• Novo Nordisk Inc. (Traverse City, MI)
    …Externally, the DCS maintain relationships with physicians, physician assistants, nurse practitioners, medical assistants, pharmacists, nurses and other paramedical ... level impact Demonstrates understanding of the local payer market including Medicare , Commercial and Medicaid benefit designs, Payer Coverage, Prescription Coverage… more
    HireLifeScience (07/17/25)
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  • Medicare Annual Wellness Visit Registered…

    SUNY Upstate Medical University (Syracuse, NY)
    …Syracuse Inc. (UUMAS) is seeking a Registered Nurse (RN), or Certified Nurse Specialist (CNS), to coordinate and conduct Medicare Annual Wellness Visits ... and collaborate closely with Primary Care clinic Medical Directors and Nurse Leadership. Duties/Responsibilities: Identify Medicare patients overdue for their… more
    SUNY Upstate Medical University (05/29/25)
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  • RN Medicare Wellness Nurse

    Trinity Health (Des Moines, IA)
    …in dealing with these resources is uncomplicated. **Education:** + Associates Degree in nursing + Registered Nurse in Iowa or Illinois required upon Hire. ... (https://www.genesishealth.com/ghg/) Join the MercyOne Family! We are looking to hire a Registered Nurse ! As a Registered Nurse at MercyOne, you will provide and… more
    Trinity Health (07/25/25)
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  • Registered Nurse I - Nursing

    State of Colorado (Pueblo, CO)
    Registered Nurse I - Nursing Residency Program - CMHHIP - Pueblo Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5007135) Apply  Registered ... Nurse I - Nursing Residency Program -...Hospital Accreditation Standards, Environment of Care Manual, Centers for Medicare and Medicaid Services, Safety Data Sheets, Colorado State… more
    State of Colorado (07/16/25)
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  • Medicare Biller / Accounts Receivable

    CommuniCare Health Services Corporate (Indianapolis, IN)
    Medicare Biller The CommuniCare Family of Companies currently owns/manages over 130 World-Class Nursing and Rehabilitation Centers, Specialty Care Centers, and ... of adult living communities. CommuniCare Health Services is currently recruiting a Medicare Biller for our Central Billing Office in Cincinnati, OH. PURPOSE/BELIEF… more
    CommuniCare Health Services Corporate (07/20/25)
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  • Medicare Long Term Services & Support Care…

    AmeriHealth Caritas (Southfield, MI)
    …about us at www.amerihealthcaritas.com. **Role Overview:;** Reporting to the Supervisor of Medicare LTSS Operations, the Medicare LTSS Care Coordinator manages ... role ensures that care is delivered by Centers for Medicare & Medicaid Services (CMS), state, and organizational guidelines,...Social Work required or active licensure as a Registered Nurse (RN), Licensed Clinical Social Worker (LCSW), or Licensed… more
    AmeriHealth Caritas (07/23/25)
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  • Medicare Sales Account Representative

    BrightSpring Health Services (Louisville, KY)
    …facility rollout meetings as needed. + Must communicate effectively with Medicare beneficiaries, their families, caretakers, nursing facility management and ... approved sales and marketing presentations in accordance with applicable Centers for Medicare & Medicaid Services (CMS) and State guidelines and standards. + Conduct… more
    BrightSpring Health Services (07/02/25)
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  • Medicare Wellness RN

    SUNY Upstate Medical University (Syracuse, NY)
    Job Summary: The Medicare Wellness Registered Nurse will schedule and conduct Medicare Annual Wellness visits in Primary Care Offices. Provides professional ... nursing care to patients/families, and the community. This role...by the time of appointment. Preferred Qualifications: Experience with Medicare wellness visits and collaborating with a multi-disciplinary team.… more
    SUNY Upstate Medical University (07/19/25)
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  • Manager I Medical Management (Prior…

    Elevance Health (Tampa, FL)
    **Manager I Medical Management (Prior Authorizations) - Florida Medicare ** **Office Locations:** This role is based in Florida at either our Tampa or Miami ... Skills, Capabilities, and Experiences:** + Associates degree or bachelor's degree in Nursing is strongly preferred. + A current active unrestricted RN license is… more
    Elevance Health (07/25/25)
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  • APP - Physician Assistant or Nurse

    Sanford Health (Fargo, ND)
    …Day **Job Schedule:** Full time **Weekly Hours:** 40.00 **Job Summary** The Nurse Practitioner (NP) provides service to patients in designated care settings, ... services. Keep abreast of regulatory processes and payer systems such as Medicare , Medicaid, managed care, and private sources, as applicable. Demonstrate extensive… more
    Sanford Health (06/25/25)
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  • APP - Physician assistant or Nurse

