- LifePoint Health (Los Alamos, NM)
- RN Risk Manager / Quality Program Specialist This position includes a $10,000 sign-on bonus with a twenty-four-month commitment and $1,000/month housing ... a valid job field* **Organization:** **Los Alamos Medical Center* **Title:** * Risk Manager / RN Quality Program Specialist* **Location:** *New Mexico-Los… more
- Fresenius Medical Center (Santa Fe, NM)
- …objectives ensuring alignment with those of the region, division, and company. Implements quality goals and action plans to achieve quality standards. + ... with operations leaders, market development, in-center leadership and patient education and quality teams to promote home therapies growth in assigned programs. +… more
- Dialysis Clinic, Inc. (Dulce, NM)
- …educator + Coordinate DCI, QAPI and risk management program implementation with the quality and risk manager + Collaborate on patient care initiatives ... setting with a lower caregiver-to-patient ratio than other providers. The **Dialysis Nurse Manager ** is responsible for dialysis facility management and nursing… more
- Molina Healthcare (NM)
- …or home health. **Required License, Certification, Association** + Active, unrestricted State Registered Nursing ( RN ) license in good standing. + Must have ... HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of… more
- Community Health Systems (Las Cruces, NM)
- …including CMS, The Joint Commission, and relevant state guidelines. **Licenses and Certifications** + RN - Registered Nurse - State Licensure and/or Compact ... safety initiatives, and collaborates with multidisciplinary teams to ensure the delivery of high- quality , patient-centered care. The Manager plays a key role in… more
- Healthfirst (NM)
- The Case Manager , Utilization Management coordinates the care plan for assigned members and conducts pre-certification, concurrent review, discharge planning, and ... case management as assigned. The Case Manager , Utilization Management is also responsible for efficient utilization of health services and optimal health outcomes… more
- Sharecare (Santa Fe, NM)
- …to enable individuals with disabilities to perform the essential functions. + Current Registered Nurse multi-state compact license in the state in which they ... support in an appropriate, efficient and cost-effective manner while ensuring high quality care. The Disease Management Nurse works with participating members… more
- Sedgwick (Santa Fe, NM)
- …Work(R) Fortune Best Workplaces in Financial Services & Insurance Telephonic Case Manager **PRIMARY PURPOSE OF THE ROLE:** While partnering with the injured worker, ... providers through use of medical and disability duration guidelines, adhering to quality . + Identifies opportunities to expedite care for cost containment and timely… more
- Community Health Systems (Las Cruces, NM)
- …regulatory and accreditation standards applicable to emergency services. **Licenses and Certifications** + RN - Registered Nurse - State Licensure and/or ... This role focuses on fostering a culture of excellence in patient care, quality outcomes, and employee engagement. The Manager collaborates with leadership and… more
- Healthfirst (NM)
- …for assigned member caseloads which includes: + Pre-certification performing risk -identification, preadmission, concurrent, and retrospective reviews to evaluate the ... care team in order to maximize HF member care quality while achieving effective medical cost management + Assists...as necessary + Additional duties as assigned **Minimum Qualifications:** RN , LPN, LMSW, LMHC,LMFT, LCSW, PT, OT, and/or ST… more