- Health Advocates Network (Santa Fe, NM)
- …Stipend: Lodging $672 M&I 413=$1,085. Total comp $1769.00.00- blended rate: $49.14 The Registered Nurse ( RN ) plans and provides comprehensive nursing care ... in the care, treatment and referrals of inmates/residents. Performs all technical/ clinical procedures within the scope of his/her education and licensure. *Apply… more
- Molina Healthcare (Santa Fe, NM)
- …and/or coding experience, or equivalent combination of relevant education and experience. + Registered Nurse ( RN ). License must be active and unrestricted ... will be supporting our Appeals and Grievances department. We are seeking a Registered Nurse with previous Appeals experience. The candidate must have strong… more
- Molina Healthcare (Santa Fe, NM)
- For this position we are seeking a ( RN ) Registered Nurse who must hold a compact license. This is a Remote position, home office with internet connectivity ... authorization, managed care, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted… more
- Molina Healthcare (Santa Fe, NM)
- …authorization, managed care, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically… more
- Molina Healthcare (Santa Fe, NM)
- …authorization, managed care, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... JOB DESCRIPTION Job SummaryProvides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary… more
- CVS Health (Santa Fe, NM)
- …Active and good standing Arizona clinical and/or counseling license, specifically RN ( Registered Nurse ), LPC (Licensed Professional Counselor), LAC ... and communicate all aspects of the utilization/benefit management program. + Conduct clinical reviews for adult inpatient behavioral health cases, applying… more
- Datavant (Santa Fe, NM)
- …+ 3+ years of clinical experience in an academic medical center + Registered Nurse license, Bachelor's degree in Nursing + CCDS or CDIP certification ... realize our bold vision for healthcare. **What We're Looking For:** As a Clinical Documentation Quality Improvement (CDQI) Specialist, you will play a pivotal role… more
- Datavant (Santa Fe, NM)
- …clinical knowledge and expertise successfully. Ideal candidate should be a Licensed Practical Nurse or Registered Nurse well versed in DRG downgrade ... denials and appeal writing for inpatient admission. Experience with clinical criteria resources...by management Ideal candidate should be a Licensed Practical Nurse or Registered Nurse well… more
- Molina Healthcare (Santa Fe, NM)
- …Professional Counselor (LPC), Licensed Marriage and Family Therapist (LMFT) or Registered Nurse ( RN ) license. * Clinical practice experience with a ... At least 3 years of health care management/leadership experience. * Licensed Clinical Social Worker (LCSW), Advanced Practice Social Worker (APSW), Certified Health… more