- Humana (Santa Fe, NM)
- **Become a part of our caring community and help us put health first** The Care Manager , Telephonic Nurse 2 employs a variety of strategies, approaches and ... business there is limited day to day flexibility in care manager 's schedule. **Duties:** + Telephonically assess...skills to make an impact** **Required Qualifications** + Active Registered Nurse ( RN ) license with… more
- Sharecare (Santa Fe, NM)
- … more accessible and affordable for everyone. To learn more, visit www.Sharecare.com. The Care Manager supports the implementation of the Value Based Care ... telephonic Case or Care Management with CareFirst members. The Care Manager partners with members, caregivers, providers, and the interdisciplinary… more
- Health Care Service Corporation (Gallup, NM)
- …require visits to members' homes and/or facilities. **Required Job Qualifications:** + Registered Nurse ( RN ), unrestricted Licensed Professional Counselor ... your professional development. **Job Summary** This position is responsible for providing care coordination to members via telephonic and/or field-based care … more
- Molina Healthcare (Albuquerque, NM)
- …health, pharmacy, etc.), or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... **JOB DESCRIPTION** **Job Summary** The Clinical Appeals Nurse ( RN ) provides support for internal...appropriateness of services, length of stay and level of care provided to members. Contributes to overarching strategy to… more
- Genesis Healthcare (Albuquerque, NM)
- …a graduate of an approved school of nursing with a license as a Registered Nurse or equivalent professional license (ie Physical Therapist) *Must have Medicare ... the lives we touch through the delivery of high-quality care and exceptional service. As a leading provider in...in the communities we serve. Responsibilities This position is remote with some travel to the centers in NM.… more
- Molina Healthcare (Rio Rancho, NM)
- …transitions, behavioral health, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ), Licensed Vocational Nurse (LVN), ... Contributes to overarching strategy to provide quality and cost-effective member care . Essential Job Duties* Collaboratively plans and executes internal healthcare… more
- Sharecare (Santa Fe, NM)
- …that will positively impact the greater team and aid in their personal development as a Care Manager . + Provide performance management for the team of Care ... of Sharecare with leadership practices. **Qualifications:** + Current licensure as a Registered Nurse is required; Compact state preferred + Bachelor's degree… more
- CenterWell (Santa Fe, NM)
- **Become a part of our caring community and help us put health first** Conviva Care Solutions is seeking a RN who will collaborate with other health care ... your skills to make an impact** **Required Qualifications** + Active unrestricted Compact RN license. + A minimum of three years clinical experience. + Prior… more
- Highmark Health (Santa Fe, NM)
- …established industry, corporate, state, and federal law standards and are within the care manager 's professional discipline. + For assigned case load, create ... in case management including but is not limited to: developing a care plan, encouraging behavior changes, identifying and addressing barriers, helping members to… more
- Healthfirst (NM)
- **This position is 100% Remote **Duties/Responsibilities:** + The Pediatric Care Manager plans and manages pediatric medical and/or behavioral care with ... members and their beneficiaries across the continuum of care . The Care Manager is...services within their coverage plan empowering self-management. + **NYS RN or LCSW, LMSW** + **1 year of pediatric… more