- System One (Las Vegas, NV)
- …medical criteria and standards of care Licensure and Certification: + Current, unrestricted Registered Nurse ( RN ), Licensed Social Worker (LSW), or Licensed ... case management and/or managed care required + Experience in a Medicare and/or Medicaid managed care environment preferred Post-acute, home care, waiver, or… more
- Genesis Healthcare (Cheat Lake, WV)
- …Qualifications *Must be a graduate of an accredited School of Nursing with current Registered Nurse ( RN ) licensure. LPNs with MDS experience may be ... standards of care. *Manage the overall process and tracking of all Medicare / Medicaid case-mix documents to assure appropriate reimbursement for services provided… more
- HCA Healthcare (Savannah, GA)
- …notification (with physician), and crisis interventions.** **What qualifications you will need:** + ** Registered Nurse in the State of Georgia or Compact Nursing ... **Introduction** **Do you have the career opportunities as an RN you want in your current role? We invest...maintain a thorough working knowledge of the rules of Medicare , Medicaid , and private payer regulations and… more
- Pine Acres Rehabilitation & Care Center (Oskaloosa, IA)
- …we're looking to expand our caring, supportive and experienced team. If you're a Registered Nurse seeking a rewarding Full-Time Case Management position in the ... preferred but will train the right candidate. + Experience with OASIS, Medicare / Medicaid regulations, and EMR (Wellsky/Kinnser) software preferred but will train… more
- University of Southern California (Arcadia, CA)
- …Work Experience Minimum (Required) 5 years recent RN experience as an ER Registered Nurse Licenses and Certifications Minimum (Required) * A current RN ... in maintaining compliance with the Joint Commission (TJC) and Center for Medicare / Medicaid standards and conditions of participation. Having oversight for… more
- Claxton-Hepburn Medical Center (Ogdensburg, NY)
- …related to the management of patient care across the continuum. Qualifications: + Registered Nurse with valid NYS licensure and current registration. + Two ... CHMC- Case Management- RN Case Manager - Per Diem- Various Shift...practice and current treatment regimens. + Ability to interpret Medicare , Medicaid and commercial insurance plans and… more
- WMCHealth (Suffern, NY)
- …Current licensure in the State of New York as a Registered Nurse . Understanding of Medicare / Medicaid criteria and insurance regulations and ... Case Manager ( RN ) Company: Good Samaritan Hospital City/State: Suffern, NY...Internal Applicant link Job Details: Summary: The Case Manager ( RN ) is responsible for implementing and supervising the day-to-day… more
- Aveanna Healthcare (Trussville, AL)
- …Tuition Discounts and Reimbursement + PTO, Sick Time, and Paid Holidays Requirements: + Registered Nurse licensure in the state of practice. + Obtain and ... Home Health RN Clinical Manager ApplyRefer a FriendBack Job Details...a basic understanding of OASIS As an employer accepting Medicare and Medicaid funds, employees must comply… more
- Aveanna Healthcare (Orlando, FL)
- …Tuition Discounts and Reimbursement + PTO, Sick Time, and Paid Holidays Requirements: + Registered Nurse licensure in the state of practice. + Obtain and ... Home Health RN Clinical Manager 10K Sign on Bonus ApplyRefer...a basic understanding of OASIS As an employer accepting Medicare and Medicaid funds, employees must comply… more
- LA Care Health Plan (Los Angeles, CA)
- …requirements for health plan compliance with UM or CM. Licenses/Certifications Required Registered Nurse ( RN ) - Active, current and unrestricted ... Utilization Management Nurse Specialist RN II Job Category:...group or management services organization. Experience with Managed Medi-Cal, Medicare , and commercial lines of business. Skills Required: Must… more