- CAI (Santa Fe, NM)
- …Type** Full time **Worksite Flexibility** Remote **Job Summary** We are looking for a motivated Case Manager , RN ready to take us to the next level! ... apply now. **Job Description** We are looking for a Case Manager , RN to provide...duties as assigned/requested **What You'll Need** Required: + Current Registered Nurse , licensed in the state of… more
- Molina Healthcare (Santa Fe, NM)
- **Job Description** **Job Summary** The Molina Population Health Management Case Manager uses clinical judgment, knowledge, and direct hands-on member care ... interdisciplinary care team meetings and informal ICT collaboration. + Collaborate with RN case managers/supervisors as needed or required **Job Qualifications**… more
- Jet Health (Santa Fe, NM)
- Registered Nurse Case Manager Santa Fe,...pad tablet. Job Qualifications: + Current State or Compact Registered Nurse ( RN ) License. + A ... / Klarus Home Healthis seeking compassionate and dedicatedRegistered Nurses ( RN )to join our team. We are looking forPRN (Per...and report changes to the Clinical or Client Services Manager . + Follow up with, execute, and properly document… more
- Highmark Health (Santa Fe, NM)
- …the appropriate clinical interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are enrolled in case ... management. The incumbent conducts outreach to members enrolled in case management including but is not limited to: developing...in addressing targeted populations **LICENSES AND CERTIFICATIONS** **Required** + RN license in PA or WV or DE or… more
- Molina Healthcare (Santa Fe, NM)
- …materials and other related documentations. **JOB QUALIFICATIONS** **Required Education** + Registered Nurse or equivalent combination of Licensed Vocational ... Nurse (LVN) or Licensed Practical Nurse (LPN) with experience in lieu of ...**Preferred License, Certification, Association** Any of the following: Certified Case Manager (CCM), Certified Professional in Healthcare… more
- Molina Healthcare (Santa Fe, NM)
- …identifying opportunities for improvement. **JOB QUALIFICATIONS** **Required Education** + Registered Nurse or equivalent combination of Licensed Vocational ... Nurse (LVN) or Licensed Practical Nurse (LPN) with experience in lieu of ...**Preferred License, Certification, Association** Any of the following: Certified Case Manager (CCM), Certified Professional in Healthcare… more
- Humana (Santa Fe, NM)
- …**Required Qualifications:** **Must meet** **one** **of the following:** + Active unrestricted registered nurse license in the state of Virginia or reside ... coaching, performance review, up to termination. + Certified or certified-eligible case manager required. **Additional Information:** **Workstyle:** Remote work… more
- Fresenius Medical Center (Santa Fe, NM)
- PURPOSE AND SCOPE: The registered professional nurse Home Therapies RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). This ... from the Educator, Preceptor or in collaboration with another Registered Nurse . . Performs ongoing, systematic collection...+ Position functions as an onsite Patient Educator and Case Manager for patients with various shifts… more
- Humana (Santa Fe, NM)
- …**Use your skills to make an impact** **Required Qualifications** + Active Licensed Registered Nurse ( RN ) in Virginia or enhanced compact license, ... part of our caring community and help us put health first** The Manager , Utilization Management Nursing utilizes clinical nursing skills to support the coordination,… more
- Sharecare (Santa Fe, NM)
- …within a matrix organizational design. **Qualifications:** + Current multi-state compact Registered Nurse licensure in state of residence is required, ... telephonic Case or Care Management with members. The Care Manager partners with members, caregivers, providers, and the interdisciplinary care team to… more
- Highmark Health (Santa Fe, NM)
- …Bachelor's degree in Nursing **LICENSES or CERTIFICATIONS** **Required** + Registered Nurse **Preferred** + Certified Case Manager (CCM) **Language ... data to assess potential stop loss and managed care claim liability, utilizing Case Management oversight techniques to ensure front line case management and… more
- Molina Healthcare (Santa Fe, NM)
- …knowledge on the job. Job Qualifications **REQUIRED EDUCATION** : Completion of an accredited Registered Nurse ( RN ) Program and an Associate's or Bachelor's ... or State Clinical Social Worker/Counseling (or related field) License Certified Case Manager (CCM), Utilization Management Certification (CPHM), Certified… more
- Jet Health (Santa Fe, NM)
- …to his/her requests promptly. If unable to perform a certain task, report to the Registered Nurse Case Manager immediately + Meeting safety needs ... over bony prominence + Reporting on patient's condition and significant changes to the Registered Nurse Case Manager . Also aware of the caregiver or… more
- Molina Healthcare (Santa Fe, NM)
- …unrestricted Certified Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager + Certified Professional Healthcare Management + Certified ... outcomes within compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse ( RN ) performs clinical/medical reviews of previously denied… more
- Molina Healthcare (Santa Fe, NM)
- …ASSOCIATION:** Certified Clinical Coder, Certified Medical Audit Specialists, Certified Case Manager , Certified Professional Healthcare Management, Certified ... state/federal regulations **REQUIRED LICENSE, CERTIFICATION, ASSOCIATION:** Active, unrestricted State Registered Nursing ( RN ) license in good standing.… more
- Magellan Health Services (Santa Fe, NM)
- … Manager - Care Mgmt, LCSW - Licensed Clinical Social Worker - Care Mgmt, RN - Registered Nurse , State and/or Compact State Licensure - Care Mgmt Salary ... clinical path variance data that indicates potential areas for improvement of case and services provided. + Works with members and the interdisciplinary care… more
- Molina Healthcare (Santa Fe, NM)
- …Practical Nurse in good standing. **Preferred Education** Completion of an accredited Registered Nurse ( RN ) Program or a bachelor's degree in Nursing. ... Certified Clinical Coder + Certified Medical Audit Specialists (CMAS) + Certified Case Manager (CCM) + Certified Professional Healthcare Management (CPHM)… more
- Highmark Health (Santa Fe, NM)
- …+ Experience in UM/CM/QA/Managed Care **LICENSES or CERTIFICATIONS** **Required** + United States Registered Nurse ( RN ) license + Delaware RN ... resource utilization, identification of opportunities for referral to a Health Coach/ case management, and identification and resolution of quality issues. Monitors… more
- Molina Healthcare (Santa Fe, NM)
- …identifying opportunities for improvement. **Job Qualifications** **REQUIRED EDUCATION** : Registered Nurse or equivalent combination of Licensed Vocational ... enhance the continuity of care + Functions as hands-on manager responsible for supervision and coordination of enterprise clinical... Nurse (LVN) or Licensed Practical Nurse (LPN) with experience in lieu of … more