- Evolent (Santa Fe, NM)
- …Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** The ** Coordinator , Intake Utilization Management ** at Evolent will serve as a ... regulatory requirements, and client contractual agreements. **Collaboration Opportunities** : The Coordinator , Intake Utilization Management reports directly… more
- Community Health Systems (Las Cruces, NM)
- **Job Summary** The AMR Coordinator Clinics provides AMR education and development that promotes efficient utilization and optimization of the AMR. This role ... performance and to ensure AMR competence and adherence to utilization of best practice workflows and policies. This role...continued education as the AMR application changes. The AMR Coordinator Clinics is also responsible for working with Clinic… more
- Highmark Health (Santa Fe, NM)
- …timeframes and notification requirements are met + Communicate effectively with Utilization Management Staff, providers, other internal and external customers ... and management + Route Cases Based on Established Guidelines + Provide accurate and timely routing of service requests to the nurse reviewer to assure that the… more
- Genesis Healthcare (Albuquerque, NM)
- …the communities we serve. Responsibilities Join our team as our Medical Supply Coordinator where you will manage the medical and nursing supplies inventory by ... developing and placing weekly orders; and monitoring and reporting on supply utilization to nursing and administration. *Partner with nursing center leadership to… more
- Genesis Healthcare (Albuquerque, NM)
- …is required. *Experience with Medicare/Medicaid reimbursement, MDS completion, clinical resource utilization and/or case management is highly desirable. *Must ... Overview **Albuquerque Heights Rehabilitation seeks a full time MDS Coordinator !** At Genesis Healthcare, we are dedicated to improving the lives we touch through… more
- Magellan Health Services (Bernalillo, NM)
- …Healthcare-related field, or relevant experience in lieu of degree., Experience in utilization management , quality assurance, home or facility care, community ... Experience in analyzing trends based on decision support systems. Business management skills to include, but not limited to, cost/benefit analysis, negotiation,… more
- Magellan Health Services (Albuquerque, NM)
- …Magellan Credentialing criteria. 2+ years' post-licensure clinical experience. Experience in utilization management , quality assurance, home or facility care, ... Experience in analyzing trends based on decision support systems. Business management skills to include, but not limited to, cost/benefit analysis, negotiation,… more
- Genesis Healthcare (Albuquerque, NM)
- …is required. *Experience with Medicare/Medicaid reimbursement, MDS completion, clinical resource utilization and/or case management is highly desirable. *Must ... Overview **Albuquerque Heights Rehabilitation seeks a full-time MDS Coordinator !** At Genesis Healthcare, we are dedicated to improving the lives we touch through… more
- Nutanix (Santa Fe, NM)
- …project success and client satisfaction as part of our dynamic Resource Management Office, collaborating with global teams and contributing to continuous improvement ... **About the Team** At Nutanix, you'll be joining the Global Resource Management Office (RMO), a dynamic and collaborative team of eight dedicated professionals… more
- Veterans Affairs, Veterans Health Administration (Albuquerque, NM)
- …knowledge of the internal referral care process, clinical review criteria, utilization management standards, clinical documentation requirements, community care ... seeks a Registered Nurse for the position of Women's Health Outcome Case Coordinator ! Responsibilities The Women's Health Outcome Case Coordinator is responsible… more