- University of New Mexico - Hospitals (Rio Rancho, NM)
- …are in excess of those for Light Work. Working conditions: Essential: * Med Haz: Dirt, dust, fumes, odors, bad weather, noise Department: Registered Nurse ... and safe patient care which includes fiscal management, standards compliance, clinical practice, staff development, oversight and active participation in clinical… more
- University of New Mexico - Hospitals (Albuquerque, NM)
- …* Minor Hazard - physical risks, dirt, dust, fumes, noise * Tuberculosis testing is completed upon hire and additionally as required Department: Registered Nurse ... to experience, education, and other business and organizational considerations. Department: Utilization Management - UH Apply fast, check the full description by… more
- University of New Mexico - Hospitals (Albuquerque, NM)
- …* Subject to an annual contract and performance appraisal * Tuberculosis testing is completed upon hire and additionally as required Department: Registered Nurse ... to experience, education, and other business and organizational considerations. Department: Utilization Management - UH Considering making an application for this… more
- University of New Mexico - Hospitals (Albuquerque, NM)
- …* Subject to an annual contract and performance appraisal * Tuberculosis testing is completed upon hire and additionally as required Department: Registered Nurse ... assignments, call in staff, send staff home and monitor attendance. Provide clinical leadership for nursing and technician staff. Ensure adequate staff to meet… more
- University of New Mexico - Hospitals (Albuquerque, NM)
- …* Subject to an annual contract and performance appraisal * Tuberculosis testing is completed upon hire and additionally as required Department: Registered Nurse ... assignments, call in staff, send staff home and monitor attendance. Provide clinical leadership for nursing and technician staff. Ensure adequate staff to meet… more
- Fresenius Medical Center (Farmington, NM)
- …requirements. Ensure provision of quality patient care while maintaining cost-effective clinical operations in accordance with all legal, compliance, and regulatory ... FMCNA Compliance Program, and FMS patient care and administrative policies as the clinical leader, has the authority to make daily decisions to ensure continuity of… more
- Humana (Santa Fe, NM)
- **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... independent determination of the appropriate courses of action. The Utilization Management Nurse 2 uses clinical...skills to make an impact** **Required Qualifications** + **Licensed Registered Nurse (RN)** in the (appropriate state)… 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 ... or chronic kidney disease. **Training and advancement:** You will enter our Clinical Leadership Program that creates and supports a culture of continuous learning… more
- CVS Health (Santa Fe, NM)
- …+ Perform medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year of experience in a hospital ... is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical management services that...setting. + A Registered Nurse that holds an active, unrestricted… more
- Molina Healthcare (Rio Rancho, NM)
- …health, pharmacy, etc.), or equivalent combination of relevant education and experience. * Registered Nurse (RN). License must be active and unrestricted in ... JOB DESCRIPTION **Job Summary** The RN Clinical Appeals Nurse provides support for...hearings as may be required. * Serves as a clinical resource for utilization management, chief medical… more
- Evolent (Santa Fe, NM)
- …+ Performs other duties as assigned. **The Experience You'll Need (Required):** + Registered Nurse or Licensed Practical/Vocational Nurse with a current, ... for the mission. Stay for the culture. **What You'll Be Doing:** The Clinical Review Nurse is responsible for performing precertification and prior approvals.… more
- Battelle Memorial Institute (Cannon AFB, NM)
- …two years' nursing experience + Current, full, active, and unrestricted license as a Registered Nurse in any US State, the District of Columbia, Guam, Puerto ... Research and Analytics (HRA) business line is seeking a highly motivated, full-time ** Nurse Case Manager** to join our team in support of our government customer,… more
- Battelle Memorial Institute (Cannon AFB, NM)
- …at a local MTF + Current, full, active, and unrestricted license to practice as a Registered Nurse in one of any US State, the District of Columbia, Guam, Puerto ... common acute conditions, chronic illnesses, or minor trauma within accepted protocols, clinical practice guidelines, Nurse Practice Acts, and/or in consultation… more
- Molina Healthcare (Roswell, NM)
- …and electronic medical record (EMR) experience. Preferred Qualifications * Experience as a registered nurse or nurse practitioner in a home health, ... primary care and medical care services to members - primarily in non- clinical settings where members feel most comfortable, including in-home, community and nursing… more
- MTC (Chaparral, NM)
- …+ Regular attendance is required. **Education and Experience Requirements:** + **Advanced Registered Nurse Practitioner:** Graduate of a Master of Nursing ... practices and gives specific patient care direction to nursing and other clinical and administrative staff in compliance with MTC Medical and customer directives.… more
- Magellan Health Services (Albuquerque, NM)
- …- Care MgmtCare Mgmt, PC - Professional Counselor - Care MgmtCare Mgmt, RN - Registered Nurse , State and/or Compact State Licensure - Care MgmtCare Mgmt License ... Responsible for the management, direct supervision and coordination of clinical and/or nonclinical management staff, including utilization management and… more
- Children's Home Healthcare (Albuquerque, NM)
- …license as an RN, BSN preferred + Current CPR + At least 2 years experience as a Registered Nurse + At least 1 year experience as a Clinical Supervisor in ... Children's Home Healthcare is now hiring for a RN Clinical Supervisor/Case Manager! Children's HH is the premier leader...Home Health services from insurance company. 7. Attend quarterly Utilization Review meetings as designated by the Director of… more
- Molina Healthcare (Las Cruces, NM)
- …authorization, managed care, or equivalent combination of relevant education and experience. * Registered Nurse (RN). License must be active and unrestricted in ... JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for...to promote the Molina care model. * Adheres to utilization management (UM) policies and procedures. Required Qualifications *… more
- Health Care Service Corporation (Albuquerque, NM)
- …visits to acute in-patient to out-patient office visits. **JOB REQUIREMENTS:** * Registered Nurse (RN) or Masters-level Behavioral Health Professional (LPC, ... This position is responsible for ensuring accurate and timely clinical review of behavioral health cases for medical necessity...of years) at the independent practice level *If a Registered Nurse (RN): must have at least… more
- Molina Healthcare (Roswell, 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 of ... authorization, managed care, or equivalent combination of relevant education and experience. * Registered Nurse (RN). License must be active and unrestricted in… more
