• Medicaid Quality Management

    Elevance Health (Buffalo, NY)
    ** Medicaid Quality Management Director**...BA/BS in a clinical or health care field (ie nursing , epidemiology, health sciences) and a minimum 5 years ... the development, coordination, communication, and implementation of a strategic clinical quality management and improvement program within assigned health plan.… more
    Elevance Health (10/25/24)
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  • RN Utilization Management Nurse Sr.…

    Elevance Health (Tampa, FL)
    RN Utilization Management Nurse Sr. ( Medicaid -InPatient) JR130851 **Location:** Must be within 50 miles / 1 hour commute of Tampa or Miami, FL offices. This ... 4/10 hour shifts to include a weekend day. The ** Nurse Medical Management Sr** serves as T...Management Sr** serves as T **eam Lead** for nursing staff who collaborate with healthcare providers and members… more
    Elevance Health (10/01/24)
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  • Medicaid Program Assistant

    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
    Adams 12 Five Star Schools (11/08/24)
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  • Medicaid Eligibility Advocate

    HCA Healthcare (Ocala, FL)
    …revenue cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country. Parallon has over 17,000 ... diversity and inclusion thrive? Submit your application for our Medicaid Eligibility Advocate opening with HCA Florida Ocala Hospital...that we continue to provide all patients with high quality , efficient care. Did you get into our industry… more
    HCA Healthcare (11/05/24)
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  • Case Manager RN - Medicaid Ltss (RN)…

    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 (09/13/24)
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  • RN Case Manager - Medicaid Population

    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
    Molina Healthcare (11/07/24)
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  • Director of Nursing / Nurse Manager

    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
    BrightSpring Health Services (10/01/24)
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  • Nurse ( Quality Management )

    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
    Indian Health Service (11/10/24)
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  • Quality Management Registered…

    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
    Northwell Health (10/29/24)
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  • Registered Nursing Consultant

    MyFlorida (Tallahassee, FL)
    …care transparency initiatives. Position Overview: This is a full time Registered Nursing Consultant position within the Bureau of Medicaid Program Integrity ... 68063495 - REGISTERED NURSING CONSULTANT Date: Nov 4, 2024 The State...entity. The Agency is responsible for administering the Florida Medicaid program, the licensure and regulation of nearly 50,000… more
    MyFlorida (11/05/24)
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  • Quality Management Nurse

    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
    CVS Health (10/26/24)
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  • FV Partners Nurse Care Coordinator

    Fairview Health Services (Edina, MN)
    …industry **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
    Fairview Health Services (10/25/24)
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  • FV Partners Nurse Care Coordinator

    Fairview Health Services (Princeton, 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
    Fairview Health Services (10/29/24)
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  • Private Duty Nurse (LPN)

    Aveanna (Glenwood, 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 #: 194192 Location: Glenwood, IA 51534 Category: Nursing Salary: Starting at $25.00 per hour Position Details… more
    Aveanna (11/10/24)
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  • Nurse Practitioner - Advanced Illness…

    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
    Gentiva (10/22/24)
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  • Nurse Practitioner - Advanced Illness…

    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
    Gentiva (10/16/24)
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  • Registered Nurse RN Emergency Department…

    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 (11/08/24)
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  • Registered Nurse (RN), 4 Lime Total Ortho…

    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 ... as defined by the American Nurses Association standards of nursing practice. The Clinical Nurse 1 New...healthy practices and treatment modalities. + Systematically enhances the quality and effectiveness of nursing practices. Utilizes… more
    Lancaster General Health (11/06/24)
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  • Registered Nurse (RN), EP Lab, Full-Time…

    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 (11/01/24)
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  • Assistant Nurse Manager Emergency…

    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 ... accurately and appropriately. + Utilizes and promotes knowledge of quality assurance standards and programs. + Completes unit schedule,... personnel in assessing patient/family status to plan of nursing care. + Assists Nurse Manager in… more
    Lancaster General Health (10/24/24)
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