- Christus Health (La Cienga, NM)
- …developmental age of patient. EXPERIENCE: NATURE OF SUPERVISION: -Responsible to: Patient Care Director or Manager ENVIRONMENT: Bloodborne pathogen C (OR, PACU, ... and sensitive to patients' rights in the delivery of care Communicates in a clear concise manner appropriate to...L & D); Bloodborne pathogen B (other Patient Care areas). Exposure to infectious diseases and x-rays. Works… more
- Christus Health (La Cienga, NM)
- …within 6 months. Current CPI or equivalent must be obtained within six months for Behavioral Health and Emergency Department. BLS, ACLS and PALS must be issued ... in collaboration with and under the direction of the Nursing Department Director/ Manager , is accountable for ongoing shift leadership and operations of a clinical… more
- Highmark Health (Santa Fe, NM)
- …the effective utilization management strategies including: review of appropriateness of health care services, application of criteria to assure appropriate ... of quality issues. Monitors and analyzes the delivery of health care services; educates providers and members...established industry and corporate standards and are within the care manager 's professional discipline. Effectively function in… more
- Highmark Health (Santa Fe, NM)
- …interventions. The incumbent uses clinical and motivational interviewing skills to assess behavioral health , physical health , and social determinants of ... The overall goal is to help members navigate the health care system and develop condition self-management...Participate in ongoing training and educational activities related to behavioral health and medical topics. + Pro-actively… more
- Magellan Health Services (Albuquerque, NM)
- …in healthcare, behavioral health , psychiatric and/or substance abuse health care setting. Strong organization, time management and communication skills. ... and analyzes utilization data. Assists with discharge planning and care coordination. Provides member assistance with mental health...Maintains an active work load in accordance with National Care Manager performance standards. + Works with… more
- Highmark Health (Santa Fe, NM)
- …, identify resources, and conduct a number of other activities to help improve the health outcomes of members; care plans include both long and short term goals ... ownership and oversight over a specified panel of members that range in health status/severity and clinical needs. The incumbent assesses health management needs… more
- Maxim Healthcare Services (Albuquerque, NM)
- …offer private duty nursing, skilled nursing, physical rehabilitation, companion care , respite care and behavioral care for individuals with chronic and ... Maxim Healthcare Services is looking for a Clinical Manager to join our team. The Clinical ...specific client populations as necessary for client management including care coordination, orientation, clinical quality initiatives, and other duties… more
- Molina Healthcare (Albuquerque, NM)
- …and suggest changes accordingly. + Promotes integration of services for members including behavioral health care and long-term services and supports, home ... **_We are seeking a CASE MANAGER for our NEW MEXICO Health ...delivery of care across the continuum, including behavioral health and long-term care ,… more
- Molina Healthcare (Albuquerque, NM)
- …and suggest changes accordingly. + Promotes integration of services for members including behavioral health care and long term services and supports, ... **_We are seeking a REGISTERED NURSE CASE MANAGER for our NEW MEXICO Health ...delivery of care across the continuum, including behavioral health and long-term care ,… more
- Highmark Health (Santa Fe, NM)
- …relationship management and performance + Experience in Indirect Category Sourcing and/or Health Care Sourcing with demonstrated expertise in influencing the ... **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This job...Certified Professional in Supply Management (CPSM) + Certified Purchasing Manager (CPM) **SKILLS** + Experience in strategic management and… more
- Maxim Healthcare Services (Albuquerque, NM)
- …and community members regarding the functions and benefits of health care services. Additionally, the Operations Manager leads the quality improvement ... referral sources, case managers, physicians, other members of the health care team, and community members +...skilled nursing, physical rehabilitation, companion care , respite care and behavioral care for… more
- Highmark Health (Santa Fe, NM)
- …Preferred + None **EXPERIENCE** Required + 5 years of clinical or managed care experience Preferred + Health insurance experience **LICENSES OR CERTIFICATIONS** ... position adheres to the ethical and legal standards and behavioral expectations as set forth in the code of...with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as… more
- Prime Therapeutics (Santa Fe, NM)
- …+ Where applicable, achieves objectives regarding the EAP re-seller agreement. + Supports health plan with behavioral health retail sales. + Identifies ... drives every decision we make. **Job Posting Title** Account Manager - Connecticut ADAP - remote **Job Description Summary**...ideal for proactively addressing the constant changes in today's health care industry. Our employees are involved,… more
- Prime Therapeutics (Santa Fe, NM)
- …+ Where applicable, achieves objectives regarding the EAP re-seller agreement. + Supports health plan with behavioral health retail sales. + Identifies ... work environment is ideal for proactively addressing the constant changes in today's health care industry. Our employees are involved, empowered, and rewarded… more
- Sevita (Albuquerque, NM)
- …For more than 50 years, our team members have provided home and community-based health care for adults, children and their families across the United States. ... a career well lived. **SUMMARY** The Employee Relations Senior Manager leads the Employee Relations function for an operating...is a leading provider of home and community-based specialized health care . We believe that everyone deserves… more
- Molina Healthcare (Albuquerque, NM)
- …but not limited to, Hospitals, Independent Physician Association, and complex Behavioral Health arrangements. **Job Duties** This role negotiates contracts ... EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES** : * 5-7 years contract-related experience in the health care field including, but not limited to, provider's office,… more
- Magellan Health Services (Albuquerque, NM)
- …within the communities at the state and local level. Utilize this understanding of the Behavioral Health System of Care to support transitions of care ... 3+ years in utilization management operations. 5+ years in health care quality improvement. Licensure is required...- Occupational Therapy, Bachelor's - Physical Therapy, Master's - Behavioral Health Education - Preferred License and… more
- CenterWell (Albuquerque, NM)
- …of senior-focused primary care , one of the largest providers of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on ... function. + Confer with the patient's physician and other health care team members and participate in...Manager , patient and family members. + Participate in care coordination and discharge planning activities and act as… more
- Highmark Health (Santa Fe, NM)
- …in special committee meetings as required. + Cooperates with other health care team members and the Operations Manager pursuant to the Allegheny ... timely manner. + Patients are appropriately referred to other health care support systems or community resources...job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
- Evolent Health (Santa Fe, NM)
- …Working across specialties and primary care , we seek to connect the pieces of fragmented health care system and ensure people get the same level of care ... proprietary system generates cases for both the medical and behavioral health reviewers. These requests may be...either requesting or submitting prior authorization requests and/or relevant health care experience in claims or appeal… more
