Utilization Review Nurse job at Innovative Systems Group Albuquerque, NM, US

Job Description

Job Description Job Title: UMCM Coordinator Location: Alb NM - Remote and occasional onsite meetings Pay rate: 40.00/hr on W2 Duration: July 2025 to July 2026 (possible extension) 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 individuals 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 - Experience utilizing various software packages. - Verbal and written communication skills - Analytical skills PREFERRED JOB REQUIREMENTS: - Familiarity with UM/CM activities and standardized criteria set. - Knowledge of ancillary services including HHC, SNF, Hospice, etc. *Training is completed through Microsoft Teams precepting. Worker should be able to hit the ground running.

Job Tags

Remote work,

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