• Field Care Manager , Behavioral Health

    Humana (Springfield, IL)
    …our caring community and help us put health first** The Field Care Manager , Behavioral Health performs primarily face to face and telephonic assessments with ... members. The Field Care Manager serves as the primary point of contact. providing...needs. + Will follow processes, and procedures to ensure compliance with regulatory requirements by the Illinois Department of… more
    Humana (08/29/25)
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  • RN Care Manager

    AdventHealth (Kissimmee, FL)
    …patient notifications are provided and documented in a timely manner for compliance : Important Medicare Letters (IML), Medicare Outpatient Observation ... and Imaging services. **The role you'll contribute** **:** The RN Care Manager in collaboration with the patient/family, social workers, nurses, physicians and the… more
    AdventHealth (09/11/25)
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  • Social Work Case Manager

    AdventHealth (Hinsdale, IL)
    …patient notifications are provided and documented in a timely manner for compliance : Important Medicare Letters (IML), Medicare Outpatient Observation ... Street, Hinsdale, IL **The role you'll contribute:** The Social Work Care Manager intervenes with patients who have complex psychosocial needs, require assistance… more
    AdventHealth (08/07/25)
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  • Social Work Case Manager

    AdventHealth (Bolingbrook, IL)
    …patient notifications are provided and documented in a timely manner for compliance : Important Medicare Letters (IML), Medicare Outpatient Observation ... Blvd, Bolingbrook, IL **The role you'll contribute:** The Social Work Care Manager intervenes with patients who have complex psychosocial needs, require assistance… more
    AdventHealth (08/07/25)
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  • Analyst, Compliance Auditing, Monitoring…

    Option Care Health (Bannockburn, IL)
    …summarize and communicate complex findings effectively. Reporting to the Senior Manager , Compliance Auditing, Monitoring and Analytics, this individual assists ... Medicare /Medicaid reimbursement. + Experience evaluating information to determine compliance with policies, standards, laws, and regulations. + Intermediate level… more
    Option Care Health (09/24/25)
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  • Manager , Quality Assurance (Medicaid)

    Humana (Lansing, MI)
    …of our caring community and help us put health first** Humana is seeking a Manager , Quality Assurance (External LTSS Oversight Team Manager ) who will lead a team ... of Quality Assurance Professionals responsible for ensuring consistency of use and compliance to state and Humana requirements for Long-Term Services and Supports… more
    Humana (10/01/25)
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  • RN Clinical Manager - Hospice - FT…

    Gentiva (Pittsburgh, PA)
    …+ **Demonstrated ability to apply hospice principles, industry standards, and regulatory compliance ( Medicare , Medicaid, JCAHO, ACHC)** We are seeking a ... uphold the highest standards of patient care and regulatory compliance . **As a Hospice Patient Care Manager ,...ability to apply hospice principles, industry standards, and regulatory compliance ( Medicare , Medicaid, JCAHO, ACHC) + Knowledge… more
    Gentiva (10/01/25)
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  • RN Case Manager

    Amergis (French Camp, CA)
    Salary: $3242 / Week The RN Case Manager is responsible for coordinating continuum of care activities for assigned patients and ensuring optimum utilization of ... resources, service delivery, and compliance with medical regime. Minimum Requirements: + Current RN...at least 18 years of age ?? Hospital Case Manager RN - Acute Care | Northern California Location:… more
    Amergis (09/27/25)
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  • Registered Manager Local Specialty

    Walgreens (Salt Lake City, UT)
    …growing the business at the site. Performs all duties of the Pharmacy Manager in their absence **.** **Customer Experience** + Ensures that store personnel provide ... eligibility and all required reporting and documentation. + Responsible for ensuring compliance of team members with regard to the documentation of patient… more
    Walgreens (09/24/25)
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  • Nurse House Manager , Full Time

    Cabinet Peaks Medical Center (Libby, MT)
    …hospital while reporting directly to the Chief Nursing Officer. The RN House Manager will ensure compliance with nursing policies, procedures, and programs. This ... Peaks Medical Center is looking for a Nurse House Manager to join our Nursing Administration Team! The Nurse...Conditions of Participation in accordance with The Center for Medicare Services, CMS. They oversee planning and management for… more
    Cabinet Peaks Medical Center (09/07/25)
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