- Molina Healthcare (Albuquerque, NM)
- …provides care coordination and assistance to member to address concerns. + Collaborates with RN case managers/supervisors as needed or required + Case ... New Mexico residents preferred. Must reside and must...the assigned members, particular state-specific regulations, or whether the Case Manager position is located within Molina's… more
- Fresenius Medical Center (Santa Fe, NM)
- PURPOSE AND SCOPE: The registered professional nurse Home Therapies RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). This ... from the Educator, Preceptor or in collaboration with another Registered Nurse . . Performs ongoing, systematic collection...+ Position functions as an onsite Patient Educator and Case Manager for patients with various shifts… more
- Gentiva (Albuquerque, NM)
- …performance improvement programs. **About You** **Hospice Registered Nurse / RN Case Manager Requirements:** + Hospice heart: compassionate, kind and ... for everyone, so we offer ongoing professional training, lower nurse -to-patient ratios, and comprehensive benefits for eligible employees. Here,...need with dignity, grace, and love. **As a Hospice RN / RN Case Manager… more
- Molina Healthcare (Santa Fe, NM)
- …unrestricted Certified Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager + Certified Professional Healthcare Management + Certified ... outcomes within compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse ( RN ) performs clinical/medical reviews of previously denied… more
- Molina Healthcare (Santa Fe, NM)
- …identifying opportunities for improvement. **JOB QUALIFICATIONS** **Required Education** + Registered Nurse or equivalent combination of Licensed Vocational ... Nurse (LVN) or Licensed Practical Nurse (LPN) with experience in lieu of ...**Preferred License, Certification, Association** Any of the following: Certified Case Manager (CCM), Certified Professional in Healthcare… more
- Molina Healthcare (Santa Fe, NM)
- …identifying opportunities for improvement. **Job Qualifications** **REQUIRED EDUCATION** : Registered Nurse or equivalent combination of Licensed Vocational ... has responsibility for the selection, orientation and mentoring of new staff. + Performs and promotes interdepartmental/ multidisciplinary integration... Nurse (LVN) or Licensed Practical Nurse (LPN) with experience in lieu of … more
- Molina Healthcare (Santa Fe, NM)
- …knowledge on the job. Job Qualifications **REQUIRED EDUCATION** : Completion of an accredited Registered Nurse ( RN ) Program and an Associate's or Bachelor's ... or State Clinical Social Worker/Counseling (or related field) License Certified Case Manager (CCM), Utilization Management Certification (CPHM), Certified… more
- Highmark Health (Santa Fe, NM)
- …Bachelor's degree in Nursing **LICENSES or CERTIFICATIONS** **Required** + Registered Nurse **Preferred** + Certified Case Manager (CCM) **Language ... data to assess potential stop loss and managed care claim liability, utilizing Case Management oversight techniques to ensure front line case management and… more
- Magellan Health Services (Santa Fe, NM)
- … Manager - Care Mgmt, LCSW - Licensed Clinical Social Worker - Care Mgmt, RN - Registered Nurse , State and/or Compact State Licensure - Care Mgmt Salary ... and member satisfaction. Assists with orientation and mentoring of new team members as appropriate. + Provides care coordination...variance data that indicates potential areas for improvement of case and services provided. + Works with members and… more
- CenterWell (Santa Fe, NM)
- …Field Clinical Educator is accountable for the growth and retention of new hires. **Essential Functions:** + Teaches, mentors, and coaches clinicians. + Demonstrates ... admission of patients, assessment, and development of care plans, case management, coordination of care and other clinical care...clinical care duties. + Oversees and supervises orientation of new hires in partnership with the branch leaders and… more