- 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
- Molina Healthcare (Los Angeles, CA)
- …and experience. * At least 1 year of health care management leadership experience. * Registered Nurse ( RN ). License must be active and unrestricted in state ... services and supports (LTSS), and/or member assessment. * Facilitates integrated, proactive healthcare services management - ensuring compliance with state… more
- CVS Health (OH)
- …care coordination experience + Candidate must have active and unrestricted **Compact** Registered Nurse ( RN ) License **Preferred Qualifications** + Excellent ... tools and information/data. + Utilizes case management processes in compliance with regulatory and company policies and procedures. +...keyboarding + Willing and able to obtain single state Registered Nurse ( RN ) licenses if… more
- CVS Health (Coldwater, MI)
- …are not permitted. **Required Qualifications** + 3+ years clinical practical experience as an Registered Nurse ( RN ) + Candidate must have active and ... life-changing impact on our members who are enrolled in Medicare and Medicaid and present with a wide range...unrestricted Michigan Registered Nurse ( RN ) licensure +… more
- CVS Health (FL)
- …EST) with 100% participation. **Preferred Qualifications** + Active and unrestricted Compact Registered Nurse ( RN ) Licensure in Alabama, Arkansas, Maryland, ... shift times are not permitted. **Required Qualifications** + Active unrestricted state Registered Nurse Compact licensure in state of residence required or… more
- CVS Health (St. Paul, MN)
- …toward desired outcomes through assessment and evaluation. **Required Qualifications** + Active Registered Nurse Compact License + Minimum 3+ years clinical ... Utilization Management experience, transitions of care and discharge planning required + Registered Nurse with active state license in good standing within… more
- Cedars-Sinai (Marina Del Rey, CA)
- …loan was given **Req ID** : 11091 **Working Title** : Patient Safety Specialist ( Registered Nurse ) - Medical Affairs, Full-time (Hybrid) **Department** : QA Risk ... the meticulous oversight and continuous evaluation of Centers for Medicare & Medicaid Services (CMS) metrics, including but not...**Business Entity** : Cedars-Sinai Marina Hospital **Job Category** : Compliance / Quality **Job Specialty** : RN … more
- CVS Health (Phoenix, AZ)
- …Minimum 2+ years CM, discharge planning and/or home health care coordination experience - Registered Nurse with active state license in good standing within the ... 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 (Lansing, 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** **This position offers a...life-changing impact on our members who are enrolled in Medicare and Medicaid and present with a wide range… more
- CVS Health (Chicago, IL)
- …**Required** **Qualifications** - 3 years clinical practical experience preference required - Registered Nurse with active state license in good standing within ... 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 (Trenton, NJ)
- …applicant's home). Standard working hours Monday - Friday 8-5 pm **ICM Case Manager RN ** **WFH Flexible** **Position Summary:** Help us elevate our patient care to a ... 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 (PA)
- …clinical tools and information/data. - Utilizes case management processes in compliance with regulatory and company policies and procedures. - Facilitates ... optimal function or return to work. - Develops a proactive course of action to address issues presented to...CHF, CKD, post-acute care, hospice, palliative care, cardiac) with Medicare members. - 2 years Case Management, discharge planning,… more
- CVS Health (NY)
- …using clinical tools and information/data. Utilizes case management processes in compliance with regulatory and company policies and procedures. - Facilitates ... optimal function or return to work. - Develops a proactive course of action to address issues presented to...CHF, CKD, post-acute care, hospice, palliative care, cardiac) with Medicare members. Ability to occasionally travel within a designated… more
- Cambridge Health Alliance (Somerville, MA)
- …Campus **Work Days:** Mon-Fri; 8:00-4:30, rotating weekends and holidays **Category:** Registered Nurse **Department:** Inpatient Case Management SH **Job ... patients to ensure the right LOC. It involves ensuring compliance with clinical guidelines, and determining whether the services...patient care consistent with the Centers for Medicaid and Medicare Conditions of Participation. The RN Case… more
- Houston Methodist (Houston, TX)
- …with HM performance that demonstrates leadership responsibility **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure -- ... At Houston Methodist, the Director Case Management & Social Services RN position is responsible for strategy, function and operations of the Case Management & Social… more
- Molina Healthcare (North Las Vegas, NV)
- …identifying opportunities for improvement. **JOB QUALIFICATIONS** **Required Education** + Registered Nurse or equivalent combination of Licensed Vocational ... through one or more direct report supervisors, facilitates integrated, proactive HCS management, ensuring compliance with state... Nurse (LVN) or Licensed Practical Nurse (LPN) with experience in lieu of … more
- AdventHealth (Davenport, FL)
- …Care Management Qualifications **The expertise and experiences you'll need to succeed:** . Registered Nurse : BSN . Social Worker: MSW or BSW Masters in ... but not limited to: Coordination of Care, Centers for Medicare & Medicaid Services (CMS) Conditions of Participation, Discharge...experience in Care Management/Social Work leadership . State Specific RN license if a nurse This facility… more
- BrightSpring Health Services (Gainesville, FL)
- …and + Must have completed post-secondary education coursework to facilitate licensure as a Registered Nurse ( RN ) + Must have healthcare management experience ... family and patients/clients with escalated issues. Monitors quality control, compliance , and overall performance of the unit. Responsibilities +...intellectually disabled individuals is preferred + Must be a Registered Nurse ( RN ) in good… more
- AdventHealth (Orlando, FL)
- …leadership + State Specific RN license **_if a nurse_** **Preferred qualifications:** + Registered Nurse : MSN + Social Worker: MSW with LCSW + 5-7 years in ... but not limited to: Coordination of Care, Centers for Medicare & Medicaid Services (CMS) Conditions of Participation, Discharge...you'll need to succeed** **:** **Minimum qualifications** : + Registered Nurse : BSN **_or_** Social Worker: MSW… more
- AdventHealth (Daytona Beach, FL)
- …in Care Management/Social Work leadership + State Specific RN license if a nurse **Preferred qualification:** + Registered Nurse : MSN + Social Worker: ... but not limited to: Coordination of Care, Centers for Medicare & Medicaid Services (CMS) Conditions of Participation, Discharge...experiences you'll need to succeed:** **Minimum qualifications** : + Registered Nurse : BSN + Social Worker: MSW… more