• Manager, Quality and Patient Safety (RN)

    WMCHealth (Suffern, NY)
    …(RN) Company: Good Samaritan Hospital City/State: Suffern, NY Category: Executive/ Management Department: General Quality Assurance Union: NO Position: Full Time ... in achieving highly reliable practices and processes. Responsibilities: . Performs required CMS , NYDOH, TJC and other chart abstraction. . Reviews, and as… more
    WMCHealth (12/12/25)
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  • Associate Clinical Manager LPN

    Penn Medicine (Philadelphia, PA)
    …for the practice. The Associate Clinical Manager ensures compliance with TJC, CMS and DOH requirements across all practice locations. The Associate Clinical Manager ... Assists the practice or clinical leadership with appropriate staffing, compliance (TJC CMS , DOH, OSHA), and continuous quality and safety improvement initiatives. +… more
    Penn Medicine (12/12/25)
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  • Medical Director - IP Claims Management

    Humana (Raleigh, NC)
    …assisted by diverse resources, which may include national clinical guidelines, CMS and state policies and determinations, clinical reference materials, internal ... of decisions to internal associates, and possible participation in care management . May occasionally participate in discussions with external physicians by phone… more
    Humana (12/11/25)
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  • Medical Director-Payment Integrity

    Humana (Carson City, NV)
    …by diverse resources, which may include national clinical guidelines, CMS policies and determinations, clinical reference materials, internal teaching conferences, ... by other healthcare professionals are in agreement with national guidelines, CMS requirements, Humana policies, clinical standards, and (in some cases) contracts.… more
    Humana (12/11/25)
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  • Licensed Social Worker, Kidney Transplant

    Trinity Health (Maywood, IL)
    …a member of Trinity Health, is a nationally ranked academic, quaternary care system based in Chicago's western suburbs. Loyola Medicine Transport is based at Loyola ... University Medical Center and is part of a three-hospital system including Loyola University Medical Center (https://www.loyolamedicine.org/location/lumc) , Gottlieb… more
    Trinity Health (12/11/25)
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  • Clinical Dietitian

    Prime Healthcare (Denville, NJ)
    …seeking new members to join its award-winning team! Saint Clare's Health includes CMS 5-Star Rated hospitals and is an award-winning provider of safe, high quality, ... population. Qualifications Education and Work Experience + Registered Dietitian Required ( CMS requirement). + One year healthcare experience desirable. #LI-SK1 Pay… more
    Prime Healthcare (12/11/25)
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  • Medicaid Senior BA

    NTT DATA North America (Montgomery, AL)
    …with the State staff and acting as the trusted partner supporting the full system life cycle of assigned projects. The focus will be the Medicaid Claims Processing ... System . The Senior BA will support both the current...and lends guidance and expertise to testing, validation and CMS certification. + Offers guidance and insight to training… more
    NTT DATA North America (12/11/25)
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  • Case Manager (Inpatient Units)

    Ellis Medicine (Schenectady, NY)
    SECTION I BASIC FUNCTION: The RN Case Manager has responsibility for case management of assigned patients on a designated unit(s). This position works with the ... Case Manager include, but are not limited to, utilization review, case management , care transition, collaboration with physicians and social workers for care… more
    Ellis Medicine (12/11/25)
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  • HIM Audit and Educ Specialist / HIM Clinical…

    Hartford HealthCare (Farmington, CT)
    …we now have our own identity with a unique payroll, benefits, performance management system , service recognition programs and other common practices across the ... most comprehensive healthcare network. The creation of the HHC System Support Office recognizes the work of a large...education specialist will support documentation practices that comply with CMS on evaluation and management , procedure, risk… more
    Hartford HealthCare (12/11/25)
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  • Quality Data Analyst

    Saratoga Hospital (Saratoga Springs, NY)
    …and well-being of our community. As part of the Albany Med Health System , we combine advanced technology with a deeply personal approach-creating a supportive ... you will p rovide essential leadership and support for the data management activities of the Quality Support Services department. This includes collaborating with… more
    Saratoga Hospital (12/10/25)
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