Utilization review nurse jobs in Albuquerque, NM - 30 jobs

Provides support for medical claim and internal appeals review activities - ensuring alignment with applicable state and federal regulatory requirements, Molina policies and procedures, and medically appropriate clinical guidelines. Contributes to overarching strategy to provide quality and cost-effective member care. ESSENTIAL JOB DUTIES: Facilitates clinical/medical reviews of retrospective medical claim reviews, medical claims and previously denied cases in which an appeal has been made, or is likely to be made, to ensure medical necessity and appropriate/accurate billing and claims processing. Reevaluates medical claims and associated records by applying advanced clinical knowledge, knowledge of relevant and applicable state and federal regulatory requirements and guidelines, knowledge of Molina policies and procedures, and individual judgment and experience to assess the appropriateness of services provided, length of stay, level of care, and inpatient readmissions. Validates member medical records and claims submitted/correct coding, to ensure appropriate reimbursement to providers. Resolves escalated complaints regarding utilization management and long-term services and supports (LTSS) issues. Identifies and reports quality of care issues. Assists with complex claim review including diagnosis-related group (DRG) validation, itemized bill review, appropriate level of care, inpatient readmission, and any opportunities identified by the payment integrity analytical team; makes decisions and recommendations pertinent to clinical experience. Prepares and presents cases representing Molina, along with the chief medical officer (CMO), for administrative law judge pre-hearings, state insurance commissions, and judicial fair hearings. Reviews medically appropriate clinical guidelines and other appropriate criteria with medical directors on denial decisions. Supplies criteria supporting all recommendations for denial or modification of payment decisions. Serves as a clinical resource for utilization management, CMOs, physicians and member/provider inquiries/appeals. Provides training and support to clinical peers. Identifies and refers members with special needs to the appropriate Molina program per applicable policies/protocols. REQUIRED QUALIFICATIONS: At least 2 years clinical nursing experience, including at least 1 year of utilization review, medical claims review, long-term services and supports (LTSS), claims auditing, medical necessity review and/or coding experience, or equivalent combination of relevant education and experience. Registered Nurse (RN). License must be active and unrestricted in state of practice. Experience demonstrating knowledge of ICD-10, Current Procedural Technology (CPT) coding and Healthcare Common Procedure Coding (HCPC). Experience working within applicable state, federal, and third-party regulations. Analytic, problem-solving, and decision-making skills. Organizational and time-management skills. Attention to detail. Critical-thinking and active listening skills. Common look proficiency. Effective verbal and written communication skills. Microsoft Office suite and applicable software program(s) proficiency. PREFERRED QUALIFICATIONS: Certified Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM), Certified Professional in Healthcare Quality (CPHQ), or other health care certifications. Nursing experience in critical care, emergency medicine, medical/surgical or pediatrics. Billing and coding experience. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $29.05 - $67.97 / HOURLY *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Drug Utilization Review Pharmacist - Ensure Safe and Effective Use of Medications A confidential managed care organization is seeking a skilled Drug Utilization Review (DUR) Pharmacist to support quality prescribing and improve patient outcomes. This role is ideal for pharmacists who enjoy analyzing medication use, applying clinical guidelines, and collaborating with providers to promote safe, cost-effective care. Key Responsibilities Conduct prospective, concurrent, and retrospective drug utilization reviews. Evaluate prescribing patterns against clinical guidelines and formulary criteria. Identify potential drug interactions, duplications, and inappropriate therapy. Prepare recommendations for prescribers to optimize therapy and reduce risk. Document reviews and ensure compliance with state, federal, and health plan requirements. Contribute to quality improvement initiatives and pharmacy program development. What You'll Bring Education: Doctor of Pharmacy (PharmD) or Bachelor of Pharmacy degree. Licensure: Active and unrestricted pharmacist license in the U.S. Experience: Managed care, PBM, or health plan experience preferred - but hospital and retail pharmacists with strong clinical skills are encouraged to apply. Skills: Analytical mindset, detail-oriented, and excellent written and verbal communication. Why This Role? Impact: Shape prescribing decisions that affect thousands of patients. Growth: Build expertise in managed care and population health pharmacy. Flexibility: Many DUR roles offer hybrid or fully remote schedules. Rewards: Competitive salary, benefits, and career advancement opportunities. About Us We are a confidential healthcare partner providing managed care pharmacy services nationwide. Our DUR pharmacists play a key role in ensuring that medications are used safely, appropriately, and cost-effectively across diverse patient populations. Apply Today Advance your career in managed care pharmacy - apply now for our Drug Utilization Review Pharmacist opening and help lead the way in improving medication safety and outcomes.

