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Weekend Physician Advisor Utilization Review Jobs in Rio Rancho, NM

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Weekend Physician Advisor Utilization Review information

See Rio Rancho, NM salary details

$47K

$192.1K

$334.4K

How much do weekend physician advisor utilization review jobs pay per year?

As of Jun 9, 2026, the average yearly pay for weekend physician advisor utilization review in Rio Rancho, NM is $192,065.00, according to ZipRecruiter salary data. Most workers in this role earn between $154,700.00 and $219,200.00 per year, depending on experience, location, and employer.

What is the difference between Weekend Physician Advisor Utilization Review vs Weekend Hospitalist?

AspectWeekend Physician Advisor Utilization ReviewWeekend Hospitalist
Primary RoleReview and approve medical necessity and utilization of hospital servicesProvide direct patient care and manage hospital inpatients
CredentialsMedical degree, licensed physician, often with utilization review certificationMedical degree, licensed physician, hospitalist certification preferred
Work EnvironmentOffice-based, remote or on-site, focusing on chart reviewHospital setting, on-site, managing patient care
Work HoursWeekend shifts, flexible hours for reviewWeekend shifts, covering inpatient care

Weekend Physician Advisor Utilization Review specialists focus on reviewing hospital utilization and medical necessity, often working remotely, while Weekend Hospitalists provide direct patient care in hospital settings. Both roles require medical credentials but differ in daily responsibilities and work environment.

What are popular job titles related to Weekend Physician Advisor Utilization Review jobs in Rio Rancho, NM? For Weekend Physician Advisor Utilization Review jobs in Rio Rancho, NM, the most frequently searched job titles are:
What job categories do people searching Weekend Physician Advisor Utilization Review jobs in Rio Rancho, NM look for? The top searched job categories for Weekend Physician Advisor Utilization Review jobs in Rio Rancho, NM are:
Weekend Physician Advisor Utilization Review jobs near you
Infographic showing various Weekend Physician Advisor Utilization Review job openings in Rio Rancho, NM as of June 2026, with employment types broken down into 4% As Needed, 69% Full Time, 18% Part Time, 2% Temporary, and 7% Contract. Highlights an 88% In-person, and 12% Remote job distribution, with an average salary of $192,065 per year, or $92.3 per hour.
Utilization Review Nurse

Utilization Review Nurse

w3r Consulting

Albuquerque, NM • On-site

Full-time

Posted 25 days ago

Job description

Description:
Registered Nurse responsible for collaborating with healthcare providers, members, and business partners, to optimize member benefits, evaluate medical necessity and promote effective use of resources. Medical necessity reviews may include: drugs and biologics, inpatient admissions, outpatient services, surgical and diagnostic procedures, home health, durable medical equipment and out of network services. Conduct reviews in compliance with medical policy, member eligibility, benefits, and contracts.
Essential Duties and Responsibilities:
• Responsible for the effective and sufficient support of all Utilization Management activities to include review of inpatient and outpatient medical services for medical necessity and appropriateness of setting according to established policies and compliance guidelines.
• Uses an established set of criteria to evaluates and authorize the medical necessity of services.
• Provide notification of decisions in accordance with compliance guidelines.
• Coordinate with Medical Directors when services do not meet criteria or require additional review.
• Participation in staff meetings, regular trainings and other collaborative meetings as appropriate.
• Works with management team to achieve operational objectives and financial goals.
• Supports teams across UM Department as needed.
• Active participation and completion of all required trainings.
• Maintain Required Licensures.
• Adherence to regulatory and departmental timeframes for review of requests
• Meet/exceed department Turn Around time, daily established productivity goals, and service levels
• Proficient knowledge of policies and procedures, Medicare, HIPPA and NCQA standards;
• Professional demeanor and the ability to work effectively within a team or independently;
• Flexible with the ability to shift priorities when required
• Other duties as required
Qualifications:
• Current unrestricted RN license. Multi-State License Preferred
• Bachelors degree in nursing or health-care related field preferred
• Minimum of 2 years experience in a regulated environment preferred
• Minimum of 2-3 years clinical experience
• Strong customer orientation
• Strong organizational, planning, and communication skills
• Working knowledge of insurance industry, medical coding (CPT/HCPCS/ICD-10), and overall claims process a plus
• Knowledge of National Coverage Determinations, Local Coverage Determinations and MCG criteria are a plus.
• Excellent time management skills
Knowledge, Skills, Abilities Required:
• Excellent interpersonal and communications skills with nursing staff, physicians, nurse practitioners and other health workers involved in the care of a member
• Ability to meet deadlines and manage multiple priorities, and effectively adapt and respond to complex, fast-paced, rapidly growing, and results-oriented environments
• Able to work in a dynamic, fast-paced team environment and to promote team concepts
• Excellent typing skills.
• Substantial knowledge of Microsoft Office including SharePoint, Outlook, PowerPoint, Excel and Word.

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