- Highmark Health (Santa Fe, NM)
- …the effective utilization management strategies including: review of appropriateness of health care services, application of criteria to assure appropriate ... of quality issues. Monitors and analyzes the delivery of health care services; educates providers and members...established industry and corporate standards and are within the care manager 's professional discipline. Effectively function in… more
- Evolent (Santa Fe, NM)
- …providing better health outcomes for this population. **What You'll Be Doing:** + The Behavioral Health Case Manager (LCSW or LMHC) will connect with the ... , we seek to connect the pieces of fragmented health care system and ensure people get...or Registered Nurse (RN), Required + 3-5 years of behavioral health experience, preferably in a hospital,… more
- 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 ... the care and wellbeing of members. The Care Manager , Telephonic Behavioral Health 2 work assignments are varied and frequently require interpretation… more
- Molina Healthcare (NM)
- …under productivity and outcome standards * Promotes integration of services for members including behavioral health care and long term services and supports ... delivery of care across the continuum, including behavioral health and long term care...assigned members, particular state-specific regulations, or whether the Case Manager position is located within Molina's Central Programs unit.… more
- Magellan Health Services (Albuquerque, NM)
- … community resources and providers. Thorough knowledge of healthcare services in physical health , behavioral health or other medical specialty area based ... Masters or Doctoral level provider. General Job Information Title Manager , Clinical Care Services- CISC Grade 27...Preferred Education - Required Associate - Nursing, Master's - Behavioral Health Education - Preferred Bachelor's -… more
- Highmark Health (Santa Fe, NM)
- …Requirement_** _: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company ... times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice… more
- LifePoint Health (Las Cruces, NM)
- …by applicable federal, state or local law. **Job:** ** Behavioral Health * **Organization:** **Memorial Medical Center* **Title:** *Case Manager Social Worker ... Memorial Medical Center is a 199-bed hospital offering a spectrum of care , including diagnostic, therapeutic, and rehabilitative services, both on an inpatient and… more
- Molina Healthcare (Las Cruces, NM)
- …for regular outreach and management. + Promotes integration of services for members including behavioral health care and long term services and supports to ... delivery of care across the continuum, including behavioral health and long term care...Worker (LCSW), Advanced Practice Social Worker (APSW), Certified Case Manager (CCM), Certified in Health Education and… 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
- LifePoint Health (Las Cruces, NM)
- …diversified healthcare delivery network committed to making communities healthier(R) with acute care , rehabilitation, and behavioral health facilities from ... to prioritize your well-being so you can provide exceptional care to others. Here, you're not just valued as...Comprehensive medical, dental, and vision plans, plus flexible-spending and health - savings accounts * Competitive paid time off and… more
- Magellan Health Services (Albuquerque, 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
- LifePoint Health (Las Cruces, NM)
- …diversified healthcare delivery network committed to making communities healthier(R) with acute care , rehabilitation, and behavioral health facilities from ... to prioritize your well-being so you can provide exceptional care to others. Here, you're not just valued as...Comprehensive medical, dental, and vision plans, plus flexible-spending and health - savings accounts * Competitive paid time off and… more
- Molina Healthcare (NM)
- …for regular outreach and management. + Promotes integration of services for members including behavioral health care and long term services and supports/home ... plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care , for members with high need… more
- Highmark Health (Santa Fe, NM)
- …relationship management and performance + 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
- Maxim Healthcare Services (Albuquerque, NM)
- …and community members regarding the functions and benefits of health care services. Additionally, the Operations Manager leads the quality improvement ... referral sources, case managers, physicians, other members of the health care team, and community members +...skilled nursing, physical rehabilitation, companion care , respite care and behavioral care for… more
- La Clinica de Familia Inc. (Las Cruces, NM)
- …and enrich families, individuals, and communities by providing quality medical, dental, behavioral health and educational service for people of all cultures. ... recovery services. Core Competencies: + Demonstrated competency in Managed Care systems and provider networks in the adult recovery...in the adult recovery model, in the philosophy of behavioral health programs and in case management… more
- La Clinica de Familia Inc. (Las Cruces, NM)
- …and enrich families, individuals, and communities by providing quality medical, dental, behavioral health and educational service for people of all cultures. ... recovery services. Core Competencies: + Demonstrate competency in Managed Care systems and provider networks in the adult recovery...recovery model, in the philosophy of substance use and behavioral health programs and in case management… 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 (Rio Rancho, NM)
- …plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care , for members with high need ... **_JOB TITLE: Program Manager : HCS, Clinical Program Design, REGISTERED NURSE_** **Job...Professional in Healthcare Management Certification (CPHM), Certified Professional in Health Care Quality (CPHQ), or other healthcare… more
- Compass Group, North America (Santa Fe, NM)
- Morrison Healthcare We are hiring for a Clinical Nutrition Manager position in Santa Fe, NM. $10K sign-on bonus and relocation assistance offered! + Location : ... St. Vincent Regional Medical Center + Setting : Acute Care + Schedule : Full time, Monday - Friday...the latest in healthful eating and an understanding of behavioral change in food consumption. Morrison's alignment with Partnership… more