Looking for a new opportunity? New Season offers exciting benefits! Take a look at this opportunity to join us in making a powerful impact in your local community! * Full benefits available on DAY ONE * Start accruing up to 3 weeks of PTO starting on DAY ONE * Tuition reimbursement opportunities are available * Up to $2,000 in employee referral bonuses available Ready to get started? Here's what we're looking for in our newest team member! In this role, you will have the opportunity to work under the direction and supervision of our Medical Director, Registered Nurse, and Program Director in a collaborative effort to ensure we are providing the best care and support to our patients in this clinic. You'll have a wonderful opportunity to engage directly with patients and provide them with stellar service as they are going through some of the most difficult times in their lives! For over 30 years, New Season Treatment Centers has been a leading national health care service provider of outpatient treatment centers that specialize in providing safe, quality, and best-in-class care for individuals living with Opioid Use Disorder ("OUD"). Curious what your day-to-day may look like and how you'll be making a big positive impact on your local community? Essential Functions: * Supply and administer medication pursuant to the physician's order and record dosage administered in the medical record. * Conduct an actual sight and count inventory of the medication supply daily. * Maintain absolute accuracy in the daily accounting of medication that is supplied or administered in inventory. * Collect fees and perform daily cash reconciliation in the absence of a cashier position. * Ensure the disposal of medical waste through the proper protocol. * Observe the patient's demeanor prior to dosing. * Contact other centers to verify dosages as needed. * Administer appropriate lab tests as required, including patient vital signs, TB tests when required, and collect data for review by the Medical Director or RN. * Schedule and screen patients to be seen by the Medical Director. * Assist the Medical Director in collecting data for the history and physical as required. * Maintain absolute control, tracking, and confidentiality of all patient medical paperwork. * Actively participate in CARF preparation and the state audit process. * Interface with the public and patients by answering phones, greeting visitors, and monitoring patient activities while on center's premises. Benefits: * Early morning hours (Allows for a great work-life balance) * Competitive Pay * Generous PTO (3 weeks with buy-up options) * Excellent Medical (EPO & PPO plans), Dental, and Vision Insurance * Life Insurance * Short/Long Term Disability * 401k with up to 3% matching * Reimbursement for education, license, tuition, etc. * Referral bonus (up to $2,000) Essential Qualifications: * Education/Licensure/Certification: Active LPN license in your state. * Required Knowledge: Understanding of opiate addiction, medical terminology, general nursing knowledge, and techniques. Basic mathematics skills. Must be computer literate and have basic knowledge of all Microsoft products, including Word, Outlook, and Excel. Must have basic typing skills. * Experience Required: Minimum of 1 year of direct patient contact. Prior experience in the clinical environment is helpful. New Season provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. Job or State Requirements LPN or RN in NM

Insight Global is looking for a Nurse to support a client as a direct hire at a residential location in Albuquerque, NM. The part time Nurse will support troubled youth between 12-17 with medication administration, training staff on best medication practices, coordinate and confirm medical events (immunizations, appointments, and medication), and manage referrals from the youth's medical providers. The part time Nurse is expected to work between 12pm-8pm Monday through Friday and occasional weekends. There is some flexibility with the shift. The client is open to two part time Nurse or one full time Nurse to meet the needs of the program. Pay Rate: $35-$40/hr We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to ********************.To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: **************************************************** Skills and Requirements Associates/Bachelors degree in Nursing Active Nursing license in New Mexico Experience with pediatric or correctional facility Medication administration experience CPR and First Aid Certified Bachelors degree in Nursing

Job Description Flight Nurse - Albuquerque, NM | Competitive Pay + Up to 15% Location Bonus Join a Life-Saving Mission in Air Medical Transport! About Total Aviation Staffing At Total Aviation Staffing, we specialize in connecting skilled professionals with extraordinary opportunities in aviation and medical transport. We're proud to partner with a leading air medical provider to deliver rapid emergency medical care and advanced patient transport services. Join a team that's redefining safety, efficiency, and excellence in air medical transport. Why This Opportunity? Make a Difference: Save lives and provide critical care during air and ground transports. Rewarding Compensation: Enjoy competitive pay, location bonuses, and incentives. Professional Growth: Access world-class training and continuing education opportunities. About the Role We are seeking Flight Nurses to join an elite air medical transport team based in Albuquerque, NM, with occasional travel to Grants, NM, or Tucumcari, NM. In this role, you will provide advanced patient care during critical emergency transports, working alongside a dedicated crew to ensure safety and excellent outcomes. Key Responsibilities Perform complex assessments, diagnoses, and emergency treatments for critically ill and injured patients during transport. Document detailed and accurate information for patient care and billing purposes. Communicate effectively with internal and external stakeholders to ensure seamless operations. Enhance expertise through mandatory meetings, skill labs, clinical rotations, and ongoing education. Maintain compliance with all certifications and regulatory standards. Operate within the scope of practice as defined by the local Department of Health Services. What You Bring Active RN License: Valid in the state of employment. Experience: Minimum of 3 years (5 years preferred) in critical care or emergency settings. Certifications: BLS, ACLS, PALS, TNATC, TNCC, ITLS, or PHTLS (NRP preferred). Specialized Credentials: CFRN certification within 24 months of hire. Physical Requirements: Body weight below 235 lbs and ability to lift up to 100 lbs. Preferred Qualifications: Flight or transport experience and instructor certifications. Compensation & Benefits Competitive Pay: $28.73-$41.01 per hour, with annual earnings of $97,452-$139,208. Location Bonus: Up to 15% for eligible candidates. Additional Incentives: Shift bonuses, annual safety bonuses, and employee rewards. Comprehensive Benefits: Health, dental, vision, and life insurance, plus continuing education allowances. Core Values Safety First: Committed to achieving zero incidents through rigorous protocols and training. Efficiency & Quality: Delivering high-performance outcomes in a sustainable, responsible way. Service Excellence: Supporting patients, communities, and team members with dedication and care. Ready to Soar? Take your nursing career to new heights with a role that combines purpose, challenge, and growth. Apply today to join a team where your expertise saves lives, and your dedication makes a lasting impact. Submit your application now through Total Aviation Staffing and take the first step toward a rewarding career in air medical transport!

