Medical Case Manager jobs at Unm Medical Group, Inc. - 279 jobs

Medical Case Manager Chronic Care - Truman - 3 Year Term
UNM Medical Group, Inc. 4.0
Medical case manager job at Unm Medical Group, Inc.
Job Description 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. This is a term position. It has an end date of 9.30.2028. Minimum $56,173- Midpoint $70,217* *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 hours/week will be prorated and adjusted to the appropriate FTE. We are looking for a compassionate and dedicated Medical Case Manager with a strong commitment to providing quality care and support to patients with chronic conditions. Core services provided by Medical Case Manager may include coordination of case with a multidisciplinary team to ensure treatment compliance and evaluating/anticipating ancillary, wrap-around and support services. The chosen candidate must be focused, able to handle multiple activities at once, have excellent written and oral communication skills, exceptional computer skills and be very detail oriented. If you are a detail-oriented and empathetic professional with excellent coordination and communication skills, we encourage you to apply for this rewarding position. Minimum Job Requirements of a Medical Case Manager: High School Diploma or GED plus 4 years of experience working with HIV diagnosed populations, chronic illness populations, or underserved populations. or Associates and/or Community Health Worker Certification and/or Bachelor's degree from an accredited college or university plus 2 years of experience working with HIV diagnosed populations, chronic illness populations, or underserved populations. or Bachelors of Social Work (BSW) or Masters of Social Work (MSW). Verification of education and licensure will be required if selected for hire. Required: Possession of a valid unrestricted NM driver's license. About Truman Health Services: Compassionate & Evidence-Based Treatments: Join an interdisciplinary team that provides patient centered medical care for HIV and gender-affirming primary care. We also provide consult services for Hep-C and PrEP and strive to ensure the highest standards in health care. Holistic & Integrated Approach: Be part of an organization that takes a comprehensive approach, addressing patients' medical, social, and mental health needs with a commitment to their overall well-being. Inclusive & Impactful: With locations in both Albuquerque and Roswell, NM, contribute to a dynamic, LGBTQIA+ affirming environment where you can make a real difference in the lives of New Mexicans. UNM Medical Group, Inc. welcomes people with lived experience to apply. Priority will be provided to candidates who are: • Experienced providing Community Health Worker services to medically and socially complex populations. • Experienced providing social support services to people living with HIV/AIDS. • Experienced working with the LGBTQ+ community. • Experienced working in a community based multi-disciplinary setting. • Bilingual English/Spanish. Duties and Responsibilities of a Medical Case Manager Chronic Care: Serves as liaison, manager and/or advocate for services, placements, referrals and ensures coordination of care, treatment and support within UNMHSC as well as community agencies, such as hospitals, nursing homes, hospices and rehabilitation facilities. Assists clients in developing goals and areas of need, and when required, assists in developing treatment plans which are assessed regularly; conducts medication and mental status assessment and determines required level and frequency of services. Assesses patients, evaluates effectiveness of care plan and progress made by client, participates in patient treatment planning, and case review with patient care providers, when applicable. Coordinates and monitors services, including comprehensive tracking of client activities in relation to care plan. Identifies and provides emergency crisis services as necessary and responds according to accepted crisis intervention methods and techniques; coordinates other services as appropriate. Conducts home, hospital, nursing home and other facility visits to ensure appropriate care coordination and positive patient outcomes. Ensures timely and accurate enrollment and recertification of all Ryan White programs in order to qualify and maintain eligibility for NM Department of Health, UNM Truman Health Services medical care and treatment and UNMTHS pharmacy services. Identifies eligibility and support options for accessing care, treatment and community resources and programs; assists patients with the completion of applications for programs such as disability, SNAP, unemployment, insurance, emergency financial assistance. Facilitates client access to community resources, including locating housing, food, clothing, legal services, school programs, vocational opportunities or services, providers to teach life skills, and relevant mental health services; assists client to develop natural resources and make contact with social support networks. Acts as the patient's retention specialist providing appointment scheduling, reminder calls, eliminating barriers to avoid missing appointments, including coordination of transportation, and following up regarding missed appointments. Provides information, education, referrals and emotional support to patients in a compassionate, culturally sensitive and professional manner. Documents all client encounters and contacts made on behalf of clients; completes and submits billing documentation as appropriate; maintains comprehensive client files, which may include documents held for safekeeping on behalf of the client. Maintain current knowledge related to HIV and LGBTQ health and psychosocial issues and treatment options available. Maintains and reports applicable statistics regarding programs and client services. Participates in team and staff meetings, trainings and developmental activities as requested. Maintains highest level of patient confidentiality. Performs miscellaneous job-related duties as assigned. Why Join UNM Medical Group, Inc.? Since our creation in 2007, our dynamic organization has continued to grow and form strong partnerships within the UNM Health system. Modern Healthcare recognizes UNMMG in their Best Places to Work recognition for 2025. We ASPIRE to incorporate the following values into all aspects of our culture and work: we always demonstrate an Attitude of Service with Positivity, Integrity and Respect as we strive for Excellence. We are dedicated to embracing and promoting diversity while fostering well-being across New Mexico through cultural humility and respect for everyone. Benefits: Competitive Salary & Benefits: UNMMG provides a competitive salary along with a comprehensive benefits package. Insurance Coverage: Includes medical, dental, vision, and life insurance. Additional Perks: Offers tuition reimbursement, generous paid time off, and a 403b retirement plan for eligible employees.
