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Utilization Review 1099 Jobs in Rio Rancho, NM (NOW HIRING)

GQR

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 ...

Prime Staffing

Travel RN Case Manager

Albuquerque, NM · On-site

Travel Work Settings Acute Hospital Long Term Acute Care/Rehab/Skilled Nursing Case Management/Utilization Review Admission Criteria Care coordination Discharge Planning Utilize InterQual Criteria ...

UnitiMed

RN Case Manager

Albuquerque, NM · On-site

Referral bonus up to $700 Registered Nurse (RN),Case Management/Utilization Review, About the Company: Uniti Med is an award-winning healthcare staffing company with a mission to provide staffing ...

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All JobsUtilization Review 1099 JobsUtilization Review 1099 Jobs in Rio Rancho, NM

Utilization Review 1099 information

See Rio Rancho, NM salary details

$20

$39

$64

How much do utilization review 1099 jobs pay per hour?

As of Jul 11, 2026, the average hourly pay for utilization review 1099 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 some typical challenges faced by Utilization Review professionals working as 1099 contractors, and how can they be managed?

Utilization Review professionals working as 1099 contractors often face challenges such as fluctuating caseloads, varying client requirements, and the need to stay current with changing regulations independently. Unlike full-time employees, contractors must also manage their own schedules, billing, and sometimes provide their own resources and training. To succeed, it's important to establish clear communication with clients, maintain up-to-date credentials, and leverage professional networks or continuing education resources to stay informed about industry changes.

What are the key skills and qualifications needed to thrive as a Utilization Review 1099, and why are they important?

To thrive as a Utilization Review 1099 professional, you need a strong clinical background (often as a registered nurse or similar), experience with medical necessity criteria, and familiarity with insurance guidelines. Proficiency with utilization management software, electronic health records (EHRs), and knowledge of regulatory requirements are typically required, along with URAC or CCM certification being advantageous. Excellent analytical thinking, attention to detail, and effective communication skills are essential for collaborating with healthcare providers and payers. These skills ensure accurate, efficient review of patient care for coverage decisions, compliance, and cost-effective healthcare delivery.

What is a Utilization Review 1099 position?

A Utilization Review 1099 position refers to a healthcare professional, often a nurse or therapist, who works as an independent contractor (not a direct employee) to review medical cases for necessity and efficiency. The '1099' designation means they receive a Form 1099 for tax purposes and are responsible for their own taxes. Utilization Review specialists evaluate patient records to ensure treatments are appropriate and meet insurance or regulatory guidelines. These roles are often remote and offer flexible hours, but do not provide traditional employee benefits.

What is the difference between Utilization Review 1099 vs Utilization Review Nurse?

AspectUtilization Review 1099Utilization Review Nurse
CredentialsVaries; often self-employed or independent contractorsRegistered Nurse (RN) license required
Work EnvironmentRemote or freelance; contract basisHealthcare facilities, insurance companies, or clinics
Employer/Industry UsageFreelance or independent consulting in healthcareHospitals, insurance providers, healthcare organizations
Work FocusReviewing medical necessity for insurance claimsAssessing patient records, making clinical decisions

Utilization Review 1099 typically refers to independent contractors reviewing insurance claims, often working remotely. Utilization Review Nurse is a licensed RN performing clinical assessments within healthcare settings. While both roles involve utilization review, the 1099 role emphasizes independent contracting, whereas the nurse role requires clinical credentials and direct patient or clinical record involvement.

What are popular job titles related to Utilization Review 1099 jobs in Rio Rancho, NM? For Utilization Review 1099 jobs in Rio Rancho, NM, the most frequently searched job titles are:
What job categories do people searching Utilization Review 1099 jobs in Rio Rancho, NM look for? The top searched job categories for Utilization Review 1099 jobs in Rio Rancho, NM are:
What cities near Rio Rancho, NM are hiring for Utilization Review 1099 jobs? Cities near Rio Rancho, NM with the most Utilization Review 1099 job openings:
Utilization Review 1099 jobs near you

RN - Utilization Review

Genesis - West Region - 2216 Lester Drive NE Albuquerque, NM

Albuquerque, NM • On-site

$2.4K/wk

Other

Posted 2 days ago

New

Job description

Details
Client Name
Genesis - West Region - 2216 Lester Drive NE Albuquerque, NM
Job Type
Travel
Offering
Nursing
Profession
RN
Specialty
Utilization Review
Job ID
37444362
Job Title
RN - Utilization Review
Weekly Pay
$2488.0
Shift Details
Shift
Days 5x8
Scheduled Hours
40
Job Order Details
Start Date
07/27/2026
End Date
09/07/2026
Duration
6 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
2216 Lester Drive NE
City
Albuquerque
State
NM
Zip Code
87112

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