- Highmark Health (Santa Fe, NM)
- …consistent with established industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable ... + Experience in a clinical setting **Preferred** + Experience in UM/CM/QA/Managed Care **LICENSES AND CERTIFICATIONS** **Required** + Current RN state licensure… more
- Sharecare (Santa Fe, NM)
- …**Monday June 16th, 2025** **Salary:** **$85,000 annually, plus comprehensive benefits package** The Care Manager supports the implementation of the Value Based ... telephonic Case or Care Management with CareFirst members. The Care Manager partners with members, caregivers, providers, and the interdisciplinary… more
- Sharecare (Santa Fe, NM)
- …support in an appropriate, efficient and cost-effective manner while ensuring high quality care . The Clinical Registered Nurse coordinates with the Primary ... the lens of their personal health and making high-quality care more accessible and affordable for everyone. To learn...management program intervention guidelines. A Clinical Registered Nurse is supervised by an Operations Manager … more
- Public Consulting Group (Santa Fe, NM)
- …learn more, visit www.publicconsultinggroup.com . PCG is currently seeking a qualified Registered Nurse to perform as a Case Manager . The Case Manager ... Proven working experience in case management, including as a nurse , medical, mental health care manager...plans. + Current license, certification or registration as a Registered Nurse or Social Worker **Working Conditions**… more
- Public Consulting Group (Santa Fe, NM)
- …independently and on a team. + Proven working experience in case management, including as a nurse , medical, mental health care manager or a related job + ... of case management plans. + Current license, certification or registration as a Registered Nurse or Social Worker **Working Conditions** + Office Setting **The… more
- Molina Healthcare (NM)
- …care providers. **JOB QUALIFICATIONS** **Required Education** Active, unrestricted RN License. **Required Experience** 5+ years' experience in managed healthcare, ... accreditation surveys and federal/state QI compliance activities. **KNOWLEDGE/SKILLS/ABILITIES** The Manager , Health Plan Quality Interventions is responsible for developing,… more
- Highmark Health (Santa Fe, NM)
- …in case management including but is not limited to: developing a care plan, encouraging behavior changes, identifying and addressing barriers, helping members to ... coordinate care , and identifying various resources to assist members in...in addressing targeted populations **LICENSES AND CERTIFICATIONS** **Required** + RN license in PA or WV or DE or… more
- Highmark Health (Santa Fe, NM)
- …established industry, corporate, state, and federal law standards and are within the care manager 's professional discipline. + For assigned case load, create ... in case management including but is not limited to: developing a care plan, encouraging behavior changes, identifying and addressing barriers, helping members to… more
- Genesis Healthcare (Albuquerque, NM)
- …a graduate of an approved school of nursing with a license as a Registered Nurse or equivalent professional license (ie Physical Therapist) *Must have Medicare ... the lives we touch through the delivery of high-quality care and exceptional service. As a leading provider in...in the communities we serve. Responsibilities This position is remote with some travel to the centers in NM.… more
- Sedgwick (Albuquerque, NM)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance RN Field Case Manager **We are only considering full time employees at this ... time.** **Looking for** **experienced** **Workers Comp RN Field Case Manager Nurses across multiple...the next round, a recruiter will be in touch. \# nurse #fieldcasemanager # RN #workerscompensation \#LI-DV1 **** _As… more