Utilization Review RN Full Time Days

Utilization Review RN Full Time Days job in Albuquerque, NM

Shift: Day
Schedule: Full - Time Regular

RN Utilization Review, Case Management, FT, Day, Albuquerque, NM

Lovelace Women’s Hospital is hiring an RN,   Utilization Review (NICU)
The Utilization Review RN is responsible for applying professional clinical skills and expertise in the utilization review of health care services for patients, coordinating services between the patient, interdisciplinary team and payer source to ensure that the patient is receiving the appropriante level of care.  Expected to Adhere to policies, procedures and regulations to ensure compliance and patient safety.

Utilization Review RN Education and Experience Requirements:  

  • Minimum: Associate’s Degree or Diploma of Nursing
  • Desired: Bachelor’s Degree in Nursing
  • Three (3) years of clinical practical experience
  • Valid NM nursing license or NM compact license (within 90 days of hire).  Valid NM driver’s license
  • Ability to communicate effectively, function independently, manages time efficiently, organize workflow and maintain confidentiality
  • Ability to balance business’ needs with patient advocate services
  • Knowledge of community, state and federal laws, regulations and resources
  • Strong analytical and problem solving skills
You’re going to LOVE Lovelace!

  Lovelace Women’s Hospital, the first and only hospital in New Mexico dedicated to women’s health, offers a 53-bed advanced neonatal intensive care unit, a natural birthing center, an award-winning breast care center and the first robotic surgery program in the state recognized as a Center of Excellence in Robotic Surgery by Surgical Review Corporation. 

  Why Lovelace Women’s Hospital? 

  • Robotic surgery program named a Center of Excellence in Robotic Surgery by Surgical Review Corporation
  • Women’s Choice Award for America’s Best Breast Centers since 2015
  • 2016-2018 Women’s Choice Award for America’s Best Hospitals for Patient Safety
  • Named to Modern Healthcare’s 100 Best Places to work since 2008

Lovelace is a drug-free employer with smoke free campuses.

Questions? or to submit resume- please email jennifer.preston@lovelace.com

  ID: 3234

Department / Location

Case Management
Lovelace Womens Hospital - Albuquerque, NM