$56.2k-70.2k yearly 11d ago

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Clinical Nurse Manager (RN) Inpatient Women's Services / Full-time
Christus Health 4.6
Santa Fe, NM jobs
The Clinical Manager is responsible for direction of clinical services in Women's Services. Works closely with the Director, and Medical Staff leadership to develop, implement, and maintain clinical and educational programs that enhance the quality of care and achieve a high level of patient and provider satisfaction. Requirements EDUCATION: Graduate of an accredited program for Registered Nursing. BSN preferred. CERTIFICATION/LICENSES: R.N. with current New Mexico State license. BLS and other certification as applicable to area. National certification in area of expertise is a plus. SKILLS: Strong clinical and leadership skills and previous management experience including experience in facilitating interdisciplinary team collaboration. Evidence of such experience should include: Strong nursing knowledge and clinical skills Effective communication skills (verbal and written) Strong analytical skills Ability to problem solve; ability to appropriately confront issues Ability to motivate others as individuals and as a team Ability to plan, organize, direct, and manage the activities of others Ability to effectively run meetings and to negotiate deadlines. Ability to communicate with a wide variety of audiences Experience in dealing with physicians on an administrative level and ability to work collaboratively with medical staff members and leadership EXPERIENCE: Minimum of 5 years experience in clinical role in women's services or Pediatrics.Two years progressive management experience. NATURE OF SUPERVISION: -Responsible to: Chief Nurse Executive ENVIRONMENT: - Bloodborne pathogen A Works in a clean, well-lighted, ventilated smoke-free environment. PHYSICAL REQUIREMENTS: Subject to stressful professional relationships. Working hours vary, with flexibility due to unexpected changes in schedule and emergencies. Requires the ability to speak, listen, develop and communicate written materials.
$87k-115k yearly est. 6d ago
Clinical Nurse Manager (RN) Critical Care / Full-time
Christus Health 4.6
Santa Fe, NM jobs
Is responsible for daily clinical operations of the Critical Care Unit, Telemetry. Coordinates all work and call scheduling efforts of the CVIR nurses. Is accountable for all orientation and training of the associates regarding best practice process and procedures. Develops and implements best practices from across CHRISTUS Health within CV Service Line that will assist the organization in meeting or exceeding productivity, caregiver engagement, financial, quality and patient loyalty target outcomes. Establishes infrastructure required to communicate with multiple physicians and staff to meet the needs of the Cardiovascular Service Line. Works directly with the Clinical Director of Critical Care Services to expand and enhance all service lines as appropriate. This position requires the full understanding and active participation in fulfilling the Mission of CHRISTUS St Vincent. It is expected that the associate demonstrate behavior consistent with the Core Values. He/she shall support CHRISTUS St Vincent's strategic plan and the goals and direction of the Performance Improvement Plan (PIP). Requirements DUCATION: Graduate of an accredited program for Registered Nursing. BSN preferred. CERTIFICATION/LICENSES: R.N. with current New Mexico State license. BLS, ACLS and other certification as applicable to area. National certification in area of expertise is preferred. SKILLS: Strong clinical and leadership skills Facilitating interdisciplinary team collaboration Strong nursing knowledge and clinical skills Effective communication skills (verbal and written) Strong analytical skills Ability to problem solve; ability to appropriately confront issues Ability to motivate others as individuals and as a team Ability to plan, organize, direct, and manage the activities of others Ability to effectively run meetings and to negotiate deadlines Ability to communicate with a wide variety of audiences Experience in dealing with physicians on an administrative level and ability to work collaboratively with medical staff members and leadership EXPERIENCE: Minimum of 5 years of experience in clinical role in progressive care services.Two years progressive management experience. NATURE OF SUPERVISION: -Responsible to: Director, Critical Care - Responsible for: Critical Care Unit, Telemetry ENVIRONMENT: Bloodborne pathogen: A Works in a clean, well-lighted, ventilated smoke-free environment. -Bloodborne pathogen - B. Exposure to infectious diseases and x-rays. Exposure to varying unpredictable situations. PHYSICAL REQUIREMENTS: Multiple simultaneous activities of patient care. Must be able to handle emergency/crisis situations, prolonged, extensive or considerable standing/walking. Has knowledge of and uses good body mechanics. Occasionally positions, pushes and/or transfers patients or equipment. Hearing and visual acuity within normal limits. May be required to lift, push, pull or carry up to 50 lbs. Subject to stressful professional relationships. Working hours vary, with flexibility due to unexpected changes in schedule and emergencies.
