- Molina Healthcare (Santa Fe, NM)
- …medical director, and quality improvement staff. + Facilitates conformance to Medicare , Medicaid, NCQA and other regulatory requirements. + Reviews quality referred ... Chief Medical Officer. + Evaluates authorization requests in timely support of nurse reviewers; reviews cases requiring concurrent review, and manages the denial… more
- SUNY Upstate Medical University (Syracuse, NY)
- …and holiday coverage of L&D may be required. Minimum Qualifications: Master's Degree in Nursing and NYS licensure as Nurse Midwife, certification by the ANCM; ... within first month of employment. Must have NPI number and be Medicare Enrolled with Medicare Identification Number (or PTAN) OR be eligible for Medicare … more
- Highmark Health (Harrisburg, PA)
- …duties as assigned or requested. **QUALIFICATIONS** **Minimum** + Bachelor's degree in nursing or RN certification in lieu of bachelor's degree or Master's degree ... and 3 years' experience in Acute or Managed Care/ experience with Medicaid or Medicare populations. OR + Bachelor's degree in Social Work with five years' experience… more
- Community Health Systems (Springdale, AR)
- …that patients receive the highest quality of care while responsibly managing Medicare resources. The CCC is responsible for managing patient transitions between ... Scorecard data and CMS performance metrics. + Tracks discharge patterns for Medicare patients, collaborating with hospital and post-acute care teams to support ACO… more
- SUNY Upstate Medical University (Syracuse, NY)
- …administrative initiatives of the APP service in collaboration with physician and nursing leaders. The Team Lead will have 24/7/365 accountability and oversight of ... and procedures. Minimum Qualifications: + Master's Degree as a Nurse Practitioner or Physician Assistant (or graduated from an...clinical practice. + Have a NPI number and be Medicare enrolled with a Medicare Identification Number… more
- Aveanna Healthcare (Fredericksburg, PA)
- …o Observe and report significant changes in patient's condition to the (RN) Nursing Supervisor Requirements * High school graduate or GED * Current CPR certification ... required by state * Georgia: o Successful completion of Nurse Aide training and competency evaluation program pursuant to...from another state; or o Successful completion of a Nursing Arts Program which included at least 40 hours… more
- Sanford Health (Sioux Falls, SD)
- …registered nurse (RN) license with the State Board of Nursing . Obtains and subsequently maintains required department specific competencies and certifications. ... with professional standards, national and local coverage determinations (NCD/LCD), centers for Medicare and Medicaid services (CMS), as well as state and federal… more
- UnityPoint Health (Waterloo, IA)
- + Area of Interest: Nursing + FTE/Hours per pay period: 0.01 + Department: Interventional Radiology + Shift: 7:30a-4:00pm + Job ID: 166974 Overview RN- ... PRN, Days 7:30a-4pm As a member of the interdisciplinary team, contributes professional nursing knowledge and skills in the provision and management of care to… more
- UnityPoint Health (Cedar Rapids, IA)
- + Area of Interest: Nursing + Sign On Bonus: $5,000 + FTE/Hours per pay period: 1.0 + Department: Cardiology Clinic + Shift: Monday - Friday 0830 am - 5pm + Job ID: ... heart procedures. As a member of the interdisciplinary team, contributes professional nursing knowledge and skills in the provision and management of care to… more
- Aveanna Healthcare (Erie, PA)
- …o Observe and report significant changes in patient's condition to the (RN) Nursing Supervisor Requirements * High school graduate or GED * Current CPR certification ... required by state * Georgia: o Successful completion of Nurse Aide training and competency evaluation program pursuant to...from another state; or o Successful completion of a Nursing Arts Program which included at least 40 hours… more