- Magellan Health Services (Albuquerque, NM)
- …credentialing criteria for RN, Masters or Doctoral level provider. General Job Information Title Manager , Clinical Care Services Grade 27 Work Experience ... management in the identification and coordination of the necessary clinical and client service training needs. +...Responsibilities 5 years post degree experience in a direct care clinical setting; managed care … more
- Fresenius Medical Center (Albuquerque, NM)
- **About this role:** As a Clinical Manager with Fresenius Medical Care , you will ensure that quality patient care is delivered while maintaining ... will cover onboarding, essential functions, leading your business, and advanced leadership. As a Clinical Manager , you may advance your career into an Area Team… more
- CVS Health (Santa Fe, NM)
- …Disease Management and Utilization Management. AHH delivers flexible medical management services that support cost-effective quality care for members. - ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
- Oracle (Santa Fe, NM)
- …innovators worldwide. **The Role** We are seeking a **Senior Principal Product Manager ** who deeply understands the **regulatory, clinical , and financial ... , and business stakeholders to develop product strategies and services that: + Support complex **regulatory compliance** and reporting...compliance** and reporting workflows at scale. + Map to ** clinical operations** , care delivery, and payer… more
- Oracle (Santa Fe, NM)
- …across our next-generation EHR and AI-enabled medical device platforms. As a Clinical Product Manager (Medical Device Focus), you'll provide clinical ... **Job Description** Oracle Health is standing up a specialized clinical product management team focused on medical device-aligned products. This team bridges … more
- CenterWell (Santa Fe, NM)
- …caring community and help us put health first** The Senior Product Owner - Clinical Referral and Specialty Care is responsible for conveying product vision and ... and prioritizing product backlog. The Senior Product Owner - Clinical Referral and Specialty Care work assignments..., one of the largest providers of home health services , and fourth largest pharmacy benefit manager ,… more
- Health Care Service Corporation (Albuquerque, NM)
- …and specialty populations **Required Job Qualifications:** + Registered Nurse (RN) with 2 years direct clinical care to the consumer in a clinical setting or ... of hire. + Plus 3 years' wellness or managed care experience presenting clinical issues with members/physicians....our Employee Referral process!** **Pay Transparency Statement:** At Health Care Service Corporation, you will be part… more
- Health Care Service Corporation (Albuquerque, NM)
- …and activities including educational and quality campaigns, assistance in scheduling care manager and member appointments, responding to member inquiries, ... data entry and research, supporting member non- clinical needs. This position may be responsible to manage...our Employee Referral process!** **Pay Transparency Statement:** At Health Care Service Corporation, you will be part… more
- Health Care Service Corporation (Albuquerque, NM)
- …at HCSC about our Employee Referral process!** **Pay Transparency Statement:** At Health Care Service Corporation, you will be part of an organization committed ... telephonic and/or field-based health screenings that do not require clinical judgement and care planning duties which...Cross and Blue Shield of Texas, Divisions of Health Care Service Corporation, a Mutual Legal Reserve… more
- 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 ... start time is 10:00AM EST.** Our nurses are titled Care Managers, because our case management services ...business there is limited day to day flexibility in care manager 's schedule. **Duties:** + Telephonically assess… more
- Molina Healthcare (Rio Rancho, NM)
- …and procedures, and medically appropriate clinical guidelines. Assesses appropriateness of services , length of stay and level of care provided to members. ... **JOB DESCRIPTION** **Job Summary** The Clinical Appeals Nurse (RN) provides support for internal...service provided, length of stay and level of care . * Applies appropriate criteria on PAR and Non-PAR… 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 ... or Care Management with CareFirst members. The Care Manager partners with members, caregivers, providers,...+ Actively participate in team huddles and contribute to clinical learning. + Remain current on clinical … more
- Veterans Affairs, Veterans Health Administration (Albuquerque, NM)
- Summary The New Mexico VA Health Care System (NMVAHCS), Ambulatory Care Service , is seeking a qualified full-time Nurse Manager (Ambulatory Care - ... of clinical nursing experience and 1 year of ambulatory care experience preferred Pay: Competitive salary, annual performance bonus, regular salary increases… more
- Oracle (Santa Fe, NM)
- **Job Description** **Oracle Health Government Services ** **Lead Clinical Consultant** **Location: United States** **No visa sponsorship is available for this ... pivotal role in transforming healthcare systems? As a **Lead Clinical Consultant** , you will play a crucial part...& Issue Identification** : Collaborate closely with the Project Manager to proactively spot, document, and mitigate any risks… more
- Children's Home Healthcare (Albuquerque, NM)
- …A VALID RN LICENSE* Children's Home Healthcare is now hiring for a RN Clinical Supervisor/Case Manager ! Children's HH is the premier leader in Pediatric Home ... Review meetings as designated by the Director of Professional Services . 8. Assess patient clinical status in...Nurse + At least 1 year experience as a Clinical Supervisor in Home Health Care preferred… more
- CVS Health (Santa Fe, NM)
- …The Clinical Operations Advisor works with the Benefit Relationship Manager and client to facilitate gathering formulary and utilization management requirements ... with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we...with heart, each and every day. **Position Summary** The Clinical Operations Advisor is a client facing role that… more
- CenterWell (Santa Fe, NM)
- …senior-focused primary care , one of the largest providers of home health services , and fourth largest pharmacy benefit manager , CenterWell is focused on ... of our caring community and help us put health first** The Clinical Pharmacy Technician assists the interdisciplinary CIT team with medication-related concerns to… more
- Oracle (Santa Fe, NM)
- **Job Description** Overview: The Site Project Manager is responsible for local site-specific Post Go-Live Electronic Health Record (EHR) Transition Readiness ... through internal Site Readiness scrums Recommended Qualifications for Site Project Manager Education & Experience * Bachelor's degree in healthcare administration,… more
- Molina Healthcare (Rio Rancho, NM)
- …goals into functional requirements. * Conducts quality audits to assess healthcare services staff educational needs and service quality, and implements quality ... related business documents. Required Qualifications * At least 5 years of health care experience, including experience in clinical operations, and at least 3… more
- Gentiva (Albuquerque, NM)
- **Overview** The **Afterhours Care Manager RN** is responsible for identifying and coordinating patient/family needs after hours (or during alternative ... visits, and/or any visit or duty assigned in accordance with the patient's plan of care . + Assumes after hours coverage for the designated teams and functions as an… more