$87k-115k yearly est. 10d ago
Clinical Nurse Manager (RN) Inpatient Behavioral Health / Full-time
Christus Health 4.6
Santa Fe, NM jobs
The Clinical Nurse Manager is responsible for the management of clinical nursing services in Behavioral Health Services. Works closely with the Director, and Medical Staff leadership to develop, implement, and maintain clinical and educational programs that enhance the quality of care and achieve a high level of patient and provider satisfaction. Requirements MINIMUM QUALIFICATIONS: EDUCATION: Graduate of an accredited program for Registered Nursing, BSN degree preferred. CERTIFICATION/LICENSES: R.N. with current New Mexico State license or Compact license. BLS and other certification as applicable to area. National certification in area of expertise is preferred. SKILLS: Strong clinical and leadership skills and previous management experience including experience in facilitating interdisciplinary team collaboration. Evidence of such experience should include: Strong nursing and therapy knowledge and clinical skills Effective communication skills (verbal and written) Strong analytical skills Ability to problem solve; ability to appropriately confront issues Ability to motivate others as individuals and as a team Ability to plan, organize, direct, and manage the activities of others Ability to effectively run meetings and to negotiate deadlines Ability to communicate with a wide variety of audiences Experience in dealing with physicians on an administrative level and ability to work collaboratively with medical staff members and leadership EXPERIENCE: Minimum of 5 years experience in clinical role in behavioral health services.Two years progressive management experience. NATURE OF SUPERVISION: -Responsible to: Director, Med-Surg and BHS. ENVIRONMENT: - Bloodborne pathogen A Works in a clean, well-lighted, ventilated smoke-free environment. PHYSICAL REQUIREMENTS: Subject to stressful professional relationships. Working hours vary, with flexibility due to unexpected changes in schedule and emergencies. Requires the ability to speak, listen, develop and communicate written materials.
$87k-115k yearly est. 6d ago
Clinical Nurse Manager (RN) Critical Care / Full-time
Christus Health 4.6
Espanola, NM jobs
Is responsible for daily clinical operations of the Critical Care Unit, Telemetry. Coordinates all work and call scheduling efforts of the CVIR nurses. Is accountable for all orientation and training of the associates regarding best practice process and procedures. Develops and implements best practices from across CHRISTUS Health within CV Service Line that will assist the organization in meeting or exceeding productivity, caregiver engagement, financial, quality and patient loyalty target outcomes. Establishes infrastructure required to communicate with multiple physicians and staff to meet the needs of the Cardiovascular Service Line. Works directly with the Clinical Director of Critical Care Services to expand and enhance all service lines as appropriate. This position requires the full understanding and active participation in fulfilling the Mission of CHRISTUS St Vincent. It is expected that the associate demonstrate behavior consistent with the Core Values. He/she shall support CHRISTUS St Vincent's strategic plan and the goals and direction of the Performance Improvement Plan (PIP). Requirements DUCATION: Graduate of an accredited program for Registered Nursing. BSN preferred. CERTIFICATION/LICENSES: R.N. with current New Mexico State license. BLS, ACLS and other certification as applicable to area. National certification in area of expertise is preferred. SKILLS: Strong clinical and leadership skills Facilitating interdisciplinary team collaboration Strong nursing knowledge and clinical skills Effective communication skills (verbal and written) Strong analytical skills Ability to problem solve; ability to appropriately confront issues Ability to motivate others as individuals and as a team Ability to plan, organize, direct, and manage the activities of others Ability to effectively run meetings and to negotiate deadlines Ability to communicate with a wide variety of audiences Experience in dealing with physicians on an administrative level and ability to work collaboratively with medical staff members and leadership EXPERIENCE: Minimum of 5 years of experience in clinical role in progressive care services.Two years progressive management experience. NATURE OF SUPERVISION: -Responsible to: Director, Critical Care - Responsible for: Critical Care Unit, Telemetry ENVIRONMENT: Bloodborne pathogen: A Works in a clean, well-lighted, ventilated smoke-free environment. -Bloodborne pathogen - B. Exposure to infectious diseases and x-rays. Exposure to varying unpredictable situations. PHYSICAL REQUIREMENTS: Multiple simultaneous activities of patient care. Must be able to handle emergency/crisis situations, prolonged, extensive or considerable standing/walking. Has knowledge of and uses good body mechanics. Occasionally positions, pushes and/or transfers patients or equipment. Hearing and visual acuity within normal limits. May be required to lift, push, pull or carry up to 50 lbs. Subject to stressful professional relationships. Working hours vary, with flexibility due to unexpected changes in schedule and emergencies.
$87k-115k yearly est. 10d ago
Clinical Nurse Manager (RN) Inpatient Women's Services / Full-time
Christus Health 4.6
Espanola, NM jobs
The Clinical Manager is responsible for direction of clinical services in Women's Services. Works closely with the Director, and Medical Staff leadership to develop, implement, and maintain clinical and educational programs that enhance the quality of care and achieve a high level of patient and provider satisfaction. Requirements EDUCATION: Graduate of an accredited program for Registered Nursing. BSN preferred. CERTIFICATION/LICENSES: R.N. with current New Mexico State license. BLS and other certification as applicable to area. National certification in area of expertise is a plus. SKILLS: Strong clinical and leadership skills and previous management experience including experience in facilitating interdisciplinary team collaboration. Evidence of such experience should include: Strong nursing knowledge and clinical skills Effective communication skills (verbal and written) Strong analytical skills Ability to problem solve; ability to appropriately confront issues Ability to motivate others as individuals and as a team Ability to plan, organize, direct, and manage the activities of others Ability to effectively run meetings and to negotiate deadlines. Ability to communicate with a wide variety of audiences Experience in dealing with physicians on an administrative level and ability to work collaboratively with medical staff members and leadership EXPERIENCE: Minimum of 5 years experience in clinical role in women's services or Pediatrics.Two years progressive management experience. NATURE OF SUPERVISION: -Responsible to: Chief Nurse Executive ENVIRONMENT: - Bloodborne pathogen A Works in a clean, well-lighted, ventilated smoke-free environment. PHYSICAL REQUIREMENTS: Subject to stressful professional relationships. Working hours vary, with flexibility due to unexpected changes in schedule and emergencies. Requires the ability to speak, listen, develop and communicate written materials.
