Responsibilities: The MDS Coordinator is responsible for the coordination and completion of clinical assessments, supporting documentation, care planning and transmitting the MDS, as required by federal and state regulations.
*Manage all Medicare/Medicaid case-mix documents at the nursing center to assure appropriate reimbursement for services provided. Overview:
Join the Albuquerque Heights Center as a LPN MDS Coordinator!
Training available
At Genesis Healthcare, we are dedicated to improving the lives we touch through the delivery of high-quality care and exceptional service.
Albuquerque, New Mexico21 days ago
Responsibilities: The MDS Coordinator is responsible for the coordination and completion of clinical assessments, supporting documentation, care planning and transmitting the MDS, as required by federal and state regulations.
*Manage all Medicare/Medicaid case-mix documents at the nursing center to assure appropriate reimbursement for services provided. Overview:
Join the Ladera Care Center as a LPN MDS Coordinator!
At Genesis Healthcare, we are dedicated to improving the lives we touch through the delivery of high-quality care and exceptional service.
BASIC REQUIREMENT(S): Education: A. A Bachelors or graduate/higher level degree from a regionally accredited college/university including courses in biological science, chemistry and mathematics, AND successful completion of a Medical Laboratory Scientist/Clinical Laboratory Scientist program accredited by the National Accrediting Agency for Clinical Laboratory Sciences (NAACLS) or an accrediting body recognized by the U.S. Department of Education at the time the degree was obtained. A Bachelors or graduate/higher level degree from an accredited college/university, including 16 semester hours (24 quarter hours) of biological science (with one semester in microbiology), 16 semester hours (24 quarter hours) of chemistry (with one semester in organic or biochemistry), one semester (one quarter) of mathematics, AND five (5) years of full time acceptable clinical laboratory experience in Blood Banking, Chemistry, Hematology, microbiology, Immunology and Urinalysis/Body Fluids.
Albuquerque, NM30+ days ago
Walgreens has approximately 220,000 team members, including nearly 90,000 healthcare service providers, and is committed to being the first choice for pharmacy, retail and health services, building trusted relationships that create healthier futures for customers, patients, team members and communities. Models and shares customer service best practices with all team members to deliver a distinctive and joyful patient experience, including interpersonal habits that show care (e.g., greeting, eye contact, courtesy, etc.) and Walgreens service traits (e.g., demonstrating curiosity to identify needs and proactively helping, servicing until satisfied, championing empathy and inclusivity, etc.).
Technical Skills: Knowledge of TRICARE policies and procedures, knowledge of Case Management, Utilization Management, and Quality Management practices and principles, and knowledge of Managed Care concepts, alternative care treatments, and community resources. • Research and investigate medical issues as they relate to potential fraud and abuse cases, to include perform anti-fraud and abuse pre-payment reviews or post-payment reviews.
Albuquerque, NM30+ days ago
The ideal candidate will have experience serving high-risk populations, including those impacted by poverty, mental and behavioral health challenges, substance use disorders, and social determinants of health, and will be deeply committed to enhancing family well-being through the NFP model. Assess and respond to the complex needs of families experiencing mental health challenges, substance use, domestic violence, housing instability, or other high-risk circumstances, providing trauma-informed and culturally responsive care.
Albuquerque, NM9 days ago
Manages the provision of quality patient care in an independent home therapy program while maintaining cost-effective clinical operations in accordance with all legal, compliance, and regulatory requirements and programs. Frequently interacts with supervisors, customers, and/or functional peer group managers, normally involving matters between functional areas, other company divisions or units, or customers.
Following regulatory approval, the Rare Disease Business Manager will play a key role in generating demand for a new therapeutic option by focusing on educating and informing healthcare professionals by providing clinical information and in-depth knowledge of the product, the orexin system, and narcolepsy type 1. This role involves collaboration with their Regional Business Leader and other cross-functional, customer-facing teams to ensure healthcare providers (HCPs) are well educated and that appropriate patients have access to a new therapeutic option, once approved by federal agencies.
Case Manager Encompass Health Rehabilitation Hospital of Albuquerque
Case ManagerAlbuquerque, NM2 days ago
Join Encompass Health, where being a Case Manager goes beyond just a job; it positions you as a vital link between exceptional care and the transformative impact on each patient's journey. Our achievements include being named one of the "World's Most Admired Companies" and receiving the Fortune 100 Best Companies to Work For® Award, among other accolades, which is nothing short of amazing.
