- Highmark Health (Santa Fe, NM)
- **Company :** Highmark Inc. **Job Description :** **JOB SUMMARY** **Pediatric Complex Case Management** This job owns and conducts oversight over a specified ... and / or health insurance experience **Preferred** + **Pediatric Complex Case Management Experience** + Advanced training...in addressing targeted populations **LICENSES AND CERTIFICATIONS** **Required** + RN license in PA or WV or DE or… more
- Molina Healthcare (Rio Rancho, NM)
- …member's health and welfare. + Provides consultation, recommendations and education as appropriate to non- RN case managers + Works cases with members who have ... waiver services. **Preferred License, Certification, Association** Active and unrestricted Certified Case Manager (CCM) To all current Molina employees: If… more
- Evolent Health (Santa Fe, NM)
- …care across multiple settings and with multiple providers - Required + Current Registered Nurse license - Maryland or Compact License - **Required** + ... providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and...this population. **What You Will Be Doing:** + This RN Care Manager The RN … more
- Sedgwick (Santa Fe, NM)
- …work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Telephonic Case Manager **PRIMARY PURPOSE OF THE ROLE:** While partnering with ... the injured worker, employer, and medical providers, create a case management strategy to facilitate medical recovery and a successful return to work through… more
- Evolent Health (Santa Fe, NM)
- …Required + Licensed Clinical Social Worker (LCSW), Licensed Mental Health Counselor (LMHC), or Registered Nurse ( RN ), Required + 3-5 years of behavioral ... providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and...population. **What You'll Be Doing:** + The Behavioral Health Case Manager (LCSW or LMHC) will connect… more
- Humana (Santa Fe, NM)
- …as assigned **Use your skills to make an impact** **Required Qualifications** + Licensed Registered Nurse ( RN ) in the (appropriate state) with no ... 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
- Magellan Health Services (Albuquerque, 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
- J&J Family of Companies (Santa Fe, NM)
- …Site or Cell & Gene therapy Treatment Center/Site of Care Certification and Activation + RN license or Advanced Practice degree ( Nurse Practitioner / PA / PharmD ... healthcare innovation empowers us to build a world where complex diseases are prevented, treated, and cured, where treatments...of this account management team, reporting to the Senior Manager , CAR-T Cell Therapy Experience Lead. The role will… more