- Magellan Health Services (Albuquerque, NM)
- …credentialing criteria for RN, Masters or Doctoral level provider. General Job Information Title Manager , Clinical Care Services Grade 27 Work Experience ... management in the identification and coordination of the necessary clinical and client service training needs. +...Responsibilities 5 years post degree experience in a direct care clinical setting; managed care … 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 ... will cover onboarding, essential functions, leading your business, and advanced leadership. As a Clinical Manager , you may advance your career into an Area Team… more
- Gentiva (Roswell, NM)
- …EEO employer + We maintain a drug-free workplace Related Job Titles Hospice RN Patient Care Manager , Hospice Clinical Manager , Hospice Nurse Manager ... Inspire Compassionate Teams.** We are seeking a dedicated Patient Care Manager to join our hospice team....hospice services . This leadership role involves managing clinical operations, coordinating care , and developing staff… more
- Fresenius Medical Center (Farmington, NM)
- …delivery of maximum quality care to all patients. + Must complete Clinical Manager training modules and ongoing developmental programs within the specified ... and FMS policy requirements. Ensure provision of quality patient care while maintaining cost-effective clinical operations in... service training, and policy and procedure in service updates. + Responsible for all patient care… more
- CVS Health (Santa Fe, NM)
- …quality objectives of the unit. - Oversees the implementation of healthcare management services for assigned functional area. - Implements clinical policies and ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
- Oracle (Santa Fe, NM)
- …innovators worldwide. **The Role** We are seeking a **Senior Principal Product Manager ** who deeply understands the **regulatory, clinical , and financial ... , and business stakeholders to develop product strategies and services that: + Support complex **regulatory compliance** and reporting...compliance** and reporting workflows at scale. + Map to ** clinical operations** , care delivery, and payer… more
- Oracle (Santa Fe, NM)
- …across our next-generation EHR and AI-enabled medical device platforms. As a Clinical Product Manager (Medical Device Focus), you'll provide clinical ... **Job Description** Oracle Health is standing up a specialized clinical product management team focused on medical device-aligned products. This team bridges … more
- Jet Health (Albuquerque, NM)
- … Manager is a licensed registered nurse who provides oversight of all patient/client care services and personnel, ensuring quality of care in the home. ... Clinical Nurse Manager - Hospice Albuquerque,...auto liability insurance. + Provides oversight of all patient/client care services and personnel. + Ensures quality… more
- Datavant (Santa Fe, NM)
- …across the clinical research ecosystem by deepening our partnerships with Clinical Research Organizations (CROs). The **CRO Channel Manager ** will be ... evidence and improve patient outcomes. As a **CRO Channel Manager ** , you will play a pivotal role in...care through creating industry-defining data logistics products and services . The range posted is for a given job… more
- Health Care Service Corporation (Albuquerque, NM)
- …and specialty populations **Required Job Qualifications:** + Registered Nurse (RN) with 2 years direct clinical care to the consumer in a clinical setting or ... of hire. + Plus 3 years' wellness or managed care experience presenting clinical issues with members/physicians....our Employee Referral process!** **Pay Transparency Statement:** At Health Care Service Corporation, you will be part… more
- Health Care Service Corporation (Santa Fe, NM)
- …at HCSC about our Employee Referral process!** **Pay Transparency Statement:** At Health Care Service Corporation, you will be part of an organization committed ... telephonic and/or field-based health screenings that do not require clinical judgement and care planning duties which...Cross and Blue Shield of Texas, Divisions of Health Care Service Corporation, a Mutual Legal Reserve… more
- CenterWell (Santa Fe, NM)
- …caring community and help us put health first** The Senior Product Owner - Clinical Referral and Specialty Care is responsible for conveying product vision and ... and prioritizing product backlog. The Senior Product Owner - Clinical Referral and Specialty Care work assignments..., one of the largest providers of home health services , and fourth largest pharmacy benefit manager ,… more
- Humana (Santa Fe, NM)
- **Become a part of our caring community and help us put health first** The Care Manager , Telephonic Nurse 2 employs a variety of strategies, approaches and ... start time is 10:00AM EST.** Our nurses are titled Care Managers, because our case management services ...business there is limited day to day flexibility in care manager 's schedule. **Duties:** + Telephonically assess… more
- Sharecare (Santa Fe, NM)
- … more accessible and affordable for everyone. To learn more, visit www.Sharecare.com. The Care Manager supports the implementation of the Value Based Care ... or Care Management with CareFirst members. The Care Manager partners with members, caregivers, providers,...+ Actively participate in team huddles and contribute to clinical learning. + Remain current on clinical … more
- Healthfirst (NM)
- **This position is 100% Remote **Duties//Responsibilities:** + **The Pediatric Care Manager plans and manages pediatric medical and//or behavioral care with ... members and their beneficiaries across the continuum of care . The Care Manager is... care team members through coordination of health care services .** **Job Description** + **Adhere to… more
- Healthfirst (NM)
- …of the relevant product line** + **Relevant work experience preferably as a Care Manager ** + **Demonstrated ability to manage large caseloads and effectively ... service providers such as doctors, social workers, discharge planners, and community-based service providers to ensure care is coordinated and care needs… more
- Molina Healthcare (NM)
- …ongoing member case load for regular outreach and management. + Promotes integration of services for members including behavioral health care and long term ... work Pacific Business Hours** **JOB DESCRIPTION** **Job Summary** Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members… more
- Community Health Systems (Las Cruces, NM)
- …search here and see why we are Proud to be MountainView! **Job Summary** The Care Manager - RN is responsible for coordinating and overseeing discharge planning, ... accounts **About Who We Are** We are a 168-bed Joint Commission accredited acute care facility serving Las Cruces and southern New Mexico. A legacy of rich history,… more
- Highmark Health (Santa Fe, NM)
- …effective utilization management strategies including: review of appropriateness of health care services , application of criteria to ensure appropriate resource ... quality issues. Monitors and analyzes the delivery of health care services ; educates providers and members on...established industry and corporate standards and are within the care manager 's professional discipline. + Function in… more
- CenterWell (Santa Fe, NM)
- …of members who need it the most. We're a fast-growing organization changing how clinical care is delivered - using innovation, data, and technology to keep ... health first** Who We Are Humana's CenterWell Senior Primary Care Organization is one of the largest and fastest..., one of the largest providers of home health services , and fourth largest pharmacy benefit manager ,… more