Remote Utilization Review Coordinator (RN) – New Mexico

Position:- Utilization Management/Case Management Coordinator

Rate:- $40/hr.
Location:- Fully remote in NM (Candidate should reside in New Mexico)

Description:
This position is responsible for performing concurrent review in accordance with accepted department criteria; performing discharge planning and identifying alternate treatment programs; conducting episodic case management, consulting and collaborating with providers, members, and other resources as appropriate; assessing, planning, and implementing options and services require to meet an individual’s health needs within the scope of their benefit plan.

JOB REQUIREMENTS:

• Register Nurse (RN) with current, valid, unrestricted license in state of operations or reciprocity.
• 3 years of clinical experience
• Familiarity with UM/CM activities and standardized criteria set.
• Knowledge of ancillary services including HHC, SNF, Hospice, etc.

Job Type: Contract

Pay: From $40.00 per hour

Expected hours: 40 per week

Schedule:

• 8 hour shift
• Monday to Friday

Experience:

• Clinical: 3 years (Required)
• Utilization management: 1 year (Required)

License/Certification:

• NM License (Required)

Work Location: Remote