• Lead Case Manager

    HCA Healthcare (Ocala, FL)
    …relocation. + BLS-AHA Provider issued card required within 30 days of start + Registered Nurse Diploma + Associates Degree in Nursing or Diploma in Nursing ... continued stay and discharge criteria. Orientation will also include Medicare and insurance benefits, grievance procedures, treatment plan process,...in Nursing preferred + Three years of nursing experience in acute care setting is required +… more
    HCA Healthcare (07/13/25)
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  • Provider Transformation Specialist (RN- Western…

    Highmark Health (Buffalo, NY)
    …outcomes as a result of workflow transformation, superior coding accuracy, and Medicare STARS gap closure to providers based upon each individual gain/risk share ... accuracy, cost and utilization reports, medical loss ratio reports, Medicare STARS gaps and other risk revenue opportunities. +...and an RN license or + Bachelor's Degree in Nursing **Substitutions** + None **Preferred** + Master's Degree in… more
    Highmark Health (09/21/25)
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  • RN - Care Manager Transition of Care

    Centene Corporation (Springfield, IL)
    …applicants who (1) reside in Illinois, have (2) an active Illinois registered nurse (RN) credential along with (3) professional experience in the following areas: ... Department: MED-Case Management // Enhanced Transition of Care Team ( Medicare ) * Business Unit: Corporate * Schedule: Monday...Work or a Degree from an Accredited School of Nursing and 2 - 4 years of related experience.… more
    Centene Corporation (09/20/25)
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  • Sales HealthCare - Framingham, MA - Great pay…

    Fallon Health (Framingham, MA)
    …Program of All-Inclusive Care for the Elderly-PACE for short. PACE, an alternative to nursing home care, is a program that helps people 55 and older continue living ... be the leading provider of government-sponsored health insurance programs-including Medicare , Medicaid, and PACE- in the region. **Responsibilities** **Summary:**… more
    Fallon Health (09/19/25)
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  • Mkt Director Home Health Hospice

    Dignity Health (Redding, CA)
    …a positive fiscal stature by ensuring maximum reimbursement from Medi-Cal, Medicare , and third-party payors. The Director is accountable for strategic and ... + Maintains a positive fiscal stature by ensuring maximum reimbursement from Medicare and third-party payers. + Ensures departmental compliance with all applicable… more
    Dignity Health (09/19/25)
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  • RN Stroke Coordinator - Emergency

    Prime Healthcare (Port Huron, MI)
    …Healthgrades Patient Safety Excellence Award, rated four stars by the Centers for Medicare & Medicaid Services and earned The Joint Commission's Gold Seal of ... and supportive work environment. Responsibilities The Stroke Coordinator is a registered nurse who is responsible for the management, organization and maintenance of… more
    Prime Healthcare (09/17/25)
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  • Clinical Denials Management And Audit

    BrightSpring Health Services (Louisville, KY)
    …staff) + Acts as a resource and has expert knowledge of Medicare , Medicaid, and other applicable regulatory requirements + Provides consultation and education ... duties as assigned Qualifications + Requires a degree in Nursing + Current license/registration by state of hire as...+ Current license/registration by state of hire as a nurse + Two years of experience in health care… more
    BrightSpring Health Services (09/16/25)
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  • PT Registration Spec - ED

    Covenant Health Inc. (Harriman, TN)
    …manner. + Coordinates front desk patient flow and notifies the triage/charge nurse of patient situations that require urgent clinical attention. + Accurately ... to the patient/family member, such as: consent for treatment, advance directives, Medicare forms. + Understands and follows the facility de-escalation process when… more
    Covenant Health Inc. (09/13/25)
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  • RN Case Manager, Home Health

    Sutter Health (Concord, CA)
    …: **EDUCATION** + RN graduate from an accredited curriculum. + Bachelor's: Nursing or health related field preferred **CERTIFICATION & LICENSURE** + RN-Registered ... Nurse of California + DL-Valid Drivers License Class C...understanding of home care and/or hospice services, Title XXII, Medicare Conditions of Participation, CHAP home health and/or hospice… more
    Sutter Health (09/05/25)
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  • PT Registration Spec - ED

    Covenant Health Inc. (Knoxville, TN)
    …manner. + Coordinates front desk patient flow and notifies the triage/charge nurse of patient situations that require urgent clinical attention. + Accurately ... to the patient/family member, such as: consent for treatment, advance directives, Medicare forms. + Understands and follows the facility de-escalation process when… more
    Covenant Health Inc. (08/28/25)
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