Utilization Review
Albuquerque, NM ยท On-site
Travel Nurse Manager 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 ...
Albuquerque, NM ยท On-site
Travel Nurse Manager 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 ...
Albuquerque, NM ยท On-site
Travel Nurse Manager 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 ...
Albuquerque, NM ยท On-site
$2.3K/wk
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 ...
Albuquerque, NM ยท On-site
$2.3K/wk
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 ...
Albuquerque, NM ยท On-site
There are a lot of travel nursing agencies. Most of them can submit you to a job. The difference is what happens after you click apply. At Wayward Medical Staffing, you get one point of contact ...
Albuquerque, NM ยท On-site
There are a lot of travel nursing agencies. Most of them can submit you to a job. The difference is what happens after you click apply. At Wayward Medical Staffing, you get one point of contact ...
Albuquerque, NM ยท On-site
$2.0K - $2.1K/wk
Weekdays with on-call duties, 8:00 AM-5:00 PM; weekends as needed. Setting: Skilled Nursing ... Skilled Nursing Facility; travel nursing assignment Responsibilities - Review and authorize ...
Albuquerque, NM ยท On-site
$2.0K - $2.1K/wk
Weekdays with on-call duties, 8:00 AM-5:00 PM; weekends as needed. Setting: Skilled Nursing ... Skilled Nursing Facility; travel nursing assignment Responsibilities - Review and authorize ...
Albuquerque, NM ยท On-site
$65K - $111K/yr
Performs utilization review activities to ensure that services rendered to members meet Long Term Care Supports and Services (LTSS) criteria and services are delivered in the appropriate setting.
Albuquerque, NM ยท On-site
$65K - $111K/yr
Performs utilization review activities to ensure that services rendered to members meet Long Term Care Supports and Services (LTSS) criteria and services are delivered in the appropriate setting.
Albuquerque, NM ยท On-site +1
$65K - $111K/yr
Performs utilization review activities to ensure that services rendered to members meet Long Term Care Supports and Services (LTSS) criteria and services are delivered in the appropriate setting.
Albuquerque, NM ยท On-site +1
$65K - $111K/yr
Performs utilization review activities to ensure that services rendered to members meet Long Term Care Supports and Services (LTSS) criteria and services are delivered in the appropriate setting.
Albuquerque, NM ยท On-site
$29 - $52/hr
Knowledge of utilization review process and prior authorization process in a managed health care industry * Knowledge of ICD9 / CPT coding and Milliman Care Guidelines Soft Skills: * Detail oriented ...
Albuquerque, NM ยท On-site
$29 - $52/hr
Knowledge of utilization review process and prior authorization process in a managed health care industry * Knowledge of ICD9 / CPT coding and Milliman Care Guidelines Soft Skills: * Detail oriented ...
Rio Rancho, NM ยท On-site
$2.2K/wk
Strong assessment, discharge planning, and utilization review skills Description: The RN Case Manager coordinates patient care plans and services across the continuum of care. Works closely with ...
Rio Rancho, NM ยท On-site
$2.2K/wk
Strong assessment, discharge planning, and utilization review skills Description: The RN Case Manager coordinates patient care plans and services across the continuum of care. Works closely with ...
Rio Rancho, NM ยท On-site
Receive 17% Weekday Nights, 26% Weekend Nights and 15% Weekend Day shift differentials Compensation ... utilization review, maintaining interdependent follow-up as necessary * TREATMENT CONFERENCE ...
Rio Rancho, NM ยท On-site
Receive 17% Weekday Nights, 26% Weekend Nights and 15% Weekend Day shift differentials Compensation ... utilization review, maintaining interdependent follow-up as necessary * TREATMENT CONFERENCE ...
Rio Rancho, NM ยท On-site
Strong assessment, discharge planning, and utilization review skills Description: The RN Case Manager coordinates patient care plans and services across the continuum of care. Works closely with ...
Rio Rancho, NM ยท On-site
Strong assessment, discharge planning, and utilization review skills Description: The RN Case Manager coordinates patient care plans and services across the continuum of care. Works closely with ...
