• Home Health Nurse Consultant RN

    PruittHealth (Norcross, GA)
    …improvement and data analytics. **MINIMUM EDUCATION REQUIRED:** . Must be a Registered Nurse , Physical Therapist, Occupational Therapist, or Speech Therapist in ... the Home Health Agencies by evaluating and educating agencies/facility staff for compliance with all regulatory groups by making recommendations and suggestions for… more
    PruittHealth (09/20/25)
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  • RN - Clinical Services Liaison - Outpatient…

    Ochsner Health (Jefferson, LA)
    …are subject to change at the company's discretion. **Education** **_Required -_** Registered Nurse Diploma **_Preferred -_** Bachelor's degree in Nursing **Work ... Outpatient & Home Infusion setting **Certifications** **_Required -_** Current RN License in the state of practice Basic Life...such as: TPN, Enteral Nutrition and Inotropic Agents for Medicare . + Ability to work with frequent interruptions and… more
    Ochsner Health (09/28/25)
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  • Hospice Clinical Manager RN

    Gentiva (Woodbridge, VA)
    …of accredited school of nursing; bachelor's degree in nursing preferred + Current Registered Nurse licensure in state of residence and requested employment + ... looking for a **Patient Care Manager / Clinical Manager** ** RN ** to join our team. This is a primarily...and ensuring adherence to company policies and procedures and compliance with local, state, and federal regulations and regulatory… more
    Gentiva (08/21/25)
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  • RN Manager Care Management

    AdventHealth (Sebring, FL)
    …amongst staff Qualifications **The expertise and experiences you'll need to succeed:** . Registered Nurse : BSN or Social Worker: BSW Masters in related field. ... but not limited to: Coordination of Care, Centers for Medicare & Medicaid Services (CMS) Conditions of Participation, Social...experience in an acute care setting. . State specific RN license if a nurse . . Licensed… more
    AdventHealth (08/16/25)
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  • RN Inpatient Rehab PAI Coordinator

    Community Health Systems (Springdale, AR)
    …deliver education and facilitate training for interdisciplinary teams. **Licenses and Certifications** + RN - Registered Nurse - State Licensure and/or ... **Job Summary** The Medicare IRF PAI Coordinator ensures the accuracy and...the accuracy and completeness of patient documentation to support compliance with CMS guidelines for admission, assessment, and reimbursement… more
    Community Health Systems (08/14/25)
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  • RN Manager, Healthcare Services (Nevada…

    Molina Healthcare (North Las Vegas, NV)
    …identifying opportunities for improvement. **JOB QUALIFICATIONS** **Required Education** + Registered Nurse or equivalent combination of Licensed Vocational ... direct report supervisors, facilitates integrated, proactive HCS management, ensuring compliance with state and federal regulatory and accrediting standards... Nurse (LVN) or Licensed Practical Nurse (LPN) with experience in lieu of … more
    Molina Healthcare (08/13/25)
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  • RN , Manager, Utilization Management…

    Humana (Augusta, ME)
    …areas. **Use your skills to make an impact** **Required Qualifications** + An active, unrestricted Registered Nurse ( RN ) license in the state of Michigan. + ... to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
    Humana (09/28/25)
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  • RN Care Manager

    Humana (Menasha, WI)
    …**Required Qualifications** + Associate degree in nursing. + Must be a Registered Nurse , licensed in the state of Wisconsin. **Preferred Qualifications** ... help us put health first** Humana is seeking an RN Care Manager (Health & Wellness Coordinator) to join...to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities… more
    Humana (09/18/25)
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  • Director Care Management Polk - RN Acute…

    AdventHealth (Davenport, FL)
    …Care Management Qualifications **The expertise and experiences you'll need to succeed:** . Registered Nurse : BSN . Social Worker: MSW or BSW Masters in ... but not limited to: Coordination of Care, Centers for Medicare & Medicaid Services (CMS) Conditions of Participation, Discharge...experience in Care Management/Social Work leadership . State Specific RN license if a nurse This facility… more
    AdventHealth (08/07/25)
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  • Case Manager, RN

    Sutter Health (San Francisco, CA)
    …+ Other: Graduate of an accredited school of nursing **CERTIFICATION & LICENSURE:** + RN - Registered Nurse of California + CCM - Certified Case Manager ... in an integrated delivery system: including but not limited to: Centers for Medicare and Medicaid Services (GR) Grouper (CMS), Title 22, CHA Consent Manual,… more
    Sutter Health (07/30/25)
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