ZipRecruiter

Log In

1

Home Based Utilization Review Nurse Jobs in Rio Rancho, NM

Genesis Healcare

RN - Utilization Review

Albuquerque, NM · On-site

$2.6K/wk

Details Client Name Genesis - West Region - 103 Hospital Loop NE Albuquerque, NM Job Type Travel Offering Nursing Profession RN Specialty Utilization Review Job ID 37450073 Job Title RN - Utilization ...

New

UNMHSCHS

RN CASE MANAGER

Albuquerque, NM · On-site

REPORTS & RECORDS - Maintain computer-based tracking system and compile required reports and ... and utilization review, maintaining interdependent follow-up as necessary * VARIANCE - Review ...

next page

Showing results 1-20

All JobsHome Based Utilization Review Nurse JobsHome Based Utilization Review Nurse Jobs in Rio Rancho, NM

Home Based Utilization Review Nurse information

See Rio Rancho, NM salary details

$20

$39

$64

How much do home based utilization review nurse jobs pay per hour?

As of Jul 13, 2026, the average hourly pay for home based utilization review nurse 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 the difference between Home Based Utilization Review Nurse vs Telehealth Nurse?

AspectHome Based Utilization Review NurseTelehealth Nurse
CredentialsRN license, possibly certifications in case management or utilization reviewRN license, may have certifications in telehealth or specialty areas
Work EnvironmentHome office, reviewing patient cases remotely for insurance or healthcare providersRemote or clinical setting providing patient care via telecommunication tools
Employer & IndustryInsurance companies, healthcare organizations, utilization review firmsHospitals, clinics, telehealth companies, healthcare providers

The Home Based Utilization Review Nurse primarily focuses on reviewing patient cases remotely to determine appropriate care and resource utilization, often for insurance purposes. In contrast, the Telehealth Nurse provides direct patient care via telecommunication platforms, offering advice, education, and clinical support. While both roles are remote and require nursing credentials, their core responsibilities and work environments differ significantly.

What are the key skills and qualifications needed to thrive as a Home Based Utilization Review Nurse, and why are they important?

To thrive as a Home Based Utilization Review Nurse, you need a valid RN license, clinical experience, and a strong understanding of medical necessity criteria and insurance guidelines. Familiarity with utilization management software, electronic health records (EHRs), and knowledge of regulatory standards such as Medicare or Medicaid are typically required. Critical thinking, attention to detail, and effective communication are standout soft skills for this role. These skills ensure accurate case assessments, compliance with policies, and effective collaboration, which are vital for optimizing patient outcomes and healthcare resource utilization.

What are Home Based Utilization Review Nurses?

Home Based Utilization Review Nurses are registered nurses who work remotely, typically from their homes, to evaluate the necessity, appropriateness, and efficiency of healthcare services provided to patients. They review medical records, coordinate with healthcare providers, and ensure that patient care meets established guidelines and insurance requirements. These nurses play a crucial role in managing healthcare costs and improving patient outcomes by ensuring that patients receive the right level of care. They often interact with insurance companies, healthcare facilities, and patients to facilitate approvals and appeals for medical services.

How does a Home Based Utilization Review Nurse typically collaborate with physicians and care teams while working remotely?

As a Home Based Utilization Review Nurse, collaboration with physicians and interdisciplinary care teams is primarily conducted through secure digital platforms, phone calls, and video meetings. You will review patient records, discuss care plans, and provide recommendations to ensure appropriate resource utilization. Effective communication skills are essential, as you'll need to clearly convey clinical findings and advocate for necessary services while balancing payer guidelines. Building strong virtual relationships and staying organized with documentation are key to overcoming the challenges of remote teamwork.
What are the most commonly searched types of Utilization Review Nurse jobs in Rio Rancho, NM? The most popular types of Utilization Review Nurse jobs in Rio Rancho, NM are:
What are popular job titles related to Home Based Utilization Review Nurse jobs in Rio Rancho, NM? For Home Based Utilization Review Nurse jobs in Rio Rancho, NM, the most frequently searched job titles are:
What job categories do people searching Home Based Utilization Review Nurse jobs in Rio Rancho, NM look for? The top searched job categories for Home Based Utilization Review Nurse jobs in Rio Rancho, NM are:
Home Based Utilization Review Nurse jobs near you

RN - Utilization Review

Genesis Healcare

Albuquerque, NM • On-site

$2.6K/wk

Other

Posted 2 days ago

New

Job description

Details
Client Name
Genesis - West Region - 103 Hospital Loop NE Albuquerque, NM
Job Type
Travel
Offering
Nursing
Profession
RN
Specialty
Utilization Review
Job ID
37450073
Job Title
RN - Utilization Review
Weekly Pay
$2648.0
Shift Details
Shift
Days 5x8
Scheduled Hours
40
Job Order Details
Start Date
07/27/2026
End Date
10/19/2026
Duration
12 Week(s)
Job Description
Excel is seeking highly skilled healthcare professionals for travel assignments across the United States. As a Travel Healthcare Professional, you will have the opportunity to work in diverse healthcare settings, providing essential medical care while exploring new locations and cultures.
Key Responsibilities:
Provide direct patient care in accordance with healthcare facility policies and procedures.
Collaborate with interdisciplinary teams to ensure comprehensive patient care.
Maintain accurate patient medical records and documentation.
Adhere to infection control standards and other regulatory requirements.
Educate patients and their families on healthcare plans and treatments.
Qualifications:
Active state licensure in [specify relevant states] (e.g., RN, LPN, PT, OT).
Minimum [number] years of experience in [specialty].
BLS/CPR certification (ACLS, PALS, or others as required by specialty).
Excellent communication and interpersonal skills.
Ability to adapt to different environments and work independently.
Why Choose Excel Medical Staffing:
Trusted partner with a proven track record in healthcare staffing.
Competitive compensation package including hourly wages and stipends.
Access to a wide range of healthcare facilities and specialties.
Personalized support throughout your assignment.
Opportunity to enhance your skills and build a diverse professional portfolio.
Client Details
Address
103 Hospital Loop NE
City
Albuquerque
State
NM
Zip Code
87109

Apply