- Sedgwick (Columbus, OH)
- … Team Lead **PRIMARY PURPOSE** **:** To supervise Medicare Compliance Nurses/ Medicare Compliance Nurse Sr .; to ensure quality standards are ... required. Certified Case Manager (CCM) or Certified Occupational Health Nurse designation preferred. **Experience** Ten (10) years of related...years of MSA writing experience, two (2) years of Medicare Compliance Sr RN… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …true colors to blue. What we need: As an integral part of HMM Quality and Compliance team, the Senior Medicare Clinical Compliance Consultant works ... QI techniques and theory What You Bring: + Active and Unrestricted Massachusetts Registered Nurse license required + Bachelor's degree in healthcare or related… more
- Banner Health (Scottsdale, AZ)
- …place to work and the best place to receive care As a **Home Health Registered Nurse ,** you will join the Banner Home Health Clinical Team providing exceptional, ... visit the main job search page and use keywords ** RN New Grad** to search for openings Ranked in...care setting within the past 12 months as a Registered Nurse in the specialty area. Banner… more
- Banner Health (Tucson, AZ)
- …include working in an acute care setting within the past 12 months as a Registered Nurse in the specialty area. Banner Registry and Travel physician practice ... on growth and development. As a **Banner Home Health RN ,** you will enjoy an autonomous work environment and...require a minimum of one year experience as a Registered Nurse in a physician practice or… more
- Humana (Frankfort, KY)
- …to commercial Medicare & Medicaid product implementation, operations, contract compliance , and federal contract application submissions. The Senior Market ... caring community and help us put health first** The Senior Market Development Professional provides support to assigned health...impact** **Role Essentials** + Associates degree in Nursing + Registered Nurse + 5 or more years… more
- Ascension Health (Ponca City, OK)
- …addresses the needs of residents. **Requirements** Licensure / Certification / Registration: + Registered Nurse obtained prior to hire date or job transfer date ... etc.)._ **Responsibilities** Collect data for use in determining care plans, compliance with treatment norms and privacy standards, and in supplying information… more
- HCA Healthcare (El Paso, TX)
- …Nurse Case Manager opportunity. **Job Summary and Qualifications** **Position Summary** The Registered Nurse ( RN ) CM is responsible for promoting ... from any other healthcare provider. We are seeking a(an) Registered Nurse Case Manager to join our...(tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program (paid… more
- Commonwealth Care Alliance (Boston, MA)
- …of 1-2 Analysts **What You'll Be Doing:** + Maintain ADA Compliance and Medicare /Medicaid expertise regarding applicable state/federal law regulations ... , including but not limited to ADA, HIPAA, , Medicare /Medicaid and other applicable compliance regulations. **What...verbal and written communication skills + Experience working with senior -level management + Strong ability to present to large… more
- Bon Secours Mercy Health (Petersburg, VA)
- …patient care as evidenced by improved patient outcomes measured by Centers for Medicare and Medicaid Services (CMS), Health Grades, and The Joint Commission. Scope ... and joint replacement and spine procedure charts for variances, and compliance with documentation guidelines. Develops action plans for required corrective action… more
- University of Colorado (Aurora, CO)
- …degree or graduation from an NCCPA-approved physician assistant program + Licensed as a Registered Nurse and Nurse Practitioner or Physician Assistant in the ... Advanced Practice Provider - Nurse Practitioner or Physician's Assistant - Aurora Wellness...Physician's Assistant - Aurora Wellness Community (AWC) Clinic - Sr . Instructor - 32719 Faculty **Description** **University of Colorado… more
- Molina Healthcare (AZ)
- …Arizona are being considered at this time.** **KNOWLEDGE/SKILLS/ABILITIES** The Senior Analyst, Quality Improvement (QI) Interventions/ Compliance contributes to ... direction and implementation of NCQA accreditation surveys and federal/state QI compliance activities. **To proceed in the process candidates need experience in… more
- Molina Healthcare (Las Vegas, NV)
- …and implementation of NCQA accreditation surveys and federal/state QI compliance activities. **KNOWLEDGE/SKILLS/ABILITIES** The Senior Specialist, Quality ... more of these quality improvement functions: Quality Interventions and Quality Improvement Compliance . + Acts as a lead specialist to provide project-, program-, and… more
- Elevance Health (Miami, FL)
- …you a check, or ask you for payment as part of consideration for employment. ** Nurse Medical Management Sr (Medicaid)** + Job Family: MED > Licensed Nurse ... + Reference: JR107109 **Location:** + Florida, Tampa + Florida, Miami **Description** Nurse Medical Management Sr -Medicaid (JR107109) **Location:** Must reside… more
- Commonwealth Care Alliance (Boston, MA)
- …Department Regulatory Affairs and Compliance infrastructure at CCA. + Promote compliance in CCA's business operations with all Medicare and Medicaid ... Program + Contribute towards the maintenance and enhancement of an effective Compliance Monitoring Program + Contribute towards the maintenance and enhancement of an… more
- Centerwell (Clifton Park, NY)
- …of Nursing. + BSN Required, NY State requirements. + Current state license as a Registered Nurse . + 2 years of Home Health experience with a CHHA required. ... payers. Ensures final audits/billing are completed timely and in compliance with Medicare regulations. + Coordinates communication...insurance and reliable transportation. + Two years as a Registered Nurse with at least one-year of… more
- HCA Healthcare (Port St. Lucie, FL)
- …experience preferred** + **Certifications, Licenses, and other Special Requirements** + **Current/Active Registered Nurse ( RN ) License within practice state ... **Description** **Introduction** We are seeking a Home Health RN Clinical Manager with HCA Florida Healthcare at...**Must have valid driver's license** + **Associate Degree, or Registered Nurse Diploma** Healthcare at Home is… more
- HCA Healthcare (Houston, TX)
- …experience preferred** + **Certifications, Licenses, and other Special Requirements** + **Current/Active Registered Nurse ( RN ) License within practice state ... Our HCA Houston Healthcare at Home team is looking for a(an) Home Health RN Clinical Manager. HCA Healthcare is an advanced healthcare network that has committed up… more
- HCA Healthcare (Lexington, KY)
- …experience preferred** + **Certifications, Licenses, and other Special Requirements** + **Current/Active Registered Nurse ( RN ) License within practice state ... colleagues invested over 156,000 hours impacting our communities. As a Home Health RN Clinical Manager with Frankfort Regional Healthcare at Home, you can be a… more
- HCA Healthcare (Arlington, TX)
- …preferred. Basic Cardiac Life Support + Drivers License + Associate Degree, or Registered Nurse Diploma, or Bachelors Degree Hospice & Family Care provides ... **Description** **Introduction** We are seeking a Hospice RN Clinical Manager with Medical City Hospice &...(tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program (paid… more
- HCA Healthcare (The Villages, FL)
- …experience preferred** + **Certifications, Licenses, and other Special Requirements** + **Current/Active Registered Nurse ( RN ) License within practice state ... (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program (paid...to give people a healthier tomorrow."- Jane Englebright, PhD, RN CENP, FAAN Senior Vice President and… more