Up to a $25,000 sign-on bonus! Are you an experienced Flight Nurse looking for your next opportunity? Our staffing agency is seeking passionate and skilled Flight Nurses to join a top-tier critical care team! This role is perfect for nurses ready to provide life-saving care in dynamic, high-pressure environments during air and ground transports. Make a real impact and advance your career in critical care! Key Responsibilities: Perform critical care assessments, diagnoses, and emergency treatments during transport (rotor-wing, fixed-wing, or ground). Accurately document patient care, treatments, and billing information. Communicate effectively with internal teams, leadership, and external partners. Maintain certifications and competencies through ongoing training, skill labs, and clinical rotations. Adhere to all medical protocols and regulatory guidelines under the supervision of the program's Medical Director. Schedule: Schedule varies based on operational needs. Qualifications: Active RN license in the state of employment. Minimum 3 years of critical care or emergency nursing experience (5 years preferred). Current certifications: BLS, ACLS, PALS, and one of the following: TNATC, TNCC, ITLS, or PHTLS. NRP and instructor certifications preferred. CFRN certification (must be obtained within 24 months of hire). Flight or transport experience preferred. Ability to lift up to 100 lbs and maintain body weight under 235 lbs. Must pass a pre-employment physical exam, functional capacity test, and drug screening. Compensation & Benefits: Potential earnings: $97,452 - $139,208 annually ($28.73 - $41.01 per hour). Sign-on bonus of up to $25,000 (based on overtime/double-time hours worked). Competitive benefits, including shift bonuses, annual performance incentives, and more. Why This Opportunity? Our partner is a leader in air medical transport, offering advanced technology, rigorous training, and industry-leading safety protocols. This is your chance to join a team committed to saving lives while prioritizing crew and patient safety. Apply now to take your critical care nursing career to new heights!

Facility in central New Mexico is in need of help in their ER. Any RN Traveler interested should have 2 years experience, be certified ACLS, BLS, PALS, and NIHSS. Must hold current NM/Compact license. Prior Travel experience is necessary for submittal. Call Ventura Medstaff today for more information at ************.

