RiverValley Consulting Services
Albuquerque, NM, USA
Position Title: Care Management Director - New Mexico ALB Location: Albuquerque, NM Description: Position Summary The Care Management Director provides leadership and oversight for the Care Management Program at New Mexico Solutions. This role oversees program operations, supervises care management staff, ensures compliance with regulatory requirements, participates in clinical service delivery, and supports quality, productivity, and documentation standards across assigned programs. Essential Functions Program Management Oversee daily operations of the Care Management Program. Maintain knowledge of agency services, regulatory requirements, and Medicaid/managed care guidelines. Ensure compliance with all contract, state, and federal standards, including audit readiness. Oversee intake, triage, and referral processes; ensure timely linkage to appropriate services. Review caseload activity to ensure service adequacy and clinical appropriateness....