Utilization Review Nurse in Albuquerque, NM at Volt

Date Posted: 1/2/2021

Job Snapshot

  • Employee Type:
    Contingent
  • Job Type:
  • Duration:
    24 weeks
  • Date Posted:
    1/2/2021
  • Job ID:
    257687
  • Pay Rate
    $40.0/Hour
  • Contact Name
    Volt Branch

Job Description

Volt Workforce Solutions is seeking a great candidate for a work from home position, must reside in Albuquerque, NM.  

This is a full time Position Monday - Friday 8am - 5pm and pays $40.00/hour with a weekly pay schedule. 

Responsibilities

  • Perform Initial and Annual NFLOC (Nursing Facility Level of Care) Reviews including LTSS services
  • Serve as liaison between providers and Care Coordination Division
  • Conduct service request reviews
  • Verify eligibility
  • Determine benefit levels in accordance to contract guidelines
  • Identify and report cases 
  • Provide information regarding utilization management requirements and operational procedures to Care Coordinators, providers and facilities.

Requirements are:

  • Must have high speed internet, Smartphone and a comfortable place to work. 
  • Must be an RN working in the insurance or managed care industry using medically accepted criteria to validate the medical necessity and appropriateness of the treatment plan.
  • Must be located in Albuquerque NM
  • Must have valid current unrestricted license in the state of NM

Don't wait!  Apply Today!

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