- Public Consulting Group (Santa Fe, NM)
- …www.publicconsultinggroup.com . PCG is currently seeking a qualified Registered Nurse to perform as a Case Manager . The Case Manager will be responsible ... publicly administered Medical Fund on behalf of a state agency. The Case Manager will be charged with helping program recipients, family members, and caretakers… more
- Mitsubishi Chemical Group (Santa Fe, NM)
- **Compliance Case Manager (2082)** + Title:Compliance Case Manager + Group Company: Mitsubishi Chemical America + Location:Remote Group Company: + ... are today. Job Purpose Mitsubishi Chemical Group is seeking a **Compliance Case Manager ** to join a team committed to excellence, continuous improvement, and… more
- Cardinal Health (Santa Fe, NM)
- …get life-changing therapies to patients who need them-faster.** **_Responsibilities_** The Senior Case Manager supports patient access to therapy through patient ... effective solutions. + Provide guidance and training to junior case managers on best practices in case ...junior case managers on best practices in case management, patient interaction, and navigating internal and external… more
- Otsuka America Pharmaceutical Inc. (Santa Fe, NM)
- **Job Description** The Patient Nurse Case Manager (PNCM) is a dynamic, field-based role that serves as a crucial educator for patients. This position helps to ... field + Background in advocacy, counseling, nursing, or social work + Case management experience in the specific therapy area + Bilingual skills, particularly… more
- Cardinal Health (Santa Fe, NM)
- …get life-changing therapies to patients who need them-faster.** **_Responsibilities_** The Case Manager supports patient access to therapy through Reimbursement ... Support Services in accordance with the program business rules and HIPAA regulations. This position is responsible for guiding the patient through the various process steps of their patient journey to therapy. These steps include patient referral intake,… more
- Public Consulting Group (Santa Fe, NM)
- …that is safe, timely, effective, efficient, equitable, and client-centered + Handles case assignments, draft service plans, review case progress and determine ... to conduct periodic in person assessments + Facilitates multiple care aspects ( case coordination, information sharing, etc.) + Helps patients make informed decisions… more
- Highmark Health (Santa Fe, NM)
- …the appropriate clinical interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are enrolled in case ... management. The incumbent conducts outreach to members enrolled in case management including but is not limited to: developing a care plan, encouraging behavior… more
- Cardinal Health (Santa Fe, NM)
- …+ Manage the entire care process with a sense of urgency from benefit investigation/verification to medication delivery, ensuring an exceptional patient experience + ... Conduct benefit verifications and collaborate with various healthcare providers, including physicians, specialty pharmacies, and insurance companies, to ensure seamless coordination of patient care and timely access to necessary services + Assist in obtaining… more
- Cardinal Health (Santa Fe, NM)
- …+ Must demonstrate a superior willingness to help external and internal customers + First point of contact on inbound calls, and determines needs, and handles ... Cardinal Health Sonexus (TM) Access and Patient Support helps specialty pharmaceutical manufacturers remove barriers to care so that patients can access, afford and remain on the therapy they need for a better quality of life. Our diverse expertise in pharma,… more
- Travelers Insurance Company (Santa Fe, NM)
- …with insured based on application of policy information to facts or allegations of each case . + Work with Manager on use of Claim Coverage Counsel as needed. ... as strategically appropriate. + Complete outside investigation as needed per case specifics. + Actively engage in the identification, selection and direction… more
- Molina Healthcare (Santa Fe, NM)
- …level of the assigned members, particular state-specific regulations, or whether the Case Manager position is located within Molina's Central Programs unit. ... Licensed Clinical Social Worker (LCSW), Advanced Practice Social Worker (APSW), Certified Case Manager (CCM), Certified in Health Education and Promotion (CHEP),… more
- Molina Healthcare (Santa Fe, NM)
- …behavioral health settings. Preferred License, Certification, Association Active, unrestricted Certified Case Manager (CCM) To all current Molina employees: If ... We are looking for Candidates with a MA RN licensure. Candidates with case management and Home-based experience are highly preferred. Bilingual candidates that speak… more
- Otsuka America Pharmaceutical Inc. (Santa Fe, NM)
- …lifestyle management counseling. **Key Responsibilities** + Manage and oversee nurse case manager teams, incorporating continuing education credit opportunities ... lead our Nephrology Patient Support program. This role will oversee nurse case managers, ensuring high-quality patient care and operational excellence in our support… more
- Jet Health (Santa Fe, NM)
- …promptly. If unable to perform a certain task, report to the Registered Nurse Case Manager immediately + Meeting safety needs of patient and using equipment ... + Reporting on patient's condition and significant changes to the Registered Nurse Case Manager . Also aware of the caregiver or other individuals living with the… more
- Molina Healthcare (Santa Fe, NM)
- …unrestricted Certified Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager + Certified Professional Healthcare Management + Certified ... Professional in Healthcare Quality + other healthcare certification To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and… more
- Fresenius Medical Center (Santa Fe, NM)
- …another staff member present + Position functions as an onsite Patient Educator and Case Manager for patients with various shifts and work hours **EOE, ... This position is accountable and responsible for the provision and coordination of clinically competent care including assessment, planning, intervention and evaluation for an assigned group of patients. Assesses and manages patients' response to home dialysis… more
- LifePoint Health (Los Alamos, NM)
- …appropriate medical diagnostic and treatment skills. Coordinates discharge planning with Case Manager for admitted patients. Documents patient care performed, ... assessments made, and orders given. Recommends, participates in, and actively works to ensure the success of efforts to improve cost effectiveness of care provided to patients throughout the organization. Accepts patient referrals from other physicians. Acts… more
- Lumen (Santa Fe, NM)
- …Provide reporting to management on all aspects of physical security. Coordinate on case progression with Senior Manager of Physical Security while demonstrating ... position or your current role. Background results will be evaluated on a case -by- case basis. Pursuant to the San Francisco Fair Chance Ordinance, we will… more
- CompuCom (Santa Fe, NM)
- …operating goals + Prepares reports and records on department activities for use during case management or for team/program manager as requested + Call scrubbing ... following and offering suggestions to better improve procedures and policies, case management, case dispatch, entry level technical case review and triage,… more
- Datavant (Santa Fe, NM)
- …on which great engineering organizations are built. Success as an engineering manager at Datavant looks like predictably delivering great software with strong ... support their teams need to be successful. As the manager for the SmartRequest team you will be a...reviewed by Datavant Human Resources and determined on a case -by- case basis. Depending on the state in… more