Rio Rancho, New Mexico30+ days ago
We distinguish ourselves through our commitment to excellence, to our patients, to our employees, and to the communities we serve.The HIM Manager is responsible for maintaining the security, confidentiality, completeness, and accuracy of medical records in accordance with policies and procedures and within the guidelines of regulatory agencies.
Safeguards the confidentiality of all medical records by ensuring the Release of Information policy is followed in accordance with HIPAA and other requirements; securing legal/risk management records; responding timely to subpoenas and/or court orders; and representing the hospital in court hearings and/or depositions as required.
p>Under the direct clinical supervision of the site Clinical Supervisor and with administrative direction from the Health Center Manager, coordinates clinical staffing to ensure the efficient flow of patients through the Health Center and assists providers in delivering quality patient care, to include administration of injections, medical treatments, patient education, coordination of care, and other clinical activities.
Albuquerque, NM30+ days ago
p>PURPOSE AND SCOPE: Manages the provision of quality patient care in an independent home therapy program while maintaining cost-effective clinical operations in accordance with all legal, compliance, and regulatory requirements and programs.
Frequently interacts with supervisors, customers, and/or functional peer group managers, normally involving matters between functional areas, other company divisions or units, or customers.
p>GS-06: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the GS-05 grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: providing routine direct patient care and clinical support services as part of an interdisciplinary healthcare team; performing patient intake, screening, data collection, vital signs, routine testing, and documentation in electronic health records in accordance with established procedures; preparing patients for examinations and procedures and supporting patient comfort, safety, and mobility; monitoring, evaluating, and documenting patient conditions and recognizing and reporting significant or subtle changes requiring clinical attention; performing authorized testing and monitoring activities in accordance with established protocols; and maintaining accurate patient care documentation while ensuring compliance with privacy, confidentiality, and infection control requirements. MINIMUM QUALIFICATIONS:
GS-05: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the GS-04 grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: providing basic clinical and clerical support in a healthcare setting under supervision; conducting patient screening, obtaining and recording vital signs, and documenting patient information in electronic health records; assisting with patient positioning, activities of daily living, and routine clinical procedures to support patient comfort and safety; recognizing and reporting changes in patient condition; maintaining exam rooms, supplies, and equipment in accordance with infection control and safety guidelines; and performing administrative support duties such as scheduling appointments, maintaining records, and coordinating communications with healthcare staff and external facilities.
Albuquerque, NM30+ days ago
li>The Case Manager shall collect, organize, record, and communicate data relevant to primary health assessments including a detailed medical history in order to develop time sensitive treatment plans which delineate the expected process of care delivery for selected case managed patients or populations. - The Nurse Case Manager, hereafter referred to as the Case Manager, shall provide a full range of professional health nursing principles, practices, and procedures in clinical settings in order to analyze the full scope of problems associated with providing appropriate, cost effective care to Department of Defense (DOD) beneficiaries.
Albuquerque, NM30+ days ago
The Program Manager, Strategic Performance Excellence supports the development and execution of Corrective Action Plans (CAPs) in response to government-issued Corrective Action Requests (CARs) across the TRICARE (T-5) and Community Care Network (CCN) programs. In addition, this role partners with the Quality Performance Improvement team to integrate preventive insights and leading indicators from Quality Improvement Plans into project plans, timelines, and reporting to help mitigate risks before they escalate.
Arrowhead Pharmaceuticals is seeking a strategically minded, relationship-driven Key Account Manager (KAM) to lead enterprise engagement across priority health systems, Integrated Delivery Networks (IDNs), and complex accounts within an assigned geography. This role is central to building durable institutional access and driving adoption of Arrowhead's cardiometabolic portfolio, including Plozasiran for rare cardiovascular conditions such as Familial Chylomicronemia Syndrome (FCS).
Albuquerque, NM22 days ago
Go in the field 4 - 5 days/week to lead meetings with patients, parents, and providers to uncover needs, address barriers to treatment, and cement community partnerships. Ability to travel locally with reliable transportation & valid drivers license (within ~1 hour driving distance) 4-5 days/week for meetings with potential referral partners.