New Mexico Licensed Utilization Review RN

A company is looking for a Utilization Review RN for Care Coordination. Key Responsibilities Conducts patient assessments within 48 hours of admission to define discharge plans and manage barriers Monitors appropriateness of admissions and continued stays, applying clinical criteria and communicating with physicians Develops and coordinates discharge plans with the interdisciplinary team to ensure continuity of care Required Qualifications Associate Degree in Nursing required; higher degrees preferred based on experience level Registered Nurse - State of New Mexico or Compact State Nursing License required National Case Management certification preferred Two years of clinical nursing experience in relevant areas with utilization review or case management experience preferred Experience levels vary based on the position from RN-Case Management I to IV, with increasing requirements for education and experience

Apr 2, 2025 - 09:28

A company is looking for a Utilization Review RN for Care Coordination. Key Responsibilities Conducts patient assessments within 48 hours of admission to define discharge plans and manage barriers Monitors appropriateness of admissions and continued stays, applying clinical criteria and communicating with physicians Develops and coordinates discharge plans with the interdisciplinary team to ensure continuity of care Required Qualifications Associate Degree in Nursing required; higher degrees preferred based on experience level Registered Nurse - State of New Mexico or Compact State Nursing License required National Case Management certification preferred Two years of clinical nursing experience in relevant areas with utilization review or case management experience preferred Experience levels vary based on the position from RN-Case Management I to IV, with increasing requirements for education and experience