- 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
- CVS Health (Santa Fe, NM)
- …. + Perform medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year of experience in a hospital ... position consists of working intensely as a telephonic case manager with patients and their care team...setting. + A Registered Nurse that holds an active, unrestricted… more
- Health Care Service Corporation (Grants, 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 (Rio Rancho, 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
- CVS Health (Santa Fe, NM)
- …performing the job functions. **Required Qualifications** - 5+ years' experience as a Registered Nurse with hospital experience; preferably in the specialty. - A ... with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we... Registered Nurse that holds an unrestricted license… 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