsense. No recruiter drama. Just honest conversations about pay, assignments, and what to expect. Refreshing, right?
  5. Fun, Laughter, and All the Good Vibes.
    We believe life's better when you're laughing. Whether it's our banter or the ridiculous situations you'll find yourself in on assignment, we're here to make it memorable.

Ready to Make a Difference?
Join the Wayward crew and experience travel nursing the way it was meant to be: rewarding, adventurous, and-dare we say it-fun. Apply now, and let's get you on the road to your next great assignment.
P.S. If you're wondering, yes, this counts as your sign to finally make that career move you've been dreaming about. Wayward's got your back. Let's do this.