Regional Claims Manager jobs in Las Cruces, NM

Regional Claims Manager manages the operations of an insurance claims department to meet operational, financial, and service requirements. Oversees the intake and processing of insurance claims for personal, property, or casualty loss based on coverage, appraisal, and verifiable damage. Being a Regional Claims Manager manages appraisal and examination staff and processes. Assures timely and proper disposition of claims based on policy provisions. Additionally, Regional Claims Manager recommends and implements best practices to ensure complete and thorough claim settlements, legal reviews, and investigations following company policies and insurance industry regulations. Determines the value of settlements for escalated claims. Manages negotiations of settlements and administration of claims in litigation. Typically requires a bachelor's degree. Typically reports to top management. The Regional Claims Manager typically manages through subordinate managers and professionals in larger groups of moderate complexity. Provides input to strategic decisions that affect the functional area of responsibility. May give input into developing the budget. To be a Regional Claims Manager typically requires 3+ years of managerial experience. Capable of resolving escalated issues arising from operations and requiring coordination with other departments. (Copyright 2024 Salary.com)

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Case Manager, PRN
  • Three Crosses Regional Hospital
  • Las Cruces, NM OTHER
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     If you're looking for a place to call home and grow, Three Crosses Regional Hospital is looking for you! We are looking for a Case Manager for our Case Management Team that is committed to clinical excellence and building a patient-centered culture.

    Three Crosses Regional Hospital is an advanced independent healthcare organization led by a local team of professionals dedicated to high quality patient care and being the first choice of patients and providers in the communities we serve.

    We are dedicated to hiring team members that will adapt to our culture, pride themselves in professionalism, integrity, transparency, two-way communication, and ensuring the safety and well-being of our patients and staff.

    The Case Manager will provide clinical case management services focused on enhancing patient-centered care and maximizing outcomes across from the patient care continuum from admissions to post-discharge.  The Case Manager will collaborate with the clinical team to assist in development, planning, coordination, and administration of the activities of clinical review, discharge planning, resource utilization and utilization review. 

     

    Responsibilities:

    • Assumes a leadership role and collaborates with the interdisciplinary team to manage care, through criteria driven processes, for the appropriate level of care, patient status, discharge needs and resource utilization.
    • Evaluates admissions for medical necessity using approved criteria at defined intervals throughout the episode of care.
    • Provides compassion to the patient and the patient’s family members.
    • Develops and ensures delivery of patient care including assessment, planning, implementation, and evaluation of patient outcomes. 
    • Revises plan of patient care as needed.
    • Performs utilization management reviews and communicates information to third party payers. 
    • Assesses patients’ post discharge needs and facilitates the provision of services necessary to meet identified needs. 
    • Facilitate referral and linkage process to appropriate services.

     

    Education and Experience:

    • Required: Associates degree in Nursing from an accredited school of nursing
    • Required: Current RN licensure in the State of New Mexico or compact state in Nursing
    • Required: Current BLS certification 
    • Required: 3 years Case Management experience in a health care environment
    • Preferred: 5 years experience in a health care environment
    • Preferred: Experience with electronic and case management documentation systems; willing to train

     

     

    Three Crosses Regional Hospital is an equal opportunity employer. 



     

     

     

  • 14 Days Ago

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Clinical Manager Emergency Department
  • Watertown Regional Medical Center
  • Las Cruces, NM FULL_TIME
  • Memorial Medical CenterDescription Who We Are People are our passion and purpose.Come work where you are appreciated for who you are not just what you can do. Memorial Medical Center is a199-bed hospi...
  • 17 Days Ago

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Practice Manager - Fulltime
  • Three Crosses Regional Hospital
  • Las Cruces, NM FULL_TIME
  • Practice Manager FT Position AvailableIf you're looking for a place to call home and grow, Three Crosses Regional Hospital is looking for you! We are looking for a Practice Manager that is committed t...
  • 17 Days Ago

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ICU Manager RN
  • Three Crosses Regional Hospital
  • Las Cruces, NM FULL_TIME
  • ICU Manager FT Position AvailableIf you're looking for a place to call home and grow, Three Crosses Regional Hospital is looking for you! We are looking for an ICU Manager to join our team that is com...
  • 17 Days Ago

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Clinical Manager Med Surg
  • Watertown Regional Medical Center
  • Las Cruces, NM FULL_TIME
  • Memorial Medical CenterDescription Clinical Manager, under the direction of Program Director, manages and coordinates the clinical and other activities on the patient unit in order to provide quality ...
  • 1 Month Ago

