Job Listings

The Home Healthcare Scheduling Manager will assist with hiring, orienting, and functional oversight of a team of professional and paraprofessional employees accountable for triaging and prioritizing care to achieve optimal patient outcomes in conjunction with physician orders. Ensures adherence to practice standards, appropriate utilization of services, compliance with federal and state regulations and agency policies in assigning care and triaging patient s needs. Provides oversight for staff scheduling and ensures staff skills match client needs. Ensures appropriate team coordination, geographical sensibility and communication with the physician, interdisciplinary team and managers as appropriate. Utilizes business knowledge and agency...

Under the direction of a Radiologist with minimal supervision, the Radiographer performs radiographic procedures. Responsible for designated areas or procedures; performs procedures requiring independent judgment. Type of Opportunity: Per Required Need FTE: 0.001000 Exempt: No Work Schedule: Varied Days and Hours   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, nutrition coaching and classes, mindfulness and meditation resources, wellness challenges and more.

Now hiring a Pro Fee Auditor Trainer!   Candidate must reside in Albuquerque, Rio Rancho, Bernalillo, and/or Los Lunas, New Mexico area! With minimal supervision directly supports the following responsibilities of the Coding and documentation quality assurance (CDQA) team: implementation of and compliance to enterprise-wide and department coding policies and procedures for PHS; compliance to all external regulatory agency coding rules and regulations; Demonstrates high-level of proficiency in performing and/or managing on-site internal audits or reviews to assess compliance/quality monitoring performed by PHS/PMG departments while serving as...

Now hiring a Pro Fee Auditor Trainer!   This position is eligible for $7,500 funds to assist with the cost of relocation.  Apply today to be considered! With minimal supervision directly supports the following responsibilities of the Coding and documentation quality assurance (CDQA) team: implementation of and compliance to enterprise-wide and department coding policies and procedures for PHS; compliance to all...

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 Health Services Assistant Responsible for supporting Health Services Coordination functions including, but not limited to, medical records coordination, technical retrospective claims review, referral/auth. entry, research which may include but not limited to claims, eligibility, benefits, provider contracts, coordination of benefits, provider education, data entry report generation, act as liaison to and/or assists PHS clinical leaders How you belong matters here. We value our employees' differences and find strength in the diversity of our team and community. At Presbyterian, it's not just...

Now hiring an Enrollment Specialist  The Enrollment Specialist is responsible for maintaining current and accurate membership records by administering contractually defined eligibility and enrollment period guidelines and processing group and member transactions. In addition, Enrollment specialists must be member focused in responding to questions or issues from health plan members and stakeholders regarding insurance benefits and coverage. Responsible for gaining a working knowledge of all federal and state regulatory requirements relative to enrollment and eligibility. Responsible for achieving prescribed department performance standards on a consistent basis. How...

Now hiring a CVL- Scheduling Coordinator.    How you belong matters here. We value our employees' differences and find strength in the diversity of our team and community. At Presbyterian, it's not just what we do that matters. It's how we do it - and it starts with our incredible team. From Information Technology to Food Services and beyond, our non-clinical employees make a meaningful impact on the healthcare provided to our patients and members. Why Join Us - Full Time - Exempt: No - Job is based Presbyterian Hospital - Work hours: Weekday...

Now hiring a Health Services Assistant Responsible for supporting Health Services Coordination functions including, but not limited to, medical records coordination, technical retrospective claims review, referral/auth. entry, research which may include but not limited to claims, eligibility, benefits, provider contracts, coordination of benefits, provider education, data entry report generation, act as liaison to and/or assists PHS clinical leaders How you belong matters here. We value our employees' differences and find strength in the diversity of our team and community. At Presbyterian, it's not just...

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...