Job Listings

Now hiring a Regulatory Consumer Specialist- Claims This position is responsible for the overall management of regulatory processes that impact the claims department, with heavy emphasis on the Medicare Advantage and Medicaid lines of business. Responsible for working with department leadership to implement regulatory and plan design processes to meet CMS compliance and member expectations. Under limited supervision, serves as a subject matter expert and replies to requests from external and internal customers. Facilitates resolution of issues or process improvements by using multi-functional teams. Acts as a resource to claims staff to provide guidance for training of policies, procedures and processes, program...

Now hiring a Provider Network Management Relations Executive Provides oversight of network strategies and relationship development activities for assigned providers including individualized planning, training and development of providers to align with Presbyterian s clinical quality initiatives. Will provide the framework for physician/provider performance reporting that will assist providers with objective and quantitative analysis of clinical quality performance measures. The Network Relations Service Executive is a professional accountable for proactively identifying issues, resolving disputes, and coordinating resolutions. Accountable for resolving complex problems, fielding general questions, and acting as a...

Summary: Navigate complex requests from referring providers and their offices, primarily via phone. Develop and maintain positive working relationships with providers and referring offices. Address requests and concerns using knowledge of organization and ability to identify resources; Use high level of diplomatic skill to handle all calls in positive and professional manner. Advanced scheduling for specialty or radiologic procedures; Recognize payor requirements and obtaining prior authorization/certification/referrals for visits/procedures; Return scheduling knowledge to include the ability to scrub schedules for accuracy and efficiency in home department; Monitor in-baskets and reports for overdue results, waitlisted appointments, recalls, etc ...

The Menaul location of PRESNow is seeking a Charge Nurse.  Under the direction of the Clinic Manager, works as a part of the leadership team to provide clinical and operational shift supervision of care processes which includes efficient patient flow, exceptional care experiences, quality processes, patient safety, effective communication and direction of clinical staff. Will provide direct patient care. Type of Opportunity: Full Time FTE: 0.900000 Exempt: No Work Schedule: 12 Hour Days   How you grow,...

Summary: Performs specific patient care procedures (such as basic wound care and catheter maintenance) and tasks under the direction of the primary registered nurse or other licensed clinician. All procedures, duties, and tasks are to be completed under the patients care plan as ordered in conjunction with the physician. Patient care primary setting is in the patient home which can include single family residence, Assisted Living Facilities (ALF), or Nursing Home. Patient level of care can range from skilled Home Healthcare, Palliative, and/or Hospice. Type of Opportunity: Per Required Need FTE: 0.001000 Exempt: No Work Schedule: Varied Days and Hours

Summary: Responsible for utilizing the nursing process to provide direct patient care to an assigned group of patients during a shift. Responsible for prioritizing the delivery of direct nursing care using time and resources efficiently integrating a standards-based framework model Type of Opportunity: Full Time FTE: 0.900000 Exempt: No Work Schedule: Weekday Schedule Monday-Friday

The Isleta location of PRESNow is seeking a Registered Nurse.  Responsible for utilizing the nursing process to provide direct patient care to an assigned group of patients during a shift. Responsible for prioritizing the delivery of direct nursing care using time and resources efficiently integrating a standards-based framework model Type of Opportunity: Full Time FTE: 0.900000 Exempt: No Work Schedule: 12 Hour Nights   We're all about well-being, starting with yours. Presbyterian employees have access to a fun, engaging and unique wellness program, including free on-site and community-based gyms,...

Presbyterian is seeking a Medical Assistant to provide direct patient care to an assigned group of patients in an Outpatient Clinic. Common responsibilities include preparing the patient for the visit, maintaining efficient patient flow, assisting the provider with treatments and procedures, medication administration, support for clerical functions to include scheduling, referrals, authorization and in-basket support with the EMR.   Type of Opportunity:...

Presbyterian is seeking a Medical Assistant to provide direct patient care to an assigned group of patients in an Outpatient Clinic. Common responsibilities include preparing the patient for the visit, maintaining efficient patient flow, assisting the provider with treatments and procedures, medication administration, support for clerical functions to include scheduling, referrals, authorization and in-basket support with the EMR.   Type of Opportunity: Part Time...

Summary: Responsible for utilizing the nursing process to provide direct patient care to an assigned group of patients during a shift. Responsible for prioritizing the delivery of direct nursing care using time and resources efficiently integrating a standards-based framework model Type of Opportunity: Part Time (.45 to .89) FTE: 0.600000 Exempt: No Work Schedule: 12 Hour Days

Summary: Performs a variety of general cleaning tasks to maintain patient rooms, offices, hallways, and other assigned areas of the hospital Type of Opportunity: Part Time (.45 to .89) FTE: 0.500000 Exempt: No Work Schedule: Varied Days and Hours

Summary: Performs a variety of general cleaning tasks to maintain patient rooms, offices, hallways, and other assigned areas of the hospital Type of Opportunity: Part Time (.45 to .89) FTE: 0.500000 Exempt: No Work Schedule: Evenings

Now hiring a Referral Coordinator-Urology Navigate complex requests from referring providers and their offices, primarily via phone. Develop and maintain positive working relationships with providers and referring offices. Address requests and concerns using knowledge of organization and ability to identify resources; Use high level of diplomatic skill to handle all calls in positive and professional manner. Advanced scheduling for specialty or radiologic procedures; Recognize payor requirements and obtaining prior authorization/certification/referrals for visits/procedures; Return scheduling knowledge to include the ability to scrub schedules for accuracy and efficiency in home department; Monitor in-baskets and...

Presbyterian is seeking a Medical Assistant to provide direct patient care to an assigned group of patients in an Outpatient Clinic. Common responsibilities include preparing the patient for the visit, maintaining efficient patient flow, assisting the provider with treatments and procedures, medication administration, support for clerical functions to include scheduling, referrals, authorization and in-basket support with the EMR.   Type of Opportunity: Full Time...

Plains Regional Medical Center seeks a Registered Nurse for the Labor and Delivery unit.  Responsible for utilizing the nursing process to provide direct patient care to an assigned group of patients during a shift. Responsible for prioritizing the delivery of direct nursing care using time and resources efficiently integrating a standards-based framework model   Type of Opportunity: Part Time FTE: 0.600000 Exempt: No Work Schedule: Varied Days and Hours   Sign on Bonus of $15,000 and Relocation...

Summary: * Schedules, assigns and supervises the work of the clerical PMG staff. Acts as a resource person to other supervisors in the department Type of Opportunity: Full Time FTE: 1.000000 Exempt: Yes Work Schedule: Days

Now hiring a 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...

Now hiring a Patient Access Advocate I-Admitting     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...

Summary: Coordinates the encounter or episode process for the customer/patient including scheduling appointments, entering referrals, updating patient demographics and facilitating the Advanced Access process Type of Opportunity: Per Required Need FTE: 0.001000 Exempt: No Work Schedule: Days

Summary: Provides primary support to the provider by proactively anticipating the provider needs, preparing the patient for the visit using established patient preparation guidelines, maintaining efficient patient flow, and assisting the provider with treatments and procedures. Performs procedures with completed and documented competency, within organizations MA scope of work, PHS policy and under the supervision of a provider. Administers approved medications under the order and supervision of the provider. Provides support for clerical functions to include scheduling, referrals, and prior authorizations. Performs activities to maintain a clean, stocked, safe, and well-organized patient care environment. Provides in-basket support with the EMR. ...