• Advanced Practice Provider - Internal Medicine

    UTMB Health (Galveston, TX)
    …Credentialing Center (ANCC) or American Academy of Nurse Practitioners (AANP) + Licensed Registered Nurse ( RN ) by the Texas Board of Nursing (TBON) + ... Licensed Advanced Practice Registered Nurse (APRN) in a ...care that encompasses evidence-based practice guidelines, practice protocols, Medicare, Medicaid , and other state and federal regulations. + Prescribes… more
    UTMB Health (10/14/25)
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  • Care Manager Specialist (Remote, Illinois)

    CVS Health (Springfield, IL)
    …(SDoH) needs and stable health conditions. The CMS collaborates closely with the Registered Nurse Care Manager, Care Coordinator, Social Worker, and other ... regulatory requirements within specified timelines. + **Consults** with the Care Manager RN within the Care Team for clinical knowledge, medication regimes, and… more
    CVS Health (01/01/26)
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  • UM Clinical Reviewer

    Centers Plan for Healthy Living (Margate, FL)
    …Plan For Healthy Living is currently accepting applications for Full Time Registered Nurse without experience. The Utilization Management Clinical Reviewer works ... education, and preventative interventions are maintained. Qualifications: + Active RN license, entry level RN welcome +...mission is to enroll eligible individuals who are either Medicaid or Medicaid /Medicare recipients and optimize their… more
    Centers Plan for Healthy Living (10/14/25)
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  • Senior Stars Improvement, Clinical Professional

    Humana (Dunedin, FL)
    …growth, provider experience and operational excellence **Required Qualifications** + **Licensed Registered Nurse ( RN ) without restriction in applicable ... provider offices within region The Quality Improvement Senior Clinical Professional ( RN ) is responsible for the development, implementation and management oversight… more
    Humana (12/09/25)
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  • Home Health Licensed Practical Nurse

    Aveanna Healthcare (Dudley, MA)
    …quality patient care in compliance with physician orders under direction of their Registered Nurse teammate. + Perform the continuum of hands-on client care ... care services, catering to individuals under the Medicare and Medicaid programs, as well as those with Private Insurance...in compliance with physician orders under direction of their Registered Nurse teammate. Must be able to… more
    Aveanna Healthcare (01/06/26)
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  • PCT

    UnityPoint Health (Cedar Rapids, IA)
    …responsible for the technical aspects of patient care under the direct supervision of a Registered Nurse ( RN ). The patients to be served include infant, ... assigned patient care duties as required, needed and/or directed. + Partners with the RN and other healthcare team members to achieve patient care outcomes and goals… more
    UnityPoint Health (11/20/25)
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  • Neonatology Nurse Practitioner NICU

    Baylor Scott & White Health (Marble Falls, TX)
    …1 Year of Experience - CERTIFICATION/LICENSE/REGISTRATION - & Nurse Practitioner (NP) & Registered Nurse ( RN ) & Basic Life Support (BLS): Basic Life ... circumcisions, and neonatal resuscitation * Provide inpatient care in collaboration with RN support on the post-delivery unit * Participate in a small-unit care… more
    Baylor Scott & White Health (11/15/25)
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  • Care Manager - Physical Health

    Humana (Oklahoma City, OK)
    …to make an impact** **Required Qualifications** + Must reside in Oklahoma. + Active Registered Nurse ( RN ) license, Licensed Professional Counselor (LPC), or ... and care management support assistants. The Care Manager, Telephonic Physical Health Nurse , work assignments are varied but will focus on those enrollees with… more
    Humana (12/31/25)
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  • Field Care Management Behavioral Health

    Humana (Minden, LA)
    …**(LMFT)** **OR** + LA Licensed Addiction Counselor **(LAC) OR** + Active, unrestricted Louisiana Registered Nurse **( RN )** license with at least three years ... employees of the Louisiana Health Department (LDH) who work directly with LDH's Medicaid Division cannot be considered for this opportunity. A separation of two (2)… more
    Humana (12/17/25)
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  • Revenue Integrity Charge Auditor (Remote)

    Stanford Health Care (Palo Alto, CA)
    …billing practices. + Proficient EXCEL, WORD, PowerPoint skills **Licenses and Certifications** + RN - Registered Nurse - State Licensure And/Or Compact ... state regulations and guidelines, CMS (Centers for Medicare and Medicaid Services) and OIG (Office of Inspector General) compliance...and + CPC required . or + RHIT - Registered Health Information Technician required . or + RHIA… more
    Stanford Health Care (12/10/25)
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