• Quality RN

    CenterWell (North Charleston, SC)
    …excellence **Use your skills to make an impact** **Required Qualifications** + Licensed Registered Nurse ( RN ) without restriction in applicable state + ... for the development, implementation and management oversight of the company's Medicare/ Medicaid Stars Program. The Quality RN Professional work assignments… more
    CenterWell (10/16/25)
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  • Care Coordinator, RN Field Based

    Humana (Greenwood, IN)
    …are met. **Use your skills to make an impact** **Required Qualifications** + Licensed Registered Nurse ( RN ) in the state of Indiana without restrictions ... members. This position serves members of the new Indiana Medicaid program - Indiana PathWays for Aging (PathWays). The...least one (2) years of clinical experience as a nurse in providing case management or similar health care… more
    Humana (12/12/25)
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  • Field Care Manager, Ltss ( RN ) - Local…

    Molina Healthcare (Richardson, TX)
    …and supports (LTSS), or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... JOB DESCRIPTION Opportunity for a Texas licensed RN to join Molina to work with our Medicaid members in the communities of Plano, Addison, Carrollton, and… more
    Molina Healthcare (12/21/25)
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  • Care Review Clinician ( RN )

    Molina Healthcare (Sparks, NV)
    …authorization, managed care, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... with discharge planning and critical thinking skill set. Knowledge with Nevada Medicaid State rules and regulations ( Medicaid Service Manual, billing guidelines,… more
    Molina Healthcare (11/27/25)
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  • RN Clinical Manager

    Aveanna Healthcare (Worcester, MA)
    …Position Details Clinical Manager - Aveanna Healthcare - Worcester, MA Are you a skilled Registered Nurse with a passion for leadership and a heart for making a ... RN Clinical Manager ApplyRefer a FriendBack Job Details...conditions and bodily fluids. ⚠ Vaccine Requirement: As a Medicare/ Medicaid provider, Aveanna complies with all health-related employment regulations,… more
    Aveanna Healthcare (11/24/25)
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  • Regional MDS Coordinator - Lead ( RN )

    Signature Healthcare (Cookeville, TN)
    …processes. What you Need to make a Difference + Current licensure as a Registered Nurse with ability to obtain multi-state licensures. + Minimum of five ... Instrument (RAI), Prospective Payment Systems (PPS), Quality Measures (QM's), Medicaid Casemix and Medicare/ Medicaid guidelines for all...(5) years related experience as a licensed Registered Nurse in a long-term care setting.… more
    Signature Healthcare (11/16/25)
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  • In Home Health Care RN :Full Time/Part Time…

    Aveanna Healthcare (Corpus Christi, TX)
    …Nursing Salary: $34.00 - $37.00 per hour Position Details Join a Company That Puts People First! Registered Nurse - RN Our local office is looking for a team ... heartfelt compassion and empathy, and every one of our Registered Nurses ( RN )s works together to make...backgrounds to apply. As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements… more
    Aveanna Healthcare (12/31/25)
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  • Home Health RN Clinical Manager

    Aveanna Healthcare (Trussville, AL)
    …Tuition Discounts and Reimbursement + PTO, Sick Time, and Paid Holidays Requirements: + Registered Nurse licensure in the state of practice. + Obtain and ... Home Health RN Clinical Manager ApplyRefer a FriendBack Job Details...understanding of OASIS As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements… more
    Aveanna Healthcare (12/31/25)
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  • Clinical Appeals Nurse RN

    HCA Healthcare (Nashville, TN)
    …practices and is able to identify trends and process improvements. + Currently licensed as a registered nurse ( RN ) in the state(s) of practice and/or has an ... organization that invests in you as a Clinical Appeals Nurse RN ? At Parallon, you come first....cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country. Parallon… more
    HCA Healthcare (12/29/25)
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  • RN Case Manager - Inpatient Case Management…

    Cambridge Health Alliance (Somerville, MA)
    …Campus **Work Days:** Mon-Fri; 8:00-4:30, rotating weekends and holidays **Category:** Registered Nurse **Department:** Inpatient Case Management SH **Job ... and efficient patient care consistent with the Centers for Medicaid and Medicare Conditions of Participation. The RN... Medicaid and Medicare Conditions of Participation. The RN Case Manager will collaborate with other members of… more
    Cambridge Health Alliance (12/25/25)
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