- Molina Healthcare (Albuquerque, NM)
- **Job Description** **Job Summary** The Medical Review Nurse provides support for medical claim and internal appeals review activities - ensuring ... nursing experience, including at least 1 year of utilization review , medical claims review , long-term...or equivalent combination of relevant education and experience. + Registered Nurse ( RN ). License must… more
- Ansible Government Solutions (Albuquerque, NM)
- Overview Ansible Government Solutions, LLC (Ansible) is seeking a Registered Nurse ( RN ) with required experience in Occupational and/or Travel Health ... 1515 Eubank Blvd SE, Albuquerque, NM 87123. The selected RN shall execute prompt, efficient, and confidential patient care...education classes offered internally + Assist with immunizations and medical review off Sandia employees who will… more
- Health Advocates Network (Albuquerque, NM)
- …Candidate must live 70+ miles from facility to qualify for this opening** The Registered Nurse ( RN ) plans and provides comprehensive nursing care including, ... medical records. *Assist Health Service Administrator with the review of medical files to determine all provided services are documented. *Closely monitor… more
- Health Advocates Network (Estancia, NM)
- **Must live 70+ miles from the facility for this opening** Job Summary: The Registered Nurse ( RN ) plans and provides comprehensive nursing care including, ... medical records. -Assist Health Service Administrator with the review of medical files to determine all provided services are documented. -Closely monitor… more
- Fresenius Medical Center (Albuquerque, NM)
- **About this role:** As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical operations. ... a tremendous asset that sets us apart. At Fresenius Medical Care, you will truly make a difference in...+ Accountable for completion of the Annual Standing Order Review and Internal Classification of Disease (ICD) coding. +… more
- Molina Healthcare (Albuquerque, NM)
- For this position we are seeking a ( RN ) Registered Nurse who must hold a compact license. This is a Remote position, home office with internet connectivity ... a RN with experience with appeals, claims review , and medical coding. JOB DESCRIPTION Job...or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must… more
- Molina Healthcare (Albuquerque, NM)
- …authorization, managed care, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically… more
- Molina Healthcare (Albuquerque, NM)
- …authorization, managed care, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically… more
- Fresenius Medical Center (Albuquerque, NM)
- **PURPOSE AND SCOPE:** Functions as part of the hemodialysis health care team as a Registered Nurse Applicant, under the direction or supervision of a Staff ... Registered Nurse , to ensure provision of quality patient care on a daily basis in accordance with FMS policies, procedures, and training. Supports the FMCNA's… more
- Children's Home Healthcare (Albuquerque, NM)
- * RN LICENSE REQUIRED, DO NOT APPLY IF YOU DO NOT HAVE A...+ Current CPR + At least 2 years experience as a Registered Nurse + At least 1 year experience as ... VALID RN LICENSE* Children's Home Healthcare is now hiring for...Health services from insurance company. 7. Attend quarterly Utilization Review meetings as designated by the Director of Professional… more
- Molina Healthcare (Albuquerque, NM)
- …**JOB QUALIFICATIONS** **Required Education** Any of the following: Completion of an accredited Registered Nurse ( RN ), Licensed Vocational Nurse (LVN) ... clinic experience. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ), Licensed Vocational Nurse (LVN)… more
- Fresenius Medical Center (Albuquerque, NM)
- …Report any significant information and/or change in patient condition directly to the registered nurse or supervisor. + Observe patient and conduct machine ... policy. Report any change or unusual findings to the registered nurse or supervisor. + Perform and...+ Monitors patients performing self-care under the supervision of RN . **Staff Related** + Assists in training of applicable… more
- Health Care Service Corporation (Albuquerque, NM)
- …appropriate for treatment within the Autism Spectrum Diagnoses (ASD). **JOB REQUIREMENTS:** ** Registered Nurse ( RN ) or Masters-level Behavioral Health ... Summary** This position is responsible for ensuring accurate and timely clinical review of behavioral health cases (Applied Behavior Analysis (ABA)) for medical… more
- Magellan Health Services (Albuquerque, NM)
- …Professional Counselor - Care MgmtCare Mgmt, PC - Professional Counselor - Care MgmtCare Mgmt, RN - Registered Nurse , State and/or Compact State Licensure - ... on-going management of designated staff. + Performs care management review activities consistent with Magellan policies, procedures, and standards....required: BCBA, LCSW, LMFT, LMSW, LPCC, LPC, PC or RN . If RN , BSN preferred but ASN… more
- Veterans Affairs, Veterans Health Administration (Albuquerque, NM)
- …a collaborative department comprised of anesthesiologists and Certified Registered Nurse Anesthetists, along with anesthesia residents and medical students ... determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply.… more