- Seattle Children's (Seattle, WA)
- ** Registered Nurse - PICU (0.9FTE Day/Night Rotator)** *Sign on bonus up to $15,000 + Relocation for qualified external, experienced Pediatric ICU nurses* The ... an integral member of the Health Care Team, the RN functions within the Scope of Practice as defined...College of American Pathologists (CAP) and the Centers for Medicare and Medicaid Services (CMS), for nurses… more
- Seattle Children's (Seattle, WA)
- ** Registered Nurse - CICU (0.9 FTE...College of American Pathologists (CAP) and the Centers for Medicare and Medicaid Services (CMS), for nurses ... on working with pediatric patients and their families while leveraging the adult RN experience you already have. We will personalize an orientation just for you… more
- Seattle Children's (Seattle, WA)
- ECMO Specialist, Registered Nurse (0.75FTE, Nights) We're hiring an ECMO Specialist ( Registered Nurse ), to support ECMO needs and work in our ICU. * ... an integral member of the Health Care Team, the RN functions within the Scope of Practice as defined...College of American Pathologists (CAP) and the Centers for Medicare and Medicaid Services (CMS), for nurses… more
- Seattle Children's (Seattle, WA)
- ** Registered Nurse - PICU (0.9FTE, Nights)** Up to $15,000 sign-on bonus and relocation assistance available for experienced pediatric ICU RNs that meet ... pediatric patients and their families while leveraging the adult RN experience you already have. We will personalize an...College of American Pathologists (CAP) and the Centers for Medicare and Medicaid Services (CMS), for nurses… more
- Seattle Children's (Everett, WA)
- ** Registered Nurse - Transport Team (Nights,...(CAP) and the Centers for Medicare and Medicaid Services (CMS), for RN 's performing moderately ... an integral member of the Transport Team, the Transport RN functions within the Scope of Practice as defined...the ambulance or aircraft and during transit. The Transport Nurse must also be familiar with ambulance and aircraft… more
- Commonwealth Care Alliance (Boston, MA)
- …field preferred. Required Experience (must have): - 5+ years - Experience with Medicaid and Medicare products and programs - Value-based program oversight and ... and databases that CCA implements. - Working knowledge of Medicare and Medicaid (MassHealth) - Demonstrated skills...applicable)), an OIG Report and verification of a valid MA/ RN license (if applicable). Commonwealth Care Alliance is an… more
- Commonwealth Care Alliance (Boston, MA)
- …experience required. Required Experience (must have): - 5+ years - Experience with Medicaid and Medicare products and programs - Experience or knowledge of ... making in alignment with clinical licensure. - Strong understanding of Medicare , Medicaid (MassHealth), and dual-eligible program operations, including… more
- Commonwealth Care Alliance (Boston, MA)
- …foster strong, collaborative relationships with provider partners serving dual-eligible ( Medicare - Medicaid ) members. This role ensures providers are ... complex, cross-functional projects and meeting deadlines. + Strong understanding of Medicare , Medicaid , duals program, and health plan operations, including… more
- Commonwealth Care Alliance (Boston, MA)
- …for the job. **Required Experience (must have):** + 5+ years + Experience with Medicaid and Medicare products and programs + Experience or knowledge of community ... medical, behavioral health, and/or social needs. + Strong understanding of ** Medicare , Medicaid (MassHealth), and dual-eligible program operations** , including… more
- Commonwealth Care Alliance (Boston, MA)
- …to learn new systems and databases that CCA implements. - Working knowledge of Medicare and Medicaid (MassHealth) - Familiarity with and full support of ... ability to handle multiple projects. - Strong understanding of Medicare , Medicaid , duals program, and health plan...applicable)), an OIG Report and verification of a valid MA/ RN license (if applicable). Commonwealth Care Alliance is an… more
- Stanford Health Care (Palo Alto, CA)
- …180 Days or + CCDS - Cert Clinical Document Spec required within 180 Days + RN - Registered Nurse - State Licensure And/Or Compact State Licensure preferred ... after a detailed review of medical records. Ensure compliance with Medicare , Medicaid , third-party guidelines, Local Coverage Determinations (LCD), National… more
- Commonwealth Care Alliance (Boston, MA)
- …initiatives to achieve high performance on CCA's Population Health goals; including Medicare Star measures, Medicaid - Medicare Plan withhold measures, quality ... CAHPS, HOS) and value-based contract performance metrics + Experience with Medicare Advantage, Medicaid ; and dually eligible populations **Desired Experience**… more
- Commonwealth Care Alliance (Boston, MA)
- …Mgmt **Position Summary:** Reporting to the Manager Utilization Management, the Nurse Utilization Management (UM) Reviewer is responsible for day-to-day timely ... clinical and service authorization review for medical necessity and decision-making. The Nurse Utilization Management Reviewer has a key role in ensuring CCA meets… more
- Commonwealth Care Alliance (Boston, MA)
- …medical or behavioral health care delivery Required Knowledge, Skills & Abilities: - Medicare and Medicaid managed care experience - Demonstrated knowledge of ... or Health related field preferred Required Licensing: - active RN license required Required Experience: - 7-10 years -...of audiences - Experience with managing clinical services for Medicaid / Medicare patients - Demonstrated ability to lead… more
- Alameda Health System (Alameda, CA)
- …and to comply with requirements of The Joint Commission (TJC), Centers for Medicare and Medicaid Services (CMS) Center for Disease Control (CDC), Occupational ... AHD Infection Preventionist - PB - (LVN or RN experience preferred) + Alameda, CA + Park...in bacteriology, microbiology, epidemiology, or related field; For LTC: RN or LVN with two years LTC experience and… more
- Commonwealth Care Alliance (Boston, MA)
- …experience + Experience in health plan provider relations. **Experience (Desired)** + Medicare / Medicaid experience preferred. + Experience with CPT coding and ... record, (if applicable)), an OIG Report and verification of a valid MA/ RN license (if applicable). Commonwealth Care Alliance is an equal opportunity employer.… more
- Commonwealth Care Alliance (Boston, MA)
- …Mentoring subject matter expert of the team + Managed Care experience (preferably Medicare / Medicaid ) + Experience in health plan provider relations + Experience ... record, (if applicable)), an OIG Report and verification of a valid MA/ RN license (if applicable). Commonwealth Care Alliance is an equal opportunity employer.… more
- Commonwealth Care Alliance (Boston, MA)
- …their impact on provider operations and satisfaction. - Strong understanding of Medicare and Medicaid health plan operations, including regulatory and compliance ... benchmarks. - Ensure provider network compliance with CMS, state Medicaid agency, and NCQA standards. - Lead initiatives to...applicable)), an OIG Report and verification of a valid MA/ RN license (if applicable). Commonwealth Care Alliance is an… more
- Alameda Health System (Oakland, CA)
- …using adult learning principles. Required Licenses/Certifications: Valid license to practice as a Registered Nurse in the State of California; & Basic Life ... + Participates in continuing education provider unit as a Nurse Planner; utilizes Board of Registered Nursing...Nursing (BRN), The Joint Commission and CMS (Centers for Medicare and Medicaid Services) criteria to assess… more
- Seattle Children's (Seattle, WA)
- …later. As per the College of American Pathologists (CAP) and the Centers for Medicare and Medicaid Services (CMS), for nurses performing moderately complex point ... **Charge Nurse - CICU 0.75-0.9 FTE (Nights)** *Sign on...integral member of the health care team, the Charge RN functions within the scope of practice as defined… more