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RN Clinical Manager - Wound Care
  • Watertown Regional Medical Center
  • Las Cruces, NM FULL_TIME
  • Memorial Medical CenterDescription Who We Are: People are our passion and purpose. Come work where you are appreciated for who you are not just what you can do. Memorial Medical Center is a 199-bed ho...
  • 21 Days Ago

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0 Regional Claims Manager jobs found in Las Cruces, NM area

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Call Center Operations Manager
  • MCI Jobs
  • Las Cruces, NM
  • POSITION OVERVIEW: OPERATIONS MANAGER SUPPORTING COMMERCIAL AND PUBLIC SECTOR CLIENTS Our team is looking for experience...
  • 3/28/2024 12:00:00 AM

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Customer Service Representative (Nights)
  • MCI Military Recruitment
  • Las Cruces, NM
  • POSITION OVERVIEW: CUSTOMER SERVICE REPRESENTATIVE (NIGHTS) We are looking for customer service agents to join our rapid...
  • 3/28/2024 12:00:00 AM

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Customer Service Representative (Nights)
  • MCI Careers
  • Las Cruces, NM
  • LOCATION: Las Cruces, NM JOB TYPE: Full-Time & Part-Time PAY TYPES: Hourly + Bonus SALARY: $12.10 - $13.75 / hour BENEFI...
  • 3/28/2024 12:00:00 AM

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Customer Service Representative (Part-Time)
  • MCI Military Recruitment
  • Las Cruces, NM
  • POSITION OVERVIEW: CUSTOMER SERVICE REPRESENTATIVE (PART-TIME) We are looking for part-time customer service agents to j...
  • 3/28/2024 12:00:00 AM

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Customer Service Representative (Hiring Immediately)
  • MCI Careers
  • Las Cruces, NM
  • LOCATION: Las Cruces, NM JOB TYPE: Full-Time & Part-Time PAY TYPES: Hourly + Bonus SALARY: $12.10 - $13.75 / hour BENEFI...
  • 3/28/2024 12:00:00 AM

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Customer Service Representative (Full-Time)
  • MCI Careers
  • Las Cruces, NM
  • LOCATION: Las Cruces, NM JOB TYPE: Full-Time PAY TYPES: Hourly + Bonus SALARY: $12.10 - $13.75 / hour BENEFITS & PERKS: ...
  • 3/28/2024 12:00:00 AM

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Outbound Sales Representative
  • MCI Careers
  • Las Cruces, NM
  • LOCATION: Las Cruces, NM JOB TYPE: Full-Time PAY TYPES: Hourly + Bonus SALARY: $12.10 - $13.75 / hour BENEFITS & PERKS: ...
  • 3/28/2024 12:00:00 AM

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Sales Representative
  • MCI Careers
  • Las Cruces, NM
  • LOCATION: Las Cruces, NM JOB TYPE: Full-Time PAY TYPES: Hourly + Bonus SALARY: $12.10 - $13.75 / hour BENEFITS & PERKS: ...
  • 3/28/2024 12:00:00 AM

Las Cruces is the seat of Doña Ana County, New Mexico, United States. As of the 2010 census the population was 97,618, and in 2017 the estimated population was 101,712, making it the second largest city in the state, after Albuquerque. Las Cruces is the largest city in both Doña Ana County and southern New Mexico. The Las Cruces metropolitan area had an estimated population of 213,849 in 2017. It is the principal city of a metropolitan statistical area which encompasses all of Doña Ana County and is part of the larger El Paso–Las Cruces combined statistical area. Las Cruces is the economic and...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Regional Claims Manager jobs
$135,821 to $190,207
Las Cruces, New Mexico area prices
were up 2.5% from a year ago

Regional Claims Manager in Tucson, AZ
As a Regional Contract Claims Manager, located in our Broomfield, CO office, you will have responsibility for claims management within your assigned region.
December 13, 2019
Regional Claims Manager in Las Cruces, NM
Paul Martin of Colorado seek an unspecified amount of damages against defendants Shelly Reams, former administrator of the Wyoming Aeronautics Commission; members of the Cheyenne Regional Airport Board; Dave Haring, manager of the Cheyenne airport; and Great Lakes Aviation.
February 18, 2020
Regional Claims Manager in Passaic, NJ
Aligning performance of regional teams, to support delivery of the wider Third-Party Claims Targets & Objectives.
January 16, 2020