- Humana (Santa Fe, NM)
- **Become a part of our caring community and help us put health first** The Care Manager , Telephonic Behavioral Health 2, in a telephonic environment, ... for the care and wellbeing of members. The Care Manager , Telephonic Behavioral Health 2 is a **Licensed,** **Masters level, social worker** who… more
- Intermountain Health (Santa Fe, NM)
- …and provides short term treatment planning for mental, emotional and behavioral disorders, conditions and addictions. **Essentials:** + Participates in case reviews ... to evaluate care management and progress toward goals. Consults with healthcare team members to promote, monitor, and evaluate compliance with patient's treatment… more
- Molina Healthcare (Santa Fe, NM)
- …1-3 years in direct patient care , case management, disease management, managed care in medical or behavioral health settings. **REQUIRED LICENSE, ... **Job Description** **Job Summary** The Molina Population Health Management Case Manager uses clinical...: 3-5 years in case management, disease management, managed care or medical or behavioral health… more
- CAI (Santa Fe, NM)
- …implement and evaluate care for eligible members with chronic and complex health care , social service and custodial needs in a nursing facility or ... address the member's specific needs + Educate members or caregivers regarding health care needs, available benefits, resources and services including available… more
- Highmark Health (Santa Fe, NM)
- …, identify resources, and conduct a number of other activities to help improve the health outcomes of members; care plans include both long and short term goals ... ownership and oversight over a specified panel of members that range in health status/severity and clinical needs. The incumbent assesses health management needs… more
- Magellan Health Services (Santa Fe, NM)
- …as appropriate. + Provides care coordination to members with behavioral health conditions identified and assessed as requiring intensive interventions ... of care regularly to identify gaps in care , trends to improve health and quality...issues, specific member needs and disease processes whether, medical, behavioral , social, community based or long term care… more
- Highmark Health (Santa Fe, NM)
- …nationally recognized commitment to promote living health , inclusive of individuals' social health . The Program Manager will be an integral part of Highmark ... **Company :** Highmark Health **Job Description :** **GENERAL OVERVIEW** Highmark ...develop and implement SDOH programs that remove barriers to care and help people thrive, support evaluation frameworks to… more
- Molina Healthcare (Santa Fe, NM)
- …for regular outreach and management. + Promotes integration of services for members including behavioral health care and long term services and supports/home ... delivery of care across the continuum, including behavioral health and long term care...settings. Preferred License, Certification, Association Active, unrestricted Certified Case Manager (CCM) To all current Molina employees: If you… more
- Highmark Health (Santa Fe, NM)
- …management and performance **Preferred** + Experience in Indirect Category Sourcing and/or Health Care Sourcing with demonstrated expertise in influencing the ... **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This job...Certified Professional in Supply Management (CPSM) + Certified Purchasing Manager (CPM) **SKILLS** + Experience in strategic management and… more
- Molina Healthcare (Santa Fe, NM)
- …plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care , for members with high need ... interdepartmental/ multidisciplinary integration and collaboration to enhance the continuity of care including Behavioral Health and Long-Term Services… more
- Highmark Health (Santa Fe, NM)
- …and existing Risk Adjustment Programs. The incumbent will deliver value to the Health Plan, and its beneficiaries enrolled in Risk Adjusted government programs (MA ... Programs. Supports other key objectives designed to build/strengthen patient care delivery and capture of Risk Adjustment documentation/ reporting capabilities,… more
- Humana (Santa Fe, NM)
- …areas. **Preferred Qualifications** + Experience in managing a team. + Registered Nurse or Behavioral Health professional. + Managed care , Medicaid health ... first** Humana Healthy Horizons is seeking an Accreditation Manager who will oversee and support a team of...millions of people we serve to achieve their best health - delivering the care and service… more
- Highmark Health (Santa Fe, NM)
- …for analyzing clinical data to assess potential stop loss and managed care claim liability, utilizing Case Management oversight techniques to ensure front line ... + Analyze clinical data to assess potential stop loss and managed care claim liability and utilize Case Management oversight techniques to ensure front… more
- Molina Healthcare (Santa Fe, NM)
- …plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care , for members with high need ... Certified Professional in Healthcare Management Certification (CPHM), Certified Professional in Health Care Quality (CPHQ), or other healthcare or management… more
- CenterWell (Santa Fe, NM)
- …impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more ... care , one of the largest providers of home health services, and fourth largest pharmacy benefit manager...care , one of the largest providers of home health services, and fourth largest pharmacy benefit manager… more
- CenterWell (Santa Fe, NM)
- …impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more ... time with patients, providing compassionate, personalized care that brings better health outcomes. We...care , one of the largest providers of home health services, and fourth largest pharmacy benefit manager… more
- Highmark Health (Santa Fe, NM)
- **Company :** Highmark Health **Job Description :** **JOB SUMMARY** We are on a mission to deliver remarkable health experiences, freeing people to be their ... requires an advanced 360 person-centered approach to deliver the right message, guidance, care , outcome, and experiences, all at the right time. This Sr Application… more
- Vighter Medical Group (Santa Fe, NM)
- …orders recommended/authorized by the physician. + Performs history and physical assessment, behavioral health care , minor outpatient procedures, patient ... Percentage Up to 100% Job Shift Any Job Category Health Care Description Title:Travel Nurse Practitioner (NP)...Protection (CBP). HCPs work administratively under the Regional Program Manager and Regional Deputy Program Manager while… more
- Molina Healthcare (Santa Fe, NM)
- …ABILITIES** : + 2 or more years in case, disease or utilization management; managed care ; or medical/ behavioral health settings. + One year of training ... : 5 or more years in case, disease or utilization management; managed care ; or medical/ behavioral health settings. **PREFERRED LICENSE, CERTIFICATION,… more
- CenterWell (Santa Fe, NM)
- …impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more ... or operational leadership experience in the areas of Population Health Management, Practice Management, (VBC) Value Based Care...care , one of the largest providers of home health services, and fourth largest pharmacy benefit manager… more