- Humana (Santa Fe, NM)
- …put health first** Humana Healthy Horizons is seeking a Utilization Management Behavioral Health Professional 2 who utilizes behavioral health ... services and/or benefit administration determinations. The Utilization Management Behavioral Health Professional 2 work assignments are varied and… more
- Magellan Health Services (Albuquerque, NM)
- …If nurse, RN license at a minimum. If other than RN, Masters level licensed behavioral health professional . Good organization, time management and verbal and ... Job Requirements Responsibilities RN or clinical credentials in a behavioral health field. If not an RN,...our business strategy and our work environment. We value professional growth and development, total health and… more
- Humana (Santa Fe, NM)
- …+ Administer new innovative VBP models for range of provider types, such as behavioral health , maternity, specialists, and social determinants of health , ... part of our caring community and help us put health first** The Sr. Value-Based Programs professional ...move providers from volume to value + Analyze financial, utilization , and performance data to identify opportunities to drive… more
- Magellan Health Services (Albuquerque, NM)
- …LCSW, LSW, LPC or RN. Minimum 2 years experience post degree in healthcare, behavioral health , psychiatric and/or substance abuse health care setting. Strong ... other members of the clinical team, authorizes and reviews utilization of mental health and substance abuse...our business strategy and our work environment. We value professional growth and development, total health and… more
- Magellan Health Services (Albuquerque, NM)
- … community resources and providers. Thorough knowledge of healthcare services in physical health , behavioral health or other medical specialty area based ... Preferred Education - Required Associate - Nursing, Master's - Behavioral Health Education - Preferred Bachelor's -...our business strategy and our work environment. We value professional growth and development, total health and… more
- Magellan Health Services (Albuquerque, NM)
- …for non-licensed care coordinators. + Provides care coordination to members with behavioral health conditions identified and assessed as requiring intensive ... thread in both our business strategy and our work environment. We value professional growth and development, total health and wellness, rewards and recognition… more
- Magellan Health Services (Santa Fe, NM)
- …team members as appropriate. + Provides care coordination to members with behavioral health conditions identified and assessed as requiring intensive ... thread in both our business strategy and our work environment. We value professional growth and development, total health and wellness, rewards and recognition… more
- Magellan Health Services (Santa Fe, NM)
- …concepts, methods, and activities for unlicensed teams. Builds successful relationships with behavioral health providers, physical health partners, community ... for those members meeting level II or level III behavioral health needs. Oversee program functions such...our business strategy and our work environment. We value professional growth and development, total health and… more
- CenterWell (Santa Fe, NM)
- …that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more ... part of our caring community and help us put health first** **National** **Director of Transitional Care and High-Risk...will play a pivotal role in reducing acute care utilization for top 5% of complex patients and ensuring… more
- CenterWell (Santa Fe, NM)
- … health and full-risk frameworks, including patient engagement, clinical professional skillsets, utilization management, care management, clinical information ... directly address the complex needs of seniors and improve health outcomes and avoidable utilization (eg, palliative...well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up… more
- CenterWell (Santa Fe, NM)
- …that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more ... critical role in ensuring optimal patient care, high quality health outcomes, and improved cost and utilization ...we allow employees to invest in their personal and professional well-being, all from day one. **Equal Opportunity Employer**… more
- Marriott (Santa Fe, NM)
- …alternatives and solutions, solves problems, and chooses a course of action. + ** Professional Demeanor** - Exhibits behavioral styles that convey confidence and ... to other organizational units' policies and procedures, and efficient control and utilization of resources. **Leading Team** + Creates a team environment that… more
- Marriott (Santa Fe, NM)
- …alternatives and solutions, solves problems, and chooses a course of action. + ** Professional Demeanor** - Exhibits behavioral styles that convey confidence and ... expert for both senior leadership and project teams in effective utilization of existing technology in business technical applications, either enterprise-wise or… more