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Now hiring Utilization Management Nurse Specialist. Work from home. Albuquerque Metro residents only.
Performs clinical review to ensure that services rendered to members meet clinical criteria and are delivered in the appropriate setting. Utilizes clinical skills to to coordinate, document and communicate all aspects of the utilization/benefit management program. Performs care review both prospectively and retrospectively. Prospective review includes pre-service and concurrent services and procedures. Assists providers and members with coordination of care to in plan providers and preferred out of plan providers. Validates and interprets medical documentation using evidence-based criteria sets. Consults with...
Now hiring a Manager Clinical Excellence!
Under the direction of the Director of Clinical Excellence, the Clinical Excellence Manager manages the operational, financial, and personnel activities of Clinical Excellence, including strategic initiatives of CDS quality programs, centers of excellence and quality collaboratives, top decile in key clinical outcomes, and facilitation of improvements identified through patient safety initiatives. The Clinical Excellence Manager collaborates with leadership from facilities, medical staff, health plan, and population health to develop and implement programs of excellence. The Manager also assists in identifying opportunities for improvement through data, PDSA cycles, and...
Now hiring a Project Manager Associate for Community Health!
This position is responsible for managing projects under general supervision. Within formal project management methodologies, plan project timeline and milestones, track progress, monitor and communicate project status regularly, and identify and resolve issues related to project. Establishes and maintains project-related databases and documentation, and provide user and technical support on project management standards and tools
How you belong matters here.
We value our employees' differences and find strength in the diversity of our...
Now hiring a Clerical Lead!
As a Lead Patient Support will maintains proficiency in all clerical operations roles to govern accuracy in registration, scheduling, and check out prescribed workflows. Acts as mentor and trainer for front line clerical teams. First responder to investigate patient concerns and maintain customer focused communication. Schedules and drives daily workflow for proficient operational support of the clinic. The Lea is often the Epic Super User for clerical staff in the site. Participates in Quality Improvement Processes which includes EPE audits. Remain proficient and up to date on role responsibilities and lead meetings.
Now hiring a Care Coordinator IV.
Facilitates a team approach, including the Interdisciplinary Care Plan team, to ensure appropriate interventions, cost effective delivery of quality care and services across the continuum. Collaborates with the interdisciplinary care plan team which may include member, caregivers, members legal representative, physician, care providers, and ancillary support services to address care issues, specific member needs and disease processes whether, medical, behavioral, social, community based or long term care services. Coordinates care of individual clients with application to identified populations using assessment, care planning, implementations, coordination, monitoring and evaluation...
Now Hiring Patient Access Advocate-I
The Patient Access Advocate I provides primary registration of patient accounts for self-pay, government and commercial accounts on date of service for scheduled and unscheduled visits. Perform registration functions, including updating of demographics, insurance verification, collection of point of service liabilities and documentation of registration information within the ADT system. Confirm account being registered has accurate information to ensure clean billing. Must possess basic knowledge of Medicare (CMS) guidelines, as well as other Compliance Regulatory guidelines applicable to Patient Access. Provide the highest level of customer...
Typeof Opportunity: Full Time
FTE: 1
Exempt: No
Work Schedule: Days
Typeof Opportunity: PRN (Per Required Need)
FTE: .001
Exempt: No
Work Schedule: Varied Days and...
Typeof Opportunity: Per Required Need (PRN)
FTE: .001
Exempt: No
Work Schedule: Varied Days and...
Typeof Opportunity: Full Time
FTE: [.9
Exempt: No
Work Schedule: 12 hour nights
Typeof Opportunity: Full Time
FTE: .001
Exempt: No
Work Schedule: Varied Days and Hours
Typeof Opportunity: Per Required Need (PRN)
FTE: .001
Exempt: No
Work Schedule: varied Days and...
Typeof Opportunity: Per Required Need (PRN)
FTE: .001
Exempt: No
Work Schedule: Varied Days and...
Typeof Opportunity: Full Time
FTE: .9
Exempt: No
Work Schedule: 10 hour nights
Typeof Opportunity: Full Time
FTE: .001
Exempt: No
Work Schedule: Varied Days and Hours
Typeof Opportunity: Per Required Need (PRN)
FTE: .001
Exempt: No
Work Schedule: Various Days and...
Typeof Opportunity: Full Time
FTE: .001
Exempt: No
Work Schedule: Varied Days and Hours
Typeof Opportunity: Full Time
FTE: 1
Exempt: No
Work Schedule: Days
Performs specific patient care procedures (such as, phlebotomy, wound care, gastric and urethral tube insertion and bedside testing) under the direction of a licensed Nurse and / or performs specific support-procedures for the operation of a Nursing or Clinical Department. Operates patient monitoring systems.
At Presbyterian Espanola Hospital, you'll join a supportive, dynamic, proactive, and collaborative team that includes surgical techs, nurses and physicians in the beautiful northern...
As an Echocardiographer, you will experience a growing CT/MRI suite, opportunities for professional growth, training opportunities in other modalities, teamwork and a friendly atmosphere and a fast-paced and exciting environment. Make Presbyterian Espanola Hospital's story your story!
Presbyterian Espanola Hospital is an acute-care hospital with a...
