SantaFeRecruiter Since 2001
the smart solution for Santa Fe jobs

(Registered Nurse) Utilization Review Coordinator FT/40HRS

Company: CHRISTUS Health
Location: Santa Fe
Posted on: September 6, 2020

Job Description:

Job Description: Description Registered Nurse uses approved screening criteria (MCG--/CMS Inpatient List) to determine the medical necessity of a requested hospitalization and the appropriate level of care for that patient. Actively involved in the continued management of patient status/LOC. Provides consultative role as utilization management nurse to clinical and non-clinical departments. Documents objective findings against approved indicators. Assists with retrospective reviews and medical necessity denials per communication with third party payors. Follows UR policies and procedures and assists with continually improving the quality and effectiveness of the utilization management program at CSVRMC. Requirements MINIMUM QUALIFICATIONS: EDUCATION: Graduate of an approved school of nursing, BSN preferred. CERTIFICATION/LICENSES: Current licensure as an RN in New Mexico mandatory. SKILLS: --- Excellent reading, writing, and editing skills in English. --- Strong organizational skills. --- Knowledge of or ability to learn MCG-- for determining criteria. --- Ability to effectively evaluate physician orders and medical records. --- Competent computer skills for word processing, data collection, and retrieval. --- Ability to analyze and create reports. EXPERIENCE: Minimum of five years of experience in a health care setting, of which a minimum of two years has been spent in an acute care setting. Experience with utilization management, knowledge of MCG --/ criteria, managed care language, and CMS rules and regulations preferred. NATURE OF SUPERVISION: -Responsible to: Manager of Case Management ENVIRONMENT: Blood borne Pathogens: A Office setting. Rotating shifts and weekends when necessary. Must be able to adjust to frequently changing workloads and frequent interruptions. PHYSICAL REQUIREMENTS: Ability to move around the hospital to all units/departments for about 10% of the day, in office 90% of the day. Requires close work, good vision, dexterity to write as well as to use computer keyboard.

Keywords: CHRISTUS Health, Santa Fe , (Registered Nurse) Utilization Review Coordinator FT/40HRS, Other , Santa Fe, New Mexico

Click here to apply!

Didn't find what you're looking for? Search again!

I'm looking for
in category
within


Other Other Jobs


Internist - $300,000 Base Salary + Generous Signing Bonus
Description: Internist - 300,000 Base Salary Generous Signing Bonus Internist - 300,000 Base Salary Generous Signing Bonus Located in the northeast heights of Albuquerque, the Sandia Mountains provide a picturesque (more...)
Company: VCA Animal Hospitals
Location: Albuquerque
Posted on: 09/18/2020

DIRECTOR - IT PROJECT MANAGEMENT (PMO)
Description: DIRECTOR - IT PROJECT MANAGEMENT PMO in Albuquerque, New Mexico Careers at Rev Hugh Cooper Admin Center Skip Branding Presbyterian Careers PHS .org . SEARCH Physicians (more...)
Company: Presbyterian Healthcare Services
Location: Albuquerque
Posted on: 09/18/2020

Licensed Practical Nurse (Full Time)
Description: Genesis is one of the nation's leading providers of post-acute healthcare services from short-term to long-term care and a wide variety of living options and professional clinical services. We are changing (more...)
Company: Uptown Rehabilitation Center - Genesis HealthCare
Location: Albuquerque
Posted on: 09/18/2020


Credentialed Tax Advisor - CPA - Remote
Description: OverviewIf you are a highly motivated individual with an active unrestricted credential CPA/EA/Practicing Attorney and excellent communication skills, we need you to help our customers complete their (more...)
Company: Intuit
Location: Albuquerque
Posted on: 09/18/2020

DIRECTOR - IT PROJECT MANAGEMENT (PMO)
Description: Careers - Medical Jobs Presbyterian Healthcare Services Presbyterian Careers PHS .org
Company: Presbyterian Healthcare Services
Location: Albuquerque
Posted on: 09/18/2020

Credentialed Tax Expert - CPA
Description: Overview If you are a highly motivated individual with an active unrestricted credential CPA/EA/Practicing Attorney and excellent communication skills, we need you to help our customers complete their (more...)
Company: Intuit
Location: Albuquerque
Posted on: 09/18/2020

Albuquerque Series 23 Tutor Jobs
Description: Albuquerque Series 23 Tutor Jobs Varsity Tutors has students in Albuquerque looking for Series 23 exam tutoring. Varsity Tutors is a live learning platform that connects tutors with
Company: Varsity Tutors
Location: Albuquerque
Posted on: 09/18/2020

Deliver with Uber on your Summer schedule
Description: Deliver with Uber on your Summer schedule Albuquerque, NM 2854 C2-562452 Deliver with Uber. Earn on your schedule. Work on your schedule. Deliver for a few hours in the mornings, every night, or just (more...)
Company: Uber Eats
Location: Albuquerque
Posted on: 09/18/2020

Licensed Practical Nurse (Full Time)
Description: Genesis is one of the nation's leading providers of post-acute healthcare services from short-term to long-term care and a wide variety of living options and professional clinical services. We are changing (more...)
Company: Uptown Rehabilitation Center - Genesis HealthCare
Location: Albuquerque
Posted on: 09/18/2020

Ambercare Hospice Area Vice President of Operations
Description: Ambercare Hospice Area Vice President of Operations 20-551 Position Area VP Operations-112710 Published Job Title Ambercare Hospice Area Vice President of Operations Position Area VP Operations-112710 (more...)
Company: Ambercare
Location: Albuquerque
Posted on: 09/18/2020

Log In or Create An Account

Get the latest New Mexico jobs by following @recnetNM on Twitter!

Santa Fe RSS job feeds