• RN MDS Supervisor- Clinical Reimbursement…

    Catholic Health Services (Smithtown, NY)
    Compliance : Stay up-to-date on current reimbursement regulations and guidelines (eg, Medicare , Medicaid) and ensure compliance . + Data Analysis: Analyze ... while simultaneously improving the quality of care and ensuring compliance with regulatory standards. Key Responsibilities: Clinical Reimbursement: + Documentation:… more
    Catholic Health Services (09/24/25)
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  • Inpatient Coding Quality Officer III -…

    RWJBarnabas Health (Oceanport, NJ)
    …and DRG assignment for adherence to Federal and State Regulations and Compliance Guidelines. + Critically analyzes each Medicare inpatient medical record ... Inpatient Coding Quality Officer III - ( Medicare ) RemoteReq #:0000183242 Category:Healthcare Operations, Revenue Cycle, and Patient Access Status:Full-Time Shift:Day… more
    RWJBarnabas Health (09/18/25)
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  • RN Director of Palliative Care

    Gentiva (St. Louis, MO)
    …keywords - home health RN administrator, home health nursing administrator, registered nurse administrator, home health care management, home health agency ... staff, ensuring effective delegation, supervision, and evaluation. + Ensure compliance with state and federal regulations, Medicare ... RN director, nursing leadership in home health, registered nurse home health supervisor, home health… more
    Gentiva (10/02/25)
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  • RN Home Health

    Covenant Health Inc. (Knoxville, TN)
    Overview Registered Nurse , Homecare $1,500 Sign-on Bonus for Candidates with Relevant HomeCare Homebase Experience Full Time, 80 Hours Per Pay Period, Variable ... Shifts West RN M-F case manager with on-call rotation for M-F...contact note, mileage, etc. + Has working knowledge of Medicare guidelines, and performs in compliance with… more
    Covenant Health Inc. (07/25/25)
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  • Home Care Manager

    Munson Healthcare (Traverse City, MI)
    …and administrative functions of our multisite Home Care offices. You'll ensure regulatory compliance ( Medicare , Medicaid, CHAP), manage budgets, set and meet key ... Supervisors, participating in on-call rotation, and leading quality improvement and compliance activities. What's Required + Education & Licensure: + Master's in… more
    Munson Healthcare (09/19/25)
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  • RN - We 72

    Covenant Health Inc. (Knoxville, TN)
    Overview Registered Nurse , Hospice - Weekends $1,500 Sign-on Bonus for Candidates with Relevant HomeCare Homebase Experience Full Time, 72 Hours Per Pay Period, ... best possible outcomes for patients' duration of life. The RN -Hospice will work a schedule that consists primarily of...respite care as needed. + Has working knowledge of Medicare guidelines, and performs in compliance with… more
    Covenant Health Inc. (09/04/25)
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  • Home Health RN Executive Director

    Gentiva (Milwaukee, WI)
    … Administrator to join our leadership team. This role is ideal for a licensed Registered Nurse ( RN ) with strong leadership experience in home health, ... the day-to-day operations of the home health branch, ensuring compliance with all applicable federal, state, and accreditation standards... RN director, nursing leadership in home health, registered nurse home health supervisor, home health… more
    Gentiva (09/18/25)
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  • RN Utilization Review - System Care…

    Guthrie (Binghamton, NY)
    Summary The Registered Nurse ( RN ) Utilization Management (UM) in collaboration with Care Coordination, Guthrie Clinic offices, other physician offices, and ... processes have valid outcome measures that are monitored for compliance and reported to a variety of audiences. The...of patient status. 1. Collaborate and set standards with registered nurse ( RN ) case managers… more
    Guthrie (10/04/25)
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  • Intensive Case Management - Medicare

    UCLA Health (Los Angeles, CA)
    Description Under the direction of the Assistant Director, the ICM Medicare Advantage Utilization Review Nurse performs utilization review of medical necessity ... for Medicare Advantage population enrolled under UCLA Medical Group. The ICM Medicare Advantage Utilization Review Nurse ensures that home health and durable… more
    UCLA Health (10/02/25)
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  • Clinical Quality Manager - Population Health…

    Bon Secours Mercy Health (Cincinnati, OH)
    …work. This Population Health Clinical Quality Manager will support the Medicare Shared Savings Program (MSSP) value-based care model. **Primary Function/General ... vendor management. Maintains processes that are aligned with BSMH privacy and compliance policies and procedures. + Creates and maintains various data tracking tools… more
    Bon Secours Mercy Health (10/03/25)
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