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Part Time Utilization Review Jobs in New Mexico (NOW HIRING)

Case Manager

Albuquerque, NM · On-site

$18.25 - $23.50/hr

Affordable medical, dental, and vision plans for both full-time and part-time employees and their ... Participate in utilization review process: data collection, trend review, and resolution actions.

Case Manager

Albuquerque, NM · On-site

$19.50 - $25/hr

Affordable medical, dental, and vision plans for both full-time and part-time employees and their ... Participate in utilization review process: data collection, trend review, and resolution actions.

Case Manager

Albuquerque, NM

$19.50 - $25/hr

Affordable medical, dental, and vision plans for both full-time and part-time employees and their ... Participate in utilization review process: data collection, trend review, and resolution actions.

RN Registered Nurse

Grants, NM · On-site

$40 - $60/hr

Department-Specific Qualifications (Full-time & Part-time & PRN Opportunities Available) Medical ... The Case Manager / Utilization Review Nurse serves as a liaison between patients, families ...

New

RN Registered Nurse

Grants, NM · On-site

$40 - $60/hr

Department-Specific Qualifications (Full-time & Part-time & PRN Opportunities Available) Medical ... The Case Manager / Utilization Review Nurse serves as a liaison between patients, families ...

General Clinical Faculty

Albuquerque, NM · On-site

$18.25 - $23.50/hr

In the case of the community practices, aid in the continual review of student rosters * In the ... Determination of individual student needs and related time utilization. * Assuring accuracy of ...

$45K/yr

You will receive credit for all qualifying experience, including volunteer and part time experience ... reviewing records to determine the status of claims and applications; responding to inquiries ...

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Part Time Utilization Review information

What is a part time utilization review?

A Part Time Utilization Review job involves evaluating healthcare services provided to patients in order to ensure they are medically necessary and cost-effective. Professionals in this role review patient records, treatment plans, and insurance information to make recommendations about the appropriateness of care. Working part-time, they may collaborate with healthcare providers, insurance companies, and patients to optimize healthcare outcomes while managing costs. This position is often found in hospitals, insurance companies, or healthcare management organizations, and typically requires a background in nursing or healthcare administration.

What are the key skills and qualifications needed to thrive as a part time utilization review nurse?

To thrive as a Part Time Utilization Review Nurse, you need a current RN license, strong clinical assessment skills, and experience in case management or utilization review. Familiarity with healthcare management systems, InterQual or MCG guidelines, and insurance authorization processes is typically required. Excellent analytical thinking, attention to detail, and effective communication help in collaborating with healthcare providers and payers. These skills ensure appropriate resource use, regulatory compliance, and optimal patient outcomes in a part-time capacity.

What are some common challenges faced in a part time utilization review role and how can I effectively manage them?

Part-time utilization review professionals often face challenges such as managing fluctuating caseloads within limited hours and staying up-to-date with rapidly changing healthcare regulations. Balancing efficiency and thoroughness is crucial, especially when reviewing complex cases or communicating with providers on tight timelines. Effective time management, strong organizational skills, and clear communication with your team are key to overcoming these challenges. Many employers provide flexible schedules and supportive technology platforms, which can help streamline your workflow and maintain high-quality reviews.

What is the difference between Part Time Utilization Review vs Part Time Case Management?

AspectPart Time Utilization ReviewPart Time Case Management
CredentialsTypically requires healthcare-related certifications (e.g., RN, LPN, or medical reviewer credentials)Often requires social work, nursing, or healthcare certifications, with some overlap
Work EnvironmentHealthcare facilities, insurance companies, or third-party review organizationsHospitals, insurance companies, or community health agencies
Employer & Industry UsageUsed mainly in insurance and healthcare to evaluate medical necessityUsed in healthcare to coordinate patient care and services

Part Time Utilization Review focuses on assessing the medical necessity of services, while Part Time Case Management involves coordinating patient care and services. Both roles require healthcare credentials and are common in insurance and healthcare settings, but they serve different functions within patient care and resource management.

What are the most commonly searched types of Utilization Review jobs in New Mexico?

The most popular types of Utilization Review jobs in New Mexico are:

What are popular job titles related to Part Time Utilization Review jobs in New Mexico?

For Part Time Utilization Review jobs in New Mexico, the most frequently searched job titles are:

What cities in New Mexico are hiring for Part Time Utilization Review jobs?

Cities in New Mexico with the most Part Time Utilization Review job openings:

Infographic showing various Part Time Utilization Review job openings in New Mexico as of August 2026, with employment types broken down into 100% Part Time. Highlights an 90% In-person, and 10% Hybrid job distribution.

Pharmacist Clinician - Part-time

UNM Medical Group

Rio Rancho, NM • On-site

$114K - $145K/yr

Full-time, Part-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 6 days ago


Job description

UNM Medical Group, Inc. is hiring a Pharmacist Clinician to join our Primary Care Grande Clinic. This opportunity is a part-time (0.5FTE 20 hours a week) day shift opening located in Rio Rancho, New Mexico.

Minimum $114,168 - Midpoint $145,468*

*Salary is determined based on years of total relevant experience.

*Salary is based on 1.0 FTE (full time equivalent) or 40 hours per week. Less than 40 hours/week will be prorated and adjusted to the appropriate FTE.

Summary:

The Pharmacist Clinician provides direct patient care through comprehensive medication management
and optimization of pharmacotherapy. Working collaboratively with physicians, advanced practice
providers, nurses, and other healthcare professionals, the Pharmacist Clinician evaluates medication
regimens, manages chronic and acute disease states, monitors therapeutic outcomes, and promotes
safe, evidence-based medication use.


