• Senior Fraud and Waste Investigator, Special…

    Humana (Columbia, SC)
    …a South Carolina state resident AND have at least ONE of the following designations: + Registered Nurse ( RN ) + Actively certified by the American Academy of ... are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. **Equal… more
    Humana (09/18/24)
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  • Cigna Medicare Population Health Operations…

    The Cigna Group (Bloomfield, CT)
    …to culturally diverse situations, clients and customers. **Minimum requirements:** Active unrestricted Registered Nurse ( RN ) license in state or territory ... **The job profile for this position is Nurse Case Management Senior Analyst, which is a...candidate would have previous case management experience with the Medicare / Medicaid population specifically focusing on Special Needs… more
    The Cigna Group (09/19/24)
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  • Cigna Medicare Population Health…

    The Cigna Group (Bloomfield, CT)
    …issues to the appropriate team. + Other duties as assigned. **Qualifications** : + Registered Nurse with 1-2 years related experience and/or training in Case ... Management + 1-2 years of oncology nursing experience + Medicare and/or Medicaid experience with geriatric populations + Certified Case Manager preferred +… more
    The Cigna Group (09/07/24)
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  • Case Manager RN - Medicare

    Molina Healthcare (Detroit, MI)
    **JOB DESCRIPTION** For this position we are seeking a ( RN ) Registered Nurse who must live and have a current active unrestricted RN license in the state ... of MI. This position will support our MMP ( Medicaid Medicare Population) that is part of...+ Required License, Certification, Association + Active, unrestricted State Registered Nursing license ( RN ) in good standing… more
    Molina Healthcare (09/01/24)
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  • Clinical Reimbursement Specialist…

    Signature Healthcare (Columbus, OH)
    …processes. What you Need to make a Difference + Current licensure as a Registered Nurse with ability to obtain multi-state licensures. + Minimum of five ... 4 or 5-star overall rating from the Centers for Medicare & Medicaid Services. Additionally, we have...(5) years related experience as a licensed Registered Nurse in a long-term care setting.… more
    Signature Healthcare (09/19/24)
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  • Healthcare Medical Claims Coding Sr. Analyst

    Commonwealth Care Alliance (Boston, MA)
    …This role will ensure that the applicable edits are compliant with applicable Medicare and Massachusetts Medicaid regulations. The role will also be responsible ... necessary on all new and revised coding logic, related Medicare / Medicaid policies for review/approval through the Payment...applicable)), an OIG Report and verification of a valid MA/ RN license (if applicable). Commonwealth Care Alliance is an… more
    Commonwealth Care Alliance (07/18/24)
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  • Registered Nurse ( RN

    Lancaster General Health (Lancaster, PA)
    …NCLEX within 60 days of starting in their RN role. + A graduate registered nurse may only practice professional nursing under supervision and if the graduate ... registered nurse holds a current temporary practice... nurse is practicing. + All Clinical Nurse 1 RN 's will be required to...+ A health care provider in good standing with Medicare , Medicaid , and other federal and state… more
    Lancaster General Health (08/25/24)
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  • Registered Nurse RN Emergency…

    Lancaster General Health (Lancaster, PA)
    …NCLEX within 60 days of starting in their RN role. + A graduate registered nurse may only practice professional nursing under supervision and if the graduate ... area or unit where the graduate registered nurse is practicing. + ​For Magnet designated RN...+ A health care provider in good standing with Medicare , Medicaid , and other federal and state… more
    Lancaster General Health (08/10/24)
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  • Medical and BH Reimbursement Policy Manager

    Commonwealth Care Alliance (Boston, MA)
    …project manager for: (1) regulatory information such as proposed and final Medicare and/or Medicaid payment regulations, Medicare Manual updates, ... change + Serve as the company's research specialist regarding Medicare and Medicaid payment policies + Serves...applicable)), an OIG Report and verification of a valid MA/ RN license (if applicable). Commonwealth Care Alliance is an… more
    Commonwealth Care Alliance (08/17/24)
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  • Registered Nurse ( RN

    Lancaster General Health (Lancaster, PA)
    …NCLEX within 60 days of starting in their RN role. + A graduate registered nurse may only practice professional nursing under supervision and if the graduate ... area or unit where the graduate registered nurse is practicing. + ​For Magnet designated RN...+ A health care provider in good standing with Medicare , Medicaid , and other federal and state… more
    Lancaster General Health (08/31/24)
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  • Registered Nurse ( RN ) 4L…