$87k-115k yearly est. 6d ago
Clinical Nurse Manager (RN) Critical Care / Full-time
Christus Health 4.6
Bernalillo, NM jobs
Is responsible for daily clinical operations of the Critical Care Unit, Telemetry. Coordinates all work and call scheduling efforts of the CVIR nurses. Is accountable for all orientation and training of the associates regarding best practice process and procedures. Develops and implements best practices from across CHRISTUS Health within CV Service Line that will assist the organization in meeting or exceeding productivity, caregiver engagement, financial, quality and patient loyalty target outcomes. Establishes infrastructure required to communicate with multiple physicians and staff to meet the needs of the Cardiovascular Service Line. Works directly with the Clinical Director of Critical Care Services to expand and enhance all service lines as appropriate. This position requires the full understanding and active participation in fulfilling the Mission of CHRISTUS St Vincent. It is expected that the associate demonstrate behavior consistent with the Core Values. He/she shall support CHRISTUS St Vincent's strategic plan and the goals and direction of the Performance Improvement Plan (PIP). Requirements DUCATION: Graduate of an accredited program for Registered Nursing. BSN preferred. CERTIFICATION/LICENSES: R.N. with current New Mexico State license. BLS, ACLS and other certification as applicable to area. National certification in area of expertise is preferred. SKILLS: Strong clinical and leadership skills Facilitating interdisciplinary team collaboration Strong nursing knowledge and clinical skills Effective communication skills (verbal and written) Strong analytical skills Ability to problem solve; ability to appropriately confront issues Ability to motivate others as individuals and as a team Ability to plan, organize, direct, and manage the activities of others Ability to effectively run meetings and to negotiate deadlines Ability to communicate with a wide variety of audiences Experience in dealing with physicians on an administrative level and ability to work collaboratively with medical staff members and leadership EXPERIENCE: Minimum of 5 years of experience in clinical role in progressive care services.Two years progressive management experience. NATURE OF SUPERVISION: -Responsible to: Director, Critical Care - Responsible for: Critical Care Unit, Telemetry ENVIRONMENT: Bloodborne pathogen: A Works in a clean, well-lighted, ventilated smoke-free environment. -Bloodborne pathogen - B. Exposure to infectious diseases and x-rays. Exposure to varying unpredictable situations. PHYSICAL REQUIREMENTS: Multiple simultaneous activities of patient care. Must be able to handle emergency/crisis situations, prolonged, extensive or considerable standing/walking. Has knowledge of and uses good body mechanics. Occasionally positions, pushes and/or transfers patients or equipment. Hearing and visual acuity within normal limits. May be required to lift, push, pull or carry up to 50 lbs. Subject to stressful professional relationships. Working hours vary, with flexibility due to unexpected changes in schedule and emergencies.
$87k-115k yearly est. 10d ago
Clinical Nurse Manager (RN) Inpatient Women's Services / Full-time
Christus Health 4.6
Bernalillo, NM jobs
The Clinical Manager is responsible for direction of clinical services in Women's Services. Works closely with the Director, and Medical Staff leadership to develop, implement, and maintain clinical and educational programs that enhance the quality of care and achieve a high level of patient and provider satisfaction. Requirements EDUCATION: Graduate of an accredited program for Registered Nursing. BSN preferred. CERTIFICATION/LICENSES: R.N. with current New Mexico State license. BLS and other certification as applicable to area. National certification in area of expertise is a plus. SKILLS: Strong clinical and leadership skills and previous management experience including experience in facilitating interdisciplinary team collaboration. Evidence of such experience should include: Strong nursing knowledge and clinical skills Effective communication skills (verbal and written) Strong analytical skills Ability to problem solve; ability to appropriately confront issues Ability to motivate others as individuals and as a team Ability to plan, organize, direct, and manage the activities of others Ability to effectively run meetings and to negotiate deadlines. Ability to communicate with a wide variety of audiences Experience in dealing with physicians on an administrative level and ability to work collaboratively with medical staff members and leadership EXPERIENCE: Minimum of 5 years experience in clinical role in women's services or Pediatrics.Two years progressive management experience. NATURE OF SUPERVISION: -Responsible to: Chief Nurse Executive ENVIRONMENT: - Bloodborne pathogen A Works in a clean, well-lighted, ventilated smoke-free environment. PHYSICAL REQUIREMENTS: Subject to stressful professional relationships. Working hours vary, with flexibility due to unexpected changes in schedule and emergencies. Requires the ability to speak, listen, develop and communicate written materials.