The Psychiatric RN is responsible for conducting physical health assessments, assessing physical health needs, making appropriate referrals to community physicians, providing management and administration of psychiatric medication in conjunction with the Nurse Practitioner/Psychiatrist, providing a range of treatment, rehabilitation and support services, and sharing shift-management responsibility with other staff. Essential Functions: Medications and Medication Room: Oversees and medication room operations and compliance and properly administers client medication as evidenced by: Properly maintains, disposes of, and orders medications. Maintains the medication room, ensuring that it remains up to licensing/pharmacy standards Creates and maintains, appropriate medication tracking, as well as security and tracking of controlled substances. Receives and disseminates medication in accordance with agency and pharmacy requirements. Participates in providing medication administration and medical services as appropriate including injection administration. Assures that all needed medical supplies are appropriately stocked and medication orders/changes are noted and ordered in a timely fashion. Completes and coordinates medication room compliance activities including Contract Pharmacy Audits, Board of Pharmacy Audits, and Board of Pharmacy License Renewal. Nursing Client Care Activities: Conducts person-centered client care services to support health, wellness, and increased independence for individuals served as evidenced by: Participates in and conducts parts of client centered comprehensive assessment to determine medical stability and level of care. Assessment may include psychiatric history, mental status, and diagnosis; physical and dental health; use of drugs or alcohol; education and employment; social development and functioning and activities of daily living. Schedules, and administers medical assessments of client physical health, making referrals to community physicians as appropriate and coordinates psychiatric treatment with medical treatment as appropriate. Provides direct clinical services to clients and/or groups related to topics that may include, but are not limited to, symptom management/education, daily living skills, hygiene, physical health, nutrition/food education, social skills, and community resources. Conducts Travel / Transportation as appropriate related to client needs including, home visits, client appointments, hospital visits, pharmacy visits. Provides symptom education to clients and staff as appropriate on topics including but not limited to psychopharmacology, mental health conditions/symptoms, physical health conditions/symptoms, wellness, and safety. Provides on-call services and intervention as required. Demonstrates ability to respond to crisis situations Prescriber Support: Assists medication prescriber as evidenced by: Arranges for required lab work as appropriate. Process refill request, includes review of client chart, assessment of appropriateness of request, and consult with prescriber as required. Completes prior authorization for medication processing (includes review of client chart, assessment of med need & potential alternatives, consult with prescriber) Completes in-person assessment including physical assessment of symptoms, presentation, vitals, etc. and communicates information to prescriber. Service Team Approach: Participates as an active treatment team member serving individuals with mental health and substance use issues as evidenced by: Demonstrating the ability to recognize and identify symptoms of mental illness and substance use. Participating as a member of a multi-disciplinary team approach to treatment and recovery. Consults and coordinates with internal and external providers and relevant treatment team members to maintain coordination in the treatment process. Outreach, Engagement, Follow-Up: Provides comprehensive outreach, engagement, and follow up to assigned individuals as evidenced by: Providing comprehensive outreach and follow up to all assigned individuals including contact attempts over the phone, in-person, in the home etc. Demonstrating the ability to engage and develop rapport with individuals presenting with a variety of symptoms/presentations. Cultural Competence and Diversity: Provides culturally appropriate services to diverse populations as evidenced by: Providing services that are person-centered. Providing services that are culturally relevant. Providing a non-judgmental, open, and welcoming approach to diverse populations. Documentation: Completed documentation that meets identified expectations as evidenced by: Documenting all services provided within expected time frames. Documenting all services provided in a manner that meets service definitions, regulatory standards, and agency expectations. Documenting all services provided in a manner that is person-centered and meets quality improvement goals. Efficiency and Productivity: Consistently meeting established productivity standards as evidenced by: Demonstrating excellent organizational skills. Demonstrating effective use of time management techniques. Demonstrating the use of effective engagement skills. Consistently meeting established productivity standards. Staff Development Activities: Participates in staff development activities to increase skills and professional development as evidenced by: Participating in and completing all required trainings in an accurate and timely manner. Identifying and requesting training or skill enhancement opportunities. Engaging in cross-training activities with other team members. Attending and participating in required meetings and supervision sessions. Demonstrates the ability to apply supervisory recommendations to work performance. Other: Completes other administrative support duties and special projects as developed and assigned including but not limited to: Participates in ongoing quality improvement process to ensure consistency and safety for nursing related services across programs as appropriate. Participates in nurse shift scheduling as appropriate across agency programs to ensure adequate nursing coverage. Qualifications Education and Experience: Associate's, Bachelor's or Master's level nursing degree. Current NM RN license At least 1 year relevant experience working with the severely mentally ill in an inpatient or outpatient psychiatric setting. Knowledge of psychotic and mood disorders, their related medications and potential side effects, required. Having Charge Nurse or other related leadership experience, strongly preferred. Valid drivers' license and meets the driving privileges guidelines established in HR Policy 12.6 “Vehicle Safety and Client Transportation.” Knowledge and Skills: Demonstrated success in the following areas: Must demonstrate specific additional training or experience in psychological therapies, building a therapeutic alliance, dealing with challenging behavior and the administration of psychiatric medication. Must be knowledgeable of psychotropic side effects and how evaluate for them (i.e. AIMS, observation).

FLIGHT NURSE INCENTIVES * Starting Range $99,000-$102,000 annually * $10,000 Sign-on Bonus payable in two installments following the end of training * Schedule is a 5 days on/10 days off rotation * Company paid crew housing while on shift We're hiring Flight Nurses to provide direct patient care in accordance with GMR protocols and/or medical direction. They also assist with coverage of open shifts as needed with the assigned area. JOB DUTIES * Flight Nurses will assess each situation to determine the best course of action to support, monitor and treat patients in critical care situations * Utilize critical thinking skills to manage the critically ill or injured adult or pediatric patient and support physicians' orders * Take pride in providing a safe, clean, and well-stocked aircraft environment, maintains regular equipment and base checks, and complies with safety standards and briefings * Work collaboratively and effectively communicates in a professional manner with air and ground teams, dispatch, flight crews, facilities, and partners * Share shift change info to transitioning team and follow protocols to maintain accurate company and regulatory documentation and records * Nurses are accountable to maintain required certifications and ongoing training required for the position QUALIFICATIONS Experience: * Minimum of three (3) years' experience in an emergency or critical care setting required * Flight experience preferred Education: * Current RN licensure in the states served by the assigned area required * EMT Certification in state(s) where required * AHA BLS, ACLS, PALS, NRP required prior to flight status. Will be required to obtain trauma certification within 6 months of hire * Advanced Certification (CEN, CCRN, CFRN) preferred, required within 12 months from date of hire * Instructor certifications in BLS, ACLS, PALS/PEPP, ITLS/PHTLS preferred Physical Demands: * Must be willing to shave facial hair (if needed) to fit a N95 mask * Must possess the gross and fine motor skills necessary to sufficiently provide the full range of safe and effective patient care activities * Lift and/or move up to 150 pounds cumulative with assistance * Specific vision abilities required by this job include close vision, distant vision, peripheral vision, depth perception and the ability to adjust focus * Must be able to work a flexible work schedule Why Choose Guardian Flight? As a leader in air ambulance services, Guardian Flight is one of Global Medical Response's (GMR) family of solutions. Our GMR teams deliver compassionate, quality medical care, primarily in the areas of emergency and patient relocation services. View the stories on how our employees provide care to the world at ************************* Learn how our values are at the core of our services and vital to how we approach care and check out our comprehensive benefit options at GlobalMedicalResponse.com/Careers. EEO Statement Global Medical Response and its family of companies are an Equal Opportunity Employer, which includes supporting veterans and providing reasonable accommodations for individuals with a disability. Check out our careers site benefits page to learn more about our benefit options. R0049445

