Top 10 Clinical competency coordinator Jobs in Santa Fe Nm

Registered Nurse Clinical Care Coordinator - Case Management
Christus Health —Santa Fe, NM
- Part-time
- Nursing
- RN License
- BLS Certification
7d
Registered Nurse - Senior RN Case Manager
Professional Case Management —Santa Fe, NM
- $46 an hour
- Full-time
- CPR Certification
- Nursing
- RN License
- Travel reimbursement
- Paid parental leave
Quick Apply
Payer Operations & Credentialing Coordinator
FronteraCare —Santa Fe, NM
- $21 - $29 an hour
- Full-time
- Remote
- Google Workspace
- Research
- Mid-level
Quick Apply
1d
Clinical Competency Coordinator
El Centro Family Health —Espanola, NM
- Weekends as needed
- CPR Certification
- Microsoft Excel
- Vital signs
- Paid holidays
- Health insurance
Quick Apply
CCBHC Project Director - New Mexico ALB
New Mexico Solutions —Santa Fe, NM
- $95,000 - $110,000 a year
- Full-time
- Hybrid work
- LMFT
- Master of Social Work
- Nursing
- Travel reimbursement
- Mileage reimbursement
Quick Apply
Ophthalmic Technician – Retina Coordinator
Eye Associates Of New Mexico —Santa Fe, NM
- Up to $16.50 an hour
- Part-time
- Customer service
- Clinic experience
- Mid-level
- Health savings account
- Paid holidays
Quick Apply

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Board Certified Behavior Analyst (BCBA)- Center Based
Attain ABA Therapy —Dublin, OH
Appropriate state license as required in state of employment. Develop and implement center-based social skills programming and curriculum in collaboration with…
Up to $100,000 a year
Quick Apply
7d
Physical Therapist PRN
Concentra —Columbus, OH
Ensures compliance with rules and regulations established by the relevant licensing, certification and accrediting bodies.

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Registered Nurse Clinical Care Coordinator - Case Management

Christus Health -
Santa Fe, NM

Apply Now

Job Details

Part-time
7 days ago

Qualifications

RN License
BLS Certification

Full Job Description

Description

Summary:

The Registered Nurse Clinical Care Coordinator is responsible for establishing, coordinating, and maintaining the process to increase patient throughput to the most appropriate level of care while facilitating interdisciplinary care across the continuum for the ED. The RN Clinical Care Coordinator collaborates with the patient and/or family, multidisciplinary team, physicians, community partners, and payers to ensure the patient’s progress and level of care are appropriately determined and evaluates or screens patients entering the CHRISTUS Health System for medical necessity. The RN Clinical Care Coordinator will collaborate with relevant providers and partners to determine the appropriate patient class and level of care of patients entering the CHRISTUS Health system to ensure the appropriate utilization of resources and maximize appropriate reimbursement opportunities. The RN Clinical Care Coordinator will utilize problem-solving and customer service skills to determine the best course of action for the patient, the physician, and the hospital by working closely with facility House Supervisors, referring physicians, ED, and inpatient staff to ensure the effective and efficient admission/placement of every patient. This job requires the full understanding and active participation in fulfilling the Mission of CHRISTUS Health. It is expected that the associate demonstrates behavior consistent with the Core Values. The associate shall support CHRISTUS Health’s strategic plan and the goals and direction of their Performance Improvement Plan (PIP).

Responsibilities:

Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
Reviews clinical information for patients upon entry into the health system to determine appropriate placement and patient class to maximize appropriate hospital reimbursement and positively manage length of stay.
Coordinates with onsite partner providers (LTACH, Inpt Rehab) to review requests for facility services and ensure appropriate use of outpatient hospital resources for (their patients) including scheduling coordination and appropriate escort by sending provider.
Review all ED patients identified by the treating physician as requiring admission to the hospital to ensure appropriate patient class and resource utilization.
Educates hospital and ED providers on levels of care, resource utilization, payor practices, and documentation. Escalates to Physician Advisor or CMO when discrepancies are present.
Performs the initial clinical medical necessity review utilizing evidence-based criteria and enters into the medical record for the receiving CM team.
Utilizes high risk screening criteria to make appropriate community and post-ED referrals.
Initiates prior authorization process when indicated for post-ED referrals and services.
Escalates to physician advisor when unable to resolve discrepancies with the attending physician.
Manages high-use patients and works to find alternatives for care to frequent ED visits.
Plans for discharges from the ED for patients who do not require admission to include arranging for Home Health, DME, placement, and community resources as they relate to social determinants of health.
Provides patient and family education and counseling about existing health problem related care.
Anticipates barriers/variances to the delivery of care and intervenes as necessary.
Intervenes with physicians and ancillary departments concerning clinical and utilization issues to ensure optimal patient outcomes.
Coordinates and facilitates patient progression throughout the continuum.
Collaborates with all members of the interdisciplinary team to facilitate appropriate care coordination and care delivery.

Job Requirements:

Education/Skills

Graduate of an accredited school of nursing required

Experience

2 years of experience in Case Management and/or Utilization Management required

Licenses, Registrations, or Certifications

RN License in the state of employment required
BLS required

Work Schedule:

MULTIPLE SHIFTS AVAILABLE

Work Type:

Part Time

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Refine Your Search

clinical competency coordinator jobs in santa fe nm

Registered Nurse Clinical Care Coordinator - Case Management

Registered Nurse - Senior RN Case Manager

Payer Operations & Credentialing Coordinator

Clinical Competency Coordinator

CCBHC Project Director - New Mexico ALB

Ophthalmic Technician – Retina Coordinator

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