Manager Utilization Management Jobs in Rio Rancho, NM

Registered Nurse is a compassionate, licensed professional who delivers safe, high-quality, patient- and family-centered care through the full nursing process: assessment, diagnosis, planning, implementation, and evaluation. You will coordinate individualized patient education, guide and supervise ancillary team members, collaborate with interdisciplinary teams, and consistently uphold professional nursing standards. All practice must align with the New Mexico Nurse Practice Act, hospital policies, procedures, and current evidence-based guidelines.

Clinical Ladder Program

RN I to RN IV (each tier has its own wage scale)

Benefits

Upon enrolling in our medical plan, employees and their household dependents gain the privilege of accessing any of our services at any of our facilities without the need for a co-pay. Additionally, enjoy a zero co-pay fee for all generic medications, ensuring comprehensive and affordable healthcare for your family.

Housing Assistance & Fuel Stipend

For employees residing more than 65 miles from our facility, we offer an exciting choice between a fuel stipend or temporary housing, subject to availability.

Sign-on Bonus

$15,000

Relocation Bonus

Up to $5,000

New Grads Welcome

Starting at $36 an hour

Upon completion of 12 months will automatically increase to $40

Tuition Reimbursement

Up to $5,250 per calendar year for approved programs

Up to $10,000 for master's degree or higher in leadership roles

Certification Training Program

We are thrilled to announce that we will reimburse employees for approved and job-specific certifications, including ACLS, PALS, and EMT for example. This initiative is designed to support your professional growth and enhance your expertise in the field.

• Conduct thorough patient assessments and develop, implement, and evaluate individualized care plans.
• Deliver direct patient care across the lifespan while promoting optimal health outcomes.
• Provide clear, culturally sensitive education to patients and families, supporting health literacy and successful transitions of care.
• Direct and supervise licensed practical nurses, nursing assistants, and other ancillary personnel.
• Maintain accurate and timely documentation in the electronic health record.
• Collaborate effectively with physicians, therapists, and the broader care team.
• Participate in quality improvement, patient safety initiatives, and ongoing professional development.
• Float to other departments as needed, with appropriate orientation and training.
• Perform additional duties as assigned to support hospital operations and patient needs.

• Frequent exposure to bloodborne pathogens, body fluids, infectious diseases, and biohazardous materials.
• Work occurs primarily in a temperature-controlled hospital setting with occasional exposure to varied sounds, odors, and emotionally challenging situations.
• Must be physically able to lift, position, and transfer patients using proper body mechanics and assistive equipment.
• Ability to work effectively under stress, respond calmly to emergencies, and maintain strong problem-solving and coping skills.
• Team-oriented, adaptable, and resilient in dynamic clinical situations.

Medical-Surgical

• Current BLS and ACLS required.
• PALS and NRP preferred.
• Ability to effectively manage multiple patients of varying ages and acuities.

Intensive Care Unit (ICU)

• Current BLS and ACLS required.
• PALS and NRP required within 12 months of hire.
• Ability to interpret EKGs and care for critically ill patients.
• Relevant education or experience in critical care preferred.

Operating Room / PACU

• Current BLS and ACLS required.
• PALS and NRP required within 12 months of hire.
• Strong critical thinking and independent decision-making skills.
• On-call availability within 20 minutes of the hospital.
• Thorough knowledge of sterile technique and maintenance of a sterile field.

Emergency Department (ED)

• Current BLS and ACLS required.
• PALS required within 12 months of hire.
• TNCC and ENPC preferred.
• Ability to perform effectively in high-stress environments while providing emergency care across the lifespan.
• Competence in assisting with advanced procedures (intubation, chest tube insertion, central lines, etc.).
• Proficiency in ACLS protocols and rapid clinical decision-making.

Labor, Delivery, Recovery, Postpartum (LDRP)

• Current BLS, ACLS, NRP, and Intermediate Fetal Monitoring required.
• OPS Emergency Workshop and STABLE certification required within 12 months.
• SAFER NM Technician certification preferred.
• Skilled in all aspects of perinatal care, labor support, delivery, and newborn assessment.
• Knowledge of sterile technique and sterile field maintenance.

Case Manager / Utilization Review Nurse (RN)

Is responsible for coordinating patient care progression, discharge planning, and utilization review activities. This integrated role ensures appropriate levels of care, regulatory compliance, efficient resource utilization, and optimal patient outcomes.

The position combines clinical Case Management functions with Utilization Review responsibilities, including medical necessity reviews, inpatient and concurrent authorizations, concurrent reviews, denial prevention, and interdisciplinary collaboration. The Case Manager / Utilization Review Nurse serves as a liaison between patients, families, providers, payers, and post-acute resources to facilitate safe, timely, and cost-effective transitions of care while supporting hospital reimbursement integrity and compliance with Medicare, Medicaid, commercial payer, and regulatory requirements.

General Qualifications

• Current New Mexico RN license or active Multi-State Compact (eNLC) license.
• Current Basic Life Support (BLS/CPR) certification from the American Heart Association (or equivalent).
• Associate Degree in Nursing (ADN) required; Bachelor of Science in Nursing (BSN) preferred.
• Education and clinical experience that provide the knowledge, skills, and abilities needed for the assigned department.
• Excellent interpersonal, communication, and critical-thinking skills.
• Ability to deliver compassionate, culturally competent care to patients of all ages (pediatric through geriatric).
• Strong team player with flexibility and adaptability in a fast-paced environment.
• Commitment to professional growth and lifelong learning.

Cibola General Hospital rooted in Grants, New Mexico - Your Community Hospital

Since opening our doors in 1959, Cibola General Hospital has been dedicated to meeting the healthcare needs of our region. As a critical access hospital in Grants, NM, we play an essential role in delivering care to surrounding rural communities, providing access to important medical services closer to home. Many of our team members grew up right here in Cibola County. They understand the people we serve because they are part of this community, bringing a level of connection and compassion that shapes every patient experience.

Cibola Family Health Center

1423 E. Roosevelt Ave, Grants, NM 87020

Cibola Specialty Associates

1208 Bonita Ave, Grants, NM 87020

Cibola General Hospital

1010 E Roosevelt Ave, Grants, NM 87020