7 registered nurse or licensed practical nurse jobs found

At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us. Job Posting Title Special Investigations Unit (SIU) Investigator - Remote Job Description The Special Investigations Unit (SIU) Investigator is responsible for conducting standard investigations of potential pharmacy, member, and/or prescriber fraud, waste and abuse (FWA). This position conducts claims data mining, fraud analysis and auditing/monitoring activities and proactively identifies improvement opportunities in investigation procedures and FWA prevention efforts ensure proper identification of potential FWA. The SIU Investigator prepares investigative reports for leadership, remediation actions, recovery efforts, internal committees and/or referral to state and federal law enforcement agencies. Responsibilities Develop...

Your Future Evolves Here Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would want for our loved ones. Evolent employees enjoy work/life balance, the flexibility to suit their work to their lives, and autonomy they need to get things done. We believe that people do their best work when they're supported to live their best lives, and when they feel welcome to bring their whole selves to work. That's one reason why diversity and inclusion are core to our business. Join Evolent for the mission. Stay for the culture. What You'll Be Doing: Your Future Evolves Here Evolent employees enjoy work/life balance, the flexibility to suit their work to their lives, and autonomy they need to get things done. We believe...

Posting Details This job posting may be used to fill multiple vacancies. This job posting will be used to conduct ongoing recruitment and may close at any time. Applicant lists may be screened more than once. Our Vision Every New Mexican has access to affordable health care coverage through a coordinated and seamless health care system. Our Mission We ensure that New Mexicans attain their highest level of health by providing whole-person, cost-effective, accessible, and high-quality health care and safety-net services. Our Goals Leverage purchasing power and partnerships to create innovative policies and models of comprehensive health care coverage that improve the health and well-being of New Mexicans and the workforce. Achieve health equity by addressing poverty, discrimination, and lack of resources, building a New Mexico where everyone thrives. Implement innovative technology and data-driven decision-making to provide unparalleled, convenient...

Mesilla Valley Hospital has been in operation since 1987, serving those in need of treatment for a variety of psychiatric and substance abuse issues. Mesilla Valley Hospital is a 120-bed facility, providing access to quality behavioral healthcare and substance abuse treatment to residents of New Mexico, West Texas and Arizona. Mesilla Valley Hospital is the leader in providing quality mental health and addiction treatment services. Our commitment to care includes developing integrated delivery systems through partnerships with medical surgical hospitals, community mental health centers, educational institutions, managed care organizations, local health professionals and agencies. What makes Mesilla Valley a great place to work? Our people, of course! Adolescents can face a unique set of emotional and behavioral challenges that require structured, comprehensive care. To meet the specific needs of our adolescent patients, Mesilla Valley Hospital offers a couple treatment options:...

Job Description As a Senior Clinical Consultant, you will collaborate with customer stakeholders and leaders to build relationships and positively impact clinical performance, satisfaction, and outcomes during projects involving the Oracle Health Workforce and Workload Solution Suite, formerly known as Clairvia, in Acute and Outpatient care. Drawing on your clinical expertise, you will guide customers and internal teams, help design effective clinical workflows, and analyze current and future states to identify gaps and recommend strategies for change adoption to achieve workforce and workload goals. You will own the customer's value measurement plan, support the engagement management team in meeting deliverables and timelines, lead customer meetings to align clinical goals with technology, and foster relationships to drive business outcomes. This role focuses on Oracle Health Workforce and Workload solutions like scheduling, caregiver assignments, acuity-based outcomes, and...

Pay Rate: $ 130,000 per year Employment Type: Full-time, Direct hire Schedule: Monday - Friday, Day Time Benefits Include: Health, dental, vision, prescription drug and life insurance 401(k) retirement account Long and short-term disability PTO and 11 paid holidays Employee assistance program Lead with Compassion in a Unique Setting - Take on a rewarding role at the Otero County Processing Center in Chaparral, New Mexico. We are seeking healthcare professionals who thrive in diverse environments and are committed to delivering high-quality care to underserved populations. If you're ready to make a meaningful impact in correctional healthcare, we want you on our team! What you'll do: You'll report administratively to the health services administrator and clinically to the medical director. Responsible for providing mid-level provider care of specific patients under the direction of a physician. Follows established...

Job Description This position is working with our federal clients; US Citizenship is required Job Description We're on a journey to advance how health happens with technologies that empower patients, support clinicians, inspire innovation, and save lives. Our mission? To create a human-centric healthcare experience powered by unified global data. It's a big challenge, but big challenges are what we do best. We're already transforming some of the world's largest health systems-helping them turn data into lifesaving decisions and better patient care. We want people just as dedicated as we are to improving health equity and delivering quality care across the globe. If you're excited about making healthcare more human, you've come to the right place. As a Clinical Consultant, you are responsible for driving the customer through the design of clinical and business processes, solution and technology workflow, and successful adoption that will lead to achieved value....