- Public Consulting Group (Santa Fe, NM)
- …www.publicconsultinggroup.com . PCG is currently seeking a qualified Registered Nurse to perform as a Case Manager . The Case Manager will be responsible ... publicly administered Medical Fund on behalf of a state agency. The Case Manager will be charged with helping program recipients, family members, and caretakers… more
- Mitsubishi Chemical Group (Santa Fe, NM)
- **Compliance Case Manager (2082)** + Title:Compliance Case Manager + Group Company: Mitsubishi Chemical America + Location:Remote Group Company: + ... are today. Job Purpose Mitsubishi Chemical Group is seeking a **Compliance Case Manager ** to join a team committed to excellence, continuous improvement, and… more
- Molina Healthcare (NM)
- …waiver services. **Preferred License, Certification, Association** Active and unrestricted Certified Case Manager (CCM) To all current Molina employees: If ... members on Waiver program. This position will have a case load and manage members enrolled in this program....who have experience working with manage care population and/or case management role. Excellent computer skills and diligence are… more
- Healthfirst (NM)
- …case management, identifying alternative care options, and discharge planning + Certified Case Manager + Interqual and/or Milliman knowledge + Knowledge of ... **This position is 100% Remote **Duties/Responsibilities:** + Provides case management services for assigned member caseloads which includes: + Pre-certification… more
- Cardinal Health (Santa Fe, NM)
- …get life-changing therapies to patients who need them-faster.** **_Responsibilities_** The Senior Case Manager supports patient access to therapy through patient ... effective solutions. + Provide guidance and training to junior case managers on best practices in case ...junior case managers on best practices in case management, patient interaction, and navigating internal and external… more
- Sedgwick (Albuquerque, NM)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance RN Field Case Manager **We are only considering full time employees at this time.** ... **Looking for** **experienced** **Workers Comp RN Field Case Manager Nurses across multiple cities in the country to facilitate progressive medical… more
- LifePoint Health (Las Cruces, NM)
- …Services* **Organization:** **Las Cruces FP Residency* **Title:** *Social Work (SW) - Case Manager - Full Time* **Location:** *New Mexico-Las Cruces* ... MSW/preferred/or BSWrequired. * Minimum Experience: Must possess familiarity with case management issues, discharge planning and utilization management. *… more
- LifePoint Health (Las Cruces, NM)
- …or local law. **Job:** **Behavioral Health* **Organization:** **Memorial Medical Center* **Title:** * Case Manager Social Worker PRN Behavior Support Health Unit* ... MSW program. o *Minimum Experience:* Must possess familiarity with case management issues, discharge planning and utilization management. o… more
- LifePoint Health (Las Cruces, NM)
- … Management/Social Services* **Organization:** **Memorial Medical Center* **Title:** *Soc Work- Case Manager Patient Management* **Location:** *New Mexico-Las ... required. * *Minimum Experience**: * Must possess familiarity with case management issues, discharge planning and utilization management. *… more
- Otsuka America Pharmaceutical Inc. (Santa Fe, NM)
- **Job Description** The Patient Nurse Case Manager (PNCM) is a dynamic, field-based role that serves as a crucial educator for patients. This position helps to ... field + Background in advocacy, counseling, nursing, or social work + Case management experience in the specific therapy area + Bilingual skills, particularly… more
- Cardinal Health (Santa Fe, NM)
- …get life-changing therapies to patients who need them-faster.** **_Responsibilities_** The Case Manager supports patient access to therapy through Reimbursement ... Support Services in accordance with the program business rules and HIPAA regulations. This position is responsible for guiding the patient through the various process steps of their patient journey to therapy. These steps include patient referral intake,… more
- Public Consulting Group (Santa Fe, NM)
- …that is safe, timely, effective, efficient, equitable, and client-centered + Handles case assignments, draft service plans, review case progress and determine ... to conduct periodic in person assessments + Facilitates multiple care aspects ( case coordination, information sharing, etc.) + Helps patients make informed decisions… more
- Highmark Health (Santa Fe, NM)
- …the appropriate clinical interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are enrolled in case ... management. The incumbent conducts outreach to members enrolled in case management including but is not limited to: developing a care plan, encouraging behavior… more
- La Clinica de Familia Inc. (Las Cruces, NM)
- …adult recovery model, in the philosophy of behavioral health programs and in case management roles and responsibilities. + Demonstrated competency in case ... management procedures and allocation of resources and in the characteristics of behavioral health issues and levels of severity. + Maintains confidentiality and discretion as a rule. + Must be able to work as a team and communicate effectively with others. +… more
- Cardinal Health (Santa Fe, NM)
- …+ Manage the entire care process with a sense of urgency from benefit investigation/verification to medication delivery, ensuring an exceptional patient experience + ... Conduct benefit verifications and collaborate with various healthcare providers, including physicians, specialty pharmacies, and insurance companies, to ensure seamless coordination of patient care and timely access to necessary services + Assist in obtaining… more
- Cardinal Health (Santa Fe, NM)
- …+ Must demonstrate a superior willingness to help external and internal customers + First point of contact on inbound calls, and determines needs, and handles ... Cardinal Health Sonexus (TM) Access and Patient Support helps specialty pharmaceutical manufacturers remove barriers to care so that patients can access, afford and remain on the therapy they need for a better quality of life. Our diverse expertise in pharma,… more
- Veterans Affairs, Veterans Health Administration (Albuquerque, NM)
- Summary The Albuquerque VA is looking for Case Manager Registered Nurse in the Operations service line! Responsibilities The Case Management (CM) Registered ... actively pursuing licensure (may be extended up to two years on a case -by- case -basis.) NOTE: Grandfathering Provision - All persons currently employed in VHA in… more
- Veterans Affairs, Veterans Health Administration (Clovis, NM)
- …a virtual position. Functional Statement #: Social Worker (Mental Health Intensive Case Manager )Permanent Change of Station (PCS): Not Authorized Financial ... Summary The Mental Health Intensive Case Management Program (MHICM) Social Worker duties and...are centered on provision of psychosocial rehabilitation and intensive case management services to Veterans with chronic mental illness… more
- Molina Healthcare (NM)
- …level of the assigned members, particular state-specific regulations, or whether the Case Manager position is located within Molina's Central Programs unit. ... Licensed Clinical Social Worker (LCSW), Advanced Practice Social Worker (APSW), Certified Case Manager (CCM), Certified in Health Education and Promotion (CHEP),… more
- Travelers Insurance Company (Santa Fe, NM)
- …with insured based on application of policy information to facts or allegations of each case . + Work with Manager on use of Claim Coverage Counsel as needed. ... as strategically appropriate. + Complete outside investigation as needed per case specifics. + Actively engage in the identification, selection and direction… more