$87k-115k yearly est. 6d ago
Clinical Nurse Manager (RN) Inpatient Behavioral Health / Full-time
Christus Health 4.6
Bernalillo, NM jobs
The Clinical Nurse Manager is responsible for the management of clinical nursing services in Behavioral Health Services. Works closely with the Director, and Medical Staff leadership to develop, implement, and maintain clinical and educational programs that enhance the quality of care and achieve a high level of patient and provider satisfaction. Requirements MINIMUM QUALIFICATIONS: EDUCATION: Graduate of an accredited program for Registered Nursing, BSN degree preferred. CERTIFICATION/LICENSES: R.N. with current New Mexico State license or Compact license. BLS and other certification as applicable to area. National certification in area of expertise is preferred. SKILLS: Strong clinical and leadership skills and previous management experience including experience in facilitating interdisciplinary team collaboration. Evidence of such experience should include: Strong nursing and therapy knowledge and clinical skills Effective communication skills (verbal and written) Strong analytical skills Ability to problem solve; ability to appropriately confront issues Ability to motivate others as individuals and as a team Ability to plan, organize, direct, and manage the activities of others Ability to effectively run meetings and to negotiate deadlines Ability to communicate with a wide variety of audiences Experience in dealing with physicians on an administrative level and ability to work collaboratively with medical staff members and leadership EXPERIENCE: Minimum of 5 years experience in clinical role in behavioral health services.Two years progressive management experience. NATURE OF SUPERVISION: -Responsible to: Director, Med-Surg and BHS. ENVIRONMENT: - Bloodborne pathogen A Works in a clean, well-lighted, ventilated smoke-free environment. PHYSICAL REQUIREMENTS: Subject to stressful professional relationships. Working hours vary, with flexibility due to unexpected changes in schedule and emergencies. Requires the ability to speak, listen, develop and communicate written materials.
$87k-115k yearly est. 6d ago
Clinical Manager (RN) Pediatrics /Full-time
Christus Health 4.6
Santa Fe, NM jobs
The Clinical Manager is responsible for direction of clinical services in Pediatrics. Works closely with the Chief Nursing Executive and the Medical Staff leadership to develop, implement, and maintain clinical and educational programs that enhance the quality of care and achieve a high level of patient and provider satisfaction. Requirements MINIMUM QUALIFICATIONS: EDUCATION: Graduate of an accredited program for Registered Nursing. BSN preferred. CERTIFICATION/LICENSES: R.N. with current New Mexico State license. BLS, NRP and either PALS or ENPC certifications required. National certification in area of expertise is a plus. SKILLS: Strong clinical and leadership skills and previous management experience including experience in facilitating interdisciplinary team collaboration. Evidence of such experience should include: Strong nursing knowledge and clinical skills Effective communication skills (verbal and written) Strong analytical skills Ability to problem solve; ability to appropriately confront issues Ability to motivate others as individuals and as a team Ability to plan, organize, direct, and manage the activities of others Ability to effectively run meetings and to negotiate deadlines. Ability to communicate with a wide variety of audiences Experience in dealing with physicians on an administrative level and ability to work collaboratively with medical staff members and leadership EXPERIENCE: Minimum of 5 years experience in clinical role in women's services or pediatrics.Two years progressive management experience. NATURE OF SUPERVISION: -Responsible to: Chief Nursing Executive. ENVIRONMENT: - Bloodborne pathogen A Works in a clean, well-lighted, ventilated smoke-free environment. PHYSICAL REQUIREMENTS: Subject to stressful professional relationships. Working hours vary, with flexibility due to unexpected changes in schedule and emergencies. Requires the ability to speak, listen, develop and communicate written materials.
$43k-60k yearly est. 11d ago
Clinical Manager (RN) Pediatrics /Full-time
Christus Health 4.6
Espanola, NM jobs
The Clinical Manager is responsible for direction of clinical services in Pediatrics. Works closely with the Chief Nursing Executive and the Medical Staff leadership to develop, implement, and maintain clinical and educational programs that enhance the quality of care and achieve a high level of patient and provider satisfaction. Requirements MINIMUM QUALIFICATIONS: EDUCATION: Graduate of an accredited program for Registered Nursing. BSN preferred. CERTIFICATION/LICENSES: R.N. with current New Mexico State license. BLS, NRP and either PALS or ENPC certifications required. National certification in area of expertise is a plus. SKILLS: Strong clinical and leadership skills and previous management experience including experience in facilitating interdisciplinary team collaboration. Evidence of such experience should include: Strong nursing knowledge and clinical skills Effective communication skills (verbal and written) Strong analytical skills Ability to problem solve; ability to appropriately confront issues Ability to motivate others as individuals and as a team Ability to plan, organize, direct, and manage the activities of others Ability to effectively run meetings and to negotiate deadlines. Ability to communicate with a wide variety of audiences Experience in dealing with physicians on an administrative level and ability to work collaboratively with medical staff members and leadership EXPERIENCE: Minimum of 5 years experience in clinical role in women's services or pediatrics.Two years progressive management experience. NATURE OF SUPERVISION: -Responsible to: Chief Nursing Executive. ENVIRONMENT: - Bloodborne pathogen A Works in a clean, well-lighted, ventilated smoke-free environment. PHYSICAL REQUIREMENTS: Subject to stressful professional relationships. Working hours vary, with flexibility due to unexpected changes in schedule and emergencies. Requires the ability to speak, listen, develop and communicate written materials.
