• RN Case Manager

    Molina Healthcare (NM)
    …provides care coordination and assistance to member to address concerns. * Collaborates with RN case managers/supervisors as needed or required * Case ... level of the assigned members, particular state-specific regulations, or whether the Case Manager position is located within Molina's Central Programs unit.… more
    Molina Healthcare (11/12/24)
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  • Case Manager , Ltss ( RN )

    Molina Healthcare (Santa Fe, NM)
    **JOB DESCRIPTION** For this position we are seeking a ( RN ) Registered Nurse who lives in OHIO and must be licensed for the state of OHIO. This position will ... health and welfare. + Provides consultation, recommendations and education as appropriate to non- RN case managers + Works cases with members who have complex… more
    Molina Healthcare (01/21/25)
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  • Case Manager ( RN )

    Molina Healthcare (Santa Fe, NM)
    …travel required. + RNs provide consultation, recommendations and education as appropriate to non- RN case managers. + RNs are assigned cases with members who ... health settings. Preferred License, Certification, Association Active, unrestricted Certified Case Manager (CCM) To all current Molina employees: If… more
    Molina Healthcare (01/21/25)
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  • RN Transition of Care Coach - OH Licensure

    Molina Healthcare (NM)
    **JOB DESCRIPTION** _For this position we are seeking a ( RN ) Registered Nurse who must have a current active unrestricted RN license in the state of OH ... (Compact Licensure)_ _Case Manager RN will work in remote setting...population who have recently been admitted into Hospital. The Case Manager will support our members to… more
    Molina Healthcare (01/21/25)
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  • Social Work (SW) - Case Manager

    LifePoint Health (Las Cruces, NM)
    …work under the NM license and supervision of a current Licensed Social Worker or Registered Nurse for up to 6 months. *About our Health System* Memorial Medical ... to making communities healthier(R) with acute care, rehabilitation, and behavioral health facilities from coast to coast. From your...**Las Cruces FP Residency* **Title:** *Social Work (SW) - Case Manager - Full Time* **Location:** *New… more
    LifePoint Health (11/26/24)
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  • Emergency Dept- Case Manager - Full…

    LifePoint Health (Las Cruces, NM)
    …Professionals or InterQual is desirable. * Current New Mexico licensure as a Registered Nurse . * Certification as CCM or ACM desired. *_EEOC Statement_*: ... local law. **Job:** **Nursing* **Organization:** **Memorial Medical Center* **Title:** *Emergency Dept- Case Manager - Full Time* **Location:** *New Mexico-Las… more
    LifePoint Health (01/23/25)
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  • Care Manager RN - Weekends (Remote)

    Highmark Health (Santa Fe, NM)
    …resource utilization, identification of opportunities for referral to a Health Coach/ case management, and identification and resolution of quality issues. Monitors ... with established industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable state, federal… more
    Highmark Health (01/07/25)
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  • Manager , Clinical Care Services- CISC

    Magellan Health Services (Albuquerque, NM)
    …- Licensed Professional Counselor - Care Mgmt, PC - Professional Counselor - Care Mgmt, RN - Registered Nurse , State and/or Compact State Licensure - Care ... adherence to the efficiency goals for all staff including case volume, case closure rates, average handle...required: BCBA, LCSW, LMFT, LMSW, LPCC, LPC, PC or RN . If RN , BSN preferred but ASN… more
    Magellan Health Services (12/13/24)
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  • Clinical Value Program Manager , HCS

    Molina Healthcare (NM)
    …program/process execution to achieve goals **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 (12/15/24)
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  • Care Coordinator- CISC

    Magellan Health Services (Farmington, NM)
    Manager - Care Mgmt, LCSW - Licensed Clinical Social Worker - Care Mgmt, RN - Registered Nurse , State and/or Compact State Licensure - Care Mgmt Salary ... members as appropriate. + Provides care coordination to members with behavioral health conditions identified and assessed as requiring intensive interventions and… more
    Magellan Health Services (01/15/25)
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  • Excess Risk Managed Care Clinician

    Highmark Health (Santa Fe, NM)
    …Bachelor's degree in Nursing **LICENSES or CERTIFICATIONS** **Required** + Registered Nurse **Preferred** + Certified Case Manager (CCM) **Language ... potential stop loss and managed care claim liability, utilizing Case Management oversight techniques to ensure front line ...job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
    Highmark Health (11/25/24)
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