• Clinical Reimbursement

    Genesis Healthcare (Santa Fe, NM)
    …some travel to the centers in NM. Within a defined geographic area, the Clinical Reimbursement Lead models the MDS process and capability standards providing ... and nursing center teams to position the Market for Clinical Reimbursement performance achievement. *Leverage knowledge and...approved school of nursing with a license as a Registered Nurse or equivalent professional license (ie… more
    Genesis Healthcare (09/24/25)
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  • Registered Nurse - Home Health

    Jet Health (Santa Fe, NM)
    …utilizing a state-of-the-art touch pad tablet. Job Qualifications: + Current State or Compact Registered Nurse ( RN ) License. + A minimum of one year ... Registered Nurse - Home Health Santa Fe,...+ Monitor client conditions and report changes to the Clinical or Client Services Manager . + Follow up… more
    Jet Health (07/23/25)
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  • Bilingual RN Care Manager - Remote,…

    Humana (Santa Fe, NM)
    …timely intervention **Use your skills to make an impact** **Required Qualifications** + Active Registered Nurse ( RN ) license with no disciplinary action. + ... community and help us put health first** The Care Manager , Telephonic Nurse 2 employs a variety...RN with a **minimum of 3 years of clinical nursing experience.** + Demonstrated clinical knowledge… more
    Humana (09/26/25)
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  • Medical Claim Review Nurse ( RN )

    Molina Healthcare (Santa Fe, NM)
    …medical record and claim submitted support correct coding to ensure appropriate reimbursement to providers. **Job Duties** + Performs clinical /medical reviews of ... state/federal regulations **REQUIRED LICENSE, CERTIFICATION, ASSOCIATION:** Active, unrestricted State Registered Nursing ( RN ) license in good standing.… more
    Molina Healthcare (09/06/25)
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  • PRN Crisis Care Triage ( RN )

    Sedgwick (Santa Fe, NM)
    …Fortune Best Workplaces in Financial Services & Insurance PRN Crisis Care Triage ( RN ) **Sedgwick is looking for Triage Nurses for our Crisis Management team. This ... updates to the customer, and assigns a Field Case Manager (FCM) for onsite visits as appropriate. Ensures that...college or university preferred. Licenses as required. Active unrestricted RN license issued in a state or territory of… more
    Sedgwick (10/10/25)
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  • Government Programs Care Manager III (Santa…

    Health Care Service Corporation (Santa Fe, NM)
    …complex and specialty populations **Required Job Qualifications:** + Registered Nurse ( RN ) with 2 years direct clinical care to the consumer in a ... to personal health goals, responding to inquiries from members, and supporting clinical operations with provider and member activities. This position will be… more
    Health Care Service Corporation (10/08/25)
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  • Telephonic Case Manager

    Sedgwick (Santa Fe, NM)
    …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Telephonic Case Manager This person must live in Ohio in order to be considered. **PRIMARY ... environment, who are driven to deliver great work. + Apply your medical/ clinical or rehabilitation knowledge and experience to assist in the management of… more
    Sedgwick (10/03/25)
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  • Field Case Manager -Sign-On Bonus Eligible

    Sedgwick (Santa Fe, NM)
    …manner in order to obtain optimum value for both the client and the reimbursement source **EDUCATION AND LICENSING** RN licensure preferred; or bachelor's degree ... Best Workplaces in Financial Services & Insurance Field Case Manager -Sign-On Bonus Eligible **We are growing all across the...are driven to deliver great work. + Apply your medical/ clinical or rehabilitation knowledge and experience to assist in… more
    Sedgwick (08/27/25)
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  • Nurse Practitioner

    Genesis Healthcare (Santa Fe, NM)
    …must be a graduate from an accredited School of Nursing program, licensed as a registered nurse , certified as a Nurse Practitioner by being a nursing ... Fe, NM. This position can be filled by a nurse practitioner or physician assistant. New grads are welcome...Director of Clinical Practice and/or the Area Clinical Practice Manager . The Advanced Practice Provider… more
    Genesis Healthcare (08/14/25)
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