• Registered Nurse - RN

    Fresenius Medical Center (Santa Fe, NM)
    **PURPOSE AND SCOPE:** The professional registered nurse Inpatient RN CAP 2 may be an entry level designation into the Clinical Advancement Program ... (CAP) for new employees who meet the RN CAP 2 criteria or attained through advancement from...from the Educator, Preceptor, or in collaboration with another Registered Nurse . + Performs ongoing, systematic collection… more
    Fresenius Medical Center (12/31/24)
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  • Inpatient Review ( RN ): Remote,…

    Molina Healthcare (Santa Fe, NM)
    …acute care/medical experience. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing. Must ... **EMERGENCY ROOM ADMISSIONS REVIEW NURSE ** **_2 openings for 12 hour NIGHT SHIFT:...in the USA if they have a valid CALIFORNIA RN license and must work the Pacific Time Zone… more
    Molina Healthcare (02/14/25)
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  • Medical Claim Review Nurse ( RN )

    Molina Healthcare (Santa Fe, NM)
    …state/federal regulations **REQUIRED LICENSE, CERTIFICATION, ASSOCIATION:** Active, unrestricted State Registered Nursing ( RN ) license in good standing. ... **JOB DESCRIPTION** **Job Summary** Utilizing clinical knowledge and experience, responsible for review of...DRG Validation, Itemized Bill Review, Appropriate Level of Care, Inpatient Readmission, and any opportunity identified by the Payment… more
    Molina Healthcare (01/25/25)
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  • Manager, HCS Clinical Policy - Medicare…

    Molina Healthcare (Santa Fe, NM)
    …identifying opportunities for improvement. **Job Qualifications** **REQUIRED EDUCATION** : Registered Nurse or equivalent combination of Licensed Vocational ... **Job Description** **Job Summary** Develops clinical policies to ensure that patients progress toward... Nurse (LVN) or Licensed Practical Nurse (LPN) with experience in lieu of … more
    Molina Healthcare (02/14/25)
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  • Manager, Healthcare Services (Remote)

    Molina Healthcare (Santa Fe, NM)
    …identifying opportunities for improvement. **JOB QUALIFICATIONS** **Required Education** + Registered Nurse or equivalent combination of Licensed Vocational ... the right time and assisting them to achieve optimal clinical , financial, and quality of life outcomes. + Responsible... Nurse (LVN) or Licensed Practical Nurse (LPN) with experience in lieu of … more
    Molina Healthcare (03/07/25)
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  • Care Coordinator- CISC

    Magellan Health Services (Santa Fe, NM)
    …Case Manager - Care Mgmt, LCSW - Licensed Clinical Social Worker - Care Mgmt, RN - Registered Nurse , State and/or Compact State Licensure - Care Mgmt ... are typically performed during face-to-face home visits. Promotes the appropriate use of clinical and financial resources in order to improve the quality of care and… more
    Magellan Health Services (01/26/25)
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