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Primary Responsibilities Conducts clinical evaluation of members per regulated timelines, determining who may qualify for complex case management based on clinical judgment, changes in member's health, social determinants, and gaps in care Creates and implements a case management plan in collaboration with the member, caregiver(s), provider(s), and/or other appropriat
Posted 1 month ago
Provides direct customer service and front desk assistance for assigned department to include but not limited to registering, scheduling, and verifying insurance and arriving patients. Electronic eligibility verification, updating patient demographics, ensure required referrals and prior authorization are in place for patient visit. Manage No show list. Schedules wait lis
Posted 3 days ago
The STEMI/CP is responsible for the implementation, coordination and maintenance of designated certification and recognition programs that promote evidence based clinical practices that comply with national standards for quality of care for Cardiac patients including the American Heart Association, Society of Cardiovascular Chest Pain Centers and other accrediting, certif
Posted 6 days ago
UNM Medical Group, Inc. is hiring for a Medical Case Manager to join our Truman Health Services team. This opportunity is a full time day shift opening located in Albuquerque, New Mexico. Minimum $52,436 Midpoint $65,561 Salary is determined based on years of total relevant experience. Salary is based on 1.0 FTE (full time equivalent) or 40 hours per week. Less than 40 ho
Posted 18 days ago
Health Care Service Corporation
- Chicago, IL / Helena, MT / Albuquerque, NM / 2 more...
At HCSC, we consider our employees the cornerstone of our business and the foundation to our success. We enable employees to craft their career with curated development plans that set their learning path to a rewarding and fulfilling career. Come join us and be part of a purpose driven company who is invested in your future! Job Summary This position is responsible for ma
Posted 4 days ago
The Registered Nurse r esponsible and accountable for the practice of Professional Nursing, to include patient care and staff management assigned to the RN in his/her charge. May serve in the role of Charge Nurse and is accountable for professional practice. Adheres to policies and procedures and regulations to ensure compliance and patient safety. Qualifications Job Requ
Posted 6 days ago
The Registered Nurse r esponsible and accountable for the practice of Professional Nursing, to include patient care and staff management assigned to the RN in his/her charge. May serve in the role of Charge Nurse and is accountable for professional practice. Adheres to policies and procedures and regulations to ensure compliance and patient safety. Qualifications Job Requ
Posted 6 days ago
UNM Medical Group, Inc. is hiring for a RN Case Manager to join our Truman Health Services team. This opportunity is a full time day shift opening located in Albuquerque, New Mexico. Sign on Bonus Available Minimum $66,123 Midpoint $84,302 Salary is determined based on years of total relevant experience. Salary is based on 1.0 FTE (full time equivalent) or 40 hours per we
Posted 27 days ago
The Registered Nurse r esponsible and accountable for the practice of Professional Nursing, to include patient care and staff management assigned to the RN in his/her charge. May serve in the role of Charge Nurse and is accountable for professional practice. Adheres to policies and procedures and regulations to ensure compliance and patient safety. Qualifications Job Requ
Posted 7 days ago
The Registered Nurse r esponsible and accountable for the practice of Professional Nursing, to include patient care and staff management assigned to the RN in his/her charge. May serve in the role of Charge Nurse and is accountable for professional practice. Adheres to policies and procedures and regulations to ensure compliance and patient safety. Qualifications Job Requ
Posted 7 days ago
The Registered Nurse is r esponsible and accountable for the practice of Professional Nursing, to include patient care and staff management assigned to the RN in his/her charge. May serve in the role of Charge Nurse and is accountable for professional practice. Adheres to policies and procedures and regulations to ensure compliance and patient safety. Qualifications Job R
Posted 7 days ago
The Registered Nurse is r esponsible and accountable for the practice of Professional Nursing, to include patient care and staff management assigned to the RN in his/her charge. May serve in the role of Charge Nurse and is accountable for professional practice. Adheres to policies and procedures and regulations to ensure compliance and patient safety. Qualifications Job R
Posted 9 days ago
UNM Medical Group, Inc. is hiring for a Psychiatric Nurse Practitioner to join our Truman Health Services Clinic. This opportunity is a for a part time or full time day shift opening located in Albuquerque, New Mexico. We are open to a schedule of .50 to 1.0 FTE. Certified Nurse Practitioner License must have a Focus/Specialty of "Psychiatric Mental Health" to be consider
Posted 1 month ago
The Registered Nurse r esponsible and accountable for the practice of Professional Nursing, to include patient care and staff management assigned to the RN in his/her charge. May serve in the role of Charge Nurse and is accountable for professional practice. Adheres to policies and procedures and regulations to ensure compliance and patient safety. Qualifications Job Requ
Posted 9 days ago
The Registered Nurse is r esponsible and accountable for the practice of Professional Nursing, to include patient care and staff management assigned to the RN in his/her charge. May serve in the role of Charge Nurse and is accountable for professional practice. Adheres to policies and procedures and regulations to ensure compliance and patient safety. Qualifications Job R
Posted 9 days ago
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