- Option Care Health (Brooklyn, NY)
- …and acts as a clinical resource. Meets all standards as outlined in Registered Nurse I and II job descriptions.Supervisory Responsibilities:Does this position ... scheduling, performance reviews, discipline, etc.) Basic Education and/or Experience Requirements: Registered Nurse with an active and unrestricted license… 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 (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
- HCA Healthcare (Englewood, CO)
- …you will need:** + Currently holds a clinical license in Colorado, either: Registered Nurse ( RN ), Physical Therapist (PT), Occupational Therapist (OT), ... (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program (paid...a working knowledge of the IRF-PAI and/or issues of Medicare compliance in the rehab world +… 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
- Humana (Tallahassee, FL)
- …and determines approach, resources, schedules and goals. The **Manager of Quality (Non-Calls)** Registered Nurse ( RN ) is responsible for leading and guiding ... to improve the organization's efficiency and accuracy related to Medicare Part C/D Grievance and Appeals and to minimize...+ A current, valid, and unrestricted license as a Registered Nurse ( RN ) in the… 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
- 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
- HCA Healthcare (Brentwood, TN)
- …and elevate our purpose to give people a healthier tomorrow."- Jane Englebright, PhD, RN CENP, FAAN Senior Vice President and Chief Nursing Executive If you ... work environment where diversity and inclusion thrive? Submit your application for our Sr Collections Analyst opening with Parallon today and find out what it truly… more
- Molina Healthcare (Las Vegas, NV)
- …health plan and requires experience within that space. **KNOWLEDGE/SKILLS/ABILITIES** The Senior Specialist, Quality Interventions / QI Compliance contributes to ... direction and implementation of **NCQA accreditation surveys** and federal/state QI compliance activities. This position focuses on **Quality Compliance ** for… 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 (Tampa, FL)
- Nurse Medical Management Sr -Medicaid (JR107109) **Location:** Must reside within 50 miles / 1 hour commute of Tampa or Miami, FL offices. This is primarily a ... - 5pm, Monday - Friday. **2 Holidays** per year and **occasional** weekends. The ** Nurse Medical Management Sr ** serves as **team lead** for nursing staff who… 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
- Molina Healthcare (AZ)
- …provider engagement experience in a health plan setting.** **Knowledge/Skills/Abilities** The Senior Specialist, Provider Engagement contributes to one or more of ... interventions (eg, removing barriers to care); preparation for Quality Improvement Compliance surveys; and other federal and state required quality activities. *… more
- CenterWell (Spartanburg, SC)
- …+ Graduate of an accredited School of Nursing. + Current state license as a Registered Nurse . + Proof of current CPR. + Valid driver's license, auto insurance ... payers. Ensures final audits/billing are completed timely and in compliance with Medicare regulations. + Coordinates communication...and reliable transportation. + Two years as a Registered Nurse with at least one-year of… more
- Banner Health (AZ)
- …the ability to work well as a part of a team. PREFERRED QUALIFICATIONS Registered nurse with active licensure with clinical experience is preferred. In-house ... all Banner Health entities, costumers and communities. As a Senior Claims Litigation Management Specialist you will have the...in relation to claimants and others releasing medicals. Monitors compliance with Medicare Secondary Payer (MSP) Act… 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
