- Molina Healthcare (Las Cruces, NM)
- …SummaryProvides subject matter expertise and leadership to healthcare services function - providing support for project/ program /process design, execution, ... into functional requirements. * Conducts quality audits to assess healthcare services staff educational needs and service quality, and implements quality… more
- Molina Healthcare (Las Cruces, NM)
- …and quantitative data collection, focus groups, gap analysis, and intervention program development, implementation, and evaluation of initiatives. Will focus on ... priority areas such as the quality Healthcare Effectiveness Data Information Set (HEDIS) measures, and collaborates with community-based organizations on joint… more
- Molina Healthcare (Las Cruces, NM)
- **Molina Healthcare ** is hiring for a ** Manager of Growth & Community Engagement** in southern New Mexico. This position will work alongside leadership and the ... working alongside their team. There may be evening and weekend events that the Manager will be needed at. Prior experience working with the community in some… more
- Molina Healthcare (Las Cruces, NM)
- …Job Summary Provides support for care management/care coordination long-term services and supports specific activities and collaborates with multidisciplinary team ... processes. * Develops and implements care plans, including a waiver service plan in collaboration with members, caregivers, physicians and/or other appropriate… more
- Genesis Healthcare (Las Cruces, NM)
- Overview **Casa De Oro seeks a full time LPN Unit Manager on Weekends!** At Genesis Healthcare , we are dedicated to improving the lives we touch through the ... BLS/CPR certification. Benefits *Variable compensation plans *Tuition, Travel, and Wireless Service Discounts *Employee Assistance Program to support mental… more
- Molina Healthcare (Las Cruces, NM)
- …standards and requirements established by the Centers for Medicare and Medicaid Services (CMS). **Essential Job Duties** * Manages team responsible for the ... appeals and denials. * Previous experience leading projects. * Strong customer service experience. * Strong organizational and time management skills; ability to… more
- Molina Healthcare (Las Cruces, NM)
- …member caseload for regular outreach and management. * Promotes integration of services for members including behavioral health, long-term services and supports ... Strong verbal and written communication skills. * Microsoft Office suite/applicable software program (s) proficiency. * In some states, a bachelor's degree in a… more
- LifePoint Health (Las Cruces, NM)
- …* **Organization:** **Las Cruces Gen Surgery Assoc* **Title:** *Quality Practice Manager (QPM) Las Cruces Physician Services * **Location:** *New Mexico-Las ... *Job Title:*Quality Practice Manager (QPM) *Job Type:*Full-time *Your experience matters* At...programs (free gym memberships, virtual care appointments, mental health services and discount programs). * *Professional Development*: Ongoing learning… more
- Mass Markets (Mesilla, NM)
- …industry-leading organization. . We are looking for a client-focused and relationship-driven Client Services Manager to serve as the primary liaison between our ... POSITION OVERVIEW MCI is one of the fastest-growing tech-enabled business services companies in the USA, with a strong call center footprint and operations that… more
- Mass Markets (Las Cruces, NM)
- POSITION OVERVIEW MCI is one of the fastest-growing tech-enabled business services companies in the USA, with a strong call center footprint and operations that ... We deliver Customer Experience (CX), Business Process Outsourcing (BPO), and Anything-as-a- Service (XaaS) cloud technology solutions across a wide range of… more
- Molina Healthcare (Las Cruces, NM)
- …supported by the plan such as utilization review, medical claims review, long-term services and supports (LTSS), or other specific program experience as needed ... Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM), Certified… more
- Genesis Healthcare (Las Cruces, NM)
- …children at home and in school. With over 38 years of trusted service , our reach spans skilled nursing centers, assisted and independent living facilities, ... New Grads & Clinical Fellows:** Our Powerback Clinical Mentorship Program kicks off on day one, helping you learn...patients and their families receive the highest quality of service in a caring and compassionate atmosphere. If this… more
- Genesis Healthcare (Las Cruces, NM)
- …children at home and in school. With over 38 years of trusted service , our reach spans skilled nursing centers, assisted and independent living facilities, ... + **Support for New Grads:** Our Powerback Clinical Mentorship Program kicks off on day one, helping you learn...new way of delivering recovery, rehabilitation, respiratory, and wellness services to patients across the nation. We deliver an… more
- Mass Markets (Mesilla, NM)
- POSITION OVERVIEW MCI is one of the fastest-growing tech-enabled business services companies in the USA, with a strong call center footprint and operations that ... We deliver Customer Experience (CX), Business Process Outsourcing (BPO), and Anything-as-a- Service (XaaS) cloud technology solutions across a wide range of… more
- Mass Markets (Las Cruces, NM)
- POSITION OVERVIEW MCI is one of the fastest-growing tech-enabled business services companies in the USA, with a strong call center footprint and operations that ... We deliver Customer Experience (CX), Business Process Outsourcing (BPO), and Anything-as-a- Service (XaaS) cloud technology solutions across a wide range of… more
- Molina Healthcare (Las Cruces, NM)
- …Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM) or Certified ... National Committee for Quality Assurance (NCQA), Centers for Medicare and Medicaid Services (CMS), state Medicaid entity requirements and all other standards and… more
- Molina Healthcare (Las Cruces, NM)
- …oversight and expertise related to behavioral health and chemical dependency services , and assists with implementation of integrated behavioral health care programs ... management and care management behavioral health programs and chemical dependency services - working closely with regional medical directors to standardize… more
- Molina Healthcare (Las Cruces, NM)
- …oversight support. * Works with participating ancillary providers, public agencies or other service providers to make sure necessary services and equipment are ... all other settings. Strives to ensure that best possible services are available to members at time of hospital...Job Duties * Follows member throughout a 30 day program that starts at hospital admission and continues oversight… more
- Mass Markets (Mesilla, NM)
- POSITION OVERVIEW MCI is one of the fastest-growing tech-enabled business services companies in the USA, with a strong call center footprint and operations that ... We deliver Customer Experience (CX), Business Process Outsourcing (BPO), and Anything-as-a- Service (XaaS) cloud technology solutions across a wide range of… more
- Molina Healthcare (Las Cruces, NM)
- …QUALIFICATIONS:** + At least 6 years of experience as a Business Analyst or Program Manager in a Managed Care Organization (MCO) or health plan setting, ... and executes tasks and projects to ensure Centers for Medicare & Medicaid Services (CMS) and State regulatory requirements are met for Pre-pay Edits, Overpayment… more