Join Our Life-Saving Team in New Mexico and take advantage of a sign on bonus up to $35,000! Apply today! Are you ready to elevate your career to new heights? PHI Health is looking for dynamic, driven individuals to join our team. We are committed to providing top-tier emergency medical services with unmatched speed and efficiency, saving lives when every second counts. By supporting our mission from the ground, you will play a crucial role in orchestrating the seamless operations that keep our advanced fleet soaring and our patients safe. With PHI Health you'll collaborate with the best minds in the industry, driving initiatives that enhance our services and expand our reach to those who need it most. If you're passionate about making a difference and thrive on challenges, PHI Health offers an extraordinary opportunity to impact lives and develop your professional career in a meaningful way. Who We Are: PHI Health is the leading air ambulance provider in the United States. With an unmatched safety record and the best aviation, medical and communication specialists in the field, we set the standard in the air medical industry. We transport more than 22,000 patients each year from our more than 80 bases across the country, all while offering services and outreach education to local communities and leading healthcare systems. Our mission is simple: move communities to health while maintaining the highest standard of safety, period. Job Summary: Under the direction and supervision of the Base Medical Supervisor, this position is responsible for providing safe, comprehensive care to critically ill and/or injured patients of all ages. Care is provided in the pre-hospital setting and during inter-facility transports by understanding and applying the specialized principles and techniques of flight nursing practice, emergency procedures and diagnostics. Responsibilities Include: Performs a wide range of specialized functions and complex assessments, diagnoses, therapies and emergency treatment of patients transported by rotor-wing and/or fixed wing and/or ground. Documents appropriate and accurate information for assessment and treatment during stabilization and transport. Documents accurate and complete billing information of patient transports. Maintains and facilitates effective and timely communication between management, internal and external customers. Participates in activities to support PR and marketing efforts. Maintains knowledge base for flight nursing role by attending mandatory meetings, chart reviews, equipment reviews, skill labs, clinical rotations, and continuing education sessions related to the care and transport of critically ill and/or injured patients. Completes all annual recurrent competency requirements. Maintains an active RN license and all certifications required by policy. Clinically functions under the direction of the program's Medical Director through medical protocols and procedures and online medical guidance. For clinical matters, reports directly to the program's Manager of Clinical Services and indirectly to the National Director of Clinical Standards. The Successful Candidate Will Have: Must have an active RN license to practice in the state employed. Minimum of three years (five years preferred) of current critical care/emergency experience. Current BLS, ACLS, PALS, and TNATC, TNCC, ITLS, or PHTLS. NRP preferred. Instructor certifications preferred. CFRN within twenty-four months of hire. Flight or transport experience preferred. Must successfully complete the PHI Health Group education/orientation program. Effective human relations skills required for interfacing with all levels of personnel and external customers. Must meet and maintain clinical personnel weight restriction limit for flight according to policy. Must possess basic computer skills for e-mail, electronic charting, etc. Ability to communicate verbally, effectively and clearly in person and by radio Must maintain body weight below 215 lbs. Must be able to pass pre-placement physical exam including functional capacity exam (strength and flexibility assessment, lift up to 100 pounds) and drug screening. Schedule/Location: MED New Mexico Compensation and Benefits: We offer a range of competitive pay and benefits package to keep our teams happy, healthy, and invested. Our Core Competencies: Safe. We are absolute in our belief in the tenets of Destination Zero and that Zero is not only achievable, but the only acceptable outcome. Efficient. We are focused on outcomes that are smart and responsible by making the best use of our resources to maximize overall productivity and achieve sustainable profitability as a high performing organization. Quality. We are committed to ensuring excellent organizational performance which produces sustainable and reliable outcomes. Service. We are dedicated to the service of our customers, our communities and each other. Behavioral Competencies: Drive & Energy - The ability to maintain a fast pace and continue to produce during exhausting circumstances. Functional & Technical Expertise - Allows the individual to add organizational value through unique expertise and serve as a resource to the organization within his/her area of expertise. High Standards - Sets the stage for continuous improvements, the adoption of best practices and ultimately influences organizational standards. Initiative - Takes a proactive approach and takes action without being prompted. Integrity - Acts ethically and honestly and applies those standards of behavior to daily work activities. The PHI Health Advantage: For more than 40 years, our company has been providing critical air medical transport services across the country. As an organization, we outfit each aircraft we fly with the most advanced technology, subject our crews to the most rigorous protocols and training and pioneer the most-forward thinking safety program in the country. Everything that we do comes back to the safety of our crew and our patients. Our accident rate is well below the national average, and we were the first to receive the Vision Zero Aviation Safety Award. This belief has guided us towards a number of industry firsts and has given us the highest safety rating in the industry. Sign on bonus up to $35,000 DISCLAIMER The above Statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not intended to be construed, as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. PHI, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws

