Utilization Review Nurse

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The Opportunity

We're looking for an Utilization Review Nurse, working in the Insurance industry in Albuquerque, New Mexico, United States.

  • Performs initial and annual NFLOC (Nursing Facility Level of Care) reviews including LTSS services.
  • Serves as liaison between providers and Care Coordination Division.
  • Conducts NFLOC reviews, service requests reviews, verifies eligibility, determines benefit levels in accordance to contract guidelines.
  • Identifies and reports cases, and provides information regarding utilization management requirements and operational procedures to Care Coordinators, providers and facilities.
Details

The pay range we are offering is 39 to 40 per hour. This position may present an opportunity to go permanent.

Our Client

Our client is a fast-growing industry-recognized staffing firm.  Recruiting critical IT, Financial, Engineering, Healthcare, and Data Analytics talent.  With 20+ years’ experience and growth. 

Connections in Automotive, Healthcare, Retail, Financial & Insurance, and Professional & Business Services.  Working to bring top talent together with premier organizations.

Big enough to have great opportunities.  Small enough to care about finding the right one for you. 

It’s about relationships based on mutual interest.  The results are low turnover, long-lasting partnerships and growth.  Want to work for a company invested in your success?

Experience Required for Your Success
  • Bachelor's or Associate's degree in Nursing
  • Registered Nurse (RN) with current unrestricted license
  • 3 years of related experience Utilization Management experience
  • 1 to 2 years of experienced in managed care or insurance
What Do You Think?

Does your experience reflect what it takes to be successful in this role? Do the work and challenges get you excited about what's possible? Apply here.

Not exactly? Join Our Talent Community, and we'll let you know of additional opportunities.

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