• Care Manager

    Calvert Memorial Hospital (Prince Frederick, MD)
    …Nursing degree: BSN/MSN is preferred. + Registration/Certification/Licensure : + Current Maryland Registered Nurse license + Unexpired driver's license + Basic ... coordinating, performing and completing or supporting the Welcome to Medicare (WTM) and Annual Wellness Visit (AWV) to a...Life Support certification required + Experience : + RN with a minimum 5 years of clinical experience… more
    Calvert Memorial Hospital (09/25/25)
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  • Care Coach (Transition/Custodial Prevention)

    Humana (Burlington, IA)
    …+ An active, unrestricted Licensed Professional Counselor (LPC), Licensed Social Worker (LSW) or Registered Nurse ( RN ) in Illinois. + Nursing home diversion ... + Two (2) years of prior experience working with Medicare and Medicaid recipients, long-term care services, Home and...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
    Humana (09/08/25)
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  • Clinical Revenue Auditor-CDM Patient Financial…

    Mount Sinai Health System (New York, NY)
    …at all levels throughout the organization. **License** ? Current NYS licensure ( Registered Nurse ( RN ), Occupational Therapist (OT), Physical Therapist ... payment. This position plays a key role in ensuring the financial health and compliance of the organization and bridges the gap between clinical care and medical… more
    Mount Sinai Health System (09/24/25)
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  • Utilization Review Nurse Supervisor II

    The County of Los Angeles (Los Angeles, CA)
    …AED) Programs. LICENSE(S) AND CERTIFICATE(S) REQUIRED: A current license to practice as a Registered Nurse issued by the California Board of Registered ... for certification of approved hospital days reimbursable under the Medicare and MediCal programs. Essential Job Functions + Plans,...in a state other than California must provide their Registered Nurse License Number from that state… more
    The County of Los Angeles (09/27/25)
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  • Clinic Staff Asst

    UnityPoint Health (Storm Lake, IA)
    …maintain current Iowa license as a Certified Medical Assistant (AAMA) or Licensed Practical Nurse or Registered Nurse . + Mandatory Reporter certification or ... Health Center - Storm Lake Care Clinical Care Attendant: RN , LPN, or CMA FTE: .9 (Full-time, 36 hours...compliance requirements for federally funded healthcare programs (eg Medicare and Medicaid) regarding fraud, waste and abuse. Brings… more
    UnityPoint Health (10/07/25)
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  • Licensed Practical Nurse , Home Care

    Eastern Connecticut Health Network (Vernon, CT)
    …The Home Care Nurse (LPN) functions under the direction of the RN Case Manager. C4, F4 1. Provides intermittent skilled nursing service to patients and ... all times. General Summary of Duties: The Home Care Nurse (LPN) is responsible to provide nursing care consistent...their families in compliance with state and Medicare regulations, incorporating… more
    Eastern Connecticut Health Network (09/18/25)
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  • Outcomes Manager

    Virtua Health (Mount Holly, NJ)
    …and/or certification from the State of New Jersey as a MSW or Registered Nurse .Case Management Certification (requirement within one year of hire beginning ... over 2,850 skilled and compassionate doctors, physician assistants, and nurse practitioners equipped with the latest technologies, treatments, and techniques… more
    Virtua Health (09/03/25)
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  • Home Health Quality Assurance Auditor

    Humana (Corpus Christi, TX)
    …process management as needed. Requires applicable State licensure in field of study: Registered Nurse ( RN ), Licensed Masters Clinical Social Worker (LCSW), ... 1 consults and collaborates with clinicians to ensure high accountability of compliance and quality. The Quality Assurance, Clinical Professional 1 work assignments… more
    Humana (10/01/25)
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  • Mkt Director Home Health Hospice

    Dignity Health (Redding, CA)
    …plus years of management experience in a home health or hospice setting **Licensure:** + Registered Nurse : CA ( RN :CA) + Driver's License: CA (AUTO:CA) + Auto ... system. + Maintains a positive fiscal stature by ensuring maximum reimbursement from Medicare and third-party payers. + Ensures departmental compliance with all… more
    Dignity Health (09/19/25)
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  • Supv Clinical Documentation / HIM Clinical…

    Hartford HealthCare (Farmington, CT)
    …others as needed. **Education** . Bachelor degree or equivalent experience **Experience** . Minimum: Registered Nurse ( RN ) with 3-5 years CDS experience . ... query impact. . Collaborates with coding leadership to determine appropriate Medicare Severity-Diagnosis Related Group (MS-DRG, APR-DRGs, etc.) assignment for … more
    Hartford HealthCare (09/17/25)
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