Optum NM is seeking a an NP or PA - Clinician Educator for Quality and Clinical Documentation to join our team in Albuquerque, NM. Optum is a clinician-led care organization that is changing the way clinicians work and live. As a member of the Optum Care Delivery team, you'll be an integral part of our vision to make healthcare better for everyone. At Optum, you'll have the clinical resources, data and support of a global organization behind you so you can help your patients live healthier lives. We believe you deserve an exceptional career, and will empower you to live your best life at work and at home. Experience the fulfillment of advancing the health of your community with the excitement of contributing new practice ideas and initiatives that could help improve care for millions of patients across the country. Because together, we have the power to make health care better for everyone. Join us and discover how rewarding medicine can be while Caring. Connecting. Growing together. Primary Responsibilities: • Full-time Advance Practice Clinician (APC): Nurse Practitioner or Physician Assistant • Face-to-face and virtual education of Network Physicians and APCs about value-based care, Hierarchical Category Codes (HCCs) and Medicare HEDIS measures, patient experience and Stars ratings • Partnering with physicians and APCs on reimbursement models focusing on improving care quality, efficiency and experience by closing quality gaps in care, documenting accurately and taking a patient-centric approach to preventative care • Meeting and developing relationships with physicians, APCs and clinic administrators, understanding, adapting and responding to their questions, concerns and perspectives Compensation & Benefits Highlights: • Guaranteed base salary, annual wage increase eligibility, and incentive pay potential • Signing bonus avilable for qualifying applicants • Financial stability and support of a Fortune 5 Company • Robust retirement offerings including employer funded contributions and Employee Stock Purchase Plan (ESPP for UHG Stock) • Comprehensive benefits plan inclusive of medical, dental, vision, STD/LTD, CME • Robust clinician learning and development programs You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: • New Mexico Nurse Practitioner or Physician Assistant license (or ability to obtain prior to start) and national certification (Family Medicine, Adult Medicine, or Geriatrics preferred) • 2+ years of clinical experience working as a Nurse Practitioner or Physician Assistant • New Mexico Driver's License and Auto Insurance in accordance with the state of New Mexico (or will be licensed and insured by employed date) • Ability to work autonomously, and travel locally Preferred Qualifications: • Experience with Medicare Advantage - Risk Adjustment CMS Documentation & Coding Guidelines • Public speaking experience • Experience with quality improvement reports and HEDIS measures • Familiarity with Data RAP, Alliance, DataCore, Facets systems, and other EMRs • Experience in developing and delivering coding education to non-coder professionals • Knowledge of government rules and regulations regarding coding and documentation

**Exciting News: The Rehabilitation Center of Albuquerque is now hiring New Grads LPNs for 8hrs,12hr or 16hr shift apply for more details.** + **Friendly environment!** + **Full Time, Part Time.** + **Shift Nights,Days** + **Weekend Warrior shift diff $4.00** + **Ask about our Mod Comp diff?** + **$5,000k sign-on bonus for full-time only!** **Want to earn an extra $500 every 90 days? Ask about our Attendance and Performance Bonus!** At Genesis Healthcare, we are dedicated to improving the lives we touch through the delivery of high-quality care and exceptional service. As a leading provider in the long-term care industry, we believe in fostering a collaborative, inclusive and supportive work environment where every team member is valued and empowered to make a difference. Whether you're an experienced professional or just starting your career, we offer opportunities for growth, development, and advancement in a range of roles. Join us in our mission to enhance the well-being of our patients and residents while making a meaningful impact in the communities we serve. Responsibilities After an orientation period and under the direction of a Registered Nurse, you will deliver efficient and effective nursing care while achieving positive clinical outcomes and patient, resident and family satisfaction. *Manage patient care by performing nursing assessments delegating aspects of care to LPNs and Nursing Assistants. *Collaborate with the nursing team and other disciplines, patients and families to develop effective plans of care. *Communicate patient information with assigned staff during and between shifts. Qualifications Must be a graduate of an approved school of nursing Must be currently licensed by the State Board of Nursing or awaiting licensure number Experience in rehabilitative or geriatric nursing is preferred. Benefits *Variable compensation plans *Tuition, Travel, and Wireless Service Discounts *Employee Assistance Program to support mental health *Employee Foundation to financially assist through unforeseen hardships *Health, Dental, Vision, Company-paid life insurance, 401K, Paid Time Off *Free 24/7 virtual health care provided by licensed doctors for all Anthem medically-enrolled employees and their immediate family members *On-Demand Pay Program that allows for instant access to a portion of the money you've already earned We also offer several voluntary insurances such as: *Pet Insurance *Term and Whole Life Insurance *Short-term Disability *Hospital Indemnity *Personal Accident *Critical Illness *Cancer Coverage Restrictions apply based on collective bargaining agreements, applicable state law and factors such as pay classification, job grade, location, and length of service. Posted Salary Range USD $34.00 - USD $34.00 /Hr. Bonus USD $5,000.00 Genesis HealthCare, Inc. and all affiliated entities (collectively "Genesis") has a strong commitment to diversity that is fully supported and practiced by our officers and leadership team. Genesis provides equal employment opportunities to all employees and applicants for employment without regard to actual or perceived race, color, religion, gender, gender expression, gender identity, sex, sexual orientation, HIV status, national origin, age, disability, marital status, pregnancy, ancestry, citizenship, genetic information, amnesty, military status or status as protected veterans, or any other legally protected characteristic. Genesis is an Affirmative Action and Equal Opportunity Employer and our goal is to foster an inclusive and accessible workplace free from discrimination and harassment where everyone has equal opportunities to succeed.

