- 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
- BrightSpring Health Services (Knoxville, TN)
- …Must communicate effectively with Medicare beneficiaries, their families, caretakers, nursing facility management and staff. + Must consistently achieve ... area. We value candidates with direct sales and account management experience, a KY or TN State Insurance Licence...each member's clinical needs and provide preventive, coordinated, and quality healthcare. With a dedicated nurse practitioner… more
- Molina Healthcare (Ann Arbor, MI)
- …(QIA) in collaboration with the clinical lead, the medical director, and quality improvement staff. + Facilitates conformance to Medicare , Medicaid, NCQA ... + Monitors appropriate care and services through continuum among hospitals, skilled nursing facilities and home care to ensure quality , cost-efficiency, and… more
- Providence (OR)
- …outcomes and members who are terminal and nearing end of life + Care management services include: nurse education, care coordination and general assistance with ... and management of patient care + Current unencumbered Registered Nurse License in state of residency **Preferred qualifications for this position include:**… more
- 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 ... staff such as secretarial/administrative assistants, medical assistants, schedulers, data management and medical records staff. Ensures successful delivery of… more
- New York State Civil Service (New York, NY)
- NY HELP Yes Agency Mental Health, Office of Title Assistant Director of Nursing 1 Psychiatric - Quality , Education, and Training (NY HELPS), New York State ... Zip Code 10032 Duties Description As an Assistant Director Nursing 1 Psychiatric, you will will oversee Quality... of care; as well as assist in the management , oversight, and evaluation of nursing and… more
- Ventura County (Ventura, CA)
- …services for patients/families; + Conducts daily clinical reviews for utilization/ quality management activities based on guidelines/standards for patients ... Per Diem Registered Nurse II/III - Utilization Management VCMC...of: + The theory, techniques, and practices of professional nursing within utilization management ; + medical terminology… more
- Bassett Healthcare (Oneonta, NY)
- …of the patient population in order to improve health outcomes. The Wellness Nurse will complete screenings, comprehensive nursing assessments, close care gaps, ... the direct supervision of an onsite physician, the Wellness Nurse will perform the Medicare Annual Wellness...Medicare patient population, primary care, population health and quality teams. + Provides coordination of outreach and scheduling… more
- Ventura County (Ventura, CA)
- …services for patients/families; + Conducts daily clinical reviews for utilization/ quality management activities based on guidelines/standards for patients ... Senior Registered Nurse - Hospital Management Utilization Print...medically-approved policies and procedures, the incumbent implements specialized skilled nursing processes in designated hospital units of Ventura County… more
- Humana (Lansing, MI)
- …of our caring community and help us put health first** The Utilization Management Nurse Lead uses clinical knowledge, communication skills, and independent ... and most appropriate treatment, care, or services for Enrollees. The Utilization Management Nurse Lead coordinates and communicates with Providers, Enrollees, or… more
- Centene Corporation (Queens, NY)
- …County Department of Health (CDOH), Local Department of Social Services and Center for Medicare & Medicaid Services (CMS). The Clinical Quality Assurance RN will ... (LTC) setting or managed long-term care plan (MLTCP); Geriatrics, Medical Surgical Nursing , Case Management or Discharge Planning. Certification courses or other… more
- New York State Civil Service (Ogdensburg, NY)
- …needs and modify programs to ensure effective service delivery * Collaborate with nursing management and multidisciplinary treatment teams to develop and revise ... curriculum to improve the knowledge, skills, and abilities of nursing staff. As a Registered Nurse 3...on any of the Federal and/or State Medicaid and Medicare exclusion lists (or excluded from any other Federal… more
- New York State Civil Service (Buffalo, NY)
- NY HELP Yes Agency Mental Health, Office of Title Registered Nurse 2, Community, (NY HELPS), Buffalo Psychiatric Center, P26957 Occupational Category Health Care, ... City Buffalo State NY Zip Code 14213 Duties Description Do you have nursing experience working in a community setting? Buffalo Psychiatric Center is recruiting a… more
- New York State Civil Service (Rochester, NY)
- …an advance practice nurse to assess, develop, implement, monitor, and evaluate nursing care aspects for individuals in treatment.* Serve as a consultant to other ... HELP Yes Agency Addiction Services and Supports, Office of Title Registered Nurse 2 Psychiatric (JL Norris ATC) Occupational Category Health Care, Human/Social… more
- Humana (Frankfort, KY)
- …a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are varied...need it. These efforts are leading to a better quality of life for people with Medicare ,… more
- Gentiva (Akron, OH)
- …give people the care they need with dignity, grace, and love. The ** Nurse Practitioner Advanced Illness Management (AIM)** facilitates advanced illness ... Quality Measures collection, documentation and reporting. **About You** ** Nurse Practitioner Requirements:** **Specialized Knowledge/Skills:** + Excellent leadership, interpersonal,… more
- Alameda Health System (Oakland, CA)
- Nurse , Care Management + Oakland, CA + Highland General Hospital + HGH Care Coordination + Full Time - Day + Care Management + $77.67 to $113.98 per hour + ... to payor requests for concurrent and retrospective review information including Medicare and MediCal regulations/requirements, avoidable days and quality issues.… more
- Hackensack Meridian Health (Tinton Falls, NJ)
- …transform healthcare and serve as a leader of positive change. The **Registered Nurse , Community Based Care Management ** provides direct support to physician ... identifies complex patients or patients with targeted conditions who require care management , coaching, education, supervision, and/or support. The nurse will… more
- Gentiva (Canonsburg, PA)
- …give people the care they need with dignity, grace, and love. The ** Nurse Practitioner Advanced Illness Management (AIM)** facilitates advanced illness ... Quality Measures collection, documentation and reporting. **About You** ** Nurse Practitioner Requirements:** **Specialized Knowledge/Skills:** + Excellent leadership, interpersonal,… more
- Penn Medicine (Lancaster, PA)
- …responsibility and accountability as defined by the American Nurses Association standards of nursing practice. The Clinical Nurse 2 Colleague is an RN that ... skills and the attitude to effectively meet standards for competent professional nursing practice. The Clinical Nurse 2 Colleague exhibits Penn Medicine's… more