- 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 ... business there is limited day to day flexibility in care manager 's schedule. **Duties:** + Telephonically assess...skills to make an impact** **Required Qualifications** + Active Registered Nurse ( RN ) license with… 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 ... telephonic Case or Care Management with CareFirst members. The Care Manager partners with members, caregivers, providers, and the interdisciplinary… more
- Molina Healthcare (Santa Fe, NM)
- …and/or coding experience, or equivalent combination of relevant education and experience. + Registered Nurse ( RN ). License must be active and unrestricted ... to overarching strategy to provide quality and cost-effective member care . This position will be supporting our Appeals and...our Appeals and Grievances department. We are seeking a Registered Nurse with previous Appeals experience. The… more
- CenterWell (Santa Fe, NM)
- …**Use your skills to make an impact** **License/Certifications:** + Active and unrestricted Registered Nurse ( RN ) license with authorization to practice in ... individual circumstances and company policy. **This is not a remote or work-from-home position. This position requires you to...insurance and reliable transportation. + Two years as a Registered Nurse ( RN ) with at… more
- Health Care Service Corporation (Santa Fe, NM)
- …complex and specialty populations **Required Job Qualifications:** + Registered Nurse ( RN ) with 2 years direct clinical care to the consumer in a ... development. **Job Summary** This position is responsible to provide care coordination to members via telephonic and/or field-based ...to state of operations, you must obtain active, unrestricted RN licensure in the state of operations within 90… more
- Sharecare (Santa Fe, NM)
- …that will positively impact the greater team and aid in their personal development as a Care Manager . + Provide performance management for the team of Care ... of Sharecare with leadership practices. **Qualifications:** + Current licensure as a Registered Nurse is required; Compact state preferred + Bachelor's degree… more
- Humana (Santa Fe, NM)
- …help us put health first** We are looking for a dynamic Lead Product Manager to develop clinical solutions for our members and providers, with full accountability ... from strategy to execution. The Lead Product & Strategy Manager - Provider Practice Management role is a critical member of the multidisciplinary clinical… more
- Humana (Santa Fe, NM)
- …each day between 6AM and 9AM in their home time zone. **Required Qualifications** + Active Registered Nurse ( RN ) license in the state they reside. + Minimum ... caring community and help us put health first** The Nurse Auditor 2 performs clinical audit/validation processes to ensure...as ER, OR, Pre-op, PACU,L&D, mother-baby, behavioral health, SNF, care manager /discharge manager , LTC, rehab,… more
- CenterWell (Santa Fe, NM)
- …initiatives. **Use your skills to make an impact** + Current and unrestricted Registered Nurse licensure (in the state of practice) _preferred_ + Minimum ... operations to ensure the following: operational efficiencies, quality of patient care , regulatory compliance, support of business development & patient base growth,… more
- CenterWell (Santa Fe, NM)
- **Become a part of our caring community and help us put health first** Conviva Care Solutions is seeking a RN who will collaborate with other health care ... Nursing License + A minimum of three years clinical RN experience; + Prior clinical experience, managed care...+ Career development opportunities Travel: While this is a remote position, occasional travel to Humana's offices for training… more
- CenterWell (Santa Fe, NM)
- …and help us put health first** Who We Are Humana's CenterWell Senior Primary Care Organization is one of the largest and fastest growing value-based care , ... who need it the most. We're a fast-growing organization changing how clinical care is delivered - using innovation, data, and technology to keep patients healthier.… more