Large facility in central New Mexico is in need of help in their ER. Any RN Traveler interested should have 3 years experience, be certified ACLS, BLS and PALS, and hold current NM/Compact license. Call Ventura Medstaff today for more information at ************.

Job DescriptionDeliver Safe, Compassionate Medication Support in Recovery Care At State of the Heart Recovery, the Dispensing Nurse plays a critical role in supporting clients receiving medication-assisted treatment through our Opioid Treatment Program. This position is responsible for the safe, accurate, and compassionate dispensing of methadone and other approved medications, monitoring client response, and maintaining complete and compliant medical documentation. The Dispensing Nurse works collaboratively with the Medical Director, Physician, and Clinical Program Director to ensure medication protocols are followed, regulatory requirements are met, and clients receive respectful, professional care. This role requires strong attention to detail, comfort with electronic health record systems, and a commitment to confidentiality and patient safety. What You Will Do Dispense methadone and other prescribed medications in accordance with physician orders and clinic policies. Monitor clients for treatment response, including signs of withdrawal, intoxication, or adverse reactions, and communicate concerns promptly. Perform required patient assessments and document patient condition as appropriate. Accurately document dosing, assessments, and clinical interactions in the Electronic Health Record and Methasoft system. Maintain accurate counts, reconciliation, and secure storage of controlled substances in compliance with DEA and State Board of Pharmacy requirements. Maintain a clean, organized, and compliant medication dispensing area. Collaborate with the Medical Director, Physician, and Clinical Program Director to support coordinated medical care. Participate in required staff training, quality improvement activities, and program meetings. Maintain professional boundaries, confidentiality, and ethical standards at all times. Adapt to clinic schedules, dosing windows, and patient care needs. Perform other nursing duties as assigned to support medical operations. Why Join Us State of the Heart Recovery provides evidence-based, compassionate care for individuals in recovery. As a Dispensing Nurse, you will be part of a multidisciplinary medical and clinical team dedicated to safety, dignity, and high-quality treatment delivery. You will work in a structured clinical environment that values collaboration, accuracy, and professional growth, with training provided on specialized systems and medication protocols unique to opioid treatment services. Requirements What You Will Bring Current licensure in the State of New Mexico as a Registered Nurse. Experience in behavioral health, substance use treatment, or medical clinic settings preferred. Strong documentation, typing, and data entry skills; ten-key experience preferred. Willingness to train in State of the Heart Recovery's Electronic Health Record and medication management systems. Ability to maintain professional boundaries and strict confidentiality. Strong attention to detail and commitment to medication safety and accuracy. Effective communication skills and ability to work collaboratively with medical and clinical teams. Benefits We offer a comprehensive benefits package designed to support employee wellbeing and stability, including: Health Care Plan (Medical, Dental, and Vision) Paid Time Off (Vacation and Select Public Holidays) Family and Medical Leave in accordance with state and federal law

Are you ready to take your Travel career to the next level? See places you have not seen before? Ventura's MedStaff tenured Recruiters are here to help you find your ideal contract; with over 50 years of combined experience. Markets have changed, but Ventura MedStaff has maintained a leader in the forefront of Therapy, Allied and Nursing opportunities. Our recruiters are here to help answer your questions and provide you with the most up to date information. Contracts run 8-13 weeks, with 36-40-hour guarantees, flexible start dates, and a mix of schedules. Contact one of our dedicated Recruiters to discuss more details. Ventura MedStaff benefits represent the care and compassion we provide for our clients. • Health, dental, vision, life, disability benefits and 401k • Tax free stipends when applicable • Gym discounts • Weekly pay • $750.00 referral bonus Please apply or contract us at: *********************** or ************