Albuquerque, NM ยท On-site
$2.1K/wk
... Utilization Management Job ID 37442574 Job Title Registered Nurse (RN) - Utilization Management ... Mon-Fri, 08:00:00 - 17:00:00, weekends as needed Assignment Details: - Guaranteed Hours: 40 ...
Albuquerque, NM ยท On-site
$2.1K/wk
... Utilization Management Job ID 37442574 Job Title Registered Nurse (RN) - Utilization Management ... Mon-Fri, 08:00:00 - 17:00:00, weekends as needed Assignment Details: - Guaranteed Hours: 40 ...
Kirtland Air Force Base, NM ยท On-site
$33.74 - $47.44/hr
Receive 17% Weekday Nights, 26% Weekend Nights and 15% Weekend Day shift differentials Compensation ... and utilization review, maintaining interdependent follow-up as necessary * VARIANCES - Review ...
Kirtland Air Force Base, NM ยท On-site
$33.74 - $47.44/hr
Receive 17% Weekday Nights, 26% Weekend Nights and 15% Weekend Day shift differentials Compensation ... and utilization review, maintaining interdependent follow-up as necessary * VARIANCES - Review ...
Isleta, NM ยท On-site
$33.74 - $47.44/hr
Receive 17% Weekday Nights, 26% Weekend Nights and 15% Weekend Day shift differentials Compensation ... and utilization review, maintaining interdependent follow-up as necessary * VARIANCES - Review ...
Isleta, NM ยท On-site
$33.74 - $47.44/hr
Receive 17% Weekday Nights, 26% Weekend Nights and 15% Weekend Day shift differentials Compensation ... and utilization review, maintaining interdependent follow-up as necessary * VARIANCES - Review ...
Albuquerque, NM ยท On-site
$33.74 - $47.44/hr
Receive 17% Weekday Nights, 26% Weekend Nights and 15% Weekend Day shift differentials Compensation ... and utilization review, maintaining interdependent follow-up as necessary * VARIANCES - Review ...
Albuquerque, NM ยท On-site
$33.74 - $47.44/hr
Receive 17% Weekday Nights, 26% Weekend Nights and 15% Weekend Day shift differentials Compensation ... and utilization review, maintaining interdependent follow-up as necessary * VARIANCES - Review ...
Rio Rancho, NM ยท On-site
$33.74 - $47.44/hr
Receive 17% Weekday Nights, 26% Weekend Nights and 15% Weekend Day shift differentials Compensation ... and utilization review, maintaining interdependent follow-up as necessary * VARIANCES - Review ...
Rio Rancho, NM ยท On-site
$33.74 - $47.44/hr
Receive 17% Weekday Nights, 26% Weekend Nights and 15% Weekend Day shift differentials Compensation ... and utilization review, maintaining interdependent follow-up as necessary * VARIANCES - Review ...
Albuquerque, NM ยท On-site
$33.74 - $47.44/hr
Receive 17% Weekday Nights, 26% Weekend Nights and 15% Weekend Day shift differentials Compensation ... and utilization review, maintaining interdependent follow-up as necessary * VARIANCES - Review ...
Albuquerque, NM ยท On-site
$33.74 - $47.44/hr
Receive 17% Weekday Nights, 26% Weekend Nights and 15% Weekend Day shift differentials Compensation ... and utilization review, maintaining interdependent follow-up as necessary * VARIANCES - Review ...
Los Lunas, NM ยท On-site
$33.74 - $47.44/hr
Receive 17% Weekday Nights, 26% Weekend Nights and 15% Weekend Day shift differentials Compensation ... and utilization review, maintaining interdependent follow-up as necessary * VARIANCES - Review ...
Los Lunas, NM ยท On-site
$33.74 - $47.44/hr
Receive 17% Weekday Nights, 26% Weekend Nights and 15% Weekend Day shift differentials Compensation ... and utilization review, maintaining interdependent follow-up as necessary * VARIANCES - Review ...
