Job Discription
Who is Comagine Health?
Comagine Health is a non-profit consulting firm that seeks to improve health and to increase the effectiveness and quality of health care. As a recognized Quality Improvement Organization (QIO), we support providers, plans, purchasers, and consumers, and offer services to state and federal agencies and others to help them better manage health care under the existing system and to assess, plan for and implement broader system transformation. We collaborate with academic, government, and nonprofit partners on initiatives funded by NIH, CDC, AHRQ, BJA, SAMHSA, and others. In short, we are changing healthcare at a fundamental level.
This position requires you to reside in New Mexico.
Purpose
Assess the medical necessity and quality of healthcare services by conducting prospective, concurrent, and retrospective utilization management reviews.
Education
BA/BS in a nursing field
Years of Experience in Related Field
Required
3 years of clinical (direct patient care) experience
Preferred + 1 year of utilization Review experience
Experience with developmentally disabled patients
Licensure
Required
Current, active, unrestricted clinical licensure as required by the state contract RN
Specialized Knowledge, Skills, and Abilities and/or Competencies
Typical Job Duties and Responsibilities
Compensation Range: $65k – $85k.
Equal Employment Opportunity Employment Comagine Health is an Equal Employment Opportunity/Affirmative Action Employer that embraces and practices diversity, reflecting the communities we serve. We encourage minorities, protected veterans and individuals with disabilities to apply.
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