• Director Nursing Services - Long Term Care

    Avera (Springfield, MN)
    …cause undue hardship to the employer. **Required Education, License/Certification, or Work Experience:** + Registered Nurse ( RN ) - Board of Nursing An active ... located in Tyler, MN.** We are seeking a compassionate, experienced long term care nurse leader. Apply today, or reach out by email to ###@avera.org with any… more
    Avera (01/07/26)
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  • Nurse Appeals

    Elevance Health (Indianapolis, IN)
    …or BS in Nursing preferred. + 3 years of clinical experience as a Registered Nurse is strongly preferred. + Experience reviewing medical records, investigation, ... ** Nurse Appeals** **Location: Indiana** **Virtual:** This role enables...would provide an equivalent background. + Current active unrestricted RN license to practice as a health professional within… more
    Elevance Health (01/07/26)
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  • Clinical Liaison - Home Infusion

    Tufts Medicine (Boston, MA)
    …**Minimum Qualifications** **:** 1. Bachelor's degree in Pharmacy or Nursing. 2. Licensed Pharmacist, Registered Nurse ( RN ), or Licensed Practical Nurse ... Excel, PowerPoint). 8. Payor knowledge, along with the ability to navigate Medicare, Medicaid and commercial insurance plans to assist with the intake benefit and… more
    Tufts Medicine (01/07/26)
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  • Nurse Auditor 2

    Humana (Madison, WI)
    …each day between 6AM and 9AM in their home time zone. **Required Qualifications** + Active Registered Nurse ( RN ) license in the state they reside. + Minimum ... part of our caring community and help us put health first** The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record… more
    Humana (01/06/26)
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  • Medical Review & Appeals Director (Hybrid)

    CareFirst (Baltimore, MD)
    …in addition to the required work experience. **Licenses/Certifications Upon Hire Required:** + RN - Registered Nurse - State Licensure And/or Compact ... Qualifications:** + Significant experience with Government programs including Maryland Medicaid , Medicare Advantage and DSNP. **Knowledge, Skills and Abilities… more
    CareFirst (01/06/26)
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  • Director of Nursing (DON)

    Accura Healthcare (West Des Moines, IA)
    …of training, education, and effective clinical practices. QUALIFICATIONS: + Hold current Registered Nurse ( RN ) license with applicable state, without ... experience in Long Term Care (LTC). + Knowledge of Medicare and Medicaid rules and regulations. + Strong skills in the following areas: business… more
    Accura Healthcare (01/05/26)
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  • Director of Nursing (DON)

    Accura Healthcare (Franklin, NE)
    …of training, education, and effective clinical practices. QUALIFICATIONS: + Hold current Registered Nurse ( RN ) license with applicable state, without ... experience in Long Term Care (LTC). + Knowledge of Medicare and Medicaid rules and regulations. + Strong skills in the following areas: business… more
    Accura Healthcare (01/05/26)
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  • LPN - Licensed Practical Nurse

    Elderwood (North Creek, NY)
    …Practical Nurse ): + Credentials as a Licensed Practical Nurse (LPN) or Registered Nurse ( RN ) with a current state license required. + LPN Training ... more! Are you a compassionate and skilled Licensed Practical Nurse (LPN) looking for a fulfilling career? Elderwood at...a 4-star rating from the Centers for Medicare and Medicaid Services (CMS)-exceeding both the New York state average… more
    Elderwood (01/05/26)
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  • Director of Nursing (DON)

    Accura Healthcare (Eagle Grove, IA)
    …of training, education, and effective clinical practices. QUALIFICATIONS: + Hold current Registered Nurse ( RN ) license with applicable state, without ... experience in Long Term Care (LTC). + Knowledge of Medicare and Medicaid rules and regulations. + Strong skills in the following areas: business… more
    Accura Healthcare (01/02/26)
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  • Social Work Care Manager

    Elderwood (Buffalo, NY)
    …Responsibilities In the role of an Social Work Care Manager, you will partner with the Registered Nurse and are a critical resource for our members as you are ... or caregivers and reports changes in conditions to the RN Care Manager, which may require interventions. + Participate...Must be in good standing with the Medicare and Medicaid programs. + Must be free of communicable disease.… more
    Elderwood (01/01/26)
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