- 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
- 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
- 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
- Elara Caring (El Paso, TX)
- …staffing levels at branch locations to meet patient needs. + Ensures compliance of current Medicare , Medicaid, and third-party reimbursement regulations and ... the Area Vice President. **What is Required?** + 5+ years Hospice experience + RN license in state of operations that is current and unrestricted + Previous… more
- UnityPoint Health (Des Moines, IA)
- …preferred License(s)/Certification(s): + Current licensure in good standing to practice as a Registered Nurse in Iowa + Valid driver's license + Basic Life ... and two nurse practitioners, and we're looking for compassionate, skilled Registered Nurses to join our team and help deliver exceptional, specialized cancer… more
- AdventHealth (Calhoun, GA)
- …and complying with policies and procedures, and regular communication with employees. The Registered Professional Nurse ( RN ) is responsible for the delivery ... of five (5) years' experience in Obstetrics, Mother/Baby, Nursery + Must be a Registered Nurse with valid Georgia licenses issued by the Agency for Healthcare… more
- Humana (Orlando, FL)
- …with at least 2 years of relevant experience (Health Services, Social Work, Psychology) + Registered Nurse ( RN ), licensed in the state of Florida with at ... least 2 years of relevant experience. + Licensed Practical Nurse (LPN), licensed in the state of Florida, with...4 years of relevant experience + Prior experience with Medicare & Medicaid recipients + Minimum 2 years case… more
- Martin's Point Health Care (Portland, ME)
- …management programming and offerings. Education/Experience: + Unrestricted state license as a Registered Nurse required; BSN preferred. + 3+ (total) years ... License(s) and/or Certification(s): + Unrestricted state license as a Registered Nurse Skills/Knowledge/Competencies (Behaviors): + Demonstrates an understanding… more
- KPH Healthcare Services, Inc. (Camden, NY)
- …patients. The LPN delivers care to patients/customers as delegated by the Registered Nurse . **Responsibilities** **Job Duties:** + Provides professional nursing ... practice act and under the direction of a Registered Nurse . + Provides exceptional patient communication,...Oxygen, Cough Assist, High volume compressors and oximeters + Nurse /Clinician will play an active role in compliance… more
- BJC HealthCare (St. Louis, MO)
- …Information About the Role** BJC HealthCare has an opportunity for an Audit Compliance Specialist. This role is responsible for managing pay audit requests from ... managed care organizations, Medicare , Medicaid, and VA to ensure accurate payments and...be a catalyst for change. **Responsibilities** + Performs detailed compliance , process and insurance billing audits in the hospital… more