- SUNY Upstate Medical University (Syracuse, NY)
- …Position Summary: Upstate University Medical Associates at Syracuse Inc. (UUMAS) is seeking a Registered Nurse ( RN ), or Certified Nurse Specialist (CNS), ... resources. Ensure accurate coding and documentation to support quality initiatives and Medicare compliance . Work closely with clinical teams across seven Primary… more
- CVS Health (Haddonfield, NJ)
- …to or within Passaic County, New Jersey + Candidate must have an active and unrestricted Registered Nurse ( RN ) license in New Jersey + Candidate must be ... life-changing impact on our members who are enrolled in Medicare and Medicaid and present with a wide range...Degree in Nursing (PREFERRED) **License** + Active and unrestricted Registered Nurse ( RN ) license in… more
- CVS Health (Detroit, MI)
- …conversation. **Required Qualifications** + Minimum 3+ years clinical practical experience as a Registered Nurse + Must have active and unrestricted Michigan ... heart, each and every day. **Position Summary** **Case Manager RN ** WFH Flexible This role will be 25-50%% travel...Registered Nurse licensure + Must be willing and able to… more
- CVS Health (Lansing, MI)
- …not permitted. **Required Qualifications** + Minimum 3+ years clinical practical experience as an Registered Nurse ( RN ). + Must have active and unrestricted ... life-changing impact on our members who are enrolled in Medicare and Medicaid and present with a wide range...a whole new level! **Key Responsibilities** + Develops a proactive plan of care to address identified issues to… more
- CVS Health (Springfield, IL)
- …preference: (diabetes, CHF, CKD, post-acute care, hospice, palliative care, cardiac) with Medicare /Commercial members. * Registered Nurse with active state ... tools and information/data. * Utilizes case management processes in compliance with regulatory and company policies and procedures. *...optimal function or return to work. * Develops a proactive course of action to address issues presented to… more
- CVS Health (Detroit, MI)
- …status and health needs based on key questions and conversation. **Required Qualifications** - Registered Nurse with active MI state license in good standing ... all with heart, each and every day. **Case Manager RN ** WFH Flexible **Position Summary** Help us elevate our...life-changing impact on our members who are enrolled in Medicare and Medicaid and present with a wide range… more
- CVS Health (Gladstone, MO)
- …outcomes through assessment and evaluation. **Required Qualifications** - Active and unrestricted Kansas Registered Nurse license - Must live within a 30 mile ... tools and information/data. - Utilizes case management processes in compliance with regulatory and company policies and procedures. -...optimal function or return to work. - Develops a proactive course of action to address issues presented to… more
- CVS Health (Skokie, IL)
- …outcomes through assessment and evaluation. **Required Qualifications** + Active and unrestricted Registered Nurse License in Illinois. + Minimum 3-5 years ... life-changing impact on our members who are enrolled in Medicare and Medicaid and present with a wide range...tools and information/data. + Utilizes case management processes in compliance with regulatory and company policies and procedures. +… more
- CVS Health (Wall, NJ)
- …hours Monday-Friday 8:00am-5:00pm EST. **Position Summary** The ICM Case Manager develops a proactive plan of care to address identified issues to enhance the short ... models. You can have a life-changing impact on our members who are enrolled in Medicare and Medicaid and present with a wide range of complex health and social… more
- CenterWell (Tampa, FL)
- …part of our caring community and help us put health first** The RN Coding Education Facilitator is responsible for delivering clinically relevant coding education to ... providers, nurse practitioners (NPs), and physician assistants (PAs) in a...value-based care priorities like risk adjustment accuracy, quality performance, compliance , and effective patient management. **Key Responsibilities** + Deliver… more
- CVS Health (Trenton, NJ)
- …home). Standard working hours Monday - Friday 8-5 pm EST. **ICM Case Manager RN ** **WFH Flexible** **Position Summary:** Help us elevate our patient care to a whole ... life-changing impact on our members who are enrolled in Medicare and Medicaid and present with a wide range...member's overall wellness. The ICM care manager develops a proactive plan of care to address identified issues to… more
- CVS Health (Lansing, MI)
- …models. You can have life-changing impact on our members who are enrolled in Medicare and Medicaid and present with a wide range of complex health and social ... medical needs of the member to facilitate the member's overall wellness. Develops a proactive plan of care to address identified issues to enhance the short and… more
- Insight Global (San Francisco, CA)
- …review and sign off on care plans, maintain clinical quality standards, and ensure compliance with Medicare guidelines. This role will play a critical role in ... San Francisco area is looking to hire an Neurology Nurse . In this role, he or she will supervise...bridging patient care, clinical operations, and compliance , ensuring patients receive consistent, proactive , and… more
- Molina Healthcare (Columbus, OH)
- …and experience. * At least 1 year of health care management/leadership experience. * Registered Nurse ( RN ), Licensed Vocational Nurse (LVN), Licensed ... skills. * Microsoft Office suite/applicable software program(s) proficiency. Preferred Qualifications * Registered Nurse ( RN ). License must be active and… more
- Tufts Medicine (Lowell, MA)
- …**Job Description** **Minimum Qualifications:** 1.Current licensure as a Registered Nurse or Physical Therapist. 2. Massachusetts RN Licensure OR Physical ... Life Support (BLS) Certification **Preferred Qualifications:** 1. Bachelor's prepared level preferred- Registered Nurse BSN preferred, or Physical Therapist with… more
- CenterWell (Orlando, FL)
- …our caring community and help us put health first** We're looking for a Registered Nurse ( RN ) who's passionate about education, clinical documentation, and ... Curriculums. In this role, you'll blend your clinical expertise-especially in Medicare Risk Adjustment (MRA) and HCC coding-with instructional design skills to… more
- University of Southern California (Los Angeles, CA)
- …reporting practices pertaining to quality improvement and program Required Licenses/Certifications: + Req Registered Nurse - RN (CA Board of Registered ... for Joint Commission, California Department of Public Health, Centers for Medicare and Medicaid Services, and other accreditation or regulatory agencies. The… more
- Tufts Medicine (Lowell, MA)
- …**Job Description** **Minimum Qualifications** **:** 1. Current licensure as a Registered Nurse or Physical Therapist. **Preferred Qualifications** **:** 1. ... Bachelor's prepared level preferred- Registered Nurse BSN preferred, or Physical Therapist...professional organizations + Evaluate staff understanding of documentation and compliance with regulations (Medicaid, Medicare , DPH, OSHA,… more
- Covenant Health Inc. (Crossville, TN)
- …Commission Standards and Medicare Conditions of Participation. Licensure Requirement: Registered Nurse licensed in the state of Tennessee. Employee must ... and certification surveys. Responsible for organizing and supporting ongoing regulatory compliance and for supporting a regulatory compliance committee. The… more
- CenterWell (Morrow, GA)
- …to the strategic intent Overseeing other clinicians which includes Physicians, Advanced Registered Nurse Practitioners (ARNP), and Physicians Assistants (PA) in: ... to individual clinicians about patient terminations, in + collaboration with Compliance + Supporting clinicians with schedule templates, coverage, daily issues +… more
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