- Jet Health (Santa Fe, NM)
- Registered Nurse Case Manager ...and dignity. Requirements Key Responsibilities: + Follow a designated care plan in accordance with patient needs. + Make ... utilizing a state-of-the-art touch pad tablet. Job Qualifications: + Current State or Compact Registered Nurse (RN) License. + A minimum of one year of clinical… more
- Highmark Health (Santa Fe, NM)
- …implements and evaluates nursing care for individuals or families for whom the nurse is responsible. The Registered Nurse is fully responsible for all ... Home | Allegheny Health Network (https://www.ahn.org/services/healthcare-at-home/infusion-therapy)** **GENERAL OVERVIEW:** The Registered Nurse assesses human responses and plans,… more
- Jet Health (Santa Fe, NM)
- …to his/her requests promptly. If unable to perform a certain task, report to the Registered Nurse Case Manager immediately + Meeting safety needs of patient ... an established agency. We are a Medicare-certified home health care organization, we are one of the fastest growing...Reporting on patient's condition and significant changes to the Registered Nurse Case Manager . Also… more
- Humana (Santa Fe, NM)
- …- What it takes to Succeed** + Minimum of Associate's Degree + Active Registered Nurse license (RN) + Minimum of 2 consecutive years acute inpatient ... caring community and help us put health first** The Nurse Auditor 2 performs clinical audit/validation processes to ensure...ER, OR, Pre-op, PACU, L&D, mother-baby, behavioral health, SNF, care manager /discharge manager , LTC, rehab,… more
- Army National Guard Units (Santa Fe, NM)
- …Mexico Army National Guard This National Guard position is for a OCCUPATIONAL HEALTH NURSE , Position Description Number D1234000 and is part of the NM Safety Office, ... the Director, Human Resources, serves as the local OHN Case Manager Consultant for ensuring development, evaluation, implementation and monitoring a comprehensive… more
- Genesis Healthcare (Santa Fe, NM)
- …Supervisor, Unit Manager , ADON or ADON -- Unit, or DON, the International Registered Nurse -- RN will participate in a structured orientation and training ... the lives we touch through the delivery of high-quality care and exceptional service. As a leading provider in...exceptional service. As a leading provider in the long-term care industry, we believe in fostering a collaborative, inclusive… more
- Molina Healthcare (Santa Fe, NM)
- …of documentation to ensure medical necessity and appropriate level of care utilizing MCG/InterQual, state/federal guidelines, billing and coding regulations, and ... appropriate/accurate billing and claims processing. + Identifies and reports quality of care issues. + Assists with Complex Claim review including DRG Validation,… more
- Sharecare (Santa Fe, NM)
- **Job Description:** **Job Summary:** The Care Manager supports the implementation of the Value Based Care Management program in an appropriate and efficient ... telephonic Case or Care Management with CareFirst members. The Care Manager partners with members, caregivers, providers, and the interdisciplinary… more
- CAI (Santa Fe, NM)
- …standards + Perform other duties as assigned/requested **What You'll Need** Required: + Current Registered Nurse , licensed in the state of Delaware + 2+ years of ... now. **Job Description** We are looking for a Case Manager , RN to provide community-based care coordination/management for our client's members in the state of… 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
- CVS Health (Santa Fe, NM)
- …external partners. Ability to travel for business needs. **Preferred Qualifications:** Registered Nurse (RN) Previous leadership experience. AAPC Coding ... purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our...and affordable. The Special Investigations Unit is seeking a Manager to lead our team of Certified Professional Coders… more
- Molina Healthcare (Santa Fe, NM)
- **JOB DESCRIPTION** _For this position we are seeking a (RN) Registered Nurse who must have a current active unrestricted RN license in the state of CA._ _Case ... health. **Preferred License, Certification, Association** Active, unrestricted Transitions of Care Sub-Specialty Certification and/or Certified Case Manager … more
- 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 - ... Coordinates care of individual clients with application to identified...individual clients with application to identified populations using assessment, care planning, implementations, coordination, monitoring and evaluation for cost… more
- Highmark Health (Santa Fe, NM)
- …degree in Nursing **LICENSES or CERTIFICATIONS** **Required** + Registered Nurse **Preferred** + Certified Case Manager (CCM) **Language (Other than ... for analyzing clinical data to assess potential stop loss and managed care claim liability, utilizing Case Management oversight techniques to ensure front line… more
- Molina Healthcare (Santa Fe, NM)
- …identifying opportunities for improvement. **JOB QUALIFICATIONS** **Required Education** + Registered Nurse or equivalent combination of Licensed Vocational ... Long-Term Services & Supports for Molina members. Oversees Interdisciplinary Care Team meetings. + Functions as hands-on manager... Nurse (LVN) or Licensed Practical Nurse (LPN) with experience in lieu of RN license.… more