    Sanford Health (Detroit Lakes, MN)
    …dynamic internal medicine department with a focus on geriatric care in skilled nursing and assisted living facilities in the Detroit Lakes community. The position is ... NPs that will allow for support and training. **Job Summary** The Nurse Practitioner (NP) provides service to patients in designated care settings, including:… more
    Sanford Health (06/05/25)
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  • Clinical Documentation Integrity Specialist…

    UCLA Health (Los Angeles, CA)
    Description As the Clinical Documentation Integrity Specialist - Medicare Advantage Risk Adjustment, you will be an expert in risk adjustment coding and ... CPT and CPT (II), and HCPCS coding systems required + Knowledge of Medicare Advantage STARS/HEDIS program and NCQA technical specifications, required + Six or more… more
    UCLA Health (05/16/25)
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  • Nurse Manager - Nursing Quality

    Billings Clinic (Billings, MT)
    …to starting. Click here (https://billingsclinic.csod.com/ats/careersite/search.aspx?site=15&c=billingsclinic) to learn more! Nurse Manager - Nursing Quality ... the Employee Benefits Guide (https://ncstoragemlbillings.blob.core.windows.net/public/2021%20Billings%20Clinic%20Staff%20Benefits%20Guide.pdf) . Magnet: Commitment to Nursing Excellence Billings Clinic is proud to be recognized… more
    Billings Clinic (07/09/25)
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  • Pediatric Licensed Practical Nurse (LPN)…

    Aveanna Healthcare (Pottstown, PA)
    Pediatric Licensed Practical Nurse (LPN) - Private Duty Nursing ApplyRefer a FriendBack Job Details Requisition #: 202171 Location: Pottstown, PA 19464 Category: ... a Company That Puts People First! Pediatric Licensed Practical Nurse - Private Duty Nursing We are...from diverse backgrounds to apply As an employer accepting Medicare and Medicaid funds, employees must comply with all… more
    Aveanna Healthcare (05/17/25)
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  • Director, Medicare Certified Services (Full…

    Queen's Health System (Honolulu, HI)
    …and King Kamehameha IV. Area(s) of assignment: Directs and oversees Medicare Certified Division by developing and implementing strategic and innovative initiatives ... IV. MINIMUM QUALIFICATIONS: A. EDUCATION: * Bachelor's degree in nursing . * Master's degree in business administration or related...LICENSURE: * Current Hawaii State license as a Registered Nurse . C. EXPERIENCE: * Five (5) years experience working… more
    Queen's Health System (07/22/25)
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  • Care Manager Social Worker - Medicare

    Beth Israel Lahey Health (Exeter, NH)
    …behavioral health and social services in the community. -Works closely with nurse case managers, pharmacists, community health workers, and other members of the ... care team throughout the continuum of care including acute hospital, skilled nursing facility, acute rehabilitation, and home care. The Social Worker will be… more
    Beth Israel Lahey Health (05/30/25)
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  • Supervisor IV-Patient Financial Services…

    Mount Sinai Health System (New York, NY)
    **Job Description** Supervisor IV-Patient Financial Services ( Medicare and Medicaid Claims Follow-Up) Corporate- Full-Time Days Responsible for the supervision and ... hospitals, more than 400 outpatient practices, more than 300 labs, a school of nursing , and a leading school of medicine and graduate education. Mount Sinai advances… more
    Mount Sinai Health System (07/27/25)
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  • Strategy Consultant- Medicare - Hybrid…

    UPMC (Pittsburgh, PA)
    UPMC Health Plan is seeking a full-time Strategy Consultant to support the Medicare & SNP Product Department within the UPMC Insurance Services Division! The ... (eg, synthesize the varied perspectives/requirements from diverse clients - physicians, nursing , regulatory, front-desk, finance, etc. - into a cohesive operating… more
    UPMC (07/17/25)
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  • Accounting Clerk- Patient Financial Services…

    Mount Sinai Health System (New York, NY)
    **Job Description** **Accounting Clerk- Patient Financial Services ( Medicare & Medicaid Claims Follow-Up)-Corporate 150 East 42nd Street - Full-Time Days** Under the ... hospitals, more than 400 outpatient practices, more than 300 labs, a school of nursing , and a leading school of medicine and graduate education. Mount Sinai advances… more
    Mount Sinai Health System (07/10/25)
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  • Manager Patient Accounting-Patient Financial…

    Mount Sinai Health System (New York, NY)
    **Job Description** **Manager Patient Accounting-Patient Financial Services ( Medicare /Medicaid) Corporate-Full-Time Days** The Manager is responsible for overseeing ... hospitals, more than 400 outpatient practices, more than 300 labs, a school of nursing , and a leading school of medicine and graduate education. Mount Sinai advances… more
    Mount Sinai Health System (06/05/25)
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