• Clinical Reimbursement Coordinator, RN

    Genesis Healthcare (Albuquerque, NM)
    …of the MDS assessments including case-mix, OBRA and OSRA required assessments. *Perform concurrent MDS review to insure appropriate RUGs category is achieved ... Overview **Ladera Care Center seeks a part time MDS Nurse !** **Prior MDS experience and ability to work week...through the capture of appropriate clinical information and in this process identify opportunities to… more
    Genesis Healthcare (12/09/25)
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  • Care Review Clinician (RN) - Inpatient…

    Molina Healthcare (Rio Rancho, NM)
    …with Outlook, Excel, Teams, and One Note. Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that ... in both NM and TX. Reviews will include, but are not limited to, initial and concurrent stays. Solid experience with Microsoft Office Suite is necessary, especially… more
    Molina Healthcare (01/16/26)
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  • Senior Solution Architect, Nursing - Build,…

    Oracle (Santa Fe, NM)
    …(ECD) alignments, Critical Care workflow implementation, Multi-Disciplinary Rounding, and various nurse chart review and documentation optimizations. The ideal ... of analysts providing support for operationally required changes and enhancements to clinical applications, and aa group of analysts leading projects that will… more
    Oracle (11/25/25)
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  • Medical Director (Medicare)

    Molina Healthcare (Roswell, NM)
    …requests in timely support of nurse reviewers, reviews cases requiring concurrent review and manages the denial process. * Monitors appropriate care ... for national committee for quality assurance (NCQA) and utilization review accreditation commission (URAC) certifications. * Provides leadership and consultation… more
    Molina Healthcare (01/07/26)
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