- 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
- CVS Health (Santa Fe, NM)
- …thinking skills to facilitate appropriate member physical health and behavioral healthcare through assessment and care planning, direct provider ... of your health . This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with… more
- CenterWell (Santa Fe, NM)
- …across a complex health care organization. + Knowledge of health care regulations and policies related to behavioral health + Computer skills in ... integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up...care , one of the largest providers of home health services, and fourth largest pharmacy benefit manager… more
- Magellan Health Services (Albuquerque, NM)
- … community resources and providers. Thorough knowledge of healthcare services in physical health , behavioral health or other medical specialty area based ... Masters or Doctoral level provider. General Job Information Title Manager , Clinical Care Services- CISC Grade 27...Preferred Education - Required Associate - Nursing, Master's - Behavioral Health Education - Preferred Bachelor's -… more
- Highmark Health (Santa Fe, NM)
- …implements effective utilization management strategies including: review of appropriateness of health care services, application of criteria to ensure ... 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. + Function in… more
- Veterans Affairs, Veterans Health Administration (Albuquerque, NM)
- Summary The New Mexico VA Health Care System (NMVAHCS) Behavioral Health Care Line (BHCL) is seeking applicants, preferably with psychiatric ... Nursing leadership team. We are seeking an Assistant Nurse Manager (ANM) for Mental Health Residential Rehabilitation... care delivery by nursing and other allied health care staff. Expected to provide up… more
- Highmark Health (Santa Fe, NM)
- …Requirement_** _: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company ... times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice… 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
- Magellan Health Services (Santa Fe, NM)
- …as appropriate. + Provides care coordination to members with behavioral health conditions identified and assessed as requiring intensive interventions ... of care regularly to identify gaps in care , trends to improve health and quality...issues, specific member needs and disease processes whether, medical, behavioral , social, community based or long term care… more
- Molina Healthcare (San Juan, NM)
- …for regular outreach and management. + Promotes integration of services for members including behavioral health care and long term services and supports/home ... plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care , for members with high need… more
- Highmark Health (Santa Fe, NM)
- …in a project manager role **Preferred** + Leadership experience + Health Care Insurance industry business and operational knowledge + Experience managing ... **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This job...position adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… 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
- Highmark Health (Santa Fe, NM)
- …for analyzing clinical data to assess potential stop loss and managed care claim liability, utilizing Case Management oversight techniques to ensure front line ... + Analyze clinical data to assess potential stop loss and managed care claim liability and utilize Case Management oversight techniques to ensure front… more
- Compass Group, North America (Santa Fe, NM)
- Morrison Healthcare We are hiring for a Clinical Nutrition Manager position in Santa Fe, NM. $10K sign-on bonus and relocation assistance offered! + Location : ... St. Vincent Regional Medical Center + Setting : Acute Care + Schedule : Full time, Monday - Friday...the latest in healthful eating and an understanding of behavioral change in food consumption. Morrison's alignment with Partnership… more
- Aspen Medical (Albuquerque, NM)
- …equivalent provider as an internal behavioral health consultant (IBHC) and/or Behavioral Health Care Facilitator (BHCF) as outlined in DoDI 6490.15 ... team and assist the primary care manager (PCM) in managing the overall health ...participating in Air Force-approved research projects relating to Primary Care Behavioral Health + Consult… more
- Brookdale Senior Living (Albuquerque, NM)
- …through professional development, as well as ongoing programs catered to your overall health and wellness. Full suite of health insurance, life insurance and ... that meet specific needs of each and all residents within the dementia care community. Provides person centered programs while engaging residents in meaningful 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
- CenterWell (Santa Fe, NM)
- …impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more ... such as CPA, CIA + Previous experience in home health , care delivery, or care ...care , one of the largest providers of home health services, and fourth largest pharmacy benefit manager… 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
- Veterans Affairs, Veterans Health Administration (Albuquerque, NM)
- …of an expanded healthcare team (social worker, dietician, clinical pharmacists, behavioral health clinician, and a care manager ) to oversee and ... program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP). Participation in the Coronavirus Disease 2019 (COVID-19) vaccination… more