• Utilization Management…

    Humana (Santa Fe, NM)
    …us put health first** The UM Administration Coordinator contributes to administration of utilization management . The UM Administration ... Job Description **Achieve your best at Humana. Join Us!** The UM Administration Coordinator provides non-clinical support for the policies and procedures… more
    Humana (10/10/25)
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  • UM Coordinator 2

    Humana (Santa Fe, NM)
    …a part of our caring community and help us put health first** The UM ( Utilization Management ) Administration Coordinator 2 contributes to ... administration of utilization management . We focus on living out our values daily...electronic medical record and documentation programs + Experience with Utilization Review and/or Prior Authorization, preferably within a managed… more
    Humana (11/01/25)
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  • SNF Utilization Management RN…

    Humana (Santa Fe, NM)
    …the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 ... caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing...room, trauma units, etc. + Experience as an MDS Coordinator or discharge planner in an acute care setting… more
    Humana (09/12/25)
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  • AMR Coordinator - Onsite

    Community Health Systems (Las Cruces, NM)
    …a related field preferred + 1-3 years of experience in health information management (HIM) or medical records administration required **Knowledge, Skills and ... As a AMR Coordinator at Mountainview Regional Medical Group you'll join...Clinics provides AMR education and development that promotes efficient utilization and optimization of the AMR. This role will… more
    Community Health Systems (08/09/25)
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  • Registered Nurse Evidence-Based Practice

    Veterans Affairs, Veterans Health Administration (Albuquerque, NM)
    …students in the utilization and dissemination of EBP. The EBP Nurse Coordinator provides leadership in EBP related to complex health care issues that influence ... Albuquerque VA is looking for a Registered Nurse Evidence Based Practice Coordinator in the Clinical Care Outcome Operations service line! Responsibilities The… more
    Veterans Affairs, Veterans Health Administration (10/30/25)
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  • Case Manager, Registered Nurse - Fully Remote

    CVS Health (Santa Fe, NM)
    …Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers flexible medical management ... home role anywhere in the US with virtual training.** American Health Holding, Inc (AHH) is a medical management company that is a division within Aetna/CVS Health.… more
    CVS Health (10/15/25)
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