- Stanford Health Care (Pleasanton, CA)
- …advanced practice provider: (Physician Assistant, Nurse Practitioner, Clinical Nurse Specialist or Certified Registered Nurse Anesthetist) ... + PA - Physician Assistant State Licensure or + RN - Registered Nurse -...- Nurse Practitioner or + CNS - Clinical Nurse Specialist or +… more
- San Francisco Health Plan (San Francisco, CA)
- …environment, required. 2+ years supervisory/management experience, required. An active, unrestricted Registered Nurse ( RN ) license in California, required. ... provider dispute resolutions, corrective action plans, and member reimbursement reviews. The Nurse Manager applies clinical judgment to complex and high-value… more
- Terumo Medical Corporation (Caguas, PR)
- …facilities to provide direct occupational health support. **Qualifications/ Background Experiences** Registered Nurse ( RN ) with active professional licensure ... and education programs that drive clear economic value, better clinical outcomes and improved quality of life for patients....and Terumo Medical Products. **Job Summary** The Occupational Health Nurse ensures the health, safety, and regulatory … more
- Universal Health Services, Inc. (Amarillo, TX)
- …of nursing OR Cardiovascular Credentialing International (CCI) Current licensure/permit to practice as a Registered Nurse ( RN ) in the State of Texas OR ... supports a process to measure, assess, and improve performance of management, clinical , and/or support services. Maintains regulatory compliance as related to… more
- Harbor Health Services, Inc. (Mattapan, MA)
- …in quality and consistency of decisions. Supervisory responsibilities for UM RN , Quality Analyst, Appeals and Grievances Specialist . Requirements: Bachelor's ... with all contract requirements, as well as state and federal regulatory requirements; maintains audit-ready status. Creates a continuous learning culture and… more
- Medica (Minnetonka, MN)
- …reinforcement and motivational coaching to reengage member commitment to clinical direction. Helping members secure medications, transportation, specialist ... Manager works to establish trusting member relationships through active listening, clinical guidance and timely follow-through to improve health and quality… more
- Katmai (Usaf Academy, CO)
- **SUMMARY:** Provide a full range of nurse practitioner services in accordance with privileges granted by the Commanding Officer (eg, supervise and provide general ... with common acute conditions, illnesses, or minor trauma within accepted protocols, Nurse Practice Acts, and/or in collaboration with a physician. + Collaborate with… more
- Commonwealth Care Alliance (Boston, MA)
- …Excellence:** + Collaborate with cross-functional teams (eg, Claims, Credentialing, Clinical Care Management, Member Services, Provider Services, Regulatory ... potential recruitment opportunities + Coordinate with other CCA departments, including Clinical Management, Member Services, Claims, Regulatory Affairs, Outreach… more
- Commonwealth Care Alliance (Boston, MA)
- …on CCA's policies related to: Claims and service recovery; Program benefits; Clinical initiatives; Referral and authorization; Regulatory compliance; Billing and ... potential recruitment opportunities. + Coordinate with other CCA departments, including Clinical Management, Member Services, Regulatory Affairs, Claims and… more
- Corewell Health (Southfield, MI)
- …of education and experience + 2 years of related experience + Clinical background + Registered Nurse ( RN ) - State of Michigan Preferred + Working in an ... This is a corporate position with primary work supporting Clinical Compliance, Accreditation and Regulatory Compliance at Corewell Health East Troy Hospital.… more
