- Humana (Santa Fe, NM)
- **Become a part of our caring community and help us put health first** The Care Manager , Telephonic Nurse 2 employs a variety of strategies, approaches and ... business there is limited day to day flexibility in care manager 's schedule. **Duties:** + Telephonically assess...skills to make an impact** **Required Qualifications** + Active Registered Nurse ( RN ) license with… more
- Molina Healthcare (NM)
- …**Required License, Certification, Association** Nevada licensure must be Active, unrestricted State Registered Nursing ( RN ) license in good standing. **NV is ... REMOTE , Nevada residents preferred. Candidates who do not...assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long… more
- Sharecare (Santa Fe, NM)
- … more accessible and affordable for everyone. To learn more, visit www.Sharecare.com. The Care Manager supports the implementation of the Value Based Care ... telephonic Case or Care Management with CareFirst members. The Care Manager partners with members, caregivers, providers, and the interdisciplinary… more
- Health Care Service Corporation (Gallup, NM)
- …require visits to members' homes and/or facilities. **Required Job Qualifications:** + Registered Nurse ( RN ), unrestricted Licensed Professional Counselor ... your professional development. **Job Summary** This position is responsible for providing care coordination to members via telephonic and/or field-based care … more
- Molina Healthcare (Roswell, NM)
- …and/or coding experience, or equivalent combination of relevant education and experience. + Registered Nurse ( RN ). License must be active and unrestricted ... to overarching strategy to provide quality and cost-effective member care . This position will be supporting our Appeals and...our Appeals and Grievances department. We are seeking a Registered Nurse with previous Appeals experience. The… more
- CenterWell (Santa Fe, NM)
- …**Use your skills to make an impact** **License/Certifications:** + Active and unrestricted Registered Nurse ( RN ) license with authorization to practice in ... individual circumstances and company policy. **This is not a remote or work-from-home position. This position requires you to...insurance and reliable transportation. + Two years as a Registered Nurse ( RN ) with at… more
- Sharecare (Santa Fe, NM)
- …that will positively impact the greater team and aid in their personal development as a Care Manager . + Provide performance management for the team of Care ... of Sharecare with leadership practices. **Qualifications:** + Current licensure as a Registered Nurse is required; Compact state preferred + Bachelor's degree… more
- Healthfirst (NM)
- **This position is 100% Remote **Duties//Responsibilities:** + **The Pediatric Care Manager plans and manages pediatric medical and//or behavioral care ... with members and their beneficiaries across the continuum of care . The Care Manager is...services within their coverage plan empowering self-management.** + **NYS RN or LCSW, LMSW** + **1 year of pediatric… more
- Humana (Santa Fe, NM)
- …help us put health first** We are looking for a dynamic Lead Product Manager to develop clinical solutions for our members and providers, with full accountability ... from strategy to execution. The Lead Product & Strategy Manager - Provider Practice Management role is a critical member of the multidisciplinary clinical… more
- Molina Healthcare (NM)
- …initiating and managing member and/or community interventions (eg, removing barriers to care ) and other federal and state-required quality activities + Monitors and ... within the organization + Supports provision of high-quality clinical care and services by facilitating/building strategic relationships with community-based… more