- Evolent (Santa Fe, NM)
- …providing better health outcomes for this population. **What You'll Be Doing:** + The Behavioral Health Case Manager (LCSW or LMHC) will connect with the ... people with most complex and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented health care … more
- Highmark Health (Santa Fe, NM)
- …consistent with established industry and corporate standards and are within the care manager 's professional discipline. Effectively function in accordance with ... + 3 - 5 years of post licensure experience in a combination of Behavioral Health Clinical , Case Management and/or Condition Management + Experience in a… more
- Magellan Health Services (Albuquerque, NM)
- …criteria for RN, Masters or Doctoral level provider. General Job Information Title Manager , Clinical Care Services- CISC Grade 27 Work Experience ... Responsibilities 5 years post degree experience in a direct care clinical setting; managed care ...providers. Thorough knowledge of healthcare services in physical health, behavioral health or other medical specialty area based on… 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 : ... service team members. Job Summary We are seeking a Clinical Nutrition Manager to lead our nutrition...Key Responsibilities: + Establishes goals and coordinates implementation of clinical nutrition care based upon the facility's… more
- Molina Healthcare (Albuquerque, NM)
- **_JOB TITLE: Program Manager : HCS, Clinical Program Design, REGISTERED NURSE_** **Job Summary** Molina Healthcare Services (HCS) works with members, providers ... team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care… more
- Aspen Medical (Albuquerque, NM)
- …of the primary care clinic's health care team and assist the primary care manager (PCM) in managing the overall health of their enrolled population + The ... *May include participating in Air Force-approved research projects relating to Primary Care Behavioral Health + Consult with medical personnel, legal… more
- Sharecare (Santa Fe, NM)
- …a responsive, committed individual who ** ** recognizes the impact of the health care delivery system on the clinical and financial outcomes of the member ... the lens of their personal health and making high-quality care more accessible and affordable for everyone. To learn...intervention guidelines. An RN is supervised by an Operations Manager (OM). All Sharecare clinicians are required to participate… more
- Matrix Providers (Albuquerque, NM)
- …of the primary care clinic-s health care team and assist the primary care manager (PCM) in managing the overall health of their enrolled population + The ... YOUR APPLICATION (https://apply.hrmdirect.com/resumedirect/ApplyOnline/Apply.aspx?req\_id=3250177&source=3250177-CJB-0) We are currently seeking a Licensed Clinical Psychologist for Behavioral Health at Kirtland… more
- Molina Healthcare (Santa Fe, NM)
- …team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term ... thinking . Medicare knowledge/experience is highly preferred. The Case Manager must be able to work in a high-volume...management. + Promotes integration of services for members including behavioral health care and long term services… more
- Molina Healthcare (Santa Fe, NM)
- …team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care ... that involve clinical HCS-Central Programs staff. Communicates findings to the Manager , HCS-Central Programs. + Maintains a minimal caseload in all plans to… more
- Molina Healthcare (San Juan, NM)
- …team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term ... regular outreach and management. + Promotes integration of services for members including behavioral health care and long term services and supports/home and… more
- Maxim Healthcare Services (Albuquerque, NM)
- …absence. If not a Registered Nurse, will consult with AVPCO to appoint a qualified Clinical Manager to oversee the clinical management of the offices (when ... of the office. Those duties include ensuring that a clinical manager and operations manager ...skilled nursing, physical rehabilitation, companion care , respite care and behavioral care for… more
- Highmark Health (Santa Fe, NM)
- …over a specified panel of members that range in health status/severity and clinical needs. The incumbent assesses health management needs of the assigned member ... panel and utilizing data/analytics in conjunction with professional clinical judgement to identify the right clinical intervention for each member. The incumbent… more
- Magellan Health Services (Santa Fe, NM)
- …State - Other License and Certifications - Preferred CCM - Certified Case Manager - Care Mgmt, LCSW - Licensed Clinical Social Worker - Care Mgmt, RN - ... during face-to-face home visits. Promotes the appropriate use of clinical and financial resources in order to improve the...mentoring of new team members as appropriate. + Provides care coordination to members with behavioral health… more
- CenterWell (Santa Fe, NM)
- …collaboratively with clinical and operational leaders across a complex health care organization. + Knowledge of health care regulations and policies related ... learn and address the factors that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and… more
- Highmark Health (Santa Fe, NM)
- …Insurance Group **Job Description :** **JOB SUMMARY** This job is responsible for analyzing clinical data to assess potential stop loss and managed care claim ... well as coaches, consults, and mentors team members on moderate to complex clinical issues. **ESSENTIAL RESPONSIBILITIES** + Analyze clinical data to assess… more
- Brookdale Senior Living (Albuquerque, NM)
- …that meet specific needs of each and all residents within the dementia care community. Provides person centered programs while engaging residents in meaningful and ... purposeful dementia care programs within the Brookdale community enhancing their quality...evaluations. May act in supervisory capacity in absence of Manager or Executive Director. + Collaborates with community leadership… more
- Evolent (Santa Fe, NM)
- …which includes our medical reviews: LVNs, LPNs, and RNs along with our behavioral health reviewers: LMSWs, LCSW, and LPCs, Clinical Reviewers. Opportunities to ... people with most complex and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented health care … more
- CenterWell (Albuquerque, NM)
- …of patients. + Report patient status and progress to the physician, rehabilitation staff, Clinical Manager , patient and family members. + Participate in care ... + Confer with the patient's physician and other health care team members and participate in development/revision of the...the retraining programs in a manner consistent with the behavioral goals of each patient and within the guidelines… more
- Evolent (Santa Fe, NM)
- …people with most complex and costly health conditions. 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 and compassion we would want for our loved...The Coordinator, Intake Utilization Management reports directly to the Manager , Intake Utilization Management. In support of our daily… more