- Hackensack Meridian Health (Tinton Falls, NJ)
- …and projects as assigned, including but not limited to work on Commercial and Medicare quality contracts, Roster Management , Health and wellness campaigns. ... long-term relationship with your practices, becoming a resource for ongoing quality improvement (QI) and evidence translation. PCPF's are specially trained… more
- Medical Mutual of Ohio (OH)
- …years as a Registered Nurse with a combination of clinical and case management experience, preferably in the health insurance industry. + Case Management and ... **We are looking for compassionate and experienced case managers to support Medicare patients. Ideal candidates will have a strong background in care coordination,… more
- 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
- Tufts Medicine (Burlington, MA)
- …performance improvement in contractual quality measures including MSSP electronic Clinical Quality Measures (eCQMs) or Medicare Clinical Quality Measures ... (CQMs) and quality measures related to Medicare Advantage populations. 4. Drives clinical outcomes and efficiency working with PCP practices, care management … more
- 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 ... and Maryland. Since 1984, CommuniCare Health Services has provided superior, comprehensive management services for the development and management of adult living… more
- BrightSpring Health Services (Louisville, KY)
- …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
- AmeriHealth Caritas (Detroit, MI)
- **Role Overview** :; Reporting to the Supervisor of Medicare LTSS Operations, the Medicare LTSS Care Coordinator manages care coordination for Medicare ... needs. This role ensures that care is delivered by Centers for Medicare & Medicaid Services (CMS), state, and organizational guidelines, within the scope… more
- Aveanna Healthcare (Williamsport, PA)
- Nursing Manager - Registered Nurse ApplyRefer a FriendBack Job Details Requisition #: 202814 Location: Williamsport, PA 17701 Category: Nursing Salary: ... CHAP (Community Health Accreditation Program) standards, ensuring the delivery of high- quality and compliant nursing services. Contribute to retention… more
- Beth Israel Lahey Health (Exeter, NH)
- …services. Consistent with the Triple Aim, The Social Worker seeks to enhance quality and patient experience of care while eliminating unnecessary costs for patients. ... Social Worker monitors appropriate utilization of healthcare resources and promotes quality and efficiency by developing and implementing a patient-centered care… more
- Fallon Health (Worcester, MA)
- …integrated care for our members with a special focus on those who qualify for Medicare and Medicaid. We also serve as a provider of care through our Program of ... Care for the Elderly (PACE). Dedicated to delivering high quality health care, we are continually rated among the...to assign a rating category which determines BH case management level of involvement * May complete home visits… more
- Sutter Health (Novato, CA)
- …**Job Description** : **EDUCATION:** Graduate of an accredited school of nursing . **CERTIFICATION & LICENSURE:** RN-Registered Nurse of California BLS-Basic ... NCH-Novato Community Hospital **Position Overview:** Supervises and oversees all nursing activities of patient care in an inpatient setting, ensuring… 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
- 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, ... patient education. Under the direct supervision of an onsite physician, the Wellness Nurse will perform the Medicare Annual Wellness Visit for Medicare… more
- State of Colorado (Denver, CO)
- …and nursing assistive personnel on the assigned shift to assure the delivery of quality patient care through the nursing process per the nursing and ... according to nursing , hospital, and accreditation standards. + Complete specific quality improvement monitors/audits for the Nursing Service office. + Keep… more
- Gentiva (Manistee, MI)
- …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
- Humana (Charleston, WV)
- …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
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Nurse Specialist RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: ... the safety net required to achieve that purpose. Job Summary The Utilization Management Nurse Specialist RN II facilitates, coordinates, and approves medically… more
- New York State Civil Service (Geneva, NY)
- NY HELP Yes Agency Mental Health, Office of Title Registered Nurse 2, Community, (NY HELPS), Elmira Psychiatric Center, Geneva, P25670 Occupational Category Health ... NY Zip Code 14456 Duties Description Do you have nursing experience working in a community setting? Elmira Psychiatric...community setting? Elmira Psychiatric Center is recruiting a Registered Nurse 2 Community to work with individuals with mental… more
- PruittHealth (Blue Ridge, GA)
- **LPN MDS COORDINATOR** **JOB PURPOSE:** RN Register Nurse Responsible for coordinating assessments for each resident including Resident Assessment Instrument (RAI), ... annual and significant change assessments as well as any required Medicare assessment. Responsibilities include maintaining accurate and timely assessments, meeting… 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
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