- Sedgwick (Nashville, TN)
- …place to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer RN Medicare Compliance **We are growing and looking for nurses ... medical cost projections. + Serves as a consultant to Medicare Compliance Nurses on claims. + Applies...from an accredited college or university preferred. Active unrestricted RN license issued in a state or territory of… more
- Humana (Nashville, TN)
- …a part of our caring community and help us put health first** The Compliance Nurse 2 reviews case management and utilization management activities and ... and abuse to ensure appropriate course of action. The Compliance Nurse 2 understands department, segment, and...skills to make an impact** **Required Qualifications** + Active Registered Nurse license in the state of… more
- Humana (Nashville, TN)
- …Quality leadership. **Use your skills to make an impact** **Required Qualifications** + Active Registered Nurse license in the state of Virginia or obtain a ... for quality and process improvement. + Will assist the compliance audit nurse with complying, conducting, and...with Managed Care Organization, with knowledge of Medicaid and Medicare . + Quality Assurance, compliance and/or auditing… more
- Aveanna Healthcare (Franklin, TN)
- …career opportunities * Innovative technology to make your lives easier Requirements: * Registered Nurse licensure in the state of practice. * Obtain and ... Home Health RN Clinical Manager Full Time ApplyRefer a FriendBack...and performs home visits as needed. * Ensures client compliance with federal/state regulations through policy and procedure administration… more
- HCA Healthcare (Nashville, TN)
- …or provider numbers). Provides oversight of agency achievement of readiness and compliance with Medicare conditions of participation, state regulations, and ... Operations, Education, Centers for Clinical Advancement, Survey Readiness, Regulations, Compliance , Appeals team) to establish succinct, prioritized performance improvement… more
- Signature Healthcare (Nashville, TN)
- …as each facility and Home Office What you Need to make a Difference + Must be a Registered Nurse + Must have held a DON or Regional Nurse of Regulatory in ... 4 or 5-star overall rating from the Centers for Medicare & Medicaid Services. Additionally, we have been awarded...at Signature HealthCARE! + Ensure that a company-wide regulatory compliance program is ongoing in accordance with company policies,… more
- Gentiva (Franklin, TN)
- …of accredited school of nursing; bachelor's degree in nursing preferred + Current Registered Nurse licensure in state of residence and requested employment + ... care for everyone, so we offer ongoing professional training, lower nurse -to-patient ratios, and comprehensive benefits for eligible employees. Here, you'll join… more
- Fresenius Medical Center (Nashville, TN)
- …Report any significant information and/or change in patient condition directly to the registered nurse or supervisor. + Observe patient and conduct machine ... accordance with organization policies, procedures, and training and in compliance with regulations set forth by the corporation, state,...policy. Report any change or unusual findings to the registered nurse or supervisor. + Perform and… more
- Fresenius Medical Center (Pulaski, TN)
- …Report any significant information and/or change in patient condition directly to the registered nurse or supervisor. + Observe patient and conduct machine ... accordance with organization policies, procedures, and training and in compliance with regulations set forth by the corporation, state,...policy. Report any change or unusual findings to the registered nurse or supervisor. + Perform and… more
- HCA Healthcare (Nashville, TN)
- …join an organization that invests in you as a Regulatory and Accreditation Clinical Compliance Audit Manager? At HCA, you come first. HCA Healthcare has committed up ... are looking for a dedicated Regulatory and Accreditation Clinical Compliance Audit Manager? like you to be a part...understanding of The Joint Commission (TJC), The Centers for Medicare and Medicaid Services (CMS), federal and state regulations.… more
- HCA Healthcare (Nashville, TN)
- …reviews, and patient audits as needed. **Qualifications that you will need:** + Registered Nurse Degree required. + Minimum 1 year directly related Healthcare ... organization that invests in you as a Revenue Integrity Clinical Charge Review Analyst RN ? At Parallon, you come first. HCA Healthcare has committed up to $300… more
- Gentiva (Columbia, TN)
- …of accredited school of nursing; bachelor's degree in nursing preferred + Current Registered Nurse licensure in state of residence and requested employment + ... care for everyone, so we offer ongoing professional training, lower nurse -to-patient ratios, and comprehensive benefits for eligible employees. Here, you'll join… more
- Community Health Systems (Franklin, TN)
- …diversity, equity, and inclusion in nursing practice and leadership. **Licenses and Certifications** + RN - Registered Nurse - State Licensure and/or Compact ... **Job Summary** The Senior Vice President, Corporate Chief Nurse Executive (SVP, CNE) serves as the top nursing executive for the organization, providing strategic… more
- LifePoint Health (Brentwood, TN)
- …preferred. *Certifications*: Certified Professional in Healthcare Risk Management (CPHRM) preferred. *Licenses:* Registered Nurse ( RN ). *Why choose us:* As ... identify opportunities to manage risk, prevent loss and refer compliance , legal or other related concerns to subject matter...(TJC), Department of Health (DOH), and The Centers for Medicare & Medicaid Services (CMS). * Educate leaders and… more
- Option Care Health (Nashville, TN)
- …reviews, discipline, etc.) No Yes X **Basic Education and/or Experience Requirements** + Registered Nurse with a license in the current state of practice ... direct patient care 20-40% of the time. In a Medicare Certified Home Health agency, this position may also...operations and communications and ensures the office remains in compliance with all regulating and accreditation entities. Complies with… more
- Aveanna Healthcare (Columbia, TN)
- …quality patient care in compliance with physician orders under direction of their Registered Nurse teammate. * Perfom the continuum of hands on client care ... Home Health Licensed Practical Nurse LPN Part Time ApplyRefer a FriendBack Job...the state of application - Valid CPR Preferred: - Medicare Skilled Nursing experience - Basic understanding of Oasis… more
- Humana (Nashville, TN)
- …Services and Supports (LTSS). + Experience compiling NCQA File Review Universes. + Registered Nurse or Behavioral Health professional. + Managed care, Medicaid ... on Humana's health plan accreditations, performing complex tasks related to compliance with accreditation standards across multiple operational areas within Humana.… more
- Signature Healthcare (Nashville, TN)
- …nursing department. What you Need to make a Difference + Current licensure as a Registered Nurse with ability to obtain multi-state licensures. + Minimum of five ... facilities have achieved a 4 or 5-star overall rating from the Centers for Medicare & Medicaid Services. Additionally, we have been awarded as a certified Great… more