- SUNY Upstate Medical University (Syracuse, NY)
- …Position Summary: Upstate University Medical Associates at Syracuse Inc. (UUMAS) is seeking a Registered Nurse ( RN ), or Certified Nurse Specialist (CNS), ... resources. Ensure accurate coding and documentation to support quality initiatives and Medicare compliance . Work closely with clinical teams across seven Primary… more
- CVS Health (Haddonfield, NJ)
- …to or within Passaic County, New Jersey + Candidate must have an active and unrestricted Registered Nurse ( RN ) license in New Jersey + Candidate must be ... life-changing impact on our members who are enrolled in Medicare and Medicaid and present with a wide range...Degree in Nursing (PREFERRED) **License** + Active and unrestricted Registered Nurse ( RN ) license in… more
- CVS Health (Detroit, MI)
- …conversation. **Required Qualifications** + Minimum 3+ years clinical practical experience as a Registered Nurse + Must have active and unrestricted Michigan ... heart, each and every day. **Position Summary** **Case Manager RN ** WFH Flexible This role will be 25-50%% travel...Registered Nurse licensure + Must be willing and able to… more
- CVS Health (Lansing, MI)
- …not permitted. **Required Qualifications** + Minimum 3+ years clinical practical experience as an Registered Nurse ( RN ). + Must have active and unrestricted ... life-changing impact on our members who are enrolled in Medicare and Medicaid and present with a wide range...a whole new level! **Key Responsibilities** + Develops a proactive plan of care to address identified issues to… more
- CVS Health (Springfield, IL)
- …preference: (diabetes, CHF, CKD, post-acute care, hospice, palliative care, cardiac) with Medicare /Commercial members. * Registered Nurse with active state ... tools and information/data. * Utilizes case management processes in compliance with regulatory and company policies and procedures. *...optimal function or return to work. * Develops a proactive course of action to address issues presented to… more
- CVS Health (Detroit, MI)
- …status and health needs based on key questions and conversation. **Required Qualifications** - Registered Nurse with active MI state license in good standing ... all with heart, each and every day. **Case Manager RN ** WFH Flexible **Position Summary** Help us elevate our...life-changing impact on our members who are enrolled in Medicare and Medicaid and present with a wide range… more
- CVS Health (Gladstone, MO)
- …outcomes through assessment and evaluation. **Required Qualifications** - Active and unrestricted Kansas Registered Nurse license - Must live within a 30 mile ... tools and information/data. - Utilizes case management processes in compliance with regulatory and company policies and procedures. -...optimal function or return to work. - Develops a proactive course of action to address issues presented to… more
- CVS Health (Skokie, IL)
- …outcomes through assessment and evaluation. **Required Qualifications** + Active and unrestricted Registered Nurse License in Illinois. + Minimum 3-5 years ... life-changing impact on our members who are enrolled in Medicare and Medicaid and present with a wide range...tools and information/data. + Utilizes case management processes in compliance with regulatory and company policies and procedures. +… more
- CVS Health (Wall, NJ)
- …hours Monday-Friday 8:00am-5:00pm EST. **Position Summary** The ICM Case Manager develops a proactive plan of care to address identified issues to enhance the short ... models. You can have a life-changing impact on our members who are enrolled in Medicare and Medicaid and present with a wide range of complex health and social… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …investigating and remediating allegations of FWA while adhering to compliance and regulatory requirements. Primary activities include substantiating referrals, case ... accuracy of information provided to providers, regulators, law enforcement, Legal, Compliance and outside counsel. Prepares cases for prosecution, civil settlement,… more
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