$43k-60k yearly est. 11d ago
Clinical Nurse Manager (RN) Inpatient Behavioral Health / Full-time
Christus Health 4.6
Chimayo, NM jobs
The Clinical Nurse Manager is responsible for the management of clinical nursing services in Behavioral Health Services. Works closely with the Director, and Medical Staff leadership to develop, implement, and maintain clinical and educational programs that enhance the quality of care and achieve a high level of patient and provider satisfaction. Requirements MINIMUM QUALIFICATIONS: EDUCATION: Graduate of an accredited program for Registered Nursing, BSN degree preferred. CERTIFICATION/LICENSES: R.N. with current New Mexico State license or Compact license. BLS and other certification as applicable to area. National certification in area of expertise is preferred. SKILLS: Strong clinical and leadership skills and previous management experience including experience in facilitating interdisciplinary team collaboration. Evidence of such experience should include: Strong nursing and therapy knowledge and clinical skills Effective communication skills (verbal and written) Strong analytical skills Ability to problem solve; ability to appropriately confront issues Ability to motivate others as individuals and as a team Ability to plan, organize, direct, and manage the activities of others Ability to effectively run meetings and to negotiate deadlines Ability to communicate with a wide variety of audiences Experience in dealing with physicians on an administrative level and ability to work collaboratively with medical staff members and leadership EXPERIENCE: Minimum of 5 years experience in clinical role in behavioral health services.Two years progressive management experience. NATURE OF SUPERVISION: -Responsible to: Director, Med-Surg and BHS. ENVIRONMENT: - Bloodborne pathogen A Works in a clean, well-lighted, ventilated smoke-free environment. PHYSICAL REQUIREMENTS: Subject to stressful professional relationships. Working hours vary, with flexibility due to unexpected changes in schedule and emergencies. Requires the ability to speak, listen, develop and communicate written materials.
$87k-115k yearly est. 6d ago
Physician / Administration / Oklahoma / Permanent / Medical Director - Medicaid (remote)
Humana 4.8
Oklahoma City, OK jobs
Become a part of our caring community and help us put health first The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors.
$213k-308k yearly est. 22h ago
Clinical Manager (RN) Pediatrics /Full-time
Christus Health 4.6
Bernalillo, NM jobs
The Clinical Manager is responsible for direction of clinical services in Pediatrics. Works closely with the Chief Nursing Executive and the Medical Staff leadership to develop, implement, and maintain clinical and educational programs that enhance the quality of care and achieve a high level of patient and provider satisfaction. Requirements MINIMUM QUALIFICATIONS: EDUCATION: Graduate of an accredited program for Registered Nursing. BSN preferred. CERTIFICATION/LICENSES: R.N. with current New Mexico State license. BLS, NRP and either PALS or ENPC certifications required. National certification in area of expertise is a plus. SKILLS: Strong clinical and leadership skills and previous management experience including experience in facilitating interdisciplinary team collaboration. Evidence of such experience should include: Strong nursing knowledge and clinical skills Effective communication skills (verbal and written) Strong analytical skills Ability to problem solve; ability to appropriately confront issues Ability to motivate others as individuals and as a team Ability to plan, organize, direct, and manage the activities of others Ability to effectively run meetings and to negotiate deadlines. Ability to communicate with a wide variety of audiences Experience in dealing with physicians on an administrative level and ability to work collaboratively with medical staff members and leadership EXPERIENCE: Minimum of 5 years experience in clinical role in women's services or pediatrics.Two years progressive management experience. NATURE OF SUPERVISION: -Responsible to: Chief Nursing Executive. ENVIRONMENT: - Bloodborne pathogen A Works in a clean, well-lighted, ventilated smoke-free environment. PHYSICAL REQUIREMENTS: Subject to stressful professional relationships. Working hours vary, with flexibility due to unexpected changes in schedule and emergencies. Requires the ability to speak, listen, develop and communicate written materials.
