New Mexico Licensed Utilization Review RN

Job Summary

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