- Humana (Santa Fe, NM)
- **Become a part of our caring community and help us put health first** The Manager , Utilization Management Nursing utilizes clinical nursing skills ... documentation and communication of medical services and/or benefit administration determinations. The Manager , Utilization Management Nursing works… more
- Evolent Health (Santa Fe, NM)
- …agreements. **Collaboration Opportunities** : The Coordinator, Intake Utilization Management reports directly to the Manager , Intake Utilization ... the culture. **What You'll Be Doing:** The **Coordinator, Intake Utilization Management ** at Evolent will serve as...also works with our clinical team, which includes our Nurse , Clinical Reviewers and Field Medical Directors. Opportunities to… more
- Fresenius Medical Center (Albuquerque, NM)
- …FEATURES:** Float position Albuquerque Area **About this role:** As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care ... leading your business, and advanced leadership. As a Clinical Manager , you may advance your career into an Area...Disease (ICD) coding. + Manages clinic financials including efficient utilization of supplies or equipment and regular profits and… more
- Fresenius Medical Center (Albuquerque, NM)
- …to ensure quality service while maintaining a high level of efficiency management . **PRINCIPAL DUTIES AND RESPONSIBILITIES:** + Manage the tactical execution of ... contracted facilities. Ensure efficient staff/ patient scheduling and efficient staffing utilization following company policy while maintaining a safe environment. +… more
- Huron Consulting Group (Santa Fe, NM)
- …it promotes a culture of respect, unity, collaboration, and personal achievement. As a Manager , you will have the unique ability to specialize in certain areas that ... talent, training, supervising, coaching/mentoring, and providing feedback through performance management + Facilitate communication and collaboration between all key… more
- Children's Home Healthcare (Albuquerque, NM)
- …have excellent communication skills and willing to travel to patient homes + Utilization Management Experience + Reliable transportation for patient visits + ... Healthcare is now hiring for a RN Clinical Supervisor/Case Manager ! Children's HH is the premier leader in Pediatric...Home Health services from insurance company. 7. Attend quarterly Utilization Review meetings as designated by the Director of… more
- Magellan Health Services (Albuquerque, NM)
- …Healthcare-related field, or relevant experience in lieu of degree., Experience in utilization management , quality assurance, home or facility care, community ... in analyzing trends based on decision support systems. Business management skills to include, but not limited to, cost/benefit...License and Certifications - Preferred CCM - Certified Case Manager - Care Mgmt, LCSW - Licensed Clinical Social… more
- ThermoFisher Scientific (Albuquerque, NM)
- …will perform and coordinate all aspects of the clinical monitoring and site management process. You will be responsible for conducting remote and on-site visits to ... business writing standards. + Escalates observed deficiencies and issues to clinical management expeditiously and follow all issues through to resolution. + May need… more