$43k-60k yearly est. 11d ago
Vice President, Associate Chief Medical Officer - Community Hospitals
University Health 4.6
Arroyo Hondo, NM jobs
Vice President, Associate Chief Medical Officer University Health - San Antonio, Texas Shape the Future of Community Health University Health, a nationally recognized academic health system, is seeking a transformational physician leader to serve as the Vice President, Associate Chief Medical Officer (VP, ACMO) . This executive position offers the opportunity to drive critical clinical initiatives and elevate the quality, safety, and efficiency of care across University Health's Community Hospitals. Working in close partnership with the Chief Medical Officer and senior leadership, the VP, ACMO will serve as a visible leader who champions the organization's commitment to continuous quality improvement, operational excellence, patient-centered care, and the principles of the Triple Aim-Plus. Key Responsibilities Lead clinical quality and safety efforts across University Health Community Hospitals. Serve as a key liaison to the Medical-Dental Staff on quality, safety, and utilization matters. Partner with clinical and operational leadership to improve access, efficiency, and patient satisfaction. Provide strategic guidance on accreditation, compliance, resource utilization, and Epic optimization. Collaborate with internal stakeholders and external partners, including academic affiliates and payers, to strengthen performance and community relationships. Drive data-informed decision-making, clinical documentation improvement, and new program development. Qualifications Medical degree from an accredited institution and current board certification by the American Board of Medical Specialties. Active, unrestricted Texas medical license and valid DEA/DPS registration . At least 10 years of direct patient care experience , with a minimum of 5 years in progressive leadership roles within hospitals or physician organizations. Preferred: Master's degree in medical management, business administration, or public health. Demonstrated success in hospital quality, safety, outcomes improvement, accreditation, and clinical leadership. Prior experience in public hospitals, integrated health systems, or academic health centers is highly desirable. Why University Health As one of the largest and most respected public health systems in Texas, University Health offers a dynamic, mission-driven environment committed to improving the health of our diverse community. We provide innovative care, cutting-edge research opportunities, and a collaborative culture that empowers leadership at all levels. Join Us If you're a forward-thinking physician executive looking to make a meaningful impact, we invite you to apply and lead the next chapter of excellence at University Health.
$207k-306k yearly est. 3d ago
Nurse Case Manager PRN
University Health 4.6
Arroyo Hondo, NM jobs
/RESPONSIBILITIES The nurse case manager coordinates, in collaboration with the patient and interdisciplinary team, the treatment/plan of care for a patient within the acute episode of care. He/she proactively facilitates interventions to assure timely delivery of services, evaluates the effectiveness of interventions, tracks variances and/or barriers in the plan of care, and functions as the patient advocate to identify and communicate health care needs. EDUCATION/EXPERIENCE Bachelor's degree in Nursing is highly preferred. Three to five years nursing experience required (as a Staff nurse II or above). Work experience in case management, utilization review or hospital quality is preferred. LICENSURE/ CERTIFICATIONS Current licensure as a Registered Nurse with the Texas State Board of Nurse Examiners is required. An approved case management certification (ACM, CCM or ANCC) is preferred and must be achieved within two years of placement. Current American Heart Association, Basic Cardiac Life Support and/or Health Care Provider card preferred.
$67k-83k yearly est. 2d ago
Nurse Case Manager - UMA Nephrology
University Health 4.6
Arroyo Hondo, NM jobs
/RESPONSIBILITIES Coordinates the education and plan of care for patients recently diagnosed with ESRD from UH inpatient and/or Renal Clinics. Facilitates the delivery of services, evaluates effectiveness, tracks outcomes and functions as the patient advocate to identify and communicate health care needs related to vascular access and renal needs. Supports and adheres to University Health and department specific policies and standards. Mentors and serves as a clinical role for all staff. Receives mentoring from Executive Director of Dialysis Services EDUCATION/EXPERIENCE BSN is highly preferred. Must meet career ladder Staff Nurse II criteria for worked area. Two years or more of nursing experience required LICENSURE/ CERTIFICATIONS Current licensure as a Registered Nurse with the Texas State Board of Nurse Examiners is required. Current American Heart Association, Basic Cardiac Life Support and Healthcare Provider card
$67k-83k yearly est. 5d ago
Nurse Case Manager
University Health 4.6
Arroyo Hondo, NM jobs
University Health is Bexar County and South Texas' first health system to earn Magnet status from the American Nurses Credentialing Center (ANCC). Magnet hospitals and health systems offer patients reassurance that they are being cared for by a team with a proven track record for providing excellent care and positive outcomes for their patients. Nurse Case Manager II: Discover your life-changing career at University Health. We are currently searching for RN's looking for a challenge in their career. Nurse Case Managers enjoy the gratification of patient care and also the rewarding challenges of a leadership role. Qualifications BSN highly preferred Two years' experience in any case management setting or Acute Care is required Current CPR card American Heart Association preferred Current Texas RN License National Certification in case management is highly preferred
$67k-83k yearly est. 3d ago
Nurse Manager
University Health 4.6
Arroyo Hondo, NM jobs
Nurse Leadership Opportunity! This is a wonderful opportunity for a motivated, self-starter who is seeking a supervisory position and a new challenge! University Health is Bexar County and South Texas' first health system to earn Magnet status from the American Nurses Credentialing Center (ANCC). Magnet hospitals and health systems offer patients reassurance that they are being cared for by a team with a proven track record for providing excellent care and positive outcomes for their patients. What sets us apart? Most up-to-date advancements in nursing Home to the only Level I trauma center in South Texas Nationally certified nursing staff Regionally, nationally and internationally recognized P osition Summary: The Registered Nurse Manager (Patient Care Coordinator-PCC) will be responsible for performing expert leadership skills in management of staff and coordination of patient care activities. The professional RN will work collaboratively with all healthcare providers and non-health care providers. Will serve as a mentor and role model for all staff and will receive mentoring for the Nursing Director. Requirements: Must have a current Texas RN licensure BSN Required BLS from the American Heart Association and national certification in related field are required. Three (3) years recent, full-time hospital experience with a minimum of two (2) years in an equivalent management capacity is also required.
$91k-117k yearly est. 5d ago
Medical Case Manager Chronic Care - Truman
UNM Medical Group 4.0
Medical case manager job at Unm Medical Group, Inc.
