- Adams 12 Five Star Schools (Thornton, CO)
- Medicaid Program Assistant JobID: 11299 + Position Type: Student Support Services/ Medicaid Program Assistant + Date Posted: 11/7/2024 + Location: Educational ... their strengths in this area. SUMMARY: Responsible for assisting the Medicaid department by providing varied and complex support through database administration,… more
- Molina Healthcare (Norfolk, VA)
- …Degree in Nursing **Preferred Experience** + 3-5 years in case management , disease management , managed care or medical or behavioral health settings. ... For this position we are seeking a (RN) Registered Nurse who lives in VIRGINIA and must be licensed...will work in remote and field setting supporting our Medicaid Population with. Case Manager will be required to… more
- Molina Healthcare (Christiansburg, VA)
- …Degree in Nursing preferred. **Required Experience** 1-3 years in case management , disease management , managed care or medical or behavioral health settings. ... or locality with reliable transportation. **Preferred Education** Bachelor's Degree in Nursing **Preferred Experience** 3-5 years in case management , disease… more
- BrightSpring Health Services (Martinsburg, WV)
- …team of passionate and caring clinicians who make a difference in people's lives. Our nursing group focuses on compassion and meeting the needs of our clients in a ... services/training programs on a routine basis in cooperation with Operations management ; monitoring both skilled and non-skilled healthcare services + Directly… more
- Indian Health Service (Red Lake, MN)
- … Nursing Education (external link), Council on Accreditation of Nurse Anesthesia Educational Programs (external link), Accreditation Commission for Midwifery ... oversight and leadership of hospital accreditation readiness activities, manage the quality assurance and performance improvement program, and ensure the highest… more
- CareFirst (Baltimore, MD)
- …with other business units: Utilization Management , Case Management , Claims, Quality Management and Compliance. The Nurse , Quality Review ... **Resp & Qualifications** **PURPOSE:** The role of the Quality Review Nurse (RN) is to...State Licensure Upon Hire Required. **Experience:** 5 years Clinical nursing experience. 3 years quality auditing and… more
- CVS Health (Tallahassee, FL)
- …personal, convenient and affordable. **Position Summary** This is a full-time remote Quality Management Nurse Consultant opportunity. Working schedule is ... hours, as needed. This position reports to the Potential Quality of Care (PQOC) nurse investigator team...Appeals experience + Case Management or Utilization Management experience + Managed care experience + Medicaid… more
- Fairview Health Services (Edina, MN)
- …industry **License/Certification/Registration** Minnesota Board of Nursing Public Health Nurse license Certification in case management , gerontological ... not limited to: assessment, care planning, service coordination and referral, transition management , utilization management and quality assurance. The care… more
- Northwell Health (New York, NY)
- **Req Number** 137365 Coordinates and implements the Quality Management /Performance Improvement Program at the facility. + Conducts education on quality ... management and performance improvement theoretical frameworks to promote high quality patient care. + Assists in developing appropriate measurements to assess… more
- MyFlorida (Tallahassee, FL)
- …Tool (https://compcalculator.myflorida.com/) Position Overview: This is a full time Registered Nursing Consultant position within the Bureau of Medicaid Program ... 68055652 - REGISTERED NURSING CONSULTANT Date: Nov 20, 2024 The State...of employment. This is an opportunity for a Registered Nurse (RN) or an Advanced Practice Registered Nurse… more
- Humana (Frankfort, KY)
- …first** Humana Healthy Horizons in Kentucky is seeking a Utilization Management Nurse 2 who will utilize clinical nursing skills to support the coordination, ... medical services and/or benefit administration determinations for Humana's Kentucky Medicaid Plan. The Utilization Management Nurse...need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid… more
- CVS Health (Phoenix, AZ)
- …care more personal, convenient and affordable. **Position Summary** This is a fulltime Quality Management Nurse Consultant opportunity within Arizona. The ... 60 miles) about 25-50% of the time. The QM Nurse Consultant is a work at home role. Experienced...limited to member services, provider relations and integrated care management ) to achieve the common goal of improving member… more
- Fairview Health Services (Maplewood, MN)
- …+ **License/Certification/Registration** + Minnesota Board of Nursing Public Health Nurse license + Certification in case management , gerontological ... to: assessment, care planning, service coordination and referral, transition management , utilization management and quality ...+ Three to five years of experience in geriatric nursing , public health or care coordination/case management .… more
- Aveanna (Atlantic, IA)
- …and documenting skilled nursing care, under the supervision of a Registered Nurse , in accordance with the developed care plan and physicians orders for each ... Private Duty Nurse (LPN) ApplyRefer a FriendBack Job Details Requisition...Details Requisition #: 194191 Location: Atlantic, IA 50022 Category: Nursing Salary: Starting at $25.00 per hour Position Details… more
- Gentiva (Southern Pines, NC)
- …to give people the care they need with dignity, grace, and love. The ** Nurse Practitioner - Advanced Illness Management AIM) CPOM** facilitates advanced illness ... Quality Measures collection, documentation and reporting. **About You** ** Nurse Practitioner Requirements:** **Specialized Knowledge/Skills:** + Excellent leadership, interpersonal,… more
- Lancaster General Health (Lancaster, PA)
- …an Oncology Nurse Coordinator, you will be responsible for providing high- quality care coordination in a dynamic, fast-paced environment. You will be working ... responsibility and accountability as defined by the American Nurses Association standards of nursing practice. The Clinical Nurse 2 Colleague is an RN that… more
- Lancaster General Health (Lancaster, PA)
- …department and the organization; works with the medical staff to coordinate medical and nursing management of patient care. + Assists in providing for the ... in supporting daily operations and ensuring the delivery of high- quality , patient-centered care in a fast-paced and high-acuity environment.... personnel in assessing patient/family status to plan of nursing care. + Assists Nurse Manager in… more
- Lancaster General Health (Lancaster, PA)
- …responsibility and accountability as defined by the American Nurses Association standards of nursing practice. The Clinical Nurse 2 Colleague is an RN that ... skills and the attitude to effectively meet standards for competent professional nursing practice. The Clinical Nurse 2 Colleague exhibits Penn Medicine's… more
- Lancaster General Health (Lancaster, PA)
- …responsibility and accountability as defined by the American Nurses Association standards of nursing practice. The Clinical Nurse 1 New to Practice/Apprentice is ... concepts, knowledge, skills and attitudes to meet standards for competent professional nursing practice. The Clinical Nurse 1 New to Practice/Apprentice exhibits… more
- Gentiva (Grand Rapids, MI)
- …give people the care they need with dignity, grace, and love. The ** Nurse Practitioner Advanced Illness Management (AIM)** facilitates advanced illness ... Quality Measures collection, documentation and reporting. **About You** ** Nurse Practitioner Requirements:** **Specialized Knowledge/Skills:** + Excellent leadership, interpersonal,… more
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