In addition to advanced clinical responsibilities, the Pharmacist Clinician performs the essential
functions of a Staff Pharmacist, including medication dispensing, prescription verification, patient
counseling, medication safety oversight, and compliance with applicable regulatory and accreditation
standards. The Pharmacist Clinician serves as both a clinical resource and a practicing pharmacist,
ensuring the safe and effective delivery of pharmaceutical care across the continuum of care.


The Pharmacist Clinician functions as an integral member of the interdisciplinary care team and
provides services under collaborative practice agreements, clinical protocols, and applicable state and
federal regulations. This role balances direct patient care, clinical consultation, medication
management, and operational pharmacy responsibilities to support organizational quality, safety, and
patient outcome goals.

Minimum Job Requirements of a Pharmacist Clinician:

Education:
Bachelors Degree in Pharmacy or Doctor of Pharmacy (PharmD) from an accredited college or
school of pharmacy
Completion of an accredited PGY-1 Pharmacy Residency program within six (6) months of
employment


Experience:
Two (2) years of directly related experience
Experience practicing under a Collaborative Practice Agreement (CPA) preferred.


Certifications/Licenses:
Licensed Pharmacist in State of New Mexico or obtain within 90 days
Licensed Pharmacist Clinician in State of New Mexico or obtain within 180 days
Board Certification through the Board of Pharmacy Specialists (BPS) including
Pharmacotherapy Specialist (BCPS), Ambulatory Care Pharmacist (BCACP) or other specialty
certification preferred.

Duties and Responsibilities of a Pharmacist Clinician:

1. Provides direct patient care to include, writing, renewing, and discontinuing prescriptions;
documenting clinical interventions and patient encounters in the electronic health record;
maintaining accurate, legible, and confidential records.
2. Conduct comprehensive medication reviews and assessments; develops, implements, monitors,
and adjusts medication therapy plans based on patient-specific needs and evidence-based
guidelines; identifies, prevents, and solves medication-related problems.
3. Evaluates laboratory values, diagnostic tests, and clinical data to optimize medication therapy;
monitors therapeutic outcomes and adverse drug events; provides patient education and
counseling regarding medications, disease management, adherence, and self-care.
4. Supports and creates a culture of service excellence, teamwork, and accountability in alignment
with ASPIRE values; collaborates with physicians, advanced practice providers, nurses, and other
healthcare professionals to improve patient outcomes; participates in interdisciplinary patient care
conferences and care planning activities.
5. Supports quality improvement initiatives and organizational performance goals; assists in the
development and implementation of clinical pathways, treatment protocols, and medication
management programs; monitors and reports quality metrics related to medication management
and patient outcomes; participates in medication safety and utilization review activities.
6. Participates in the development of clinical protocols or order sets to ensure the appropriate and
safe delivery of medications to patients; adheres to the appropriate mechanisms of consulting with
the supervising physician for pharmacist clinician protocols.
7. Serves as a medication resource for providers, staff, patients, and caregivers; provides drug
information and evidence-based therapeutic recommendations; may be asked to assist with
primary care team clinical inbox management; participation in education and training of pharmacy
residents, students, and healthcare staff as appropriate; maintains professional competency
through continuing education and professional development.
8. Promotes the most cost-effective delivery of medication therapy and use of medications to
patients; develops and implements programs to promote cost-effective alternatives and track their
effectiveness; evaluate opportunities to decrease pharmacy and other health care professionals
time to provide optimal pharmaceutical care; evaluates opportunities and implements programs to
decrease waste or improve reimbursement of medication therapies.
9. Adheres to all applicable federal, state, and organizational regulations, policies, and procedures;
maintains patient confidentiality and compliance with HIPAA requirements; support a culture of
patient safety by adhering to safety practices, identifying and reporting risks or concerns,
improving processes, and encouraging patient involvement in their care.
10. Performs other related duties and responsibilities as assigned.

Why Join UNM Medical Group, Inc.?

Since our creation in 2007, our dynamic organization has continued to grow and form strong partnerships within the UNM Health system. Modern Healthcare recognizes UNMMG in their Best Places to Work recognition for 2025. We ASPIRE to incorporate the following values into all aspects of our culture and work: we always demonstrate an Attitude of Service with Positivity, Integrity and Respect as we strive for Excellence. We are dedicated to embracing and promoting diversity while fostering well-being across New Mexico through cultural humility and respect for everyone.

About the Grande Primary Care Clinic:

UNM Medical Group has opened a new Primary Care Clinic for the Rio Rancho community in the summer of 2021. The UNM Health Grande Clinic focuses on providing the local community their non-emergency medical needs.

Services Provided at the Grande Clinic includes:

  • General Primary Care (newborn and greater)
  • Primary Medical Care
  • Womens Health
  • Annual Exams
  • Sports Physicals
  • Immunizations
  • Treatment for Common Non-emergency Illness
  • Health Promotion
  • Disease Prevention
  • Medication Management
  • Diabetes Management
  • Behavioral Health

Benefits:

  • Competitive Salary & Benefits: UNMMG provides a competitive salary along with a comprehensive benefits package.
  • Insurance Coverage: Includes medical, dental, vision, and life insurance.
  • Additional Perks: Offers tuition reimbursement, generous paid time off, and a 403b retirement plan for eligible employees.