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 $56,173- Midpoint $70,217* *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 hours/week will be prorated and adjusted to the appropriate FTE. We are looking for a compassionate and dedicated Medical Case Manager with a strong commitment to providing quality care and support to patients with chronic conditions. Core services provided by Medical Case Manager may include coordination of case with a multidisciplinary team to ensure treatment compliance and evaluating/anticipating ancillary, wrap-around and support services. The chosen candidate must be focused, able to handle multiple activities at once, have excellent written and oral communication skills, exceptional computer skills and be very detail oriented. If you are a detail-oriented and empathetic professional with excellent coordination and communication skills, we encourage you to apply for this rewarding position. Minimum Job Requirements of a Medical Case Manager: High School Diploma or GED plus 4 years of experience working with HIV diagnosed populations, chronic illness populations, or underserved populations. or Associates and/or Community Health Worker Certification and/or Bachelor s degree from an accredited college or university plus 2 years of experience working with HIV diagnosed populations, chronic illness populations, or underserved populations. or Bachelors of Social Work (BSW) or Masters of Social Work (MSW). Verification of education and licensure will be required if selected for hire. Required: Possession of a valid unrestricted NM driver's license. About Truman Health Services: Compassionate & Evidence-Based Treatments: Join an interdisciplinary team that provides patient centered medical care for HIV and gender-affirming primary care. We also provide consult services for Hep-C and PrEP and strive to ensure the highest standards in health care. Holistic & Integrated Approach: Be part of an organization that takes a comprehensive approach, addressing patients' medical, social, and mental health needs with a commitment to their overall well-being. Inclusive & Impactful: With locations in both Albuquerque and Roswell, NM, contribute to a dynamic, LGBTQIA+ affirming environment where you can make a real difference in the lives of New Mexicans. UNM Medical Group, Inc. welcomes people with lived experience to apply. Priority will be provided to candidates who are: Experienced providing Community Health Worker services to medically and socially complex populations. Experienced providing social support services to people living with HIV/AIDS. Experienced working with the LGBTQ+ community. Experienced working in a community based multi-disciplinary setting. Bilingual English/Spanish. Duties and Responsibilities of a Medical Case Manager Chronic Care: Serves as liaison, manager and/or advocate for services, placements, referrals and ensures coordination of care, treatment and support within UNMHSC as well as community agencies, such as hospitals, nursing homes, hospices and rehabilitation facilities. Assists clients in developing goals and areas of need, and when required, assists in developing treatment plans which are assessed regularly; conducts medication and mental status assessment and determines required level and frequency of services. Assesses patients, evaluates effectiveness of care plan and progress made by client, participates in patient treatment planning, and case review with patient care providers, when applicable. Coordinates and monitors services, including comprehensive tracking of client activities in relation to care plan. Identifies and provides emergency crisis services as necessary and responds according to accepted crisis intervention methods and techniques; coordinates other services as appropriate. Conducts home, hospital, nursing home and other facility visits to ensure appropriate care coordination and positive patient outcomes. Ensures timely and accurate enrollment and recertification of all Ryan White programs in order to qualify and maintain eligibility for NM Department of Health, UNM Truman Health Services medical care and treatment and UNMTHS pharmacy services. Identifies eligibility and support options for accessing care, treatment and community resources and programs; assists patients with the completion of applications for programs such as disability, SNAP, unemployment, insurance, emergency financial assistance. Facilitates client access to community resources, including locating housing, food, clothing, legal services, school programs, vocational opportunities or services, providers to teach life skills, and relevant mental health services; assists client to develop natural resources and make contact with social support networks. Acts as the patient s retention specialist providing appointment scheduling, reminder calls, eliminating barriers to avoid missing appointments, including coordination of transportation, and following up regarding missed appointments. Provides information, education, referrals and emotional support to patients in a compassionate, culturally sensitive and professional manner. Documents all client encounters and contacts made on behalf of clients; completes and submits billing documentation as appropriate; maintains comprehensive client files, which may include documents held for safekeeping on behalf of the client. Maintain current knowledge related to HIV and LGBTQ health and psychosocial issues and treatment options available. Maintains and reports applicable statistics regarding programs and client services. Participates in team and staff meetings, trainings and developmental activities as requested. Maintains highest level of patient confidentiality. Performs miscellaneous job-related duties as assigned. Why Join UNM Medical Group, Inc.? Since our creation in 2007, our dynamic organization has continued to grow and form strong partnerships within the UNM Health system. Modern Healthcare recognizes UNMMG in their Best Places to Work recognition for 2025. We ASPIRE to incorporate the following values into all aspects of our culture and work: we always demonstrate an Attitude of Service with Positivity, Integrity and Respect as we strive for Excellence. We are dedicated to embracing and promoting diversity while fostering well-being across New Mexico through cultural humility and respect for everyone. Benefits: Competitive Salary & Benefits: UNMMG provides a competitive salary along with a comprehensive benefits package. Insurance Coverage: Includes medical, dental, vision, and life insurance. Additional Perks: Offers tuition reimbursement, generous paid time off, and a 403b retirement plan for eligible employees.
$56.2k-70.2k yearly 11d ago