Albuquerque, NM ยท On-site
Receive 17% Weekday Nights, 26% Weekend Nights and 15% Weekend Day shift differentials Compensation ... and utilization review, maintaining interdependent follow-up as necessary * VARIANCE - Review ...
Albuquerque, NM ยท On-site
Receive 17% Weekday Nights, 26% Weekend Nights and 15% Weekend Day shift differentials Compensation ... and utilization review, maintaining interdependent follow-up as necessary * VARIANCE - Review ...
Tome, NM ยท On-site
$33.74 - $47.44/hr
Receive 17% Weekday Nights, 26% Weekend Nights and 15% Weekend Day shift differentials Compensation ... and utilization review, maintaining interdependent follow-up as necessary * VARIANCES - Review ...
Tome, NM ยท On-site
$33.74 - $47.44/hr
Receive 17% Weekday Nights, 26% Weekend Nights and 15% Weekend Day shift differentials Compensation ... and utilization review, maintaining interdependent follow-up as necessary * VARIANCES - Review ...
Bernalillo, NM ยท On-site
$33.74 - $47.44/hr
Receive 17% Weekday Nights, 26% Weekend Nights and 15% Weekend Day shift differentials Compensation ... and utilization review, maintaining interdependent follow-up as necessary * VARIANCES - Review ...
Bernalillo, NM ยท On-site
$33.74 - $47.44/hr
Receive 17% Weekday Nights, 26% Weekend Nights and 15% Weekend Day shift differentials Compensation ... and utilization review, maintaining interdependent follow-up as necessary * VARIANCES - Review ...
$20.74 - $24.93
2% of jobs
$24.93 - $29.13
9% of jobs
$32 is the 25th percentile. Wages below this are outliers.
$29.13 - $33.32
21% of jobs
The median wage is $36.72 / hr.
$33.32 - $37.51
23% of jobs
$37.51 - $41.71
13% of jobs
$44.97 is the 75th percentile. Wages above this are outliers.
$41.71 - $45.90
10% of jobs
$45.90 - $50.10
8% of jobs
$50.10 - $54.29
5% of jobs
$54.29 - $58.49
5% of jobs
$58.49 - $62.68
2% of jobs
$62.68 - $66.87
2% of jobs
$20
$40
$66
A Weekend Utilization Review job involves assessing patient care and medical services during weekends to ensure they meet medical necessity and insurance guidelines. Professionals in this role review clinical documentation, coordinate with healthcare providers, and determine appropriate levels of care for patients. They typically work for hospitals, insurance companies, or other healthcare organizations. Strong analytical skills, medical knowledge, and familiarity with regulatory requirements are essential for success in this role.
Weekend Utilization Review professionals typically work independently, reviewing patient cases for medical necessity, appropriateness of care, and compliance with payer guidelines during non-standard business hours. You will analyze patient charts, interact with clinical staff, and document findings, often collaborating remotely with other care coordinators or medical teams. While much of the role is desk-based, quick decision-making and effective communication are essential due to faster-paced weekend workflows. This schedule can offer greater autonomy and flexibility, but may also require prioritizing tasks and managing multiple cases efficiently to ensure continuous patient care.
Success as a Weekend Utilization Review professional requires a strong background in nursing or healthcare, critical thinking skills, and a thorough understanding of medical necessity criteria, such as InterQual or Milliman guidelines. Familiarity with electronic medical records (EMR) systems and utilization management software is highly beneficial, and RN or healthcare-related licensure is often required. Exceptional communication, attention to detail, and the ability to work independently on weekends are crucial soft skills. Mastering these areas allows efficient and accurate reviews of patient care, supporting optimal healthcare resource allocation outside of standard work hours.
The most popular types of Utilization Review jobs in Albuquerque, NM are:
For Weekend Utilization Review jobs in Albuquerque, NM, the most frequently searched job titles are:
The top searched job categories for Weekend Utilization Review jobs in Albuquerque, NM are:

Albuquerque, NM โข On-site
Other
Posted 23 days ago
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:
Qualifications:
Why Choose Excel Medical Staffing:
Client Details: