• System Accreditation Specialist

    Houston Methodist (Houston, TX)
    …regulatory program requirements and activities. The position serves as a consultant , resource, mentor, and educator for regulatory and accreditation programs; works ... and supplies; provides recommendations to reduce expenses; enters reimbursable business expenses in a timely manner. **GROWTH/INNOVATION ESSENTIAL FUNCTIONS** +… more
    Houston Methodist (07/25/25)
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  • DRG Specialist

    UPMC (Pittsburgh, PA)
    …Department. This position will be a work-from-home position working during standard business hours Monday through Friday. To be considered, this role requires three ... progress, discuss problems, and initiate new programs or activities relative to the information obtained from these reports. Function as a resource person to respond… more
    UPMC (06/11/25)
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  • Vice President Client Engagement - Large Plan…

    Prime Therapeutics (Jackson, MS)
    …client needs; align account management activities across all lines of business and develop methodologies, processes and reporting capabilities that inform and ... consultants, key state leaders, industry trade associations, and Centers for Medicare and Medicaid Services (CMS); establish an effective communication and… more
    Prime Therapeutics (07/02/25)
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  • Reimbursement Analyst

    Corewell Health (Grand Rapids, MI)
    Job Summary Gathers and analyzes financial information in order to perform month-end close processes, prepare cost reports and assist in ad-hoc analysis. Knowledge ... Serves as a liaison between other departments providing vital reimbursement information . Essential Functions + Content expert/educator of annual cost reports in… more
    Corewell Health (07/26/25)
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  • Case Manager, Registered Nurse (West Virginia)

    CVS Health (Charleston, WV)
    …geographic area for in-person case management activities as directed by Leadership and/or as business needs arise_ Help us elevate our patient care to a whole new ... country. Facilitate the delivery of appropriate benefits and/or healthcare information which determines eligibility for benefits while promoting wellness activities.… more
    CVS Health (07/18/25)
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  • Patient Safety Specialist

    SSM Health (St. Louis, MO)
    …patient safety improvement for assigned Ministry(s), Medical Group practices, and/or business units. Works collaboratively with leaders, clinicians and other staff ... conjunction with continuous improvement (CI), to the department and business unit leadership in the planning of a systematic,...work groups, and huddles. Serves as a patient safety consultant to various other committees to ensure integration of… more
    SSM Health (07/29/25)
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  • Case Manager, Registered Nurse - Field (Phoenix,…

    CVS Health (Phoenix, AZ)
    …country. Facilitate the delivery of appropriate benefits and/or healthcare information which determines eligibility for benefits while promoting wellness activities. ... chronically ill members/clients across the continuum of care that can include consultant referrals, home care visits, the use of community resources, and alternative… more
    CVS Health (08/02/25)
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  • Case Manager RN - Field (Minneapolis, MN)

    CVS Health (St. Paul, MN)
    …Summary/Mission** Facilitate the delivery of appropriate benefits and/or healthcare information which determines eligibility for benefits while promoting wellness ... chronically ill members/clients across the continuum of care that can include consultant referrals, home care visits, the use of community resources, and alternative… more
    CVS Health (07/24/25)
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  • Case Manager, Registered Nurse (Illinois)

    CVS Health (Springfield, IL)
    …Summary** Facilitate the delivery of appropriate benefits and/or healthcare information which determines eligibility for benefits while promoting wellness ... chronically ill members/clients across the continuum of care that can include consultant referrals, home care visits, the use of community resources, and alternative… more
    CVS Health (07/16/25)
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  • Case Manager, Registered Nurse

    CVS Health (Tallahassee, FL)
    …chronically ill members/clients across the continuum of care that can include consultant referrals, home care visits, the use of community resources, and alternative ... course of care and treatment as appropriate. - Provides educational and prevention information for best medical outcomes. - Applies all laws and regulations that… more
    CVS Health (07/31/25)
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