    Lancaster General Health (Lancaster, PA)
    …NCLEX within 60 days of starting in their RN role. + A graduate registered nurse may only practice professional nursing under supervision and if the graduate ... area or unit where the graduate registered nurse is practicing. + ​For Magnet designated RN...+ A health care provider in good standing with Medicare , Medicaid , and other federal and state… more
    Lancaster General Health (08/28/24)
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  • Compliance & Accreditation Specialist

    Medical Mutual of Ohio (OH)
    …related field by a nationally recognized professional association is desired.** + ** Registered Nurse with current State of Ohio unrestricted license preferred.** ... related field by a nationally recognized professional association is desired.** + ** Registered Nurse with current State of Ohio unrestricted license preferred.**… more
    Medical Mutual of Ohio (09/04/24)
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  • Registered Nurse ( RN

    Lancaster General Health (Lancaster, PA)
    …NCLEX within 60 days of starting in their RN role. + A graduate registered nurse may only practice professional nursing under supervision and if the graduate ... current temporary practice permit. Supervision means that a licensed registered nurse is physically present in the...+ A health care provider in good standing with Medicare , Medicaid , and other federal and state… more
    Lancaster General Health (08/01/24)
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  • Registered Nurse RN Infusion…

    Lancaster General Health (Lancaster, PA)
    …as defined by the American Nurses Association standards of nursing practice. The Clinical Nurse 2 Colleague is an RN that practices as a full partner ... Penn Medicine Lancaster General Health is seeking an experienced RN to join the Infusion team! The RN...+ A health care provider in good standing with Medicare , Medicaid , and other federal and state… more
    Lancaster General Health (08/31/24)
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  • Registered Nurse ( RN

    Lancaster General Health (Lancaster, PA)
    …as defined by the American Nurses Association standards of nursing practice. The Clinical Nurse 2 Colleague is an RN that practices as a full partner ... within 30 days of hire. + A health care provider in good standing with Medicare , Medicaid , and other federal and state health insurance programs, ie not excluded… more
    Lancaster General Health (09/05/24)
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  • Registered Nurse 2, Community, (NY…

    New York State Civil Service (Utica, NY)
    NY HELP Yes Agency Mental Health, Office of Title Registered Nurse 2, Community, (NY HELPS), Mohawk Valley Psychiatric Center, P25560 Occupational Category ... community setting? Mohawk Valley Psychiatric Center is recruiting a Registered Nurse 2 Community to work with...or entity on any of the Federal and/or State Medicaid and Medicare exclusion lists (or excluded… more
    New York State Civil Service (09/19/24)
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  • Registered Nurse Supervisor 1…

    New York State Civil Service (Buffalo, NY)
    NY HELP Yes Agency Mental Health, Office of Title Registered Nurse Supervisor 1 Psychiatric, (NY HELPS), Buffalo Psychiatric Center, Evenings, P25578 ... 14213 Minimum Qualifications Buffalo Psychiatric Center is recruiting a Registered Nurse Supervisor 1 Psychiatric to supervise...or entity on any of the Federal and/or State Medicaid and Medicare exclusion lists (or excluded… more
    New York State Civil Service (09/19/24)
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  • Registered Nurse 2 Psychiatric, (NY…

    New York State Civil Service (Albany, NY)
    NY HELP Yes Agency Mental Health, Office of Title Registered Nurse 2 Psychiatric, (NY HELPS), Capital District Psychiatric Center, Children and Youth, P25441 ... two years of post-licensure clinical nursing experience required for Registered Nurse 2 (Psychiatric). Duties Description As...or entity on any of the Federal and/or State Medicaid and Medicare exclusion lists (or excluded… more
    New York State Civil Service (08/23/24)
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  • Senior Stars Improvement RN

    Humana (Tampa, FL)
    …direction. **Use your skills to make an impact** **Required Qualifications** + Registered Nurse + 5 or more years of Medicare experience working in a Health ... contributes to the development, implementation, and management of the company's Medicare / Medicaid Five-Star Quality Rating System. The Senior Stars Improvement,… more
    Humana (08/30/24)
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  • Registered Nurse 1 Psychiatric, (NY…

    New York State Civil Service (Utica, NY)
    NY HELP Yes Agency Mental Health, Office of Title Registered Nurse 1 Psychiatric, (NY HELPS) Mohawk Valley Psychiatric Center, Children and Youth, P25075 ... practice nursing in New York State. Duties Description As Registered Nurse 1 Psychiatric, you will provide...or entity on any of the Federal and/or State Medicaid and Medicare exclusion lists (or excluded… more
    New York State Civil Service (09/20/24)
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