• Medical Review Nurse

    Molina Healthcare (Albuquerque, NM)
    … and/or coding experience, or equivalent combination of relevant education and experience. + Registered Nurse ( RN ). License must be active and unrestricted ... **Job Description** **Job Summary** Provides support for medical claim and internal appeals review ...support for medical claim and internal appeals review activities - ensuring alignment with applicable state and… more
    Molina Healthcare (12/26/25)
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  • Registered Nurse ( RN

    Ansible Government Solutions (Albuquerque, NM)
    Overview Ansible Government Solutions, LLC (Ansible) is seeking a Registered Nurse ( RN ) with required experience in Occupational and/or Travel Health ... 1515 Eubank Blvd SE, Albuquerque, NM 87123. The selected RN shall execute prompt, efficient, and confidential patient care...education classes offered internally + Assist with immunizations and medical review off Sandia employees who will… more
    Ansible Government Solutions (12/02/25)
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  • Registered Nurse ( RN )

    Health Advocates Network (Albuquerque, NM)
    …Candidate must live 70+ miles from facility to qualify for this opening** The Registered Nurse ( RN ) plans and provides comprehensive nursing care including, ... medical records. *Assist Health Service Administrator with the review of medical files to determine all provided services are documented. *Closely monitor… more
    Health Advocates Network (11/28/25)
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  • Acute Registered Nurse - RN

    Fresenius Medical Center (Albuquerque, NM)
    **PURPOSE AND SCOPE:** The Inpatient RN provides direct patient care in accordance to company policies and procedures which includes FMCNA compliance programs and ... dialysis, continuous renal replacement therapies, apheresis, and ultrafiltration. The Inpatient RN will partner with the hospital to provide quality care to… more
    Fresenius Medical Center (12/16/25)
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  • Dialysis Clinical Manager Registered

    Fresenius Medical Center (Albuquerque, NM)
    **About this role:** As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical operations. ... a tremendous asset that sets us apart. At Fresenius Medical Care, you will truly make a difference in...+ Accountable for completion of the Annual Standing Order Review and Internal Classification of Disease (ICD) coding. +… more
    Fresenius Medical Center (12/16/25)
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  • Care Review Clinician ( RN )

    Molina Healthcare (Albuquerque, 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 ... a RN with experience with appeals, claims review , and medical coding. JOB DESCRIPTION Job...or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must… more
    Molina Healthcare (11/23/25)
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  • Care Review Clinician ( RN )

    Molina Healthcare (Albuquerque, 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 (12/13/25)
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  • Clinical Supervisor RN

    Children's Home Healthcare (Albuquerque, NM)
    * RN LICENSE REQUIRED, DO NOT APPLY IF YOU DO NOT HAVE A...+ Current CPR + At least 2 years experience as a Registered Nurse + At least 1 year experience as ... VALID RN LICENSE* Children's Home Healthcare is now hiring for...Health services from insurance company. 7. Attend quarterly Utilization Review meetings as designated by the Director of Professional… more
    Children's Home Healthcare (12/03/25)
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  • RN Case Manager - Clinical Supervisor…

    Aveanna Healthcare (Albuquerque, NM)
    RN Case Manager - Clinical Supervisor -Hybrid ApplyRefer a FriendBack Job Details Requisition #: 209573 Location: Albuquerque, NM 87109 Category: Nursing Salary: ... $85,000.00 - $90,000.00 per year Position Details RN Case Manager - Clinical Supervisor Aveanna Healthcare is...scheduling. This is a fantastic opportunity for a talented nurse looking to expand their footprint in the healthcare… more
    Aveanna Healthcare (12/17/25)
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  • Care Review Clinician - NM resident…

    Molina Healthcare (Albuquerque, NM)
    …**JOB QUALIFICATIONS** **Required Education** Any of the following: Completion of an accredited Registered Nurse ( RN ), Licensed Vocational Nurse (LVN) ... clinic experience. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ), Licensed Vocational Nurse (LVN)… more
    Molina Healthcare (12/27/25)
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