- Healthfirst (NM)
- **Duties/Responsibilities:** + Oversees utilization management functions which include timely authorizations related to pre-certification, concurrent review, ... and reviews medical charts to obtain additional information required for appropriate utilization management and to solve complex clinical problems + Allocate,… more
- Motion Recruitment Partners (Santa Fe, NM)
- Sr. Mission Manager **Remote Only** Contract to Hire $70/hr - $100/hr **TG Federal is actively seeking a Sr. Mission Manager to join our remote team of ... Cybersecurity professionals.** **Summary:** The Sr. Mission Manager is a hybrid leadership role that combines the...operations team. + Track, manage, and report on labor utilization , forecasting, and burn rates to ensure alignment with… more
- LifePoint Health (Las Cruces, NM)
- …possess familiarity with case management issues, discharge planning and utilization management . * *Licensure/Certification:* NM Social Work license or ... /Social Services* **Organization:** **Memorial Medical Center* **Title:** *Soc Work-Case Manager Patient Management * **Location:** *New Mexico-Las Cruces*… more
- Horizon Services, Inc. (Albuquerque, NM)
- …organizational trainings or other communications needed to ensure ongoing contract compliance. Utilization Management + Monitor, and manage collection of ... 12 months of employment) JOB TITLE: Compliance and Outcomes Manager LOCATION: Gateway Medical Sobering- Albuquerque, New Mexico Who...utilization management (UM) data for assigned program(s). Report UM data… more
- Cushman & Wakefield (Santa Fe, NM)
- **Job Title** Spatial Data Manager **Job Description Summary** The role of the Spatial Data Manager (SDM) will be responsible for day-to-day functionality of the ... client's Space Management tool including data integrity of CAD floor plans,...CAFM administration, space and occupancy data analytics and space utilization measurement. * Ensure compliance of client space data… more
- SHI (Santa Fe, NM)
- …- in our offices or yours.** **Job Summary** The Global Sales Account Manager is responsible for driving customer retention and growth by identifying client pain ... liaison between customers, sales, and internal departments. Additionally, the Account Manager is tasked with providing exceptional customer service, managing CRM… more
- CVS Health (Santa Fe, NM)
- …Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers flexible medical management ... residence.** American Health Holding, Inc (AHH) is a medical management company that is a division within Aetna/CVS Health....position consists of working intensely as a telephonic case manager with patients and their care team for fully… more
- CVS Health (Santa Fe, NM)
- …Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers flexible medical management ... residence.** American Health Holding, Inc (AHH) is a medical management company that is a division within Aetna/CVS Health....position consists of working intensely as a telephonic case manager with patients and their care team for fully… more
- Burns & McDonnell (Albuquerque, NM)
- …, Program Manager as well as internal and external executive management as required. + Collaborate with engineering team to establish the development and ... **Description** The Construction Project Manager supports the Engineer Procure Construct (EPC) Project Manager or Program Manager to oversee day-to-day… more
- Cornerstone onDemand (Albuquerque, NM)
- The Cornerstone Account Manager is responsible for fostering the overall relationship between Cornerstone and a book of our clients. By maintaining a strong ... relationship with our clients, the Account Manager ensures high levels of client satisfaction and leverages...this position include excellent discovery, sales, communication, and account management skills. **In this role you will ** +… more
- Horizon Services, Inc. (Albuquerque, NM)
- …months, and $500 after 12 months of employment) JOB TITLE: Program Nurse Manager LOCATION: Gateway Medical Sobering Center, New Mexico Who are we? Horizon Services, ... of Integrity, Respect, Diversity, and Quality to provide residential treatment, withdrawal management , and sobering programs to support the well-being of women, men,… more
- Prime Therapeutics (Santa Fe, NM)
- …and timely fashion. + Demonstrates the value of pharmacy solutions (unit cost, utilization management & patient care enhancement). + Identifies opportunities for ... and drives every decision we make. **Job Posting Title** Clinical Account Manager - Georgia PDL - Remote **Job Description** Innovative business clinician… more
- Community Hospital Corporation (Los Lunas, NM)
- The Materials Management Director for Valencia County Hospital will report directly to the facility CFO and have dotted line reporting to the CHC Supply Chain ... Director. This role is responsible for the strategic leadership and operational management of all supply chain activities within the facility. About Valencia County… more
- Community Health Systems (Las Cruces, NM)
- **Job Summary** The Care Manager - RN is responsible for coordinating and overseeing discharge planning, transitions of care, and case management activities to ... to assess the appropriateness of admission, continued hospital stay, and utilization of diagnostic services. + Collaborates with interdisciplinary teams (IDT) to… more
- Nelnet (Santa Fe, NM)
- …of client support, specialized process management , and expertise in driving product utilization and business retention. The Senior Account Manager acts as a ... of Nelnet, Inc., provides payment technology, education services, and learning management solutions to education and faith-based organizations, serving more than… more
- NANA Regional Corporation (Albuquerque, NM)
- We are seeking a highly skilled Program Manager to lead a mission-critical IT security program supporting a Federal Government environment. The ideal candidate will ... have a strong background in IT program management , strategic planning, and resource management , with the ability to drive performance, ensure compliance, and… more
- Summit Electric Supply (Albuquerque, NM)
- …attributable to distressed, obsolete and slow-moving inventory, the Inventory Control Manager will aggressively drive the reduction and prevention of excess and ... throughout the organization while seeking to continuously improve Summit's inventory management and control strategies across the organization. This position will… more
- Highmark Health (Santa Fe, NM)
- …and leadership from more senior Delivery Owners. The incumbent provides project management leadership and facilitates the delivery of system changes from approval ... through to release to production. The leadership provided includes all project management outputs as well as extensive communication with business stakeholders both… more
- Veterans Affairs, Veterans Health Administration (Albuquerque, NM)
- …knowledge of Fee federal regulations, VHA guidelines, medical review criteria, care management and utilization management processes, inter-facility transfer ... Announcement and will open for 30 days! Responsibilities The Community Care Case Manager is a Registered Nurse, qualified by education and experience. The Case … more
- LifePoint Health (Las Cruces, NM)
- …visits, colonoscopies, cervical cancer screenings, and mammograms. The Quality Practice Manager (QPM) will collaborate with employed practices to achieve local ... and/or risk-based environment. This position collaborates with Credentialing, Care Management , technology platform, and payer representatives as appropriate. *_Responsibilities:_*… more