• Complex Case Manager

    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...in addressing targeted populations **LICENSES AND CERTIFICATIONS** **Required** + RN license in PA or WV or DE or… more
    Highmark Health (04/25/25)
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  • Registered Nurse ( RN )…

    LifePoint Health (Las Cruces, NM)
    …**Nursing* **Organization:** **Memorial Medical Center* **Title:** * Registered Nurse ( RN ) - Case Manager PRN* **Location:** *New Mexico-Las Cruces* ... as an employee, but as a person. As a registered nurse ( RN ) joining our...a direct impact on patient care by helping navigate complex discharge processes and fostering continuity of care. *About… more
    LifePoint Health (06/12/25)
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  • Case Manager Registered

    CVS Health (Santa Fe, NM)
    …members. **Key Responsibilities** + This position consists of working intensely as a telephonic case manager with patients and their care team for fully and/or ... reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year...**Specialty Pharmacy or Oncology.** **Preferred Qualifications** + 1+ years' Case Management experience or discharge planning, nurse more
    CVS Health (06/19/25)
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  • Registered Nurse , Case

    CVS Health (Santa Fe, NM)
    …care for members. - This position consists of working intensely as a telephonic case manager with patients and their care team for fully and/or self-insured ... reviews **Required Qualifications** - 5+ years' experience as a Registered Nurse with at least 1 year...electronically using a keyboard **Preferred Qualifications** - 1+ years' Case Management experience or discharge planning, nurse more
    CVS Health (06/19/25)
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  • Manager , Utilization Management

    Healthfirst (NM)
    …options, and discharge planning across a variety of treatment settings for high risk, complex populations + Certified Case Manager + Interqual, Milliman, ... additional information required for appropriate utilization management and to solve complex clinical problems + Allocate, monitor, and control resources while… more
    Healthfirst (07/02/25)
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  • Registered Nurse - Care…

    Veterans Affairs, Veterans Health Administration (Albuquerque, NM)
    …Announcement and will open for 30 days! Responsibilities The Community Care Case Manager is a Registered Nurse , qualified by education and experience. ... Summary Community Care is seeking Nurse Case Managers to join our...The Case manager will provide direct support to the Non-VA Care...level degree in Nursing may have opportunity to become registered as a nurse with a state… more
    Veterans Affairs, Veterans Health Administration (06/28/25)
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  • Care Manager , Registered

    Sharecare (Santa Fe, NM)
    …of their members to ensure successful completion of member goals, while providing Complex Case Management and/or care management support through the duration of ... within a matrix organizational design. **Qualifications:** + Current multi-state compact Registered Nurse licensure in state of residence is required,… more
    Sharecare (06/03/25)
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  • Care Manager ( RN )

    Molina Healthcare (NM)
    **JOB DESCRIPTION** For this position we are seeking a ( RN ) Registered Nurse who must live and have a current active unrestricted RN license in the state ... travel required. + RNs provide consultation, recommendations and education as appropriate to non- RN case managers. + RNs are assigned cases with members who… more
    Molina Healthcare (07/06/25)
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  • Care Manager RN - PRN

    Community Health Systems (Las Cruces, NM)
    …management skills to prioritize tasks in a dynamic environment. **Licenses and Certifications** + RN - Registered Nurse - State Licensure and/or Compact ... **Job Summary** The Care Manager - RN is responsible for...Life Support required **State Specific Requirements** + Alabama: Accredited Case Manager (ACM) or Certified Case more
    Community Health Systems (05/03/25)
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  • Field Case Manager -Sign On Bonus…

    Sedgwick (Santa Fe, NM)
    …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Field Case Manager -Sign On Bonus Eligible **We are growing all across the US ... and are looking for experienced Workers Comp Field Case Managers! Required to have a minimum of** **1.5...knowledge and experience to assist in the management of complex medical conditions, treatment planning and recovery from illness… more
    Sedgwick (06/19/25)
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  • Medical Claim Review Nurse ( RN )

    Molina Healthcare (Santa Fe, NM)
    …ASSOCIATION:** Certified Clinical Coder, Certified Medical Audit Specialists, Certified Case Manager , Certified Professional Healthcare Management, Certified ... state/federal regulations **REQUIRED LICENSE, CERTIFICATION, ASSOCIATION:** Active, unrestricted State Registered Nursing ( RN ) license in good standing.… more
    Molina Healthcare (07/03/25)
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  • Care Coordinator

    Magellan Health Services (Albuquerque, NM)
    Manager - Care Mgmt, LCSW - Licensed Clinical Social Worker - Care Mgmt, RN - Registered Nurse , State and/or Compact State Licensure - Care Mgmt Salary ... clinical path variance data that indicates potential areas for improvement of case and services provided. + Works with members and the interdisciplinary care… more
    Magellan Health Services (06/26/25)
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