• Day Shift RN

    State of Indiana (Evansville, IN)
    …an accredited college. + License to practice nursing in the State of Indiana as a Registered Nurse . + Must hold and maintain a CPR certification. + Must stay ... Day Shift RN Date Posted: Dec 15, 2025 Requisition ID:...an Inpatient Psychiatric Hospital as well as Centers for Medicare & Medicaid Services certification as a… more
    State of Indiana (12/09/25)
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  • MDS Coordinator RN ( PT ) - Heartwood Lodge

    Trinity Health (Spring Lake, MI)
    …and a liaison to residents and families as needed. **Qualifications:** + Active and valid Registered Nurse ( RN ) license in the state of Michigan. + Minimum ... clinical condition of residents, ensuring proper care planning, and maximizing Medicare and Medicaid reimbursement. **Key Responsibilities:** + Coordinate the… more
    Trinity Health (12/08/25)
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  • Regional Case Manager

    NHS Management, LLC (Tuscaloosa, AL)
    …in accordance with the assessment and the plan of care. QUALIFICATIONS + Must be a Registered Nurse in good standing in the state(s) in which assigned + Must be ... experience required. RAC certified highly desired! Are you a RN with at least one year of MDS Coordinator... Medicare and Rehabilitation in gathering information for Medicare and Medicaid appeals and denials as… more
    NHS Management, LLC (11/26/25)
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  • Utilization Review Specialist Nurse

    Houston Methodist (Houston, TX)
    …Methodist, the Utilization Review Specialist Nurse (URSN) position is a licensed registered nurse ( RN ) who comprehensively conducts point of entry and ... and/or case management **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse -...local and national coverage determinations + Comprehensive knowledge of Medicare , Medicaid , and Managed Care requirements +… more
    Houston Methodist (11/02/25)
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  • Home Health Registered Nurse - FT…

    Penn Medicine (Bala Cynwyd, PA)
    …therapy **Why Choose Penn Medicine at Home?** .Accredited by the Joint Commission . Medicare and Medicaid certified .Licensed in the Commonwealth of Pennsylvania ... on-call support **Position Description:** + The Clinical Nurse 2 or Clinical Nurse -NCL is an RN that practices as a full partner on the health care team and… more
    Penn Medicine (11/06/25)
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  • Rev Integrity Auditor Sr

    Covenant Health Inc. (Knoxville, TN)
    …of charges, CPT coding, modifiers and billing processes to ensure compliance with Medicare , Medicaid guidelines and other insurance payors and to maximize ... providers, and billing staff to maximize reimbursement within compliance guidelines for Medicare , Medicaid and other insurance payors as deemed appropriate by… more
    Covenant Health Inc. (11/14/25)
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  • Delegation Partnerships Performance Manager

    Commonwealth Care Alliance (Boston, MA)
    …field preferred. Required Experience (must have): * 5+ years * Experience with Medicaid and Medicare products and programs * Value-based program oversight and ... and databases that CCA implements. * Working knowledge of Medicare and Medicaid (MassHealth) * Demonstrated skills...applicable)), an OIG Report and verification of a valid MA/ RN license (if applicable). Commonwealth Care Alliance is an… more
    Commonwealth Care Alliance (10/18/25)
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  • Medical Specialist 2

    New York State Civil Service (NY)
    …listed as an excluded individual or entity on any of the Federal and/or State Medicaid and Medicare exclusion lists (or excluded from any other Federal or ... diagnostic reported when needed to assist the group home RN and treatment team to provide the best care...to allow for your services to be billed through Medicare and Medicaid . If you are appointed… more
    New York State Civil Service (12/19/25)
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  • Clinical Supervisor - RN Hybrid

    Aveanna Healthcare (Tinley Park, IL)
    …not all-inclusive and may evolve as organizational needs change. + As a Medicare / Medicaid provider, employees must meet all required health and vaccination ... Clinical Supervisor - RN Hybrid ApplyRefer a FriendBack Job Details Requisition...applicable medical or religious exemptions. As an employer accepting Medicare and Medicaid funds, employees must comply… more
    Aveanna Healthcare (12/31/25)
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  • Nurse Navigator- Registered

    Atlantic Health System (Morristown, NJ)
    …safety grade - its highest - twelve consecutive times, and the Centers for Medicare and Medicaid Services awarded us again with its highest five-start rating ... The nurse navigator helps patients "navigate" through the often-complicated...the patient, their families and/ or caregivers. Required: + RN license and maintain required credentials + BSN Preferred:… more
    Atlantic Health System (12/29/25)
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