• Care Manager- Telephonic Nurse - FT…

    CenterWell (Columbia, SC)
    …as assigned. **Use your skills to make an impact** **Required Qualifications** + Licensed Registered Nurse ( RN ) with compact state licensure in state of ... and under established performance criteria. This is a work-from-home telephonic nurse position **Essential Functions:** + Act as CenterWell Home Health… more
    CenterWell (10/07/25)
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  • Clinical Research Nurse - Academic Office…

    Houston Methodist (Houston, TX)
    …One year acute care or clinical research experience **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure -- Compact ... Office of Clinical Trials! We are seeking an experienced nurse with strong clinical expertise who is proactive, resourceful,...and provide guidance on the administration of the GCP compliance , financial and other related aspects of the research… more
    Houston Methodist (10/07/25)
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  • VP Clinical Operations Care At Home

    Tufts Medicine (Lowell, MA)
    …Master's degree in Nursing, Community Health, Business Administration, or Healthcare Administration. 2. Registered Nurse ( RN ) license. 3. Five (5) years in ... and hospice divisions provide high quality care and meet the mission in compliance with all applicable laws and regulations. Responsible for the clinical provision… more
    Tufts Medicine (10/07/25)
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  • Supervisor, Payment Integrity

    Centene Corporation (Jefferson City, MO)
    …of using code editing software systems in a managed care organization preferred. **Certifications:** RN - Registered Nurse or LPN - Licensed Practical ... on workplace flexibility. **Position Purpose:** Responsible for leading clinical coding compliance nurses and non-clinical team members through medical claim review.… more
    Centene Corporation (09/27/25)
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  • Oasis Assessment Clinical Reimbursement…

    PruittHealth (Norcross, GA)
    …surveys. * Report potential financial risks or under-utilization to leadership. **Qualifications:** * Registered Nurse ( RN ) with active license in the state ... and providing education to improve audit results and ensure regulatory compliance . **Key Responsibilities:** * Review and validate OASIS assessments for accuracy… more
    PruittHealth (09/26/25)
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  • Manager Care Management

    AdventHealth (Tampa, FL)
    …Patient Choice, etc.) Qualifications **The expertise and experiences you'll need to succeed:** Registered Nurse : BSN or Social Worker: BSW Masters in related ... but not limited to: Coordination of Care, Centers for Medicare & Medicaid Services (CMS) Conditions of Participation, Social...Management experience in an acute care setting. State specific RN license if a nurse . This facility… more
    AdventHealth (09/11/25)
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  • Care Management Manager

    AdventHealth (Tampa, FL)
    …sharing amongst staff. Qualifications **The expertise and experiences you'll need to succeed:** Registered Nurse : BSN or Social Worker: BSW Masters in related ... but not limited to: Coordination of Care, Centers for Medicare & Medicaid Services (CMS) Conditions of Participation, Social...Management experience in an acute care setting. State specific RN license if a nurse . This facility… more
    AdventHealth (09/06/25)
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  • Manager, Care Management

    Humana (Springfield, IL)
    …+ **Must reside in the state of Illinois** + An active, unrestricted, Registered Nurse **( RN )** license, Licensed Clinical Social Worker **(LCSW)** ... Develop audit plans and tools for teams to ensure compliance with state contracts on performance metrics and to...to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities… more
    Humana (08/29/25)
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  • LPN - Home Health & Hospice

    Marshfield Clinic (Iron Mountain, MI)
    …skilled nursing care to patients in their homes under the direction and supervision of a Registered Nurse ( RN ) and in accordance with the plan of care. The ... if restrictions are substantially related to the position._ **Minimum Required:** Current registered Licensed Practical Nurse in the State of Michigan, and… more
    Marshfield Clinic (08/27/25)
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  • Mgr Peninsula Outpt Svcs

    Covenant Health Inc. (Alcoa, TN)
    …preferred. Licensure Requirement Must have current TN License as a Registered Nurse or Licensed Therapist/Social Worker. RN License Apply/Share Job Title MGR ... Assures that services are provided by qualified professionals and are compliance with all requirements. Responsible effective coordination of services by providers… more
    Covenant Health Inc. (07/18/25)
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