Night Shift Nurse (RN/LPN) Sign-On Bonus: Up to $6,000 Night & Weekend Shift Differentials Available The Night Shift Nurse (RN/LPN) plays a critical role in delivering high-quality, compassionate care in a calm overnight environment. This position provides hands-on nursing care, supports resident safety and comfort, and collaborates with the care team to ensure continuity of care throughout the night. Essential Responsibilities • Provide total nursing care to residents on the assigned unit during the night shift • Administer medications and treatments according to physician orders and nursing standards • Ensure compliance with federal, state, local, and company regulations • Communicate care plans, procedures, and treatments clearly to residents and families • Accurately transcribe and implement physician orders • Document care and resident responses thoroughly and timely • Give and receive detailed shift reports to ensure continuity of care • Conduct routine rounds to monitor resident comfort, safety, and condition • Supervise and support CNAs, ensuring accurate daily documentation • Coordinate care with therapists to support 24-hour rehabilitation needs • Record diet changes and communicate updates to the Dietary Department • Participate in quality improvement activities, in-services, and staff meetings • Perform additional duties as assigned Qualifications • Graduate of an accredited RN or LPN nursing program • Active RN/LPN state license in good standing • Minimum of 2 years nursing experience (or equivalent) • Strong leadership, communication, and organizational skills • Ability to work independently and as part of a team • Commitment to professionalism and compassionate care Reports To: Director of Nursing Shift Differentials • Weekday Nights (6:00 PM - 6:30 AM): +$1.50/hr • Weekend Days (6:00 AM - 6:30 PM): +$2.50/hr • Weekend Nights (6:00 PM - 6:30 AM): +$4.00/hr Benefits Snapshot • Sign-On Bonus up to $6,000 • Paid Time Off (PTO) that increases with years of service • Paid Holidays, including your birthday • Holiday Pay: Time and a half when working a holiday (full-time) • Sick Leave accrual • Overtime Pay (1.5×) • Paid breaks and meal periods • Jury Duty Pay • Social Security and retirement contributions Why You'll Love Working Nights Here • Quieter environment with fewer interruptions • Supportive leadership and strong teamwork • More autonomy and focused resident care • Competitive night and weekend differentials • Consistent scheduling • Professional growth opportunities

Travel L&D RN is needed for 13 weeks to start ASAP in a hospital in New Mexico. 2 years of experience. ACLS, BLS, an PALS are required. To speak with a recruiter please call Ventura Medstaff today at **************.

Formulary Strategy & Utilization Review Pharmacist Shape the drug benefit landscape-analyze and optimize medication use. Key Responsibilities: Review prescribing trends and propose cost-saving alternatives. Maintain evidence-based formularies across multiple payers. Conduct retrospective DUR and prepare stakeholder reports. Qualifications: PharmD with managed care, DUR, or pharmacy benefit experience. Strong Excel/data analytics background preferred. Understanding of clinical guidelines and P&T processes. Why Join Us? Join a top-tier managed care team Hybrid flexibility Strategic and data-driven focus

Looking for a new opportunity? New Season offers exciting benefits! Take a look at this opportunity to join us in making a powerful impact in your local community! * Full benefits available on DAY ONE * Start accruing up to 3 weeks of PTO starting on DAY ONE * Tuition reimbursement opportunities are available * Up to $2,000 in employee referral bonuses available Ready to get started? Here's what we're looking for in our newest team member! In this role, you will have the opportunity to work under the direction and supervision of our Medical Director, Registered Nurse, and Program Director in a collaborative effort to ensure we are providing the best care and support to our patients in this clinic. You'll have a wonderful opportunity to engage directly with patients and provide them with stellar service as they are going through some of the most difficult times in their lives! For over 30 years, New Season Treatment Centers has been a leading national health care service provider of outpatient treatment centers that specialize in providing safe, quality, and best-in-class care for individuals living with Opioid Use Disorder ("OUD"). Curious what your day-to-day may look like and how you'll be making a big positive impact on your local community? Essential Functions: * Supply and administer medication pursuant to the physician's order and record dosage administered in the medical record. * Conduct an actual sight and count inventory of the medication supply daily. * Maintain absolute accuracy in the daily accounting of medication that is supplied or administered in inventory. * Collect fees and perform daily cash reconciliation in the absence of a cashier position. * Ensure the disposal of medical waste through the proper protocol. * Observe the patient's demeanor prior to dosing. * Contact other centers to verify dosages as needed. * Administer appropriate lab tests as required, including patient vital signs, TB tests when required, and collect data for review by the Medical Director or RN. * Schedule and screen patients to be seen by the Medical Director. * Assist the Medical Director in collecting data for the history and physical as required. * Maintain absolute control, tracking, and confidentiality of all patient medical paperwork. * Actively participate in CARF preparation and the state audit process. * Interface with the public and patients by answering phones, greeting visitors, and monitoring patient activities while on center's premises. Benefits: * Early morning hours (Allows for a great work-life balance) * Competitive Pay * Generous PTO (3 weeks with buy-up options) * Excellent Medical (EPO & PPO plans), Dental, and Vision Insurance * Life Insurance * Short/Long Term Disability * 401k with up to 3% matching * Reimbursement for education, license, tuition, etc. * Referral bonus (up to $2,000) Essential Qualifications: * Education/Licensure/Certification: Active LPN license in your state. * Required Knowledge: Understanding of opiate addiction, medical terminology, general nursing knowledge, and techniques. Basic mathematics skills. Must be computer literate and have basic knowledge of all Microsoft products, including Word, Outlook, and Excel. Must have basic typing skills. * Experience Required: Minimum of 1 year of direct patient contact. Prior experience in the clinical environment is helpful. New Season provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. Job or State Requirements LPN or RN in New Mexico